time for an ehr check up? derek kosiorek principal mgma healthcare consulting group october 2013...
TRANSCRIPT
Time for an EHR Check Up?
Derek KosiorekPrincipal
MGMA Healthcare Consulting GroupOctober 2013
MGMA 2013 ANNUAL CONFERENCE
Objectives
• Diagnose EHR productivity and workflow issues
• Apply continuous-improvement principles to the EHR system
• Understand the current and future opportunities that a properly configured EHR can offer
30 in 30 – EHR Optimization
Make sure the version of your EHR is certified
30 in 30 – EHR Optimization
EHR is NOT an IT function
30 in 30 – EHR Optimization
Watch for newer technologies. Cloud based solutions and new input devices can offer many advantages.
30 in 30 – EHR Optimization
Using post-it notes can help visualize the flow of data in the office.
30 in 30 – EHR Optimization
Revisit original goals of EHR transitionHow did you do?
30 in 30 – EHR Optimization
Create list of measurable goals for optimization
30 in 30 – EHR Optimization
Make sure data is backed up
30 in 30 – EHR Optimization
Are data points structured?
30 in 30 – EHR Optimization
Speed of data lines
30 in 30 – EHR Optimization
What is attitude of staff?Who do you need to win over the most?
30 in 30 – EHR Optimization
Meaningful Use Gap analysis
30 in 30 – EHR Optimization
www. Launch that portal .com
30 in 30 – EHR Optimization
Visit portal as patient to see if it works as expected
30 in 30 – EHR Optimization
Risk = Threat x Vulnerability x Impact
30 in 30 – EHR Optimization
Interview or survey staff about what can be improved. Remember, perception is reality!
30 in 30 – EHR Optimization
Identify users who need refresher training
30 in 30 – EHR Optimization
Create a training structure for new users. The worst person to teach them is often sitting next
to them.
30 in 30 – EHR Optimization
Any opportunity in the physical workflow?
30 in 30 – EHR Optimization
Gauge the alerts to make sure they do not show up too rarely or too frequently. Alert
fatigue is a real thing!
30 in 30 – EHR Optimization
Interfaces should flow to structured dataNo more printing and reading lab reports
30 in 30 – EHR Optimization
When buying new equipment, consider the interface needs
30 in 30 – EHR Optimization
Determine what reports are neededAre they taking a long time for someone to put together?
30 in 30 – EHR Optimization
Prepare for doctor-patient messaging
30 in 30 – EHR Optimization
Kiosks in your reception area can easily pay for themselves in a short amount of time.
30 in 30 – EHR Optimization
Have someone in clinical review and sign off on the
workflows. They bring credibility to other clinical staff.
30 in 30 – EHR Optimization
DON’T assume your patients are too old for internet
30 in 30 – EHR Optimization
Test the software upgradesIncluding the Interfaces & UI
30 in 30 – EHR Optimization
Don’t trust your written processes. Visit your remote sites and observe whether they are
actually being followed.
30 in 30 – EHR Optimization
Have system guru or owner
30 in 30 – EHR Optimization
Follow the 80/20 rule! Don’t get hung up on exceptions
• Questions?