title c schmitt. experience good judgment comes from experience, and experience comes from bad...

TitleTitle

C SchmittC Schmitt

ExperienceExperience

• Good judgment comes from experience, and experience comes from bad judgment.

• Experience is that wonderful thing that allows you to recognize a mistake when you make it again.

• Good judgment comes from experience, and experience comes from bad judgment.

• Experience is that wonderful thing that allows you to recognize a mistake when you make it again.

Will Our Experience Help You?Will Our Experience Help You?

• The Software is the same, but

• Facilities have different resources

• Personalities

• Leeway in productivity

• Cash for purchasing Hardware

• Administrative Support/Pressure

• Ability and Willingness to Change…

• The Software is the same, but

• Facilities have different resources

• Personalities

• Leeway in productivity

• Cash for purchasing Hardware

• Administrative Support/Pressure

• Ability and Willingness to Change…

CAC PositionsCAC Positions

• You can get away with having multiple staff members sharing the CAC duties – allows for ‘specialization’

• You can have staff members carry clinical, CAC and administrative duties…

• ALMOST – each of our CAC’s get called away for clinical duty

• You can get away with having multiple staff members sharing the CAC duties – allows for ‘specialization’

• You can have staff members carry clinical, CAC and administrative duties…

• ALMOST – each of our CAC’s get called away for clinical duty

ImplementationImplementation

• You can implement whole clinics at a time.– Up to a point, larger clinics had some specific

problems.

• You can creep onto EHR slowly.– Creates some special problems for CBT folks

who have to juggle paper, EHR and combo visits for an extended period of time.

• You can implement whole clinics at a time.– Up to a point, larger clinics had some specific

problems.

• You can creep onto EHR slowly.– Creates some special problems for CBT folks

who have to juggle paper, EHR and combo visits for an extended period of time.

You Can Use Wireless Early OnYou Can Use Wireless Early On

• You can use a wireless set up early on in your implementation process.– But for significant periods of time the MAIN

cause of EHR error and problem-calls was problems with wireless laptops .

– Can be very confusing and hard to nail down where the problem is occurring.

– Though complex, might be quickest way to get wide area access through a clinic.

• You can use a wireless set up early on in your implementation process.– But for significant periods of time the MAIN

cause of EHR error and problem-calls was problems with wireless laptops .

– Can be very confusing and hard to nail down where the problem is occurring.

– Though complex, might be quickest way to get wide area access through a clinic.

You Can Use Tablets….You Can Use Tablets….

• Tablets are ‘cool’ lightweight transportable…– But they have relatively small screens

compounded by low resolution.– The Touch-Sensitive screens are often

difficult to read in well-lit areas [Hospital].– They have a very short battery life.– Text Entry is quite difficult.

• Tablets are ‘cool’ lightweight transportable…– But they have relatively small screens

compounded by low resolution.– The Touch-Sensitive screens are often

difficult to read in well-lit areas [Hospital].– They have a very short battery life.– Text Entry is quite difficult.

Quality of Health CareQuality of Health Care

• RPMS-EHR is a power tool to improve quality of care…– But only if you plug it in and use it in a

focused dedicated program.– IPV Screening done March 2005 on EHR 24.– IPV Screening done March 2006 using EHR

reminders – 1700.

• RPMS-EHR is a power tool to improve quality of care…– But only if you plug it in and use it in a

focused dedicated program.– IPV Screening done March 2005 on EHR 24.– IPV Screening done March 2006 using EHR

reminders – 1700.

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