Post on 11-Jan-2016
Accelerating Recovery
Information Technology Maturity Index
Presented by: Stephen A. Wood, FHIMSSHealthCare Perspective, LLC
Information System MaturityClient Life Cycle – Stage 1
Referral Pre-Registration / Screening Wait List ManagementAdmission/Registration/DemographicsDiagnostic Assessment Payor / Financial DataService Activity / EncountersDischarge or Transfer
Paper Based Clinical Records
Information System Maturity
Scheduling / Census – Stage 2Scheduling Program Capacity Resource Scheduling (facility, interpreters,
transportation) Census (respite, residential, psychiatric inpatient ad
state hospital) Caseload Capacity
Paper Based Clinical Records
Information System Maturity
Billing and Accounts Receivables – Stage 3 Credentialing / Provider Set-upBilling Set-up (Codes, Rules / Edits) Payor AuthorizationsAdministrative Case Management All service billing (internal claims and invoices)Electronic billing (HIPAA Compliant – 837P)Posting Payments and Adjustments (835)Manage Accounts Receivables (Gross to Zero)
Information System Maturity
Client Care – Stage 4 Assessments (Electronic)Progress Notes Templates (Electronic)Treatment Plan / Service Plans (Electronic)Service Authorization (Electronic)Utilization Management (Computer)Case Management / Coordination (Computer)Quality Management (Computer)
Information System Maturity
Clinical Orders – Stage 5Medication Management and Administration
(Computer)Electronic Prescriptions – (External)Lab tests – Orders and Results (Electronic)Vital signsTherapy Orders
Information System Maturity
Client Records (eRecords) – Stage 6Legal electronic health record defined for disclosure
purposesRelease of Information Disclosure TrackingDisclosure Violation Tracking and ReportingRetrieval and production of digital or paper client
record for outside requestsTracking of legacy paper medical recordsExternal document storage in imaging system
Information System Maturity
Health Information Exchange – Stage 7Ability to send and receive CCR and/or CCD
CCR = Continuity of Care Record CCD = Clinical Care Document
CCD is Interoperable PDF Browser Fully XML
Connected to Health Information Exchange
National Perspective
ARRA/HITECH Funding is Driving EHR Adoption2011 Goal – Level 52013 Goal – Level 62015 Goal – Level 7
Assess Current Status
Develop Long Term Plan => 2015 Target
Start Process From Where you Are!
Issues and Barriers
Major Issue is the Leap from a Paper Based Practice Management System to an Electronic Clinical Record.
High Failure Rate………Change is Difficult
IT Focused Projects => Failure
Change Management Focused Projects => Possible Success
Clinical Leadership => Success
Keys to Success
Senior Management Must be Involved
Establish a Clear Charter and Value Statement
Set Expectations Correctly Throughout the Process
Communicate to Everyone – Over and Over
Expect Resistance – Good for You is Bad for Them
Persevere and Expect Some Failure - Don’t Be Afraid to Fail
Keys to FailureLack of Leadership Commitment to the Project
Lack of Planning – Lack of Project Management
Failure to Make Decisions – Decision Deadlock
Failure to Staff the Right People to Right Tasks
Failure to Build Consensus - “Turf” Wars
Failure to Create a Positive Environment for Change