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Why Consider EHR’s Now? 
An Electronic Health Record (EHR) Primer

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Tl/ ll-l INSTITUTE
TMH | nstitute’s

 comprehensive,  step-by-
step training system: 
1‘ >_ .  Integrated using a
 published,  7—step,  legal...
telehea| th. org

Disclaimer

The content of any TeleMental Health Institute training covers a number of
developing areas ...
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Copyright 2012 TeIeMentaI Health Institute,  Inc,  All righs reserved.
IE EMENIAL HEALIH
((( fl“ 1 ‘ I V U _ I teleheatth. org

 

What is an Electronic Health Record
(EH R)?  9'5’: 
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If-Li-MENI/ l. HE-L'H
((( _ 5 I g L _ ' telehealth. org

 

EHR’s
- ARE: 

/  Comprehensive medical records
~/  Ability to...
‘ "H teIeheaIth. org

Why should I get an EHR? 

- Efficiency

- Complete record
- Consumer empowerment and satisfaction
°...
((( 'E| LfME'j'A, L:'E_ALl'H teIehealth. org

 

Advantages/ Disadvantages of EHR’s

- Adva ntages: 

— Access to complete...
((( 'E| LEME': 'A, L:1F_ALl'H teIehealth. org

Survival and What Happens lfl Do Not
Get an EHR? 

   

 

° Currently:  EH...
((( 'E| LfM_E': 'A, L:TEf‘Ll'H telehealth. org

Why Should I Get One Now? 

- Payer preference,  before any mandate
— (rem...
((( 'E| Ls"'_E': 'A‘L: ',Ef“Ll"H te| ehealth. org

 

Meaningful Use:  What Is It? 

° Incentive funding program to adopt ...
((( 'E| Lf""_EN'A‘LH, Ef‘L"H te| ehealth. org

Privacy and Security

- Cloud is scary
° ”Yes,  we are HIPAA comp| iant”

-...
((( 'E| LfME': 'A, L:1F_ALl'H teIehealth. org

    

Choosing an EHR

- Practice Management,  electronic note-
keeping,  a...
(((  teIehealth. org
A Word About Reputable EHR’s

° Gold standard:  Certified

- Not Certified:  Pros/ Cons

- Transparen...
((( 'E| Ls"'_E': 'A‘L: ',Ef“Ll"H te| ehealth. org

Due Diligence:  EHR Company Stability

° Behavioral Health EHR’s versus...
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Selection Checklist

CI Education:  ...
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Email Lisette Wright,  Senior / . 52.
Associa...
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Reminder about Discussion Forum

Learning Lounge...
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Overview of Online Counseling,  Psychotherapy...
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Why Consider EHRs Now? An Electronic Health Record (EHR) Primer

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FREE TMH Institute Webinar: Why Consider EHRs Now? An Electronic Health Record (EHR) Primer with Lisette Wright, Senior Consultant from OPEN MINDS.

The above program is available for 1 CEU or 1 CME, along with transcripts and an audio download of the event.
Details are available here: http://store.telehealth.org/catalog.php?item=141

The above event is sponsored by the TeleMental Health Institute, Inc. We are the premier professional training site for professionals seeking training in telehealth. Our courses are offered in a state-of-the-art, 100% online learning environment that is fully mobile compatible. Professional training is now available from your desktop of mobile device, 24/7, at your home or office.

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Why Consider EHRs Now? An Electronic Health Record (EHR) Primer

  1. 1. IF f‘.4§Nl/ ; E»L'H ((( ‘Ln I _: i,‘ teleheaIth. org Why Consider EHR’s Now? An Electronic Health Record (EHR) Primer Telehealth Institute Webinars February 24, 2013 Lisette Wright, MA interviewed by Marlene M. Maheu, Ph. D. Contact info@te| ehea| th. org for support
  2. 2. Tl/ ll-l INSTITUTE
  3. 3. TMH | nstitute’s comprehensive, step-by- step training system: 1‘ >_ . Integrated using a published, 7—step, legal/ ethical — J framework yes, 5.. ‘: ~«- ' , ' Evidence—based using _j , primary sources l . « T Reasonable price / payment plan / ’ ‘~‘l 3 ‘ 100% online, mobile compatible text, audio & video 4| _. Self-paced for 3-years "~-‘f. .~, .,«r ‘I “ ' Ongoing private and _ I_: J’ community support FEI Ic and (‘| /ICC Ni f‘»fi’I‘, ': T"-"‘. Ti’? 'i? ‘.fi‘ -
  4. 4. telehea| th. org Disclaimer The content of any TeleMental Health Institute training covers a number of developing areas where legal and ethical issues are in still solidifying. It then, is impossible for us to give you definitive advice. We assume you are licensed or otherwise credentialed are responsible for your own decisions and actions. Our goal is educational only. Our legal advisors insist that we inform you that No warranty, guarantee, or representation is made by the TeIeMentaI Health Institute, its trainers, guests or independent consultants as to the accuracy or sufficiency of the information contained in our training. Therefore, the Institute, trainers, guests and consultants assume no responsibility in connection therewith. Our goal is to outline the issues and alert you to what's happening, including legal, ethical and other risk management issues. You are encouraged to seek specific advice related to your circumstance from your relevant and qualified legal, regulatory, ethical and malpractice bodies.
  5. 5. ‘ | :n: .li: 'ir. m.. :i: mzgi: i , , g, (( ""' V‘) X’! Z xdlzlnz. -.lliI. .-in Questions 9 Please type your l questions into the chat '. / ".? l?‘%' box that you see. It, . , _.-«-</ . _‘ ~ - ‘zit. ’ :3 1 “L 9 Others will not see your ‘‘‘: x . l ; g, —- , , question. ‘_ I I " a ' I * Questions will be e considered at the end of ‘ -_: _,m§i, _ the meeting, but please feel free to type them as they occur to you throughout the hour. F‘5'f7T'-"W. 'i"'ii I"r’i'l‘, '1". i"-"'. .'; "‘« "? ‘{«‘ »
  6. 6. ‘ l: I:. fl= i'll. “=Jdzllflli , , """" "A 1 Minn-. .-. i|i’. ,,-in Comment in Discussion Forum Learning Lounge Go to: Telehealth. org/ training 6 Your registration to this event has earned you a free membership in our Learning Lounge Community Forum *” A ~ "I"'i: "«, for up to one year. ’ ; _l , . * Community of over 1000 l "K ‘ _ professionals from 20 K ; ‘.‘.7l countries around the world. L” 7 , s New thread called . V l l ”Webina rs” F'5'f'-T'c"I'3‘. 'j1""; '; I’7’i'l', "."_i"-"L'{". '1“. .ff .
  7. 7. Copyright 2012 TeIeMentaI Health Institute, Inc, All righs reserved.
  8. 8. IE EMENIAL HEALIH ((( fl“ 1 ‘ I V U _ I teleheatth. org What is an Electronic Health Record (EH R)? 9'5’: I$! « ° HIMSS: — The Electronic Health Record (EHR) is: ° A longitudinal electronic record of patient health information, a complete record of the clinical patient encounter - as well as supporting other care- ° Includes: patient demographics, progress notes, problems, medications, past history, laboratory data and reports ° Automates and streamlines the clinician's workflow ° Supports and prompts for evidence—based decision support, improved quality management, and can report outcomes
  9. 9. If-Li-MENI/ l. HE-L'H ((( _ 5 I g L _ ' telehealth. org EHR’s - ARE: / Comprehensive medical records ~/ Ability to track progress in a concrete manner / Think: the entire paper record in your hands on the computer AND more! I ARE NOT: / Practice management systems / Progress Note systems / Billing and clearinghouse systems
  10. 10. ‘ "H teIeheaIth. org Why should I get an EHR? - Efficiency - Complete record - Consumer empowerment and satisfaction ° Ready access to information - Information Exchanges - Increased revenue capture - Reduced paybacks - Audits
  11. 11. ((( 'E| LfME'j'A, L:'E_ALl'H teIehealth. org Advantages/ Disadvantages of EHR’s - Adva ntages: — Access to complete records — Improved collections rate and turn-around time — Improved risk management — Payers appreciate — Data collection: outcomes — Seamless clinical documentation-diagnosis—bi| |ing—CPT/ ICD coding-clean claims - Disadvantages: — Cost — Learning Curve — Psychological factors
  12. 12. ((( 'E| LEME': 'A, L:1F_ALl'H teIehealth. org Survival and What Happens lfl Do Not Get an EHR? ° Currently: EHR’s are optional ° Someday: Not likely ° Do it on your terms, not someone else’s ° Payers: Looking for seamless clinical documentation to billing/ financials
  13. 13. ((( 'E| LfM_E': 'A, L:TEf‘Ll'H telehealth. org Why Should I Get One Now? - Payer preference, before any mandate — (remember paper billing? ) ° Consumer Preference - National Rating Scales - Collecting Outcomes Measures - Performance Metrics for marketing - Possible MU monies - Integrated Care: Health Care Reform and ACA - Attaching video sessions to the record
  14. 14. ((( 'E| Ls"'_E': 'A‘L: ',Ef“Ll"H te| ehealth. org Meaningful Use: What Is It? ° Incentive funding program to adopt and "meaningfully use” a certified EHR ' lVlD'S, DO'S, APRN/ NP'S = $63,500 over 6 years ° 3 bills in Congress to expand to others ° Best practice examples: 4 MU measures — Collaborate care with PCP — Up—to—date Problem List — Drug—drug/ drug-allergy checks — Track Clinical Quality measures (impress your payers! ) — Updated medication lists — Clinical summary at end of visit
  15. 15. ((( 'E| Lf""_EN'A‘LH, Ef‘L"H te| ehealth. org Privacy and Security - Cloud is scary ° ”Yes, we are HIPAA comp| iant” - Items to check for and do: — Authentication policies — User controls — Access to data — BA agreements — Update your policies/ procedures — Anticipate consumer questions — Physical/ Administrative/ Technical Safeguards
  16. 16. ((( 'E| LfME': 'A, L:1F_ALl'H teIehealth. org Choosing an EHR - Practice Management, electronic note- keeping, and billing systems do not equal an EHR! - Don't be impressed by demo’s - Talk with other customer's - Lack of strategic planning ° Get vendor information for: data conversion, implementation assistance, forms availability - View this as a marriage: your intention is to be partner's for a long time!
  17. 17. ((( teIehealth. org A Word About Reputable EHR’s ° Gold standard: Certified - Not Certified: Pros/ Cons - Transparency - User Forums/ Groups/ Conferences - Open to feedback - Timely response times to concerns/ questions THE PROCESS OF SELECTING AN EHR WILL TAKE YOU 4-6 MONTHS IF DONE THOROUGHLY
  18. 18. ((( 'E| Ls"'_E': 'A‘L: ',Ef“Ll"H te| ehealth. org Due Diligence: EHR Company Stability ° Behavioral Health EHR’s versus Medical EHR’s ° Software Escrow ° Research: — Company profile — Number of customers — Number of installations — Number FTE’s at the company — Expended growth rate: of new customers, of FTE’s
  19. 19. ' I: I:Ii: i'Ir. m.. :I: I;IIgI: i , , ""' V" " Z (Q! -3:1: iii -11- , - . ._ , Selection Checklist CI Education: about HIT, vendors, process CI Strategy: Organizational Goals/ IT Goals CI Determine Functionality Desired CI Develop Software Specifications ltemization CI Initial list of 10 vendors CI Build & Send RFP (Request For Proposal) El Initial Demos D Final Demos U Contract Negotiation & Signing F‘ 577777’: 1"'ii I’>’W, "5'. i"I"; .'§'‘« '13‘? »
  20. 20. ‘ I: I:‘ll_: i'| l.“i. Jdzitflli , . ""’ "" 3" 1 (Ql1l| 'l: .'. lNi, ,-In Email Lisette Wright, Senior / . 52. Associate, at OPEN MINDS: g ' lwright@openminds. com . EIEQF” fl fllfifll H EEII E E OPEN MINDS Research and Consultation fififikgk Services: over 25 years of experience in Health Information Technology consulting MIND S F137‘-"li': ‘i'Ii"'i'; ?’>’I‘l', "5'. i"I”. .'{"I "? ‘.I“. ‘ .
  21. 21. ‘ I: .:yi: :nr. m.. :4:; ugx: ; , , "WV". "A C (Jl: l|’[; r.lNi, ,-yo Reminder about Discussion Forum Learning Lounge ~ Your registration to this event has earned you a free membership in our Learning Lounge Community Forum for a full year. - Community of over 1000 professionals from 20 countries around the world. 0 New thread called ”Webinars’ ° You also have access to the whole community for future questions/ discussion of telehealth I You will need you TNH Institue access codes Go to: Telehealth. org/ training 1* F‘b'f3‘c"I'31'. '1"': fi I"rW'l‘, ".", "
  22. 22. ‘ ' ’ I: -:5 : l‘| l;‘= _:d; Hgl: e , . "" 'l‘_ I’ * 1 xallamzr-llii. .-m Overview of Online Counseling, Psychotherapy & Te| eMenta| Health (3 CEUs/ CMEs) 50% Discount = $39.50 See Syllabus Here: http: //goo. g|/ GNpQq Valid for 48 hours only . /.3 . i rT 2 “ ‘, I / ,~ I -‘D . . ‘I I l V. » . ';€: ' ' 9 7 ‘i X , - ‘x. .- i‘7ai 7737,’: 5,3"-"‘. .1"f 'i? ‘.f? -
  23. 23. " | :n: ‘¢: ‘|; t._: d;wx: , . ""’l“_', "§’ 1” ut= m~: .1lli. .-in . "lK‘kk V ;1 ~_, r , r yr 4 4“ Marlene M. Maheu, Ph. D. ll. Te| eMenta| Health Institute www. te| ehealth. org 17:‘; T‘»3'l‘, ': , ‘,'; "-"I T7?’ 'i? ‘J5‘-

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