SlideShare a Scribd company logo
Optimizing Workflow in the Face
       of Meaningful Use
         Michael L. Westcott, MD, FACEP
              Alegent Health, Omaha, NE

                      Facilitator:
   T. Forcht Dagi, MD, MPH, DMedSC, FAANS,
                   FACS, FCCM
           Chief Medical Officer, Aventura
 Harvard Medical School and Queen’s University Belfast
Disclosure



                   Conflict of Interest Disclosure

 Michael L. Westcott, MD, FACEP
 • Has no real or apparent conflicts of interest to report.

 T. Forcht Dagi, MD, FAANS, FACS, FCCM
 • Board Member and Investor, Aventura HQ, Inc.
 • Paid Consultant for Masimo, Inc.
 • Partner HLM Venture Partners


   This presentation is not intended to contain or convey any commercial content.
              There has been no compensation offered or received in
                             conjunction with this presentation.
Alegent Health




    –   Faith based, not-for-profit healthcare system
    –   6 Metro Hospitals (5 acute, 1 behavioral)
    –   3 Rural Hospitals
    –   100+ Clinics & Outpatient Facilities
    –   9,000+ Employees
    –   1,200+ Physicians
Omaha
Fundamental Paradox
• Current movement for healthcare emphasizes the
  importance of individual patient-centered information
• On a macro level, information is meant to flow and support
  decision making between the set (any given patient
  population) and the statistic (the individual patient)
• Meaningful use describes a series of information flows
  associated with fully implemented information systems
• Current information solutions suffer because inefficient
  interfaces interfere with meaningful use as well as with the
  care of individual patients
Historically
• HCIT developed to enter and archive information
• Retrieval was secondary, even though retrieval is a central aspect of
        clinical workflow
• Initial idea
   – A “photo” of the chart
   – Avoid lost charts and notes
• Next, Retrieval of Information
   – Called “reporting”
   – Like “analytics,” a separate “function,” or module
• Thus, clinician workflow not traditionally a primary concern
• Evolving HCIT architectures intended to overcome the “siloed”
  modules and offer an integrated approach to information entry,
  analysis and retrieval
Meaningful Use Policy
• A defined term with specific meanings
• An incentive strategy yoked to the current governmental healthcare
  reform initiatives
• Creates a particular infrastructure
• Establishes priorities
• Carrot and stick
• Assumed
   – Universally relevant
   – Workflow indifferent
   – Predicated on letting institutions change to meet the template, not
      vice versa
• More “policy” driven than “functionally” driven
Compare to Hospital Workflow
• Definition
   – A set of routine or routinized activities
   – Meant to accomplish certain ends
   – Extends across medical, nursing and other hospital personnel
   – In most cases, workflow develops bottom up rather than top down
   – Exceptions include OR and ED
• “If you have seen one workflow, you have seen one workflow”
Compare to Hospital Workflow
• Workflow very difficult to change because
  – Many aspects of workflow are implicit, and not called out
  – Interconnections are deep, extensive , subtle and powerful
  – Existing workflow routines generally work pretty well and can be
    monitored for QA purposes.
  – Routinized workflow leads to [deeply] embedded protocols and
    vice versa
       •   Good way to bring on new staff
       •   Routine is believed to reduce variance
       •   Reduction in variance is linked to improved outcome
       •   This is a central tenet of healthcare reform
ED Caregiver Workflow Requirements
• Paperless Chart
• Real-time Documentation
   – Nursing
   – Physician
• CPOE
• Allergy Verification
• Real time bed board updates
• Medication Administration Checking
Key Solution Requirements
• Provides fast access to information
   – Estimated logons per day: 50 to 70
• Delivers consistency in performance
• Enables mobility
• Addresses HIPAA concerns
• Standardizes the user experience

• Most importantly, the caregivers like and will use the system
What Does the Ideal Interface Between
    Workflow & Technology Offer the Clinician?
•    Rapid access (sign on/sign off)
•    Efficient use of time
•    Simplicity
•    Security
      – HIPAA compliance
      – Physical security
•    Indifference to underlying HCIT system, architecture, modules
•    Mobility
•    Context sensitivity
•    Other benefits
Why the Workflow/Technology Interface is
                   Critical
• Meaningful Use as currently construed has three major components
   – The support of certain specified functions such as CPOE
   – Monitoring the use of the HCIT and proving it is used
   – Monitoring and reporting other hospital operations
• Utilization is critical
Why the Workflow/Technology Interface is
                   Critical
• At the level of the individual physician, nurse or hospital staff member,
  only two ways to ensure the use of HCIT
   – Incentives and sanctions
        • Affect morale and productivity
        • Patient suffers
   – An inviting interface that facilitates utilization by resolving
      impediments to or incorporating workflow
• These interfaces can be inviting, enabling or off-putting
What Does the Ideal Interface Offer the CMIO,
             CMO, and the CIO
•   Ease of installation and upgrade
•   Simplicity of use
•   Scale
•   Indifference to underlying system and EMR
•   Indifference to hardware platform
What Does the Ideal Interface Offer the CMIO,
             CMO, and the CIO
•   Enhancement of underlying systems
•   Improved utilization
•   Improved morale
•   Improves the workflow of all hospital personnel
•   Data entry and data retrieval
•   Acceleration of Meaningful Use process
•   Measurable cost benefit
The Denver Health Solution
• Caregiver Experience
  – Logged on to network once in the morning
  – Any place they moved, they have access to their
    complete desktop and applications in just a few seconds
  – Doctors and nurses were leveraging dual-factor
    authentication every-time

  – Thought: “a computing system designed for the doctors
    and the nurses with patient benefit in mind”
Alegent Health Deployment
Key Benefits of the Solution
1.   2 to 3 Second Access From Anywhere

2.   IT infrastructure benefits
       •    Application Deployment Enabler
       •    Hardware support
       •    Cost

3.   Reduced ER LOS

4.   In-Room Benefits

5.   Clinician Satisfaction

6.   Smart Card / Dual Factor Authentication
Emergency Department Case Study
SUMMARY
• In today’s environment, it is essential to both achieve meaningful use
  and optimize workflow
• Meaningful use is a window: workflow is a mirror
   – Clinical decision support across all platforms
   – Seamless interoperability
   – Cost effectiveness
   – Combine standard of information availability with ability to
      customize
   – Efficiency and effectiveness
• Effective execution of solutions delivered
Thank You!

Questions & Discussion

More Related Content

What's hot

Alarm Fatigue Best Practices
Alarm Fatigue Best PracticesAlarm Fatigue Best Practices
Alarm Fatigue Best Practices
David Lange
 
HM312 Week 5 part 2 of 2
HM312 Week 5 part 2 of 2HM312 Week 5 part 2 of 2
HM312 Week 5 part 2 of 2
BealCollegeOnline
 
Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...
  Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...  Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...
Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...
HIMSS UK
 
Redefining Workflows with Lean and Simulation
Redefining Workflows with Lean and SimulationRedefining Workflows with Lean and Simulation
Redefining Workflows with Lean and Simulation
SIMUL8 Corporation
 
Launch & Grow a Successful Simulation Program
Launch & Grow a Successful Simulation ProgramLaunch & Grow a Successful Simulation Program
Launch & Grow a Successful Simulation Program
SIMUL8 Corporation
 
Elmallah june27 11am_room230_a
Elmallah june27 11am_room230_aElmallah june27 11am_room230_a
Elmallah june27 11am_room230_a
DataWorks Summit
 
Musadiq Subar, IT Programme Manager and Clinical Technical Architect
Musadiq Subar, IT Programme Manager and Clinical Technical ArchitectMusadiq Subar, IT Programme Manager and Clinical Technical Architect
Musadiq Subar, IT Programme Manager and Clinical Technical Architect
HIMSS UK
 
SIMUL8 Healthcare: Designing New Spaces and Processes with simulation
SIMUL8 Healthcare: Designing New Spaces and Processes with simulationSIMUL8 Healthcare: Designing New Spaces and Processes with simulation
SIMUL8 Healthcare: Designing New Spaces and Processes with simulation
SIMUL8 Corporation
 
Use of IT in Health Care
Use of IT in Health Care Use of IT in Health Care
Use of IT in Health Care
TCS
 
John Sweeney, Director, Health Care Informed
John Sweeney, Director, Health Care InformedJohn Sweeney, Director, Health Care Informed
John Sweeney, Director, Health Care Informed
Investnet
 
Use of Star Schema in Health Care
Use of Star Schema in Health CareUse of Star Schema in Health Care
Use of Star Schema in Health Care
VINEETH M
 
Cerner ppt
Cerner pptCerner ppt
Successful EHR / EMR Implementations
Successful EHR / EMR ImplementationsSuccessful EHR / EMR Implementations
Successful EHR / EMR Implementations
Qualifacts
 
Five Best Practices for EHR Implementation
Five Best Practices for EHR ImplementationFive Best Practices for EHR Implementation
Five Best Practices for EHR Implementation
Advanced Data Systems Corporation
 
Emr implementation
Emr implementation Emr implementation
Emr implementation
mmorgan73
 
UCSF Informatics Day 2014 - David Dobbs, "Enterprise Data Warehouse"
UCSF Informatics Day 2014 - David Dobbs, "Enterprise Data Warehouse"UCSF Informatics Day 2014 - David Dobbs, "Enterprise Data Warehouse"
UCSF Informatics Day 2014 - David Dobbs, "Enterprise Data Warehouse"
CTSI at UCSF
 
9 steps to successful ehr implementation
9 steps to successful ehr implementation9 steps to successful ehr implementation
9 steps to successful ehr implementation
CureMD
 
Meet Your Interoperability Goals and Realize Your Vision
Meet Your Interoperability Goals and Realize Your VisionMeet Your Interoperability Goals and Realize Your Vision
Meet Your Interoperability Goals and Realize Your Vision
Iatric Systems
 
Blockchain in Healthcare
Blockchain in HealthcareBlockchain in Healthcare
Blockchain in Healthcare
Nawanan Theera-Ampornpunt
 
Epic Clarity Running on Exadata
Epic Clarity Running on ExadataEpic Clarity Running on Exadata
Epic Clarity Running on Exadata
Enkitec
 

What's hot (20)

Alarm Fatigue Best Practices
Alarm Fatigue Best PracticesAlarm Fatigue Best Practices
Alarm Fatigue Best Practices
 
HM312 Week 5 part 2 of 2
HM312 Week 5 part 2 of 2HM312 Week 5 part 2 of 2
HM312 Week 5 part 2 of 2
 
Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...
  Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...  Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...
Brendan Delany – Chair in Medical Informatics and Decision Making, Imperial...
 
Redefining Workflows with Lean and Simulation
Redefining Workflows with Lean and SimulationRedefining Workflows with Lean and Simulation
Redefining Workflows with Lean and Simulation
 
Launch & Grow a Successful Simulation Program
Launch & Grow a Successful Simulation ProgramLaunch & Grow a Successful Simulation Program
Launch & Grow a Successful Simulation Program
 
Elmallah june27 11am_room230_a
Elmallah june27 11am_room230_aElmallah june27 11am_room230_a
Elmallah june27 11am_room230_a
 
Musadiq Subar, IT Programme Manager and Clinical Technical Architect
Musadiq Subar, IT Programme Manager and Clinical Technical ArchitectMusadiq Subar, IT Programme Manager and Clinical Technical Architect
Musadiq Subar, IT Programme Manager and Clinical Technical Architect
 
SIMUL8 Healthcare: Designing New Spaces and Processes with simulation
SIMUL8 Healthcare: Designing New Spaces and Processes with simulationSIMUL8 Healthcare: Designing New Spaces and Processes with simulation
SIMUL8 Healthcare: Designing New Spaces and Processes with simulation
 
Use of IT in Health Care
Use of IT in Health Care Use of IT in Health Care
Use of IT in Health Care
 
John Sweeney, Director, Health Care Informed
John Sweeney, Director, Health Care InformedJohn Sweeney, Director, Health Care Informed
John Sweeney, Director, Health Care Informed
 
Use of Star Schema in Health Care
Use of Star Schema in Health CareUse of Star Schema in Health Care
Use of Star Schema in Health Care
 
Cerner ppt
Cerner pptCerner ppt
Cerner ppt
 
Successful EHR / EMR Implementations
Successful EHR / EMR ImplementationsSuccessful EHR / EMR Implementations
Successful EHR / EMR Implementations
 
Five Best Practices for EHR Implementation
Five Best Practices for EHR ImplementationFive Best Practices for EHR Implementation
Five Best Practices for EHR Implementation
 
Emr implementation
Emr implementation Emr implementation
Emr implementation
 
UCSF Informatics Day 2014 - David Dobbs, "Enterprise Data Warehouse"
UCSF Informatics Day 2014 - David Dobbs, "Enterprise Data Warehouse"UCSF Informatics Day 2014 - David Dobbs, "Enterprise Data Warehouse"
UCSF Informatics Day 2014 - David Dobbs, "Enterprise Data Warehouse"
 
9 steps to successful ehr implementation
9 steps to successful ehr implementation9 steps to successful ehr implementation
9 steps to successful ehr implementation
 
Meet Your Interoperability Goals and Realize Your Vision
Meet Your Interoperability Goals and Realize Your VisionMeet Your Interoperability Goals and Realize Your Vision
Meet Your Interoperability Goals and Realize Your Vision
 
Blockchain in Healthcare
Blockchain in HealthcareBlockchain in Healthcare
Blockchain in Healthcare
 
Epic Clarity Running on Exadata
Epic Clarity Running on ExadataEpic Clarity Running on Exadata
Epic Clarity Running on Exadata
 

Similar to Optimizing Workflow in the Face of Meaningful Use

Meaningful Use: More than IT
Meaningful Use: More than ITMeaningful Use: More than IT
Meaningful Use: More than IT
Hielix
 
Meaningful Use - Not Just IT
Meaningful Use - Not Just ITMeaningful Use - Not Just IT
Meaningful Use - Not Just IT
dandavie
 
Health Informatics: The Electronic Health Record - Dr. Sam Gharbi
Health Informatics: The Electronic Health Record - Dr. Sam GharbiHealth Informatics: The Electronic Health Record - Dr. Sam Gharbi
Health Informatics: The Electronic Health Record - Dr. Sam Gharbi
Sam Gharbi
 
Learn How ProHealth Care is Innovating Population Health Management with Clin...
Learn How ProHealth Care is Innovating Population Health Management with Clin...Learn How ProHealth Care is Innovating Population Health Management with Clin...
Learn How ProHealth Care is Innovating Population Health Management with Clin...
Perficient, Inc.
 
Ehr system implementation and ongoing maintenance
Ehr system implementation and ongoing maintenanceEhr system implementation and ongoing maintenance
Ehr system implementation and ongoing maintenance
Bharath Kumar Reddy Chinta
 
Nurses at the Forefront of Integration-Jill Case-Wirth, WellStar Health System
Nurses at the Forefront of Integration-Jill Case-Wirth, WellStar Health SystemNurses at the Forefront of Integration-Jill Case-Wirth, WellStar Health System
Nurses at the Forefront of Integration-Jill Case-Wirth, WellStar Health System
Healthcare Network marcus evans
 
MeDAS - UNISIS HIS.PPTX
MeDAS - UNISIS HIS.PPTXMeDAS - UNISIS HIS.PPTX
MeDAS - UNISIS HIS.PPTX
Dharam shukla
 
Harshita hms 1819087 bpt 3rd year final.pptx
Harshita hms 1819087 bpt 3rd year final.pptxHarshita hms 1819087 bpt 3rd year final.pptx
Harshita hms 1819087 bpt 3rd year final.pptx
HarshitaSharma469169
 
harsh 1819089 hms-1.pptx
harsh 1819089 hms-1.pptxharsh 1819089 hms-1.pptx
harsh 1819089 hms-1.pptx
HarshAggarwal98
 
Keynote Presentation “Change Management & Processes in a Complex Care Environ...
Keynote Presentation “Change Management & Processes in a Complex Care Environ...Keynote Presentation “Change Management & Processes in a Complex Care Environ...
Keynote Presentation “Change Management & Processes in a Complex Care Environ...
Health IT Conference – iHT2
 
Clinical Information Systems (Part 2) - Health IT in Clinical Settings
Clinical Information Systems (Part 2) - Health IT in Clinical SettingsClinical Information Systems (Part 2) - Health IT in Clinical Settings
Clinical Information Systems (Part 2) - Health IT in Clinical Settings
Nawanan Theera-Ampornpunt
 
Presentation
PresentationPresentation
Presentation
Ashish Mehta
 
vishal 1819106 hms-1.pptx
vishal 1819106 hms-1.pptxvishal 1819106 hms-1.pptx
vishal 1819106 hms-1.pptx
Vishal258292
 
Nursing_Informatics.pptx for Nursing students
Nursing_Informatics.pptx for Nursing studentsNursing_Informatics.pptx for Nursing students
Nursing_Informatics.pptx for Nursing students
pooja kajla
 
Nursing_Informatics.pptx for Nursing students
Nursing_Informatics.pptx for Nursing studentsNursing_Informatics.pptx for Nursing students
Nursing_Informatics.pptx for Nursing students
pooja kajla
 
AAMI_HITECH MU: Impact on the Future of HC IT
AAMI_HITECH MU:  Impact on the Future of HC ITAAMI_HITECH MU:  Impact on the Future of HC IT
AAMI_HITECH MU: Impact on the Future of HC IT
Amy Stowers
 
Health innovation think tank key takeaways
Health innovation think tank key takeawaysHealth innovation think tank key takeaways
Health innovation think tank key takeaways
Gary Grimes
 
EHR v2.0: Optimizing Usability and Utility
EHR v2.0: Optimizing Usability and UtilityEHR v2.0: Optimizing Usability and Utility
EHR v2.0: Optimizing Usability and Utility
Mike Hogarth, MD, FACMI, FACP
 
Evaluation of A Clinical Information System
Evaluation of A Clinical Information SystemEvaluation of A Clinical Information System
Evaluation of A Clinical Information System
nrodrock
 
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...
Health IT Conference – iHT2
 

Similar to Optimizing Workflow in the Face of Meaningful Use (20)

Meaningful Use: More than IT
Meaningful Use: More than ITMeaningful Use: More than IT
Meaningful Use: More than IT
 
Meaningful Use - Not Just IT
Meaningful Use - Not Just ITMeaningful Use - Not Just IT
Meaningful Use - Not Just IT
 
Health Informatics: The Electronic Health Record - Dr. Sam Gharbi
Health Informatics: The Electronic Health Record - Dr. Sam GharbiHealth Informatics: The Electronic Health Record - Dr. Sam Gharbi
Health Informatics: The Electronic Health Record - Dr. Sam Gharbi
 
Learn How ProHealth Care is Innovating Population Health Management with Clin...
Learn How ProHealth Care is Innovating Population Health Management with Clin...Learn How ProHealth Care is Innovating Population Health Management with Clin...
Learn How ProHealth Care is Innovating Population Health Management with Clin...
 
Ehr system implementation and ongoing maintenance
Ehr system implementation and ongoing maintenanceEhr system implementation and ongoing maintenance
Ehr system implementation and ongoing maintenance
 
Nurses at the Forefront of Integration-Jill Case-Wirth, WellStar Health System
Nurses at the Forefront of Integration-Jill Case-Wirth, WellStar Health SystemNurses at the Forefront of Integration-Jill Case-Wirth, WellStar Health System
Nurses at the Forefront of Integration-Jill Case-Wirth, WellStar Health System
 
MeDAS - UNISIS HIS.PPTX
MeDAS - UNISIS HIS.PPTXMeDAS - UNISIS HIS.PPTX
MeDAS - UNISIS HIS.PPTX
 
Harshita hms 1819087 bpt 3rd year final.pptx
Harshita hms 1819087 bpt 3rd year final.pptxHarshita hms 1819087 bpt 3rd year final.pptx
Harshita hms 1819087 bpt 3rd year final.pptx
 
harsh 1819089 hms-1.pptx
harsh 1819089 hms-1.pptxharsh 1819089 hms-1.pptx
harsh 1819089 hms-1.pptx
 
Keynote Presentation “Change Management & Processes in a Complex Care Environ...
Keynote Presentation “Change Management & Processes in a Complex Care Environ...Keynote Presentation “Change Management & Processes in a Complex Care Environ...
Keynote Presentation “Change Management & Processes in a Complex Care Environ...
 
Clinical Information Systems (Part 2) - Health IT in Clinical Settings
Clinical Information Systems (Part 2) - Health IT in Clinical SettingsClinical Information Systems (Part 2) - Health IT in Clinical Settings
Clinical Information Systems (Part 2) - Health IT in Clinical Settings
 
Presentation
PresentationPresentation
Presentation
 
vishal 1819106 hms-1.pptx
vishal 1819106 hms-1.pptxvishal 1819106 hms-1.pptx
vishal 1819106 hms-1.pptx
 
Nursing_Informatics.pptx for Nursing students
Nursing_Informatics.pptx for Nursing studentsNursing_Informatics.pptx for Nursing students
Nursing_Informatics.pptx for Nursing students
 
Nursing_Informatics.pptx for Nursing students
Nursing_Informatics.pptx for Nursing studentsNursing_Informatics.pptx for Nursing students
Nursing_Informatics.pptx for Nursing students
 
AAMI_HITECH MU: Impact on the Future of HC IT
AAMI_HITECH MU:  Impact on the Future of HC ITAAMI_HITECH MU:  Impact on the Future of HC IT
AAMI_HITECH MU: Impact on the Future of HC IT
 
Health innovation think tank key takeaways
Health innovation think tank key takeawaysHealth innovation think tank key takeaways
Health innovation think tank key takeaways
 
EHR v2.0: Optimizing Usability and Utility
EHR v2.0: Optimizing Usability and UtilityEHR v2.0: Optimizing Usability and Utility
EHR v2.0: Optimizing Usability and Utility
 
Evaluation of A Clinical Information System
Evaluation of A Clinical Information SystemEvaluation of A Clinical Information System
Evaluation of A Clinical Information System
 
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...
 

More from Health IT Conference – iHT2

2016 iHT2 Miami Health IT Summit
2016 iHT2 Miami Health IT Summit2016 iHT2 Miami Health IT Summit
2016 iHT2 Miami Health IT Summit
Health IT Conference – iHT2
 
2016 iHT2 Miami Health IT Summit
2016 iHT2 Miami Health IT Summit2016 iHT2 Miami Health IT Summit
2016 iHT2 Miami Health IT Summit
Health IT Conference – iHT2
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
Health IT Conference – iHT2
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
Health IT Conference – iHT2
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
Health IT Conference – iHT2
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
Health IT Conference – iHT2
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
Health IT Conference – iHT2
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
Health IT Conference – iHT2
 
2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum
Health IT Conference – iHT2
 
2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum
Health IT Conference – iHT2
 
2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum
Health IT Conference – iHT2
 
2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum
Health IT Conference – iHT2
 
2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum
Health IT Conference – iHT2
 
2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum
Health IT Conference – iHT2
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
Health IT Conference – iHT2
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
Health IT Conference – iHT2
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
Health IT Conference – iHT2
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
Health IT Conference – iHT2
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit 2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
Health IT Conference – iHT2
 
iHT2 Health IT Beverly Hills Summit - 2015
iHT2 Health IT Beverly Hills Summit - 2015iHT2 Health IT Beverly Hills Summit - 2015
iHT2 Health IT Beverly Hills Summit - 2015
Health IT Conference – iHT2
 

More from Health IT Conference – iHT2 (20)

2016 iHT2 Miami Health IT Summit
2016 iHT2 Miami Health IT Summit2016 iHT2 Miami Health IT Summit
2016 iHT2 Miami Health IT Summit
 
2016 iHT2 Miami Health IT Summit
2016 iHT2 Miami Health IT Summit2016 iHT2 Miami Health IT Summit
2016 iHT2 Miami Health IT Summit
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
 
2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit2016 iHT2 San Diego Health IT Summit
2016 iHT2 San Diego Health IT Summit
 
2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum
 
2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum
 
2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum2015 Houston CHIME Lead Forum
2015 Houston CHIME Lead Forum
 
2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum
 
2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum
 
2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum2015 Atlanta CHIME Lead Forum
2015 Atlanta CHIME Lead Forum
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
 
2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit 2015 iHT2 Health IT Beverly Hills Summit
2015 iHT2 Health IT Beverly Hills Summit
 
iHT2 Health IT Beverly Hills Summit - 2015
iHT2 Health IT Beverly Hills Summit - 2015iHT2 Health IT Beverly Hills Summit - 2015
iHT2 Health IT Beverly Hills Summit - 2015
 

Recently uploaded

The Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdf
The Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdfThe Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdf
The Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdf
JackieSparrow3
 
DANH SÁCH THÍ SINH XÉT TUYỂN SỚM ĐỦ ĐIỀU KIỆN TRÚNG TUYỂN ĐẠI HỌC CHÍNH QUY N...
DANH SÁCH THÍ SINH XÉT TUYỂN SỚM ĐỦ ĐIỀU KIỆN TRÚNG TUYỂN ĐẠI HỌC CHÍNH QUY N...DANH SÁCH THÍ SINH XÉT TUYỂN SỚM ĐỦ ĐIỀU KIỆN TRÚNG TUYỂN ĐẠI HỌC CHÍNH QUY N...
DANH SÁCH THÍ SINH XÉT TUYỂN SỚM ĐỦ ĐIỀU KIỆN TRÚNG TUYỂN ĐẠI HỌC CHÍNH QUY N...
thanhluan21
 
How to Add a Filter in the Odoo 17 - Odoo 17 Slides
How to Add a Filter in the Odoo 17 - Odoo 17 SlidesHow to Add a Filter in the Odoo 17 - Odoo 17 Slides
How to Add a Filter in the Odoo 17 - Odoo 17 Slides
Celine George
 
How to Create a New Article in Knowledge App in Odoo 17
How to Create a New Article in Knowledge App in Odoo 17How to Create a New Article in Knowledge App in Odoo 17
How to Create a New Article in Knowledge App in Odoo 17
Celine George
 
Kesadaran_Berbangsa_dan_Bernegara_Nasion.pptx
Kesadaran_Berbangsa_dan_Bernegara_Nasion.pptxKesadaran_Berbangsa_dan_Bernegara_Nasion.pptx
Kesadaran_Berbangsa_dan_Bernegara_Nasion.pptx
artenzmartenkai
 
Unlocking Educational Synergy-DIKSHA & Google Classroom.pptx
Unlocking Educational Synergy-DIKSHA & Google Classroom.pptxUnlocking Educational Synergy-DIKSHA & Google Classroom.pptx
Unlocking Educational Synergy-DIKSHA & Google Classroom.pptx
bipin95
 
Individual Performance Commitment Review Form-Developmental Plan.docx
Individual Performance Commitment Review Form-Developmental Plan.docxIndividual Performance Commitment Review Form-Developmental Plan.docx
Individual Performance Commitment Review Form-Developmental Plan.docx
monicaaringo1
 
Odoo 17 Social Marketing - Lead Generation On Facebook
Odoo 17 Social Marketing - Lead Generation On FacebookOdoo 17 Social Marketing - Lead Generation On Facebook
Odoo 17 Social Marketing - Lead Generation On Facebook
Celine George
 
Year-to-Date Filter in Odoo 17 Dashboard
Year-to-Date Filter in Odoo 17 DashboardYear-to-Date Filter in Odoo 17 Dashboard
Year-to-Date Filter in Odoo 17 Dashboard
Celine George
 
Principles of Roods Approach!!!!!!!.pptx
Principles of Roods Approach!!!!!!!.pptxPrinciples of Roods Approach!!!!!!!.pptx
Principles of Roods Approach!!!!!!!.pptx
ibtesaam huma
 
How to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POSHow to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POS
Celine George
 
Howe Writing Center - Orientation Summer 2024
Howe Writing Center - Orientation Summer 2024Howe Writing Center - Orientation Summer 2024
Howe Writing Center - Orientation Summer 2024
Elizabeth Walsh
 
Neuroimaging Mastery Project: Presentation #6 Subarachnoid Hemorrhage
Neuroimaging Mastery Project: Presentation #6 Subarachnoid HemorrhageNeuroimaging Mastery Project: Presentation #6 Subarachnoid Hemorrhage
Neuroimaging Mastery Project: Presentation #6 Subarachnoid Hemorrhage
Sean M. Fox
 
BRIGADA ESKWELA OPENING PROGRAM KICK OFF.pptx
BRIGADA ESKWELA OPENING PROGRAM KICK OFF.pptxBRIGADA ESKWELA OPENING PROGRAM KICK OFF.pptx
BRIGADA ESKWELA OPENING PROGRAM KICK OFF.pptx
kambal1234567890
 
modul ajar kelas x bahasa inggris 2024-2025
modul ajar kelas x bahasa inggris 2024-2025modul ajar kelas x bahasa inggris 2024-2025
modul ajar kelas x bahasa inggris 2024-2025
NurFitriah45
 
Bedok NEWater Photostory - COM322 Assessment (Story 2)
Bedok NEWater Photostory - COM322 Assessment (Story 2)Bedok NEWater Photostory - COM322 Assessment (Story 2)
Bedok NEWater Photostory - COM322 Assessment (Story 2)
Liyana Rozaini
 
formative Evaluation By Dr.Kshirsagar R.V
formative Evaluation By Dr.Kshirsagar R.Vformative Evaluation By Dr.Kshirsagar R.V
formative Evaluation By Dr.Kshirsagar R.V
DrRavindrakshirsagar1
 
Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...
Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...
Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...
Murugan Solaiyappan
 
How to Store Data on the Odoo 17 Website
How to Store Data on the Odoo 17 WebsiteHow to Store Data on the Odoo 17 Website
How to Store Data on the Odoo 17 Website
Celine George
 
Split Shifts From Gantt View in the Odoo 17
Split Shifts From Gantt View in the  Odoo 17Split Shifts From Gantt View in the  Odoo 17
Split Shifts From Gantt View in the Odoo 17
Celine George
 

Recently uploaded (20)

The Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdf
The Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdfThe Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdf
The Jewish Trinity : Sabbath,Shekinah and Sanctuary 4.pdf
 
DANH SÁCH THÍ SINH XÉT TUYỂN SỚM ĐỦ ĐIỀU KIỆN TRÚNG TUYỂN ĐẠI HỌC CHÍNH QUY N...
DANH SÁCH THÍ SINH XÉT TUYỂN SỚM ĐỦ ĐIỀU KIỆN TRÚNG TUYỂN ĐẠI HỌC CHÍNH QUY N...DANH SÁCH THÍ SINH XÉT TUYỂN SỚM ĐỦ ĐIỀU KIỆN TRÚNG TUYỂN ĐẠI HỌC CHÍNH QUY N...
DANH SÁCH THÍ SINH XÉT TUYỂN SỚM ĐỦ ĐIỀU KIỆN TRÚNG TUYỂN ĐẠI HỌC CHÍNH QUY N...
 
How to Add a Filter in the Odoo 17 - Odoo 17 Slides
How to Add a Filter in the Odoo 17 - Odoo 17 SlidesHow to Add a Filter in the Odoo 17 - Odoo 17 Slides
How to Add a Filter in the Odoo 17 - Odoo 17 Slides
 
How to Create a New Article in Knowledge App in Odoo 17
How to Create a New Article in Knowledge App in Odoo 17How to Create a New Article in Knowledge App in Odoo 17
How to Create a New Article in Knowledge App in Odoo 17
 
Kesadaran_Berbangsa_dan_Bernegara_Nasion.pptx
Kesadaran_Berbangsa_dan_Bernegara_Nasion.pptxKesadaran_Berbangsa_dan_Bernegara_Nasion.pptx
Kesadaran_Berbangsa_dan_Bernegara_Nasion.pptx
 
Unlocking Educational Synergy-DIKSHA & Google Classroom.pptx
Unlocking Educational Synergy-DIKSHA & Google Classroom.pptxUnlocking Educational Synergy-DIKSHA & Google Classroom.pptx
Unlocking Educational Synergy-DIKSHA & Google Classroom.pptx
 
Individual Performance Commitment Review Form-Developmental Plan.docx
Individual Performance Commitment Review Form-Developmental Plan.docxIndividual Performance Commitment Review Form-Developmental Plan.docx
Individual Performance Commitment Review Form-Developmental Plan.docx
 
Odoo 17 Social Marketing - Lead Generation On Facebook
Odoo 17 Social Marketing - Lead Generation On FacebookOdoo 17 Social Marketing - Lead Generation On Facebook
Odoo 17 Social Marketing - Lead Generation On Facebook
 
Year-to-Date Filter in Odoo 17 Dashboard
Year-to-Date Filter in Odoo 17 DashboardYear-to-Date Filter in Odoo 17 Dashboard
Year-to-Date Filter in Odoo 17 Dashboard
 
Principles of Roods Approach!!!!!!!.pptx
Principles of Roods Approach!!!!!!!.pptxPrinciples of Roods Approach!!!!!!!.pptx
Principles of Roods Approach!!!!!!!.pptx
 
How to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POSHow to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POS
 
Howe Writing Center - Orientation Summer 2024
Howe Writing Center - Orientation Summer 2024Howe Writing Center - Orientation Summer 2024
Howe Writing Center - Orientation Summer 2024
 
Neuroimaging Mastery Project: Presentation #6 Subarachnoid Hemorrhage
Neuroimaging Mastery Project: Presentation #6 Subarachnoid HemorrhageNeuroimaging Mastery Project: Presentation #6 Subarachnoid Hemorrhage
Neuroimaging Mastery Project: Presentation #6 Subarachnoid Hemorrhage
 
BRIGADA ESKWELA OPENING PROGRAM KICK OFF.pptx
BRIGADA ESKWELA OPENING PROGRAM KICK OFF.pptxBRIGADA ESKWELA OPENING PROGRAM KICK OFF.pptx
BRIGADA ESKWELA OPENING PROGRAM KICK OFF.pptx
 
modul ajar kelas x bahasa inggris 2024-2025
modul ajar kelas x bahasa inggris 2024-2025modul ajar kelas x bahasa inggris 2024-2025
modul ajar kelas x bahasa inggris 2024-2025
 
Bedok NEWater Photostory - COM322 Assessment (Story 2)
Bedok NEWater Photostory - COM322 Assessment (Story 2)Bedok NEWater Photostory - COM322 Assessment (Story 2)
Bedok NEWater Photostory - COM322 Assessment (Story 2)
 
formative Evaluation By Dr.Kshirsagar R.V
formative Evaluation By Dr.Kshirsagar R.Vformative Evaluation By Dr.Kshirsagar R.V
formative Evaluation By Dr.Kshirsagar R.V
 
Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...
Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...
Lecture_Notes_Unit4_Chapter_8_9_10_RDBMS for the students affiliated by alaga...
 
How to Store Data on the Odoo 17 Website
How to Store Data on the Odoo 17 WebsiteHow to Store Data on the Odoo 17 Website
How to Store Data on the Odoo 17 Website
 
Split Shifts From Gantt View in the Odoo 17
Split Shifts From Gantt View in the  Odoo 17Split Shifts From Gantt View in the  Odoo 17
Split Shifts From Gantt View in the Odoo 17
 

Optimizing Workflow in the Face of Meaningful Use

  • 1. Optimizing Workflow in the Face of Meaningful Use Michael L. Westcott, MD, FACEP Alegent Health, Omaha, NE Facilitator: T. Forcht Dagi, MD, MPH, DMedSC, FAANS, FACS, FCCM Chief Medical Officer, Aventura Harvard Medical School and Queen’s University Belfast
  • 2. Disclosure Conflict of Interest Disclosure Michael L. Westcott, MD, FACEP • Has no real or apparent conflicts of interest to report. T. Forcht Dagi, MD, FAANS, FACS, FCCM • Board Member and Investor, Aventura HQ, Inc. • Paid Consultant for Masimo, Inc. • Partner HLM Venture Partners This presentation is not intended to contain or convey any commercial content. There has been no compensation offered or received in conjunction with this presentation.
  • 3. Alegent Health – Faith based, not-for-profit healthcare system – 6 Metro Hospitals (5 acute, 1 behavioral) – 3 Rural Hospitals – 100+ Clinics & Outpatient Facilities – 9,000+ Employees – 1,200+ Physicians
  • 5. Fundamental Paradox • Current movement for healthcare emphasizes the importance of individual patient-centered information • On a macro level, information is meant to flow and support decision making between the set (any given patient population) and the statistic (the individual patient) • Meaningful use describes a series of information flows associated with fully implemented information systems • Current information solutions suffer because inefficient interfaces interfere with meaningful use as well as with the care of individual patients
  • 6. Historically • HCIT developed to enter and archive information • Retrieval was secondary, even though retrieval is a central aspect of clinical workflow • Initial idea – A “photo” of the chart – Avoid lost charts and notes • Next, Retrieval of Information – Called “reporting” – Like “analytics,” a separate “function,” or module • Thus, clinician workflow not traditionally a primary concern • Evolving HCIT architectures intended to overcome the “siloed” modules and offer an integrated approach to information entry, analysis and retrieval
  • 7. Meaningful Use Policy • A defined term with specific meanings • An incentive strategy yoked to the current governmental healthcare reform initiatives • Creates a particular infrastructure • Establishes priorities • Carrot and stick • Assumed – Universally relevant – Workflow indifferent – Predicated on letting institutions change to meet the template, not vice versa • More “policy” driven than “functionally” driven
  • 8. Compare to Hospital Workflow • Definition – A set of routine or routinized activities – Meant to accomplish certain ends – Extends across medical, nursing and other hospital personnel – In most cases, workflow develops bottom up rather than top down – Exceptions include OR and ED • “If you have seen one workflow, you have seen one workflow”
  • 9. Compare to Hospital Workflow • Workflow very difficult to change because – Many aspects of workflow are implicit, and not called out – Interconnections are deep, extensive , subtle and powerful – Existing workflow routines generally work pretty well and can be monitored for QA purposes. – Routinized workflow leads to [deeply] embedded protocols and vice versa • Good way to bring on new staff • Routine is believed to reduce variance • Reduction in variance is linked to improved outcome • This is a central tenet of healthcare reform
  • 10. ED Caregiver Workflow Requirements • Paperless Chart • Real-time Documentation – Nursing – Physician • CPOE • Allergy Verification • Real time bed board updates • Medication Administration Checking
  • 11. Key Solution Requirements • Provides fast access to information – Estimated logons per day: 50 to 70 • Delivers consistency in performance • Enables mobility • Addresses HIPAA concerns • Standardizes the user experience • Most importantly, the caregivers like and will use the system
  • 12. What Does the Ideal Interface Between Workflow & Technology Offer the Clinician? • Rapid access (sign on/sign off) • Efficient use of time • Simplicity • Security – HIPAA compliance – Physical security • Indifference to underlying HCIT system, architecture, modules • Mobility • Context sensitivity • Other benefits
  • 13. Why the Workflow/Technology Interface is Critical • Meaningful Use as currently construed has three major components – The support of certain specified functions such as CPOE – Monitoring the use of the HCIT and proving it is used – Monitoring and reporting other hospital operations • Utilization is critical
  • 14. Why the Workflow/Technology Interface is Critical • At the level of the individual physician, nurse or hospital staff member, only two ways to ensure the use of HCIT – Incentives and sanctions • Affect morale and productivity • Patient suffers – An inviting interface that facilitates utilization by resolving impediments to or incorporating workflow • These interfaces can be inviting, enabling or off-putting
  • 15. What Does the Ideal Interface Offer the CMIO, CMO, and the CIO • Ease of installation and upgrade • Simplicity of use • Scale • Indifference to underlying system and EMR • Indifference to hardware platform
  • 16. What Does the Ideal Interface Offer the CMIO, CMO, and the CIO • Enhancement of underlying systems • Improved utilization • Improved morale • Improves the workflow of all hospital personnel • Data entry and data retrieval • Acceleration of Meaningful Use process • Measurable cost benefit
  • 17. The Denver Health Solution • Caregiver Experience – Logged on to network once in the morning – Any place they moved, they have access to their complete desktop and applications in just a few seconds – Doctors and nurses were leveraging dual-factor authentication every-time – Thought: “a computing system designed for the doctors and the nurses with patient benefit in mind”
  • 19. Key Benefits of the Solution 1. 2 to 3 Second Access From Anywhere 2. IT infrastructure benefits • Application Deployment Enabler • Hardware support • Cost 3. Reduced ER LOS 4. In-Room Benefits 5. Clinician Satisfaction 6. Smart Card / Dual Factor Authentication
  • 21. SUMMARY • In today’s environment, it is essential to both achieve meaningful use and optimize workflow • Meaningful use is a window: workflow is a mirror – Clinical decision support across all platforms – Seamless interoperability – Cost effectiveness – Combine standard of information availability with ability to customize – Efficiency and effectiveness • Effective execution of solutions delivered