How to Find Smooth SailingWhile Implementing EHRs

HIPAA COW Spring Conference

April 4, 2008

Kalahari Resort

Speaker Introductions

• Theresa EckmanEHR Project Director

SSM Integrated Health Technologies

Madison, WI

• Daniel R. PetersonDirector, Information Services and EHR Advantage

ProHealth Care, Inc.

Waukesha, WI

• Michael A. RosencranceCIO/VP, Information Services

UW Medical Foundation

Madison, WI

The SSM/WIITTS Experience

• SSM/WI partnership with Dean Health System– 2 wholly-owned + 2 affiliated hospitals– 500+ physicians (Dean & SMDV)

• One Patient = One Record Adventure– EMPI 2002– Lab, Radiology, & Transcription 2003– Common Sched/Reg 2005– Big Bang Inpatient 2008

The ProHealth Experience

• Two-hospital system in suburban Milwaukee– 220 system physicians– 200 independent/affiliated physicians

• Created “Virtual Medical Community”• Implemented GE Centricity EMR in 2006

– 3 phase implementation methodology– Interfaces to hospital ancillaries– Will add clinical messaging and patient portal in

2008

The UW Health Experience

• Part of UW Academic Medical Enterprise– 1,100+ Physicians/Faculty– Partner w/ UW Hospital and Clinics

• The “Epic” Journey– Registration/Scheduling/Billing 2001– Pilot EMR 2004– Switch to Phased Approach 2005– UW Hospital Officially Joined 2006– Making UW Health “More than a Brand”

EHRs at Their Core3 Components

• Foundational Work

• Implementation

• Maintenance and Support

Important LessonsFoundational Work

• Planning

• Resource Allocation

• Interfacing Ancillary Systems

• Data Conversions

• Populating the Record BEFORE Go-live

Important LessonsImplementation

• Choose Your Approach Carefully

• Work Flow Analysis and Design

• Training

• Go-Live Support

Important LessonsMaintenance and Support

• Resources

• Optimization

• Upgrade and Maintenance Testing

• Communication and Sharing

Questions?