Physician CareConnectionHIT Upgrade Status

Program provided by:

Confidential and Proprietary 2013 CHA, LLC,copyright 2013

Improve efficiencies and care coordination in the following areas: • Patient

• Improved clinical outcomes• Improved transitions of care• Reduction or elimination of duplicative or unnecessary

procedures or tests• Improved visit experience and satisfaction

• Administration• Reporting- advanced clinical financial and analytics• Cross-facility utilization and readmissions• Opportunities for trend and pattern analysis• Care management platforms

• Provider• Access to valuable clinical data• Improved monitoring of patient movement and disease

management• Improved patient satisfaction and provider experience

Goals of the Upgrade

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Process to Date Staff Readiness Assessment

Staff and Physician Surveys

Workflow Assessment◦ Improve or Identify Workflow issues◦ Must improve workflow before implementing an

EMR

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Staff Readiness and Survey

EMR readiness o Staff and volunteers willingness to help with project!o Positive statements on the general adoption and readiness for EMR

upgrade!o Comments on the current state:o Medical Records missingo Poor legibilityo Untimely referralso Long wait timeso Chart Chasingo Inefficient use of resourceso Result trackingo Medication refillso Unavailable appointments

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Physician Survey

Confidential and Proprietary 2013 CHA, LLC,copyright 2013

Slight bit of hesitation

They know its needed

Positive overall support

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Columbus Neighborhood Health Centers- Allscripts Pro

Lower Lights- NexGen OSU Family Practice- Epic Ambulatory Nationwide Children's- Epic Ambulatory Some of the OHIO FQHC’s- NexGen or Epic Ohio State- Epic Mount Carmel- NexGen OhioHealth Family practices-

◦ GE Centricity moving to Epic Ambulatory

EMR systems used in our Network

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EMR systems –Top Ten in Ohio1. Epic2. eClinicalWorks3. NextGen Ambulatory EHR4. Allscripts Professional EHR5. AthenaClinicals6. MEDENT7. MED3000, Inc8. Greenway9. Practice Fusion10. E-MD’s

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Workflow Assessment-observations

During Clinic hours-◦ Kiosk for check in

◦ Use of scanners

◦ Pharmacy

◦ Runners

Administrative CMA office-◦ Extensive duplication of information on paper, within

the same system and repeat duplication into a different system

◦ Missing chartsConfidential and Proprietary 2013 CHA, LLC,copyright 2013 8

Technology and Workflow Planning Reporting Analytics -population management E-RX

◦ Formulary Management E-M Coding Patient Portal Fax Server Interface Development

◦ Immunization interface ◦ HIE interface

Clinical Content Order Entry Decision Support Patient Registration

◦ Desire a kiosk- alleviate and/or eliminate patient questionnaires

◦ Duplex scanning of license and card identifiers◦ Patient photographs

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Yet to be determined –Technology and Workflow Planning

Hosting Strategy- ◦ currently they have servers on site- may want to go with servers off site-

IT professional Device Strategy

◦ Dependent on cost- if any will be integrated ex, glucometer, vitals Hardware Purchase

◦ Dependent on EMR system, think about laptops, tablets, etc. Paper Records Conversion Strategy in EHR strategy-Key Information

◦ Key patient demographic data◦ Problem list◦ Historical procedures◦ Allergies◦ Current medications◦ Last Lab report◦ Immunizations◦ Growth charts for pediatric patients

Billing◦ they want to begin a FFS business model

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Direct Entry into the system Scanning and indexing of documents

◦ Practices must consider how much information will be converted; what information may be scanned, or entered directly;

◦ The timeframe for the conversion; ◦ Staff resources including the costs associated with

each option. There are tradeoffs to be considered such

as cost of direct data entry and scanning

Paper Record Conversion

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EMR licensing purchase- vendor needs to be creative due to nature of practice, and the use of volunteers

Number and cost for remote workstations◦ Computer type-dell or apple◦ Workstation Operation System

Cost of upgrades/updates Cost of exchange fees Internet services fees Training and support costs Offsite data storage and back-up costs

◦ Server Operating System Maintenance/upgrades equipment Insurance/Legal contracting

Items to consider in regards to hardware and software budgeting for implementation

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http://www.youtube.com/watch?v=WFCkDtTNqGQ

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Plan to send RFP’s to the following vendors◦ Allscripts Pro◦ Epic ambulatory through Ohio State- confirmed

that they would be able to offer Not sure if OhioHealth is offering it at this point?

◦ NexGen- through Mt.Carmel◦ Ge Centricity

Please review the RFP

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Thank You for your time! Questions?

Lori Bergman, Senior Consultant

Comprehensive Healthcare Advisors, LLC(614) 761-1255, ext. 132

lbergman@ch-advisors.com