Your EMR/EHR is implemented, what’s next?

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Your EMR/EHR is implemented, what’s next?

  1. 1. Your EMR/EHR is implemented, what’s next?<br />Sally Akers RN MSN<br />Managing Director, Healthcare Consulting<br />Dell Healthcare & Life Sciences<br />
  2. 2. Electronic Health Record Strategy<br />Stable Comprehensive Enhanced Health Care Record<br />Enhance <br />Care<br />Ability to continuously improve the quality and efficiency of health care administered to our beneficiaries<br />Long Term<br />StableComprehensive Health Care Record<br />Comprehensive<br />One-stop point for providing, viewing and maintaining a complete longitudinal health care record<br />Mid Term<br />Stable Health Care Record<br />Stabilize<br />Speed, Reliability and User Interface<br />Efficiently perform their duties in a timely manner, regardless of location, time of day or network issues<br />Near Term<br />Empowering patients and evidence-based medicine<br />Intellectual capital of medicine<br />
  3. 3. Service Member Health Care ContinuumHealth Care is Local…Information is Global<br />Civilian Care<br />Recruitment<br />Accession/Training<br />VA Care<br />Routine Care<br />Virtual Lifetime Electronic Record (VLER)<br />Readiness/Pre-Deployment<br />Transition & Benefits Assessment<br />Empowering patients and evidence-based medicine<br />Deployed/ Theater Care<br />Care In Transit<br />Care at home/Post-deployment<br />
  4. 4. Nationwide Health Information Network (NHIN)<br />DoD<br />VA<br />Community Health Centers<br />VLER<br />Health<br />CDC<br />Community #1<br />Effectiveness<br />IHS<br />Incentives Tomorrow:<br /><ul><li>Coordinated
  5. 5. Predictable
  6. 6. Outcome base</li></ul>Nationwide Health Information Network (NHIN)<br />SSA<br />CMS<br />Integrated Delivery System<br />The Internet<br />Standards, Specifications and Agreements for Secure Connections<br />NHIN Gateway<br />Adapter<br />NCI<br />Community #2<br />
  7. 7. The Current Environment in Many Healthcare Organizations Does Not Support a Unified Approach to Informatics and Analytics<br />Effectiveness<br />Empowering patients and evidence-based medicine<br />Intellectual capital of medicine<br />
  8. 8. Impact and Scope of Healthcare Informatics/ Analytics<br />A mature informatics and analytics capability will advance healthcare quality, efficiency, effectiveness and safety for individual patients, populations of patients, organizations and healthcare professionals resulting from the management, acquisition, storage, analysis, reporting, mining and useof healthcare data (clinical, operational, financial) across all levels and segments of the healthcare industry/organization<br />Effectiveness<br />Incentives Tomorrow:<br /><ul><li>Coordinated
  9. 9. Predictable
  10. 10. Outcome base</li></ul>Intellectual capital Health informatics is at the intersection of information science, computer science, and health care. It deals with the resources, devices, and methods required to optimize the storage, retrieval, and use of information in health and biomedicine. Health informatics tools include not only computers but also clinical guidelines, formal medical terminologies, and information and communication systems. medicine<br />
  11. 11. Healthcare Leaders Need to GET SMARTER about….<br /><ul><li>The business of healthcare
  12. 12. The management of healthcare resources
  13. 13. Financial and operational content
  14. 14. The delivery of healthcare
  15. 15. Clinical content
  16. 16. Clinical processes
  17. 17. Use of evidence
  18. 18. The quality and safety of healthcare
  19. 19. Compliance
  20. 20. Never events
  21. 21. Medication safety
  22. 22. The data assets of healthcare
  23. 23. Data storage
  24. 24. Data access
  25. 25. Data management</li></ul>Create breakthrough advances in healthcare by enabling access to meaningful, integrated information in the right places at the right times and to the right persons<br />Effectiveness<br />Incentives Tomorrow:<br /><ul><li>Coordinated
  26. 26. Predictable
  27. 27. Outcome base</li></ul>Empowering patients and evidence-based medicine<br />Intellectual capital of medicine<br />
  28. 28. GET: The 3 Critical Enablers that Support a Mature Informatics and Analytics Program/Culture (GET)<br />G<br />Governing and Leading—Executive leadership establishes data as an organizational asset, to be managed and protected. A governance body is established for decision making and management/oversight. Informatics resources are established and supported.<br />E<br />Enabling People and Technology—Organizational learning is optimized to create a culture of transparency and data-driven decision making. People and technology are enabled with accessible clinical content/evidence, alerts, triggers, process reminders, and automated functionality. <br />T<br />Transforming Structures, Processes, and Functions—Processes, structures, and functions related to data capture, storage, analysis ,and reporting are optimized to ensure that informatics capability is matured horizontally and vertically in the enterprise. Technology planning and implementation is facilitated to support data storage, integration, management, and use. <br />
  29. 29. SMARTER: The 7 Critical Components Required to Build a Mature Informatics/Analytics Program/Culture<br /><ul><li>Data storage solutions are designed and initiated to optimize the ability to integrate and access data across source systems.</li></ul>Store<br /><ul><li>Information is managed to provide consistent definitions, useful meta data, and master data indexes. Content is managed to ensure relevance.</li></ul>Manage<br />Effectiveness<br />Analyze<br /><ul><li>Data is analyzed using sound scientific principles and methods. Analysis includes data mining, comparison, variations, and correlation of data.</li></ul>Incentives Tomorrow:<br /><ul><li>Coordinated
  30. 30. Predictable
  31. 31. Outcome base</li></ul>Report<br /><ul><li>Reporting is designed to identify opportunitiesfor improvement and to support clinical and business decisions.
  32. 32. Stakeholder input, evidence, and historical data are used to establish targets, triggers, and thresholds to achieve new levels of performance and quality and safety.</li></ul>Target<br />Execute<br /><ul><li>Action is taken on opportunities identified, and change is managed and reevaluated to ensure progress to targets, triggers, and thresholds.</li></ul>Revise<br /><ul><li>Revision of the plan, targets, triggers, and thresholds occur to improve validity and relevance as changes are made in processes, functions, and structures.</li></li></ul><li>GET SMARTER Service Offerings Help Organizations Move From: Data  InformationInformation KnowledgeKnowledge Wisdom<br />Wisdom and Understanding<br />Effectiveness<br />Activities and Deliverables<br />Activities and Deliverables<br />Incentives Tomorrow:<br /><ul><li>Coordinated
  33. 33. Predictable
  34. 34. Outcome base</li></ul>Activities and Deliverables<br />Empowering patients and evidence-based medicine<br />Intellectual capital of medicine<br />
  35. 35. Please visit our Healthcare & Life Sciences Speakers Bureauwww.dell.com/sally_akers<br />

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