The document outlines the objectives and planning for an EHR implementation project to take place in three stages. The objectives are to improve patient care, increase accuracy and timeliness of information, streamline processes, control costs, and meet meaningful use criteria. Stage 1 will automate the problem list, medication list, and allergy list. Stage 2 will add online nursing documentation and stage 3 will add online physician documentation and e-prescribing. Key stakeholders are identified and current workflows will be reviewed to understand areas for improvement and efficiency gains through the EHR.

1. EHR Implementation:Decision Making Kickoff Stage 1 Planning January 7, 2011

2. Objectives Improve patient care Increase accuracy Increase timeliness of information Streamline processes – reduction from manual updating flow Control costs through greater efficiency Meet criteria for Meaningful Use

3. Define…Scope Stage 1 – Automation of… Problem List Medication List Allergy List Stage 2 – Online Nursing Documentation Symptoms/Complaints Vital signs Progress notes Stage 3 – Online Physician Documentation Progress Notes ePrescribing

4. Stakeholders Clinic Manager – Group Leader MD Champion – Member Nurse Champion – Member Office Staff Champion – Minutes Taker Work Flow Analyst – Facilitator Team: Everyone necessary present?

5. Review “As Is” Process Patient Intake and Clinic Visit Review work flows for current processes MD Problem List- review diagnosis Medication List – medication reconciliation Allergy List – allergy reconciliation Discussion towards understanding

6. EHR and Meaningful Use Moving Towards Efficiency/Incentives: Maintain up to date problem list Maintain active medication list Maintain active medication/allergy list Implement drug-drug, drug – allergy checks

7. Brainstorming Let’s Collaborate… Problems/issues with current practice? Needed improvements? Suggested solutions? What other resources would we need? Resources available?

8. Decision Making Tool