Creating a Culture for Quality Improvement in...
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Creating a Culture for Quality Improvement in Louisiana
Bruce D. Greenstein
Secretary
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Technology and Quality
• State HIT Portfolio: – EHR Incentive Program
• LA Medicaid and CMS incentives for Eligible Professionals (EP) and Eligible Hospitals (EH)
– Health Information Exchange: $10.6 million • Louisiana Health Care Quality Form
– Regional Extension Center: $677 million nationwide; $7.0 million in Louisiana • Louisiana Health IT Resource Center
– Crescent City Beacon Community: $13.5 million • Louisiana Public Health Institute
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EHR Incentive Program
Incenting the adoption of HIT to improve:
• Quality
• Safety and
• Efficiency
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Louisiana Health Information Exchange (LaHIE)
A platform for exchanging clinical data
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Louisiana Health Information Technology (LaHIT) Resource Center
Louisiana’s Regional Extension Center will provide assistance to providers in meeting Meaningful Use
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Health IT Project focused on Population Health Improvement through Clinical Transformation and
Quality Improvement.
Crescent City Beacon Community
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Case Studies
Use and Adoption of an EMR
Steven J. Zuckerman, MD FAAN • Board Certified in Internal
Medicine and Neurology
• Baton Rouge, LA
AHRQ eREC Pilot Project
Eboni Price, MD • Medical Director, Tulane
Community Health Center
• New Orleans, LA
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Use and Adoption of an EMR
Steven Zuckerman, MD FAAN
Baton Rouge, LA
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Selection- Evidence Based
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Selection- Best Practices
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No Holy Grail
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No “Killer App”
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Mission Statement
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Mission Statement
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Step Three Step One Step Five Step Four Step Two
Five Step Program
Major considerations to narrow down selections 1. Stimulus money or not
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SaaS vs Server Based
Section Three Section One Section Five Section Four Step Two
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SaaS or ASP
Section Three Section One Section Five Section Four Step Two
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Step Three Step One Step Five Step Four Step Two
Five Step Program Major considerations to narrow down selections
1. Stimulus money or not
2. Saas vs Client-Server Model
3. Vendor Characteristics
4. Software Characteristics
5. Cost
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Implementation
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Advantages of EMR
•Availability and Legibility
•Transcription savings
•Templates
•E-Prescribing
•Refills
•Drug interactions
•Allergies
•Formulary checking
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