ontariomd’s emr maturity model & reporting advancing optimization and use e-health 2013...
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OntarioMD’sEMR Maturity
Model & Reporting Advancing Optimization and Use
e-Health 2013Accelerating Change Conference
Presented By: Darren Larsen, MD, CCFP, MPLcMichael Pray, MD, CCFPPlumaletta Berry, MHI
May 28, 2013
Faculty/Presenter DisclosureFaculty: Dr. Michael Pray, Dr. Darren LarsenRelationships with commercial interests:• Dr Michael Pray
• Contracted by OntarioMD Inc., Peer Leader funding from Canada Health Infoway
• Dr. Darren Larsen• Contracted by OntarioMD Inc., Peer Leader funding from
Canada Health Infoway• Employee of Ontario Medical Association
Disclosure of Commercial SupportThis program has received financial support from eHealth Ontario via OntarioMD Inc., in the form of funding for development
Potential for conflict(s) of interest:• Darren Larsen and Dr. Michael Pray have received payment from
OntarioMD Inc.
4
EMR MATURITY MODEL & REPORTING EVOLUTION
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
2011
• Concept
2012
• Model
2013
• Production
5
ALIGNMENT TO QUALITY AGENDA
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
QUALITYIS…
SAFE
EFFECTIVE
EFFICIENT
PATIENT CENTREDACCESSIBLE
SUSTAINABLE
EQUITABLE
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission6
SUPPORTS MOHLTC OBJECTIVES
Innovations in care
QBP
QIPs Health Links
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission7
EMR
MAT
URI
TY M
OD
EL Innovative and useful model for assessing EMR adoption in community care practices
Detailed maturity roadmap of existing and potential EMR capabilities
Five levels of EMR maturity starting with basic functions first, then moving towards advanced and complementary functions
Developed with direct input from OntarioMD’s Physician and Office Manager Peer Leaders
Aligns with COACH’s national tool for broader comparisons of system performance
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission8
KEY
FEAT
URE
SOnline Self-Assessment
Benchmarking
Gap Analysis/ Potentials for advanced EMR use
Online Resources & Tools
Access to Peer Leaders
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission9
BEN
EFIT
S TO
PRA
CTIC
ES Opportunities to advance EMR use and experience in enhancing patient care
Measure of own performance vs. colleagues
Customized and personalized goal setting
Support from a network of peer leaders with advance EMR experience.
Accelerated learning and access shared best practices/knowledge from experienced physicians & field staff
Earn Mainpro-C Credits by completing one or more Linking Learning to Practice exercises
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission10
ONTARIO’S EMR MATURITY MODEL
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission11
EMR MATURITY LEVELS
Strengthen Integrated Care
Transform Practice Efficiency
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission12
EMR ADOPTION PROGRESS TODAY
Respondents: N=62
1 2 3 4 5 6 7 8 9 10 11a 11b 12a 12b 13 14 15 16 17 18 19 20 21 22 23 24 25
Phys
ician
s Re
porti
ng
Appo
intm
ent S
ched
ulin
g
Prac
tice
Billin
g
Com
mun
icatio
n &
Coor
dina
tion
Busin
ess
Cont
inui
ty
Plan
ning
Regi
stra
tion
Info
rmat
ion
Enco
unte
r Doc
umen
tatio
n
Data
Qua
lity M
anag
emen
t
Nom
encla
ture
Con
siste
ncy
Docu
men
t Man
agem
ent
Priva
cy &
Sec
urity
Labo
rato
ry O
rder
s
Labo
rato
ry R
esul
ts
Diag
nost
ic Im
agin
g Re
ports
O
rder
s
Diag
nost
ic Im
agin
g Re
ports
Re
sults
Hosp
ital S
umm
ary
Refe
rrals
& Co
nsul
ts
Trac
king
Patie
nt A
sses
smen
t Too
ls
Prev
entiv
e/Fo
llow-
up C
are
Evid
ence
Bas
ed R
esou
rces
Care
Pla
nnin
g &
Coor
dina
tion
Med
icatio
n M
anag
emen
t
Com
plex
Car
e/Ch
roni
c Di
seas
e M
anag
emen
t
Patie
nt E
duca
tion
Self-
Care
Co
Man
agem
ent
Heal
th Q
uality
Indi
cato
rs
Heal
th O
utco
me
(Pro
vincia
l Re
porti
ng)
Publ
ic He
alth
Rep
ortin
g
GRP1 3 3 3 1 3 3 3 3 2 1 2 2 3 2 2 2 3 3 2 3 3 3 1 2 3 2 2
GRP2 3 3 3 2 3 4 2 1 4 1 1 2 2 3 3 1 3 3 3 3 3 3 2 2 2 3 3
GRP3 2 2 3 1 3 3 2 2 2 2 2 3 2 2 3 2 2 2 1 2 3 1 1 2 1 1 0
GRP4 3 3 3 2 3 4 2 3 2 4 1 3 0 1 3 1 2 3 1 2 2 1 1 1 2 2 0
GRP5 3 3 2 1 2 3 2 2 2 2 2 3 1 2 2 1 3 3 2 2 2 2 2 1 2 2 1
GRP6 3 4 3 3 3 4 2 3 2 1 3 3 1 1 2 3 3 3 1 3 3 3 2 2 3 1 1
GRP7 2 2 2 1 3 3 1 3 2 0 3 2 0 1 2 1 2 2 2 2 3 2 2 0 2 2 1
GRP8 4 4 3 3 3 4 3 2 3 1 3 2 2 2 3 2 2 3 2 3 4 2 1 2 2 2 1
GRP9 2 2 2 1 2 2 1 2 1 1 2 2 1 1 1 1 2 1 1 2 2 1 1 0 1 0 0
GRP10 3 3 2 2 3 3 3 3 3 2 1 3 1 1 1 2 3 3 1 3 3 2 2 2 3 3 2
GRP11 4 3 3 2 0 4 3 3 3 1 3 3 1 1 1 3 3 2 1 2 3 2 2 1 2 2 0
GRP12 3 4 3 2 3 4 4 3 4 1 3 3 0 2 3 1 3 3 2 2 3 3 3 1 4 4 1
GRP13 3 4 3 1 3 4 2 3 3 1 1 2 2 2 3 3 2 2 2 2 3 1 2 1 2 2 1
GRP14 3 4 4 2 3 4 4 4 4 2 3 3 2 2 3 3 3 3 2 3 3 2 3 2 4 3 0
GRP15 2 2 3 1 3 4 2 0 2 0 1 2 1 1 1 3 3 2 1 2 3 1 2 0 2 2 3
GRP16 3 2 2 0 3 3 2 2 2 1 1 3 1 1 1 2 3 3 1 3 2 2 1 1 3 2 0
AVG 3 3 3 2 3 4 2 2 3 1 2 3 1 2 2 2 3 3 2 2 3 2 2 1 2 2 1
EMR Progress Report For Practice: Current State (Where I am Now) Matrix
Practice Administration Information Management Patient Results Management Diagnosis SupportTreatment
PlanningPatient
EngagementEvaluation & Monitoring
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission13
HOW TO GET STARTED
7 Steps to Achieve the full
benefits of an EMR
Become aware of the EMR maturity benefits 1
Assess your current EMR use 2
Identify gaps & opportunities for change 3
Implement improvement projects 5
Evaluate Impact6
Set personalized goals4
Review and Move to Next Assessment Phase7
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission14
EMR PROGRESS REPORTING
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission15
EMR PROGRESS REPORTING
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission16
EMR PROGRESS ASSESSMENT
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission17
INTERACTIVE CHART
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission18
ONLINE RESOURCES AND TOOLS
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission19
HAMILTON FAMILY HEALTH TEAM
PROFILE SUMMARY OF RESPONDENTS15 persons completed the EMR progress survey
• 13 Family Physicians• 2 Healthcare Providers
7 groups participatedYears in Use
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission20
WHERE WE ARE TODAY
1 2 3 4 5 6 7 8 9 10 11a 11b 12a 12b 13 14 15 16 17 18 19 20 21 22 23 24 25Ph
ysici
ans
Repo
rting
Appo
intm
ent S
ched
ulin
g
Prac
tice
Billin
g
Com
mun
icatio
n &
Coor
dina
tion
Busin
ess
Cont
inui
ty
Plan
ning
Regi
stra
tion
Info
rmat
ion
Enco
unte
r Doc
umen
tatio
n
Data
Qua
lity M
anag
emen
t
Nom
encla
ture
Con
siste
ncy
Docu
men
t Man
agem
ent
Priva
cy &
Sec
urity
Labo
rato
ry O
rder
s
Labo
rato
ry R
esul
ts
Diag
nost
ic Im
agin
g Re
ports
O
rder
s
Diag
nost
ic Im
agin
g Re
ports
Re
sults
Hosp
ital S
umm
ary
Refe
rrals
& Co
nsul
ts
Trac
king
Patie
nt A
sses
smen
t Too
ls
Prev
entiv
e/Fo
llow-
up C
are
Evid
ence
Bas
ed R
esou
rces
Care
Pla
nnin
g &
Coor
dina
tion
Med
icatio
n M
anag
emen
t
Com
plex
Car
e/Ch
roni
c Di
seas
e M
anag
emen
t
Patie
nt E
duca
tion
Self-
Care
Co
Man
agem
ent
Heal
th Q
uality
Indi
cato
rs
Heal
th O
utco
me
(Pro
vincia
l Re
porti
ng)
Publ
ic He
alth
Rep
ortin
g
Core FHO MD1 3 4 3 0 2 4 2 2 3 -1 3 3 1 0 2 1 3 3 1 3 3 3 2 2 3 3 0
Core FHO MD2 3 0 3 2 0 0 3 3 0 1 3 3 0 3 1 1 3 3 2 0 3 3 2 2 3 3 0
Core FHO MD3 3 4 2 0 2 4 1 1 2 1 1 2 1 1 2 1 3 2 1 2 1 2 2 1 2 0 0
Core FHO MD4 5 3 2 1 3 4 3 4 4 4 3 4 3 2 3 3 3 3 2 2 3 2 2 3 3 3 0
Core FHO MD5 3 3 2 1 3 4 1 3 1 0 1 2 1 1 3 1 2 3 2 2 3 2 2 0 2 0 0
HCHC FHO MD6 5 4 3 1 3 4 3 2 2 1 3 4 3 3 3 3 4 3 2 3 3 3 2 2 3 3 0
HCHC FHO MD7 3 1 2 2 1 1 2 2 1 1 1 3 0 1 1 0 2 3 1 2 1 3 2 2 2 0 0
HCHC FHO MD8 4 3 4 3 0 4 0 4 3 2 3 4 3 4 4 0 3 4 0 4 3 3 3 0 3 3 3
HCHC FHO MD9 2 2 2 1 3 1 2 2 3 -1 1 1 -1 -1 1 1 3 3 3 2 1 1 1 0 0 -1 0
Innovations FHO MD10 3 3 0 1 3 4 2 1 2 1 1 2 1 2 3 2 3 3 2 2 2 2 2 1 2 0 3
Intramed FHO MD11 3 3 3 2 3 4 1 3 2 1 1 2 2 3 3 3 3 3 2 2 1 2 2 1 2 2 2
K. H. Medical Group FHO MD12 2 3 4 -1 3 4 2 2 4 1 0 4 0 1 2 3 3 3 3 4 3 3 3 0 3 3 -1
Stoney Creek & Hamilton Mountain FHOMD13 2 1 2 0 2 1 0 0 3 -1 1 2 1 1 1 1 2 1 1 2 1 1 2 -1 2 -1 0
Core FHO HP1 2 -1 1 -1 3 4 -1 3 -1 4 0 2 1 2 -1 1 2 3 2 3 3 2 2 0 3 3 3
St Joseph's Health Hamilton HP2 2 -1 0 -1 2 2 0 -1 1 -1 1 0 0 0 1 0 2 1 1 2 1 0 -1 2 0 -1 0
Average 3 2 2 1 2 3 1 2 2 1 2 3 1 2 2 1 3 3 2 2 2 2 2 1 2 1 1
Group_Name
EMR Progress Report For Practice: Current State (Where I am Now) Matrix
Functional Areas g Practice Administration Information Management Patient Results Management Diagnosis SupportTreatment Planning
Patient Engagement
Evaluation & Monitoring
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission21
CURRENT STATE: PERFORMING WELL• Practice Administration• Communication & Coordination• Patient Education• Chronic Disease Management• Laboratory Results Management• Medication Management• Nomenclature Consistency
Level 2Established
Clinical Documentation
Level 3Advance Disease
Support Management
• Clinical Encounter Documentation• Patient Assessment Tools• Preventive Care/Follow-Up
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission22
7 Steps to Achieve the full
benefits of an EMR
Become aware of the EMR maturity benefits 1
Assess your current EMR use 2
Identify gaps & opportunities for change 3
Implement improvement projects 5
Evaluate Impact6
Set personalized goals4
Review and Move to Next Assessment Phase7
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission23
AREAS WE NEED TO IMPROVE
1 2 3 4 5 6 7 8 9 10 11a 11b 12a 12b 13 14 15 16 17 18 19 20 21 22 23 24 25Ph
ysici
ans R
epor
ting
Appo
intm
ent S
ched
uling
Prac
tice
Billin
g
Com
mun
icatio
n &
Coor
dinat
ion
Busin
ess C
ontin
uity
Plan
ning
Regis
tratio
n In
form
ation
Enco
unte
r Doc
umen
tatio
n
Data
Qua
lity M
anag
emen
t
Nom
encla
ture
Con
siste
ncy
Docu
men
t Man
agem
ent
Priva
cy &
Sec
urity
Labo
rato
ry O
rder
s
Labo
rato
ry R
esult
s
Diag
nosti
c Im
aging
Rep
orts
Orde
rs
Diag
nosti
c Im
aging
Rep
orts
Resu
lts
Hosp
ital S
umm
ary
Refe
rrals
& Co
nsult
s Tr
ackin
g
Patie
nt A
sses
smen
t Too
ls
Prev
entiv
e/Fo
llow-
up C
are
Evide
nce
Base
d Re
sour
ces
Care
Plan
ning
& Co
ordin
ation
Med
icatio
n M
anag
emen
t
Com
plex C
are/
Chro
nic
Dise
ase
Man
agem
ent
Patie
nt E
duca
tion
Self-
Care
Co
Man
agem
ent
Healt
h Qu
ality
Indic
ator
s
Healt
h Ou
tcom
e (P
rovin
cial
Repo
rting
)
Publi
c Hea
lth R
epor
ting
Core FHO MD1 3 4 3 0 2 4 2 2 3 -1 3 3 1 0 2 1 3 3 1 3 3 3 2 2 3 3 0
Core FHO MD2 3 0 3 2 0 0 3 3 0 1 3 3 0 3 1 1 3 3 2 0 3 3 2 2 3 3 0
Core FHO MD3 3 4 2 0 2 4 1 1 2 1 1 2 1 1 2 1 3 2 1 2 1 2 2 1 2 0 0
Core FHO MD4 5 3 2 1 3 4 3 4 4 4 3 4 3 2 3 3 3 3 2 2 3 2 2 3 3 3 0
Core FHO MD5 3 3 2 1 3 4 1 3 1 0 1 2 1 1 3 1 2 3 2 2 3 2 2 0 2 0 0
HCHC FHO MD6 5 4 3 1 3 4 3 2 2 1 3 4 3 3 3 3 4 3 2 3 3 3 2 2 3 3 0
HCHC FHO MD7 3 1 2 2 1 1 2 2 1 1 1 3 0 1 1 0 2 3 1 2 1 3 2 2 2 0 0
HCHC FHO MD8 4 3 4 3 0 4 0 4 3 2 3 4 3 4 4 0 3 4 0 4 3 3 3 0 3 3 3
HCHC FHO MD9 2 2 2 1 3 1 2 2 3 -1 1 1 -1 -1 1 1 3 3 3 2 1 1 1 0 0 -1 0
Innovations FHO MD10 3 3 0 1 3 4 2 1 2 1 1 2 1 2 3 2 3 3 2 2 2 2 2 1 2 0 3
Intramed FHO MD11 3 3 3 2 3 4 1 3 2 1 1 2 2 3 3 3 3 3 2 2 1 2 2 1 2 2 2
K. H. Medical Group FHO MD12 2 3 4 -1 3 4 2 2 4 1 0 4 0 1 2 3 3 3 3 4 3 3 3 0 3 3 -1
Stoney Creek & Hamilton Mountain FHOMD13 2 1 2 0 2 1 0 0 3 -1 1 2 1 1 1 1 2 1 1 2 1 1 2 -1 2 -1 0
Core FHO MD14 2 -1 1 -1 3 4 -1 3 -1 4 0 2 1 2 -1 1 2 3 2 3 3 2 2 0 3 3 3
St Joseph's Health Hamilton MD15 2 -1 0 -1 2 2 0 -1 1 -1 1 0 0 0 1 0 2 1 1 2 1 0 -1 2 0 -1 0
Average 3 2 2 1 2 3 1 2 2 1 2 3 1 2 2 1 3 3 2 2 2 2 2 1 2 1 1
Group_Name
EMR Progress Report For Practice: Current State (Where I am Now) Matrix
Functional Areas g Practice Administration Information Management Patient Results Management Diagnosis SupportTreatment
PlanningPatient
EngagementEvaluation & Monitoring
AREAS WE NEED TO IMPROVE
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission25
7 Steps to Achieve the full
benefits of an EMR
Become aware of the EMR maturity benefits 1
Assess your current EMR use 2
Identify gaps & opportunities for change 3
Implement improvement projects 5
Evaluate Impact6
Set personalized goals4
Review and Move to Next Assessment Phase7
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission26
READY TO ADVANCE
• Chronic Disease Management• Reporting Capabilities• Data Quality Management
Moving beyond Basic Record
Keeping
• Self-Care/Co-Management(Improving patient engagement)
• Privacy & Security (Knowledge Gap)
• Business Continuity Planning (Awareness)
Advancing to Higher
Functions
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission27
7 Steps to Achieve the full
benefits of an EMR
Become aware of the EMR maturity benefits 1
Assess your current EMR use 2
Identify gaps & opportunities for change 3
Implement improvement projects 5
Evaluate Impact6
Set personalized goals4
Review and Move to Next Assessment Phase7
28
CONTACT INFORMATION
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