iHT2 Health IT Summit Boston – Larry Garber, Medical Director, Reliant Medical Group Case Study: "Maximizing the Value of an EHR: Beyond Meaningful Use Stage 1"
This session will provide the opportunity to explore how Reliant Medical Group began their journey into EHR and now, after receiving the 2011 HIMSS Ambulatory Davies Award, what it is they have done to capitalize on the EHR. Medical Director for Informatics, Larry Garber, MD stands behind belief that “The EHR enables patients to be more engaged in their health through improved communication with the provider team. The EHR also triggers alerts and automates processes to maintain consistent testing, education and follow up with the providers and patients to ensure higher quality, safer and more efficient care with better outcomes.” This presentation will share with the audience what Reliant Medical Group has done, and is continuing to do, that allows them to maximize the value of the EHR
Learning Objectives:
∙ Understand how Reliant Medical Group effectively implemented the EHR
∙ Develop a deeper understanding of the various ways to best utilize EHR services
∙ Analyze both the pros and cons of implementing and using EHR
Where is EHR (Electronic Health Record) and Healthcare IT Headed?crashutah
Presentation on where EHR (Electronic Health Record) and Healthcare IT are headed at the gMed EMR (Electronic Medical Record) user conference in Florida.
Learn more at http://www.healthcarescene.com
Health care organizations need an efficient way to process and share care delivery information to increase productivity, deliver better quality care, save money and ensure compliance.
iHT2 Health IT Summit Boston – Larry Garber, Medical Director, Reliant Medical Group Case Study: "Maximizing the Value of an EHR: Beyond Meaningful Use Stage 1"
This session will provide the opportunity to explore how Reliant Medical Group began their journey into EHR and now, after receiving the 2011 HIMSS Ambulatory Davies Award, what it is they have done to capitalize on the EHR. Medical Director for Informatics, Larry Garber, MD stands behind belief that “The EHR enables patients to be more engaged in their health through improved communication with the provider team. The EHR also triggers alerts and automates processes to maintain consistent testing, education and follow up with the providers and patients to ensure higher quality, safer and more efficient care with better outcomes.” This presentation will share with the audience what Reliant Medical Group has done, and is continuing to do, that allows them to maximize the value of the EHR
Learning Objectives:
∙ Understand how Reliant Medical Group effectively implemented the EHR
∙ Develop a deeper understanding of the various ways to best utilize EHR services
∙ Analyze both the pros and cons of implementing and using EHR
Where is EHR (Electronic Health Record) and Healthcare IT Headed?crashutah
Presentation on where EHR (Electronic Health Record) and Healthcare IT are headed at the gMed EMR (Electronic Medical Record) user conference in Florida.
Learn more at http://www.healthcarescene.com
Health care organizations need an efficient way to process and share care delivery information to increase productivity, deliver better quality care, save money and ensure compliance.
Information Management for Health Care Group E Presentation
Building Consensus for Electronic Health Records
Jacksonville University Online School Nursing NUR353
Patients recognize the benefits of technology-enhanced care, yet only 1 out of 10 use remote patient monitoring today. Read three keys to adoption. https://accntu.re/3fnEy6r
How to Prepare to For the HIMSS Value ScoreAdam Bazer
This presentation provides information on the features and benefits of the HIMSS Value Score, how to prepare your organization for completing a HIMSS Value Score, and who to contact for more information on how to leverage your HIMSS Value Score in your strategic planning processes
Adopting an electronic health record (EHR) system in your practice can be daunting. But with strategic staff training, you can avoid the pitfalls many medical practices encounter.
ADS provides five training tips to get your practice up to speed on a new EHR effectively.
Read how NextGen® solutions can handle multiple diagnoses data from all of your critical channels and help you achieve true interoperability through our integrated solution.
Virtual health is supporting continuing efforts to further humanize health care by extending and expanding the concept of a patient-centric care delivery model into one that is truly life-centric.
Virtual health uses telecommunication and networked technologies to connect clinicians with patients (and with other clinicians) to remotely deliver health care services and support well-being. For providers, committing to virtual health at a personal and organizational level affords ever-increasing opportunities to deliver the right care at the right time in the right place, in a connected and coordinated manner.
By strengthening and facilitating a therapeutic alliance between clinicians and patients, virtual health is an important step on our continuous journey to humanize health care. It works within and around a patient’s life, as opposed to their sickness, to deliver care when, where, and how they need and want it. Also, virtual health works its way into consumers’ daily routines by being embedded in electronic devices associated with living life (e.g., smartphones and personal computers) more so than caring for sickness.
The healthcare industry is primed for expanded adoption of virtual health; a 2016 report estimated that the US virtual health market will reach $3.5 billion in revenues by 2022. Several factors are elevating stakeholder interest, including expected physician shortages, continued growth in digital technologies, changing reimbursement models, increasing consumer demand, and the evolving regulatory landscape. One game-changer: Today, nine in 10 American adults use the internet, giving clinicians the capability and flexibility to communicate with and serve health care consumers via the web.
Closed Loop Medication Management - A preferred way to go go forward for Prov...CitiusTech
Closed Loop Medication Management (CLMM) system is a fully electronic medication management process that integrates automated and intelligent systems to completely close the inpatient medication management and administration loop, and seamlessly document all the relevant information.
Information Management for Health Care Group E Presentation
Building Consensus for Electronic Health Records
Jacksonville University Online School Nursing NUR353
Patients recognize the benefits of technology-enhanced care, yet only 1 out of 10 use remote patient monitoring today. Read three keys to adoption. https://accntu.re/3fnEy6r
How to Prepare to For the HIMSS Value ScoreAdam Bazer
This presentation provides information on the features and benefits of the HIMSS Value Score, how to prepare your organization for completing a HIMSS Value Score, and who to contact for more information on how to leverage your HIMSS Value Score in your strategic planning processes
Adopting an electronic health record (EHR) system in your practice can be daunting. But with strategic staff training, you can avoid the pitfalls many medical practices encounter.
ADS provides five training tips to get your practice up to speed on a new EHR effectively.
Read how NextGen® solutions can handle multiple diagnoses data from all of your critical channels and help you achieve true interoperability through our integrated solution.
Virtual health is supporting continuing efforts to further humanize health care by extending and expanding the concept of a patient-centric care delivery model into one that is truly life-centric.
Virtual health uses telecommunication and networked technologies to connect clinicians with patients (and with other clinicians) to remotely deliver health care services and support well-being. For providers, committing to virtual health at a personal and organizational level affords ever-increasing opportunities to deliver the right care at the right time in the right place, in a connected and coordinated manner.
By strengthening and facilitating a therapeutic alliance between clinicians and patients, virtual health is an important step on our continuous journey to humanize health care. It works within and around a patient’s life, as opposed to their sickness, to deliver care when, where, and how they need and want it. Also, virtual health works its way into consumers’ daily routines by being embedded in electronic devices associated with living life (e.g., smartphones and personal computers) more so than caring for sickness.
The healthcare industry is primed for expanded adoption of virtual health; a 2016 report estimated that the US virtual health market will reach $3.5 billion in revenues by 2022. Several factors are elevating stakeholder interest, including expected physician shortages, continued growth in digital technologies, changing reimbursement models, increasing consumer demand, and the evolving regulatory landscape. One game-changer: Today, nine in 10 American adults use the internet, giving clinicians the capability and flexibility to communicate with and serve health care consumers via the web.
Closed Loop Medication Management - A preferred way to go go forward for Prov...CitiusTech
Closed Loop Medication Management (CLMM) system is a fully electronic medication management process that integrates automated and intelligent systems to completely close the inpatient medication management and administration loop, and seamlessly document all the relevant information.
Meaningful Use Audits and healthcare compliance course offered to Physicians and healthcare professionals to explain the basics of Meaningful Use and HITECH audits. Course is general in nature as many Physicians and organizations are in different stages of meaningful use.
12 page meaningful use matrix to help doctors interested in getting the $44k-$65k of EMR stimulus money for showing meaningful use of a certified EHR.
See more details: http://www.emrandhipaa.com and http://www.emrandehr.com
13 core objectives to achieve meaningful use stage1 [Infographic]Amy miller
Plan to attain meaningful use status in order to receive EHR incentives? Let’s explore through this infographic, the 13 core objectives that must be met...
Know more at : http://vgnx.co/1EsGi4F
Semantic Technology for Provider-Payer-Pharma Data CollaborationThomas Kelly, PMP
Semantic Technology for Provider-Payer-Pharma Cross-Industry Data Collaboration
Building Intelligent Health Data Integration
The cost to cover the typical family of four under an employer health insurance plan is expected to top
$20,000 this year. The integration of health data (including electronic health records, health insurer records, pharma research and clinical data, and real-world evidence) will increase transparency and efficiency, improve individual and population health outcomes, and expand the ability to study and improve quality of care.
Traditional approaches to data integration and analytics depend on widely understood data and well-defined use cases for analyzing that data. The integration of pharma, provider, payer, and real-world data will identify new ways in which health data can be combined and analyzed to improve quality of care. Semantic technology can speed integration of health data, while supporting an evolutionary approach to developing and leveraging expertise.
Conducting a Summative Study of EHR Usability: Case StudyUXPA Boston
At least year’s conference, a group of us explored the complexity involved with evaluating the usability of Electronic Health Records: The wide range of user profiles and characteristics, a seemingly infinite number of tasks, and challenges in obtaining realistic data while respecting HIPAA regulations. In December, the Usability team at athenahealth conducted a summative usability study of [product]. In this Case Study, the Kris will discuss how the team navigated the challenges of summative EHR evaluation to conduct this study. Topics include task selection, recruiting, metric selection, logistics, and lessons learned.
Tips, Tricks and Best Practices to Get Maximum Benefit from your EMRCientis Technologies
Implementation of electronic medical records does not necessarily mean that the systems are being used effectively. Using EMRs optimally requires extensive optimization. This presentation provides a number of useful tips trick and best practices to assist practices with the optimal use of their EMR systems.
Great Basin Primary Care Association: Overview of Patient Centered Medical Home - Standards and Preparation to obtain recognition. This presentation is targeted toward federally qualified health centers and safety net providers (primary care practices) in Nevada. Information current as of 02.25.13.
Healthcare IT has a last mile problem. Use of new clinical systems is being mandated, often at the expense of effectiveness and efficiency. The challenge is balancing the implementation of these new requirements with the need to optimize workflow for doctors and nurses. Learn how increasing the usability of clinical systems will result in increased productivity, improved clinician satisfaction, and improved patient care.
ACO = HIE + Analytics - a Healthcare IT PresentationPerficient, Inc.
With the release of the Accountable Care Organization (ACO) regulations, healthcare providers must be able to identify, access, and seamlessly share patient information to drive efficiencies and enjoy a potential share in ACO program incentives. Additionally, more than half of the 93 draft National Committee for Quality Assurance (NCQA) ACO measures are also Meaningful Use measures, which further elevates the need to achieve meaningful use stage 2 or higher.
Given these goals, success will ultimately depend on an organization’s ability to share patient data at the point of care and its ability to gain meaning from historical and longitudinal data for use in managing population health. Healthcare organizations will need to give focused attention to the IT strategies, appropriate architectures, and roadmaps they will use to move from desired state to reality.
We discuss the practical architectural approach for creating an ACO. As Health Information Exchanges (HIEs) evolve into their second generation, they are able to the support the functional ACO tasks of delivering and managing care for a defined population, accept payment, distribute savings to participants, and perform disease management with predictive modeling to improve outcomes. We will also discuss the need to achieve meaningful use stage 2 or higher and the data/analytics requirements for ACO participants.
Presenter Martin Sizemore is the Director of Healthcare Strategy for Perficient. Martin has been a consultant and trusted advisor to CEOs, COOs, CIOs and senior managers for global multi-national companies and healthcare organizations, and is a certified Enterprise Architect with specialized skills in Enterprise Application Integration (EAI) and Service Oriented Architecture (SOA).
Ms. Drury outlines the EHR world for these Davies Winners before ARRA and the EHR Incentive Program existed, sharing the environment and the motivation for these privately owned physician practices who have been recognized by HIMSS as Davies Ambulatory Award Winners. The HIMSS Nicholas E. Davies Award of Excellence recognizes excellence in the implementation and use of health information technology, specifically electronic health records (EHRs), for healthcare organizations, independent physician practices and public health systems. The HIMSS process of evaluating applications from these practices and validating the use and value of HIT is rigorous for the applicants and for the HIMSS Ambulatory Award Committee.
Healthcare Reform & Physician Loyalty: What Can CRM Do To Support ACOs?Perficient, Inc.
Martin Sizemore, Enterprise Architect at Perficient, and Lisa Anderson, CRM Solution Architect at Perficient, discuss Consumerism in Healthcare, Physician Practice Challenges & Alignment, and provide a Physician Loyalty Campaign Demo
Dr. Charles Watson, D.O. and CMIO, Kettering Health Network (KHN), will discuss how his team successfully challenged the preconception that advanced technologies coupled with EMR implementations create dissatisfied physicians. He will review the physician facing technologies KHN successfully integrated into their Epic EMR implementation and how these technologies resulted in better patient care and increased physician satisfaction.
Learning objectives:
∙ Dr. Watson will discuss how information technology sped the physician adoption of the newly installed KHN Epic EMR
∙ Discuss and review the clinical impact of specific technologies including: voice dictation, bio-medical device integration,
multi-factor authentication, smart phones, and tablet (iPad)
∙ Discuss how technology enhances CPOE/CPOM outcomes and adoption
∙ Review the planning required to achieve a successful Epic EMR implementation
∙ Discuss and review barriers to physician and processes to remove them, garner buy-in, and achieve success
Better decisions through analytics in healthcare industry. Our journey so farSAS Asia Pacific
Visit http://www.sas.com/baexchange
Better decisions through analytics in healthcare industry. Our journey so far… presented by Michael Wong, Chief Financial Officer, Penang Adventist Hospital
Discover how to build an electronic health record (EHR) and gain insight into the most critical security aspects of system development in our article
https://www.cmarix.com/blog/ehr-software-development/
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
How to Give Better Lectures: Some Tips for Doctors
EMR, EHR and Meaningful Use Presentation
1. Employing the Phases of Electronic
Health Records (EHR)
The Journey from Paper to EHR
2. Introductions
Val Karin Erik Kent
Migliore, Eichler, Riffel, Crosier,
MBA RN Exec VP
• Unity Health
System • Genesee Valley • Tri-Delta Resources • Tri-Delta Resources
• Regional Extension OB/GYN, PC: • Virtual CIO • MediTech Disaster
Center / MCMS • Regional Extension • NYeC approved IT Recovery
•Xerox Corporation Center / MCMS Vendor • NYeC approved IT
• Certified Black •Genesee Hospital • MGMA Member Vendor
Belt, Lean Six • MGMA Member • MGMA Member
Sigma
• MGMA Member
3. Introductions
Kent
Crosier
Introduce
Yourself
• Your Name
• Practice Name
• Practice Specialty
• Your Role
• Expectation
4. Goals & Objectives
1. Introductions 5. Understanding What it Takes
2. Benefits – What’s In it for Me? 6. Planning
3. What’s the Hold Up? 7. Achieving Meaningful Use
4. What EHR Is and Is Not 8. CMS Incentives
5. Where are you with EHR Currently?
Rate your practice: 1
No PMS
No EHR
5 2
Fully PMS Only
Implemented
EHR Audience
Achieved MU
Assessment
3
Implemented
4 EHR – not
Implemented certified yet
EHR – certified
6. Benefits
MU Patient Productivity
Incentive $ Quality and
Performance
10. Common EHR Myths
What it is not
Broken You will no longer
processes will be You will be able
need to reconcile
fixed by an EHR. to eliminate staff.
charts.
You will never You will no Loose reports
search for paper longer need to will no longer be
charts again. store records. a problem.
11. Reasonable Expectations of an EHR
What it is
Guaranteed1 Possible1 Debatable1
• Legibility of notes • EHR Stimulus $ • Increased
• Accessibility of charts • Transcription efficiency
• No more lost patient cost savings • Quality of care
records - EMR • Space savings • Improved
• Multiple users access • Paper savings workflow
to charts • Automated lab & • Improved coding
• Disaster Recovery XRAY results accuracy &
• E-Prescribing • Clinical Decision charge capture
• Drug-to-drug & allergy Support • Better patient
interactions • Improved patient services
• Remote chart access communications • Time savings
1 “Selecting the Right EMR” e-Book by John Lynn @ http://www.emrandhipaa.com/emr-selection-book/
12. Understanding What it Takes:
Building a House
Achieve Meaningful Use
Implement
Assess Plan Select
Optimize
13. Framework…
Assess Plan
• Buy-In • Identify physician champion
• Assess readiness • Establish teams
• Identify benefits • Workflow assessment
• Set goals • Identify opportunities for improvement.
• Determine migration path • Establish measurements
• Develop budget & business case for • Establish chart conversion strategy
EHR & IT • IT Infrastructure
• Current network assessment • Connection to RHIO, Labs, HIE
• Develop project plans & timelines
• Communication Plan
Select Implement & Optimize
• Understand requirements for • Implement rollout strategy
practice’s workflow • Document new workflows and
• Specify desired functions processes
• Review the field of EHR / IT vendors • Implement chart & data conversions
• Perform due diligence (to narrow field) • Manage installation of hardware & IT
• RFP infrastructure
• Demo & site visits, reference checks • TRAIN TRAIN TRAIN
• Contract negotiations, pricing, terms • Rehearse GO-LIVE
legal review, financing • COMMUNICATE COMMUNICATE!!!
14. It Takes a Village…..
Medical
Society
AMA Your Peers
MGMA
Practice
REC’s CMS
NYeC HIMSS
EHR
IT Vendor
RHIO’s Universities
Labs Colleges
HIE’s
SME’s
Consultants
15. Critical Success Factors
From Zero to Meaningful Use and Beyond!
The HIT Extension Center Experience
Paul Kleeberg, MD FAAFP, FHIMSS
Clinical Director, REACH
HIMSS11 Orlando, Florida
February 21st, 2011,
18. Critical Success Factors
From Zero to Meaningful Use and Beyond!
The HIT Extension Center Experience
Paul Kleeberg, MD FAAFP, FHIMSS
Clinical Director, REACH
HIMSS11 Orlando, Florida
February 21st, 2011,
19.
20. MEANINGFUL USE
• Reforming the health care system
• Improving health care quality
HHS • Improving health care efficiency
Vision • Improving patient safety
• Certification Criteria Determined
• CMS Publishes Final Rule July 2010
Path • Incentive Programs Established
Defined
21. MU Prep Checklist for Stage 1 (Medicare)
1. Register 2. Certified
CMS EHR
3. Implement 4. Implement 5
15 Core of the 10 Menu
Objectives Set Objectives
5. Declare 90
Day Reporting 6. Attestation
Period
23. Meaningful Use Criteria: Core
* Reporting
MU Objective MU Measure Method Exclusion?
Core Set Objectives for EPs: Must
Meet All 15 Measures
Any EP who writes fewer than 100 prescriptions during the
C1 Use CPOE for medication orders CPOE is used for more than 30 percent of unique patients EHR Tabulates EHR reporting period.
Implement drug-drug and drug-allergy interactions
C2 checks The EP has enabled this functionality in EHR Attestation None
More than 80 percent of all unique patients seen by the EP or admitted to the
Maintain an up-to-date problem list of current and eligible hospital have at least one entry or an indication that no problems are
C3 active diagnoses known for the patient recorded as structured data. EHR Tabulates None
More than 40 percent (adjusted or unadjusted for patient preference) of all
Generate and transmit permissible prescriptions permissible prescriptions written by the EP are transmitted electronically using Any EP who writes fewer than 100 prescriptions during the
C4 electronically (eRx) certified EHR technology EHR Tabulates EHR reporting period.
More than 80 percent of all unique patients seen by the EP or admitted to the
eligible hospital have at least one entry (or an indication that the patient is not
C5 Maintain active medication list currently prescribed any medication) recorded as structured data EHR Tabulates None
More than 80 percent of all unique patients seen by the EP or admitted to the
eligible hospital have at least one entry (or an indication that the patient is not
C6 Maintain active medication allergy list. currently prescribed any medication) recorded as structured data EHR Tabulates None
Record demographics: Preferred language, gender, For more than 50% of all unique patients seen by the EP or admitted to the eligible
C7 race, ethnicity, and date of birth hospital have demographics recorded as structured data EHR Tabulates None
Any EP who either see no patients 2 years or older, or who
For more than 50% of all unique patients age 2 and over seen by the EP or admitted believes that all three vital signs of height, weight, and blood
Record and chart changes in vital signs: Height, to eligible hospital, height, weight and blood pressure are recorded as structured Count of pressure of their patients have no relevance to their scope of
C8 Weight, BP, BMI and growth charts for ages 2-20 data Patients in EHR practice.
24. Meaningful Use Criteria: Core
Record smoking status for patients 13 years old or More than 50 percent of all unique patients 13 years old or older seen by the EP Count of
C9 older or admitted to the eligible hospital have smoking status recorded Patients in EHR Any EP who sees no patients 13 years or older.
Core CQMs - EPs must report on 3 required core CQMs, and if the denominator of
1 or more of the required core measures is 0, then EPs are required to report
results for up to 3 alternate core measures. EPs also must also select 3 additional
CQMs from a set of 38 CQMs (excluding the core/alternate core measures). It is
Report ambulatory clinical quality measures to CMS acceptable to have a '0' denominator provided the EP does not have an applicable
C10 or in the case of Medicaid to the States population. EHR Tabulates None
Implement 1 clinical decision support rule relevent to
specialty or high clinical priority along with the ability Implement one clinical decision support rule related to efficiency or a clinical
C11 to track compliance to that rule quality measure relevant to the EP or eligible hospital Attestation None
Provide patients with an electronic copy of their
health information (including diagnostic test results, Any EP that has no requests from patients or their agents for
problem list, medication lists, medication allergies), More than 50 percent of all patients who request an electronic copy of their an electronic copy of patient health information during the
C12 upon request health information are provided it within 3 business days EHR Tabulates EHR reporting period.
Provide clinical summaries for patients for each office Clinical summaries provided to patients for more than 50 percent of all office Count of Any EP who has no office visits during the EHR reporting
C13 visit. visits within 3 business days Patients in EHR period.
Capability to exchange key clinical information (for
example, problem list, medication list, medication
allergies, diagnostic test results), among providers of Performed at least one test of certified EHR technology's capacity to electronically
C14 care and patient authorized entities electronically exchange key clinical information. Attestation None
Protect electronic health information created or
maintained by the certified EHR technology through
the implementation of appropriate technical Conduct or review a security risk analysis per 45 CFR 164.308 (a)(1) and implement
C15 capabilities security updates as necessary Attestation None
25. Meaningful Use Criteria: Menu
Menu Set Objectives for EPs: Must Choose
and Meet 5 of the 10 from the Menu, one
of the five must be related to improving
public health *p
Any EP who writes fewer than 100 prescriptions during
M1 Implement drug-formulary checks Attestation the EHR reporting period.
More than 40% of all clinical lab tests
results ordered by the EP or by an
authorized provider fo whose results
are in a positive/negative or numerical Count of An EP who orders no lab tests whose results are either in
Incorporate clinical lab-test results into EHR as format are incorporated in certified EHR Patients in a positive/negative or numeric format during the EHR
M2 structured data technology EHR reporting period.
Generate lists of patients by specific conditions to
use for quality improvement, reduction of Generate at least one report listing patients of the EP or eligible hospital with
M3 disparities, or outreach a specific condition. Attestation None
More than 20 percent of all unique patients 65 years or older who were Count of An EP who has no patients 65 years old or older or 5
Send reminders to patients per patient preference identified by certified EHR technology as needing a reminder during the EHR Patients in years old or younger with records maintained using
M4 for preventive/ follow up care reporting period were sent the appropriate reminder EHR certified EHR technology.
Provide patients with timely electronic access to Any EP that neither orders nor creates lab tests or
their health information (including lab results, information that would be contained in the problem list,
problem list, medication lists, medication More than 10 percent of all unique patients seen by the EP are provided medication list, medication allergy list (or other
allergies) within four business days of the timely electronic access to their health information subject to the EP’s information as listed at 45 CFR 170.304(g)) during the
M5 information being available to the EP. discretion to withhold certain information. EHR Tabulates EHR reporting period.
Use certified EHR technology to identify patient-
specific education resources and provide those More than 10 percent of all unique patients seen during the EHR reporting
M6 resources to the patient if appropriate period are provided patient-specific education resources EHR Tabulates None
Count of
Perform medication reconciliation at relevant Perform medication reconciliation for more than 50 percent of transitions of Patients in An EP who was not the recipient of any transitions of
M7 encounters and each transition of care. care. EHR care during the EHR reporting period.
Count of An EP who neither transfers a patient to another setting
Provide summary care record for each transition Provide summary of care record for more than 50 percent of transitions of Patients in nor refers a patient to another provider during the EHR
M8 of care and referral. care and referrals EHR reporting period.
Capability to submit electronic data to
immunization registries or Immunization An EP who administers no immunizations during the EHR
Information Systems and actual submission Performed at least one test of certified EHR technology’s capacity to submit reporting period or where no immunization registry has
M9 *p according to applicable law and practice. electronic data to immunization registries. Attestation the capacity to receive the information electronically.
An EP who does not collect any reportable syndromic
Capability to provide electronic syndromic Performed at least one test of certified EHR technology’s capacity to provide information on their patients during the EHR reporting
surveillance data to public health agencies and electronic syndromic surveillance data to public health agencies (unless none period or does not submit such information to any
actual transmission according to applicable law of the public health agencies to which an EP or eligible hospital submits such public health agency that has the capacity to receive the
M10 *p and practice. information have the capacity to receive the information electronically). Attestation information electronically.