your emr/ehr is implemented, what’s next?
TRANSCRIPT
Your EMR/EHR is implemented, what’s next?
Sally Akers RN MSNManaging Director, Healthcare Consulting
Dell Healthcare & Life Sciences
Global Marketing
Intellectual capital of medicine
Empowering patients and evidence-based
medicine
Electronic Health Record Strategy
Comprehensive
Enhance
Care
StabilizeSpeed, Reliability and User
Interface
Nea
r Te
rm
Mid
Ter
m
Long
Ter
m
Efficiently perform their duties in a timely manner,
regardless of location, time of day or network issues
One-stop point for providing, viewing and maintaining a complete longitudinal health care
record
Ability to continuously improve the quality and efficiency of health care
administered to our beneficiaries
Stable Comprehensive Enhanced Health Care Record
Stable Comprehensive Health Care Record
Stable Health Care Record
Global Marketing
Empowering patients and evidence-based
medicine
Service Member Health Care ContinuumHealth Care is Local…Information is Global
Virtual Lifetime Electronic Record
(VLER)
Deployed/ Theater Care
Care In TransitCare at home/Post-deployment
Civilian Care Recruitment Accession/Training
Routine Care
Readiness/Pre-Deployment
Transition & Benefits Assessment
VA Care
Global Marketing
Effectiveness
Nationwide Health Information Network (NHIN)
Incentives Tomorrow:• Coordinated• Predictable• Outcome base
Nationwide Health Information Network (NHIN)
Integrated Delivery System
NCI
CMS
SSA
IHS
CDC
DoD VA Community Health Centers
VLERHealth
Community #2
Community #1
The Internet
Standards, Specifications and Agreements for Secure Connections
NHIN Gateway
Adapter
Global Marketing
Effectiveness
Intellectual capital of medicine
Empowering patients and evidence-based
medicine
The Current Environment in Many Healthcare Organizations Does Not Support a Unified
Approach to Informatics and Analytics
• Each department has their own data pulled from various source systems
• Data is most often maintained in silos within departments, functional units or even individual spreadsheets and data bases within a department by a few individuals
Fragmented
• Some departmental data is often reported to an enterprise dashboard, however access to additional data is absent for the individuals who are accountable to research and understand variances to optimize performance/outcomes
Incomplete
• Data collected at the system level often has data integrity issues or a general sense of distrust by stakeholders
• Results reported from various sources are often found to conflict with each other as data is not defined across the organization
Inaccurate
Department Report
Quality Data
Volume Statistics
Utilization Data
Department Report
Quality Data
Volume Statistics
Utilization Data
Department Report
Quality Data
Volume Statistics
Utilization Data
Department Report
Quality Data
Volume Statistics
Utilization Data
Global Marketing
Effectiveness
Incentives Tomorrow:• Coordinated• Predictable• Outcome base
Intellectual capital Health informatics is at the intersection of information science, computer science, and health care. It deals with the resources, devices, and methods
required to optimize the storage, retrieval, and use of information in health and biomedicine. Health informatics tools include not only computers but also clinical
guidelines, formal medical terminologies, and information and communication systems. medicine
Impact and Scope of Healthcare Informatics/ Analytics
A mature informatics and analytics capability will advance healthcare quality, efficiency, effectiveness and safety for individual patients, populations of patients, organizations
and healthcare professionals resulting from the
management, acquisition, storage, analysis, reporting, mining and use
of healthcare data (clinical, operational, financial) across all levels and segments of the healthcare industry/organization
Global Marketing
Effectiveness
Incentives Tomorrow:• Coordinated• Predictable• Outcome base
Intellectual capital of medicine
Empowering patients and evidence-based
medicine
Healthcare Leaders Need to GET SMARTER about….
Create breakthrough advances in
healthcare by enabling access to
meaningful, integrated
information in the right places at the right times and to the right persons
• The business of healthcare The management of healthcare
resources Financial and operational content
• The delivery of healthcare Clinical content Clinical processes Use of evidence
• The quality and safety of healthcare
Compliance Never events Medication safety
• The data assets of healthcare Data storage Data access Data management
Global Marketing
G
E
T
GET: The 3 Critical Enablers that Support a Mature Informatics and Analytics Program/Culture (GET)
Governing and Leading—Executive leadership establishes data as an organizational asset, to be managed and protected. A governance body is established for decision making and management/oversight. Informatics resources are established and supported.
Enabling People and Technology—Organizational learning is optimized to create a culture of transparency and data-driven decision making. People and technology are enabled with accessible clinical content/evidence, alerts, triggers, process reminders, and automated functionality.
Transforming Structures, Processes, and Functions—Processes, structures, and functions related to data capture, storage, analysis ,and reporting are optimized to ensure that informatics capability is matured horizontally and vertically in the enterprise. Technology planning and implementation is facilitated to support data storage, integration, management, and use.
Global Marketing
Effectiveness
Incentives Tomorrow:• Coordinated• Predictable• Outcome base
SMARTER: The 7 Critical Components Required to Build a Mature Informatics/Analytics Program/Culture
• Data storage solutions are designed and initiated to optimize the ability to integrate and access data across source systems.Store
• Information is managed to provide consistent definitions, useful meta data, and master data indexes. Content is managed to ensure relevance.
Manage
• Data is analyzed using sound scientific principles and methods. Analysis includes data mining, comparison, variations, and correlation of data.
Analyze
• Reporting is designed to identify opportunitiesfor improvement and to support clinical and business decisions.Report
• Stakeholder input, evidence, and historical data are used to establish targets, triggers, and thresholds to achieve new levels of performance and quality and safety.
Target• Action is taken on opportunities identified, and change is managed and
reevaluated to ensure progress to targets, triggers, and thresholds.Execute
• Revision of the plan, targets, triggers, and thresholds occur to improve validity and relevance as changes are made in processes, functions, and structures.
Revise
Global Marketing
Effectiveness
Incentives Tomorrow:• Coordinated• Predictable• Outcome base
Intellectual capital of medicine
Empowering patients and evidence-based
medicine
GET SMARTER Service Offerings Help Organizations Move From: Data InformationInformation KnowledgeKnowledge Wisdom
Data ManagementInformation
ManagementKnowledge Management
(Performance and Outcomes)
Store Manage Analyze Report Targets Execute Revise
Govern
Enable
Transform
Dell Service Offerings
Data Warehousing,
Archiving, Access
Solutions, SaaS Solution
Offering
Meta Data, Clinical
Content, Dictionaries, Master Data Management
Analytics and Metrics
Program Developmen
t and/ or Outsourcing
Business Intelligenc
e, Dashboard
s, Scorecards
Healthcare Consulting, Design, and Management of Regulatory Reporting,
Variance Reduction, and Efficiency Management
Key Attributes of Success
Standardization, normalization, and integration
of data with access across source systems in real/near or
real time to stakeholders
Defined analytics capability with
appropriately leveled competencies throughout
the organization to generate meaningful,
user-friendly, and timely information from data
Engaged stakeholders who apply experience in the interpretation and use of information through a well-
defined, transparent quality improvement process
Wisdom and Understanding
Activities and Deliverables
Activities and Deliverables
Activities and Deliverables
Thank youPlease visit our Healthcare & Life Sciences Speakers Bureauwww.dell.com/sally_akers