2012 02 11 EHRs - healthcare system chicken soup or rotten egg

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APTA CSM 2012 Presentation. Portion by Daniel Vreeman.

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2012 02 11 EHRs - healthcare system chicken soup or rotten egg

  1. 1. CSM 2012 – HPA Tech SIG Feature Presentation Electronic Health Records healthcare system chicken soup or rotten egg? Daniel J. Vreeman, PT, DPT, MSc Assistant Research Professor, Indiana University School of Medicine Research Scientist, Regenstrief Institute, Inc Matt Elrod, PT, DPT, MEd, NCS Associate Director, APTA Practice Department Robert “Bob” Latz, PT, DPT, GCFP Corporate Director of Technology Integration, Select Rehabilitation Steven G. Wilkinson, PT, PhD Manager, St Lukes-Elks Rehab - Meridian 02.11.2012 © 2012
  2. 2. Overview 1.  Why EHRs matter 2.  Selecting an EHR 3.  Mobile devices and other hardware 4.  Case study 5.  Implementation considerations 6.  Open discussion photo via Vernio77
  3. 3. We are not alone Why are we here?
  4. 4. The Future Great Scott!
  5. 5. Complete,longitudinalinformation thatfollows the consumer
  6. 6. Care that isvalue-based andcoordinatedacross settings photos via meddygarnet and brykmantra
  7. 7. Health decisions madewith information tools thatassist and guide Have you considered…
  8. 8. Results Fewer errors, waste, variations Consumer-centered care Lower spending
  9. 9. Meanwhile, backon planet Earth…
  10. 10. Patients movefaster and furtherthan their healthinformation
  11. 11. Growing Recognition 1960’s 1991 2003 •  1st studies of •  IOM says •  HHS promotes computers in EHR’s are widespread healthcare essential use of HIT
  12. 12. Resolved, at the American Physicalerapy Association supports the use ofelectronic health record systems (EHRs)and promotes the widespread adoptionof interoperable EHRs in all physicaltherapy practice settings.
  13. 13. “ e rst priority in realizing the bene ts of health IT is to achieve nationwide adoption of EHRs and widespread information exchange.
  14. 14. CMS EHR Incentive Program a.k.a. “Meaningful Use”
  15. 15. EHR “Meaningful Use”Reimbursement incentives foreligible providers whobecome “meaningful users” ofcertified EHR technology
  16. 16. EHR “Meaningful Use”PTs, OTs, SLPs areNOT eligible providers
  17. 17. “Meaningful Use”drug-drug checksstructured lab results in your EHRclinical decision supportexchange key clinical inforeport on quality measures
  18. 18. Do PTs todayreally use EHRs? good question…
  19. 19. APTA 2010 Member Survey Got EMR? 1% Yes, all 28% electronic 38% Yes, part paper, part electronic No 33% Dont know
  20. 20. APTA 2010 Member Survey EMR Use Fully implemented Implementation in progress Aquired, but not implemented Plan to aquire within 1yr Plan to acquire but > 1yr No plans to acquire 0 10 20 30 40
  21. 21. Most common complaint? anecdotal
  22. 22. Where’s theRehab stuff???
  23. 23. 3 Ways EHRs can HelpAccelerate that Vision Data reuse Decision support Canopy computing
  24. 24. Collect once. Use many. practice management, quality reporting,accreditation, public health, research…
  25. 25. EHR Decision Support me A computer-generatedsuggestion about care foran individual patient
  26. 26. The secret sauce of theHIT chicken soup photo via liber
  27. 27. e rain forest canopy is a seamless web through which arboreal creatures efficiently move to reach the edible fruits without any attention to the individual trees.McDonald et al. Canopy Computing: using the Web in Clinical Practice. JAMA. 1998;280(15):1325-1329. photo via nosha
  28. 28. Only way to corral the infinite indiosyncracies is with standards. photo via pfarrell95
  29. 29. Data standards are liketelephones.They require a critical mass ofusers before they become useful. - Clem McDonald, MD 1998 photo via iboy_daniel
  30. 30. Indiana Network For Patient Care A Unified Patient Record
  31. 31. An EHR is a suite ofapplications.WAY more than justelectronicdocumentation
  32. 32. 8 Core EHR Functions Population Results Orders Health Administrative Decision Support Patient support Communication
  33. 33. Where’s the evidence? photo via paskukaru76
  34. 34. Evidence for Health IT 92% of 154 studies
  35. 35. 1968!
  36. 36. “ is review suggests that EHRs have potential bene ts for physical therapists.
  37. 37. Benefits of EHRs 12 10 8 6 4 2 0 Improved Improved Improved Improved Reporting Operational Communication Data Accuracy Efficiency
  38. 38. Barriers to Implementing EHRs 6 5 4 3 2 1 0 Behavior or Software or Staff Training Workflow Hardware Inadequacy Modification
  39. 39. Success Factors in Implementing EHRs 9 8 7 6 5 4 3 2 1 0 End-user Data Adequate Staff Incorporating Participation in Standardization Training Workflow Development Analysis
  40. 40. Key Lessonof Today photo via IMLS DCC
  41. 41. or photo via Robert Couse-Baker and Nina Matthews Photography
  42. 42. Computer + Human Human

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