One of the biggest roadblocks practices face with electronic health record (EHR) adoption is the conversion of their existing paper charts to their new EHR system. During this webinar Dr. Jacqueline Fincher and Pam Shivers of McDuffie Medical Associates, a four-physician practice in rural GA, will give an overview of how they successfully managed the conversion from both a clinical and administrative viewpoint. Their presentation will touch on some of the unexpected challenges they encountered, how they overcame these challenges, and their hindsight advice to practices preparing for chart conversion.

1. Funding to support this Webinar has been provided by Hewlett-Packard Coping with Chart Conversion, Experiences and Techniques from a Small Practice June 30, 2011

2. Funding to support this Webinar has been provided by Hewlett-Packard Coping with Chart Conversion, Experiences and Techniques from a Small Practice June 30, 2011

4. COPING WITH CHART CONVERSION: EXPERIENCES AND TECHNIQUES FROM A SMALL PRACTICE JUNE 30, 2011 Jacqueline W. Fincher, MD, MACP Managing Partner Governor, Georgia Chapter American College of Physicians And Pam Shivers, CPC Practice Administrator McDuffie Medical Associates Thomson, GA

5. McDuffie Medical Associates 4 Physicians - 2 Internal Medicine, 2 Family Practice 5 LPNS, 3 CMAs, 4 Administrative staff, 1 Practice Administrator

9. Lab Draw Workflow When the pt comes in the nurse verifies the orders. She hands the pt a form to pick a lab, and/or an ABN to sign (if needed.) The blood is drawn and the nurse documents in the EMR and on the superbill. The chart is sent to the lab queen under an “Admin Hold” status. Once the lab queen prepares the specimen to go out, she changes the status to “In Process” which prints an order to accompany the specimen. The results are sent to the physician’s desktop and the status is “Completed” once the physician signs. The lab queen checks a daily report to verify that all labs have been received.

13. List of Items to Preload

14. Find Ways to Make Preloading Easier Our Vendor was able to send the patients most recently used ICD-9 codes on claims in our PM product to our EHR. All of the ICD-9 codes for each patient were down loaded into the chart and sitting on hold until the patient came in. At that point the provider could pick the appropriate diagnoses.

15. IT’S HERE! GO LIVE DAY ! FROM THIS POINT ON ALL DOCUMENTATION GOES INTO THE EHR NEVER GO BACK TO PAPER!

21. QUESTIONS?

22. QUESTIONS?

23. QUESTIONS?

24. Funding to support this Webinar has been provided by Hewlett-Packard Coping with Chart Conversion, Experiences and Techniques from a Small Practice June 30, 2011