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IT: When Will Use Get Meaningful? Rebecca Armato Executive Director, Physician & Interoperability Services, Huntington Memorial Hospital August 2013

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Page 1: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

IT: When Will Use Get Meaningful?

Rebecca Armato

Executive Director, Physician & Interoperability Services, Huntington Memorial Hospital

August 2013

Page 2: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Daughter of DO, Sister of MD

30+ Years Healthcare – Physician Services

CCHIT Board of Commissioners (ONC-ATCB)

ACO Framework

No Stock Ownership in Any EHR or IT Company

Executive Director of Physician and Interoperability Services, Huntington Hospital

Represent HMH on state, national HIE activities

90 MPH w/ Gusts Up to 120 MPH

Disclosure

Page 3: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Conflicting Perceptions

Page 4: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Spoiler Alert: Technology Doesn’t Solve Bad Business

Page 5: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Vendors Don’t Want Interoperability

Interoperability = Portability

Conflicting Federal Mandates Keep The Target Moving

‘Macgyvering’ is Prevalent

Real Stories from the Front Lines

No One Speaks The Same Language

Everyone wants to Receive – No One Wants to Give

Nothing in Life is Free

Switching EHRs is Hard

Wrong Decision Will Co$t Much More Than

$timulus Funds No ‘Lemon Law’ For EHRs

EMR Vendors’ Dirty Little Secret

Page 6: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

$44,000 Over 5 Years = 2.5 Hours/Day $13/Hour Employee

Or

15 Minutes/Day $100/Hour Physician

Improve Patient Safety

Improve Care Outcomes

Improve ‘Cost’ of Care

Improve Practice Viability

Improve Your Quality of Life

Putting Things Into Perspective

http://www.youtube.com/watch?v=t-aiKlIc6uk&feature=player_embedded
Page 7: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

ABC’s of

EHR

Adoption

How to make

‘Meaningful

Use’ mean

something!

Key Areas to Focus

1) Patient Registration

Demographic & Clinical History Entry

2) Scheduling (Dr & Patient)

3) Clinical Documentation

Leverage Speech Recognition, Templates/Order Sets

(CPOE), Disease Mgmt/Quality/Outcome Rpt, Remote

Secure Access to EHR

4) Accounts Receivable

Charge Capture, Claims Submission, Patient

Statement & Payment Posting, Management Reporting

5) Care Collaboration

Consult, Referral, Care Transition, Patient

Communication, Med History, Formulary, ePrescribing,

Electronic Orders & Results Receipt, Visit Summary/Care

Instructions

Meaningful (Successful) Technology Adoption In Your Practice – Hope is

NOT a Plan

Page 8: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

ACOhOh

EHR System

Care Coordination

Operational Optimization

Financial Optimization

Patient Engagement Tools

Provider Clinical Data

Payer Claims 3rd Party Content User-Generated

Content

Inter-System Information Exchange Intra-System Information Sharing

Data Interoperability

Tasking the Right Caregiver for the Right Things

Valuable Notification and Alerts

Vocabulary Translations – Context & Meaning

Segmentation and Stratification

Baseline Development

Benchmarking

Data & Connectivity

Analytics

Messaging & Tasking

Structured Data Management

Rules Engine Predictive Modeling

Administrative Data

Page 9: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Opportunities for Technology’s Enablement

Comprehensive HIE

Patient

Drs & Extenders

Care Coordi-nators

Clinical Mgr

Business Manager

Payer Reporting

Enhanced Patient Portal

Basic Clinical Decision Support

Community Patient Record

Basic Care Mgmt

Robust Population Analytics Tool

ACO Financial Reporting

Business Process Optimization

Advanced Financial Mgmt

Advanced Care Coordination Within Practice

Advanced, Intelligent CDS

Basic

Basic Patient Portal

Integrated Care Coordination Across

Community

Population Health Reports

Fully Integrated Performance Management Tool

Advanced

Population Health Workflow Tools

Advanced Access

Page 10: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Hospital EMR

Drs w/EMRs

Drs w/o EMRs Community Patient Record

Imaging Centers

Other Hosp, SNF, ASC

Update on Our Efforts… Right Information, Right Place, Right Time, Right Device

Page 11: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Community Care from Hosp EMR Within Workflow

Page 12: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Community Population Health

Page 13: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Real-time result delivery to physicians (into their EMR or into HHeC In-Box)

Notification their patients are in ED, unnecessary work-ups avoidable if communication within work-flow

Improve Case Managers’ Visibility & Timeliness to Information

Improve availability of physician office notes patient presents at hospital ED

Improve availability of ED/IP information when patient sees their primary after a hospitalization

Avoid duplicative testing, OP or IP, or testing delays due to incomplete information

Leverage value of hospitalist care by providing ‘over the shoulder’ view of care provided to their patients to physicians in the community

Leverage Dictation and Speech Recognition for Improved Content & Availability of Care Documentation

Valuable Improvements

Page 14: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Federal Mandates

Payment Models

ACOs

Know What’s Going on In Your Community

Don’t Sign Anything Without Reading

Ask Questions Until You Understand

Hospitals & Payers are creating narrow networks

Keep Your Eyes Open and an Ear to the Ground

Page 15: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Disruptive ? Destructive - If not approached correctly…

We’ve Failed if

All We’ve Done

is Moved From

This

To This “Clickaholism”

Page 16: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Don’t Go Quietly Into The Night!

Focus on enabling operational improvements that ensure financial viability of your practice

Collaborate and focus your energy and attention on patient treatment, medical advances and discoveries

Practice One More Day

Touch, Heal, Save One More Life

Physicians Are National Treasure & Natural Resource Too Close to Becoming an Endangered Species

Page 17: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

It’s Going to Get Worse Before it Gets Better But we will survive this…

For More Practical Solutions go to th

Page 18: IT: When Will Get Meaningful · ‘Meaningful Use’ mean something! Key Areas to Focus 1) Patient Registration ... Patient Engagement Tools Provider Clinical Data Payer Claims 3rd

Putting the Pieces Together for GI

wwwww.asge.org/practicalsolutions


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