2. TECHNOLOGY AND TODAY’S WORLD.
Technology is the fast growing industry as
of right now and it has no signs of slowing
down anytime soon. Technology is around
us all the time and so much has changed
within this particular field over the years
as it keeps evolving.
TECHNOLOGY
IS THE
BIG BUSINESS
3. WHERE DO YOU IMPLEMENT BUSINESS
INFORMATION TECHNOLOGY STRATEGY
TO SUPPORT HEALTH CARE?
4. HEALTH CARE EHR SYSTEM
PEDIATRIST
PAPER
INTERNIST
CLIENT/SERVER
PSYCHIATRIST
PAPER
6. DIGITALIZATION OF DATA
Are fundamentally changing
and the healthcare industry is no
exception. Healthcare providers
need to understand what these
massive changes mean for them
and the steps to take to embrace
these transformational changes
to succeed.
7. GO PAPERLESS AND GET PAID
... $22 BILLION AVAILABLE TO HELP HEALTH
CARE PROVIDERS IMPLEMENT ELECTRONIC
HEALTH RECORDS SYSTEMS.
ARRA 2009
8. BUSINESS IT STRATEGY
IMPLEMENTATION IN HEALTHCARE
ROUGHLY
EHR
MORE THAN
HUNDREDS of EHR
providers are out
there.
of
80%
PROVIDERS
have implemented and started
using an EHR as of 2013.
9. THE RIGHT EHR SOFTWARE
VENDOR
SELECTION
PLANNING
EHR
SUPPORT
RFQ
FINAL
CONSIDERATIONS
10. BUT WHICH IS THE
RIGHT EHR SYSTEM
BUDGET
PLATFORM
PROS/CONS
ALIGNING IT WITH BUSINESS STRATEGY IS NOT ONLY FOR SUCCESS BUT ALSO FOR SURVIVAL.IT STRATEGIES HAS BEEN VIEWED AS KEY TO OBTAINING VALUE FROM IT INVESTMENTS
YOU DON’T HAVE TO BE A TECHNOPHILE OR A COMPUTER WHIZ TO KNOW HOW TO USE AN EMR SYSTEM THESE DAYS!.THE TANGIBLE, LONG TERM BENEFITS OF HIT INVESTMENTS CAN BE DIFFICULT TO CALCULATE.
PUT IN EACH RELATED ICONS IN THE CIRCLE FOR EACH PRACTICEWHAT EMR SYSTEM ARE THEY USINGTRADITIONALCLIENT/SERVER INSTALLATIONSaaS
HEALTH INFORMATION TECHNOLOGY (HIT)INTEGRATE ALL SYSTEMS WORKING WITH THE EMR SYSTEM (emr + image + billing + pharmacy + printing + scanning + lab)EVERY ASPECT OF A PROVIDER’S OPERATIONS --- FINANCIAL, CLINICAL, AND ADMINISTRATIVE --- NEEDS TO SHARE INFORMATION SEAMLESSLY.HEALTHCARE COLLABORATION, SUSTAINABILITY FUTURE DEPENDS ON THIS GENERATION OF HEALTH INFORMATION TECHNOLOGY.
In today’s connectivity and instant solution, the digitalization of data is constantly changing the way organization runs businesses and the way in which data are being shared and interchanged between related or non related organizations. And healthcare industry is no exception. Even though technology today is creating a massive change and disruption that have or will forever alter the way consumers and business interact. In today’s age, where we are seeing lighting-fast innovation from data digitalization, mobile applications, and self-service platforms, it is high time healthcare organizations take a huge steps in adopting to these technologies to collaborate and communicate.The adaption of technology, consumerization and digitalization of data are fundamentally changing us and healthcare organization are fast adopting.
American Recovery and Reinvestment Act makes billions of dollars available to help health care providers implement electronic health records systems. It is of vital importance that the health care industry take the necessary action to use the information technology (IT) effectively and efficiently. Aligning IT strategies with the business strategy to create value for businesses is a necessary act not only for success but also for survival. TRANSITIONCONSIDER THE DIFFICULTY IN TRANSITION ----ARE YOU PREPARED?BE PREPARE TO ACCEPT THE NEW TRANSITIONCONSIDER THE BENEFITS AND ROI.IF YOU WANT TO EARN CMS (CENTERS FOR MEDICARE & MEDICAID SERVICES) INCENTIVES --- YOU NEED TO PROVE MEANINGFUL USE OF YOUR EMR SYSTEM.MEANINGFUL USE – E-PRESCRIBING, EXCHANGING ELECTRONIC HEALTH INFORMATION TO IMPROVE THE QUALITY OF CARE, CLINICAL DECISION SUPPORT.INCENTIVES ($40,000 TO $60,000 OVER 5 YEARS) FOR THOSE THAT SHOWS MEANINGFUL USE.SHOULD THESE INCENTIVES OFFERED BE A MOTIVATION?
????????????????? CLIENT BASED VS. WEB BASED EMR SYSTEMTEMPLATE OFFERED FOR VARIOUS SPECIALITIES.BASIC TEMPLATE ---HOW INVALUABLE A BASIC TEMPLATE CAN BE? ---SEE IT AND TRY IT ----
CHOOSING AN EMR – CHALLENGING TASKDO PLANNING/PROSPECTIVE RESEARCH BEFORE ADOPTING AN EHR.FACTORS TO CONSIDERMOST HER PROVIDERS OFFER BOTH CLIENT-SERVER BASED AND CLOUD-BASED HER SYSTEM THESE DAYS BUT AMONG, CLOUD BASED IS GAINING MOMENTUM AS I BELIEVE MORE PROVIDERS CHOOSE A CLOUD-BASED HER MODEL OVER A CLIENT-BASED MODEL.DEMO VERSION TESTING… ONLINE TESTINGEHR SUPPORTCUSTOMER SERVICES? – A MUST HAVELOT OF THINGS COULD GO WRONG --- THINGS CRASHES AND DON’T WORK
GENERALLY, IN LIFE, IT’S ALWAYS GOOD TO HAVE SOMEONE TO GUIDE YOU IN MOST CIRCUMSTANCES – MAYBE SOMEONE MORE KNOWLEDGEABLE.IN THE COURSE OF CHOOSING THE RIGHT EMR – YOU PROBABLY WILL NEED TO APPLY THE SAME TERMINOLOGIES AS APPLIED TO LIFE.THERE ARE LOTS OF TECHNICALLY TO CONSIDER IN CHOOSING THE RIGHT EMR SYSTEM FOR YOUR HEALTHCARE PRACTICES.THOROUGH INVESTIGATION BEFORE PURCHASING EMR (HIT MARKETPLACE) ---DEVELOP AND HIT APPROACH AND STRATEGYWHAT TO CONSIDER----BUDGET – BUDGETARY CONSTRAINTS.PLATFORM – COMFORT LEVEL WITH PLATFORMPROS AND CONSWHAT BETTER OPTION DO YOU HAVE???CAPITAL EXPENDITURE SMALL BUT OPERATIONAL BUDGET MORE FLEXIBLE – ASP MODELSPEED AND 100% RELIABILITY AS KEY ISSUE – CLIENT/SERVER MODEL
MORE LIKE MODERN --- CLOUD BASED INFRASTRAUCTURRE – INTERCHANGEABLY AS SaaS – SOFTWARE AS A SERVICE TECHNOLOGY.LOWER UPFRONT COSTMANAGEABLY MONTHLY FEEMIGHT END UP BEING MORE COSTLY AT THE ENDLIMITED PURCHASE OF HARDWARE TO SUPPORT PRACTICES – LIMITED HARDWARE REQUIREMENTSWON’T HAVE TO INSTALL NEW HARDWARESNO IT PROFRESSIONAL NEEDED TO MAKE SURE SYSTEM ALWAYS UP AND RUNNING – SYSTEM RUN ON ASP SERVER.INTERNETREQUIRED --- WHO DOESN’T HAVE AN INTERNET CONNECTION THESE DAYS --- FEW OR MAYBE NONE.IN CASE OF INTERNET FAILURE BY ISP – SOME PROVIDERS COULD AS WELL EMPLOY THE ACT OF BUYING A CELLULAR BASED “WIFI” CARD FRM LOCAL CELLULAR PROVIDER – WON’T GO DOWN WHEN ISP GOES DOWN – PAY PER USEMOST RURAL AREAS CHOOSE A CLIENT-SERVER FOR THISS REASONSERVERALWAS HAVE TO CONNECT TO SERVER IN ORDER TO ACCESS EHR THROUGH INTERNET – CROSS PLATFORM APPLICATIONS – CAN CONNECT ANYWHERE AS LONG AS THERE’S INTERNET – ACCESS RECORDS - EHR PROVIDER STORE DATA IN A MORE SECURE AREA/ENVIRONMENT.DATA OWN BY PROVIDER AND EHR PROVIDERS ON EHR PROVIDER’S SERVER.WHO IS BETTER EQUIPPED TO HOUSE THE DATA?SECURITY - AT LOWER RISK IN THE COURSE OF NATURAL DISASTER (FIRE/FLOOD)IT SUPPORT/ITPROFESSIONAL SUPPORTS PROVDED WHEN NEEDED ONLINE OR ONSITE AT FIRST PRUCHASE AND LIMITED COST AFTER IMPLENTATION OR NO COST AT ALLINTERNET OUTAGE?SOFTWARE UPGRADE? --- WINDOWS AS EXAMPLE!!! – OLD SOFTWARE MADE OBSOLETE AFTER SOME YEARS!NO MATTER WHAT SYSTEM YOU HAVE DECIDED TO DEPLOY OR IMPLEMENT TO BETTER YOUR PRACTICES AND ABIDE THAT THE LAWS OF THE LAND BY SHIFTING FROM PAPER TO HER PAPERLESS SYSTEM – YOU WILL BE IN HIGH HOPE AND CONSIDERATION OF WHAT RETURN WILL YOU/YOUR PRACTICES BE ACHIEVING OR REALIZING FROM THIS CHANGE.
PROVIDERS WILL EXPECT A MAX RETURN OF INVESTMENT IN DEPLOYING OF THEIR PRACTICES AT SUCH AN EXPENSE.COST OF EMR – COMMITMENT – HOPING FOR RETURN OF INVESTMENT (ROI)AFTER COMMITMENT, YOU DEFINITELY HOPE FOR RETURN OF INVESTMENTCHANGING TO AN EMR SYSTEM AND MAKING THE OFFICE PAPERLESS DEFINITELY REQUIRES A SIGNIFICANT LEARNING CURVES BUT WILL IT BE WELL WORTH THE EFFORT. CONSIDERING THE FINANCIAL REWARDS THAT COMES FROM THE ICENTIVES PROVIDED – I THINK YES!ASIDE FROM FINANCIAL REWARDS, THERE IS ---ABILITY TO WORK FROM HOME WITH THE WEB-BASED DEPPLOYMENT – CONSIDERING YOU DECIDED TO GO FOR THAT INSTEAD OF THE CLIENT-SERVER DEPLOYMENT WHICH IS HIGHLY LIMITED IN ACCESSIBILITY AND MOBILITY. – REVIEW LABS, CATCH UP WITH NOTES, IMPROVE PATIENT CARE BY ACCESSING NOTES FROM ANYWHERE.ROCESS IMPROVEMENTPATIENT SAFETY –MISSED DISGNOSIS, FATAL DRUG INTERACTION, INAPPROPRIATE TREATMENTCOMMUNICATIONSREGULATORY COMPLIANCEBILLING IMPROVEMENTS - SIMPLIFIEDREDUCING AND REALLOCATING RESOURCES – MATERIALS/STAFFINGPATIENT FLOWCROSS INDUSTRIAL SOLUTION FOR ONLINE TRANSACTIONSMOOTH INTEGRATION WITH CLINICAL AND BUSINESS OPERATIONSIMPROVED HEALTH DATA MANAGEMENT AND REPORTING
EHR LOOKS LIKE A PROMISING WAY FOR THE FUTURE IN HEALTHCARE – IT’S THE WAVE FOR THE FUTURESMALL PRACTICES – ASP/SaaS – WEB-BASSED.LARGE ENOUGH TO AFFORD IT DIRECTOR COST - $60,000 – MAINTAIN SOFTWARE AND EQUIPMENT.MORE PRACTICE TODAY ARE MOVING/OPTING FOR CLOUD-BASED EHR. LIMITED HARDWARESIGNIFICANT LOWER UPFRONT COST.VERY ATTRACTIVE PROS.CLIENT SERVER STILL GOOD AND ACTIVE BUT THE IN FUTURE, PROVIDERS WILL BE USING THEIR EHR IN CLOUD.IF YOU CANNOT GET A REASONABLE FAST INTERNET CONNECTION, WHETHER VIA CELLULAR, DSL, OR CABLE – THEN DO NOT USE A CLOUD-BASED SOLUTION. – BUT THERE AE FEWER PRACTICES THAT CANNOT CONNECT TO THE INTERNET AT A DECENT SPEED THESE DAYS.