davies award winner, 2005 southeast texas medical associates, llp (setma)
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Davies Award Winner, 2005 Southeast Texas Medical Associates, LLP (SETMA). Dwane J. McGowan HTM 680 13 June, 2013. CASE OVERVIEW: SETMA. Sought change from document management to data management using NextGen technology - PowerPoint PPT PresentationTRANSCRIPT
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Davies Award Winner, 2005Southeast Texas Medical Associates, LLP (SETMA)
Dwane J. McGowanHTM 680
13 June, 2013
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CASE OVERVIEW: SETMA
Sought change from document management to data management using NextGen technology
Multiple clinics, ER, hospitals, hospice, level II laboratory, and a nursing home
Desires an Enterprise Practice Management (EPM) system, starting with an EMR
Vendor chosen bases on reputation, financial stability, support/training provided, and scalability
Phased go-live, 1 work area at a time
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SETMA’s Objectives
Improve care qualityImprove patient safetyIncrease patient/provider communicationEnhance reporting efficiencyRaise provider production and satisfactionDevelop a comprehensive clinical documentImprove workflow/billing practices
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ONC MU GOAL 1Improving quality, safety, efficiency, and
reducing health disparitiesAdoption of e-prescribingImproved billing with ICD-9, CPT codesRecorded demographics, vital signs-capture of
notes and basic data about patientsIncorporated lab results into the EHRMet public health reporting requirements for
diseases and immunizationsReported to patient registries
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ONC MU GOAL 2Engage patients and their families
E-mail communication with patientsSend lab results if authorized and security in
place Clinical summaries of visits availablePhone calls electronically sent to physicians for
review- improved inquiry documentationPatient portal established
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ONC MU GOAL 3Improve care coordination
One time registration/data capture
Sharing of data system-wide
Decreased duplication of testing, requests for personal data
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ONC MU GOAL 4Improve population & public health
Transmit data to immunization registries
Increased immunization rates from 20% to 80%
Created disease specific clinics
Use of templates with best practices
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ONC MU GOAL 5Privacy & Security of PHI
Security in place 24/7 for transmission of emails and lab results
Use of an established vendor to meet HIPAA requirements
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Benefits Realized by EHR
Increased efficiencies system-wideStreamlined referral process for specialistsImproved clinical documentation, workflowNet annual revenue increased $3 millionCharting and transcription costs down $352,000Patient safety improved, medication errors downPhysician satisfaction, and production increased
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Lessons Learned
Focus on full-scale implementation essential and “high tech will promote high touch”
All capabilities of the EHR must be employedNeed a respected physician champion for
provider buy-inDon’t delay starting an EHR initiative- benefits
entity, payors, and the publicOngoing training for all levels of staff essentialEstablish a defined timeline for implementation
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QUESTIONS?
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References
Healthcare Information and Management System Society (2007). Improving quality and reducing cost with electronic health records: case studies from the nicholas e. davies awards. Chicago, IL: HIMSS