David West

A provider’s perspective on…

ElectronicHealth Records

Overview

Organizational Impacts from Electronic Health Records (EHR)

Provider Strategies for Electronic Health Records (EHR)

Who Are We

The mission of Avita Community Partners is to promote safe, stable and meaningful lives. Avita partners with individuals, families and communities to minimize barriers for persons with mental health, developmental disabilities, addictive diseases and similar life challenges.

Seeing people achieve their dreams

Avita Community Partners envisions all individuals served as:Avita Community Partners envisions all individuals served as:

•Having a homeHaving a home

•Having a jobHaving a job

•Being knowledgeable about their disability and service optionsBeing knowledgeable about their disability and service options

•Having a natural support systemHaving a natural support system

Servicing 13 Counties• Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart,

Lumpkin, Rabun, Stephens, Towns, Union, and WhiteLumpkin, Rabun, Stephens, Towns, Union, and White 3,400 square miles3,400 square miles OfficesOffices Residential FacilitiesResidential Facilities Intensive ServicesIntensive Services Community-Based careCommunity-Based care

Avita Systems before an Electronic Health Record

An Over-arching System

With an EHR, Avita’s was able to streamline, integrate and coordinate business processes, technology, and information.

Technology Thoughts..

Do you realize if it weren't for Edison we'd be watching TV by candlelight?  ~Al Boliska

Organizational Impacts..

A provider can use an EHR system to accelerate how we deliver and manage clinical services

Organizational Impacts..

Improvements gained from Electronic Health Records

Clinical Practice

Business Operations

Integration treatment across

service line providing more

holistic plan of care

Single electronic record compared to paper records

with different programs and service lines

1. Foster a team approach to a system to care

2. Providers share data with other providers and community partners

Impacts to Clinical Practice

Error reduction as result of information sharing.

Progress notes match billing records and other required documentation

Comprehensive medication list

from treatment team

Immediate access to information

On call Staff

Mobile Staff (Hospital Liaison)

System alerts for authorization

and allergies

Impacts to Clinical Practice

Clinical Form consolidation

Had over 150 forms that were streamlined into the clinical workflow

Only enter data elements once

EHR Impacts to Business Operations

Access to health records

Client transfer to different offices and counties

Ease of health record reviews and route

records to other reviewers

Immediate data entry (billing) and

concurrent documentation

Enhance tracking and analysis on

workflow for quality improvement

and outcomes.

Wait times

Measurements for Satisfaction

with services

Changes in level of functioning

EHR Impacts to Business Operations

We are the children of a technological age. We have found streamlined ways of doing much of our routine work. Printing is no longer the only way of reproducing books. Reading them, however, has not changed...-- Lawrence Clark Powell---

Technology Thoughts..

Functional and Business Requirements

Key Characteristics for an

Electronic Health Record

Provider Strategies for Electronic Health Records

What are your functional and business requirements

Systems that are:

Flexible

Adaptable

Extensible

Interoperable

Secure

Responsive

Today’s Business

Past Business Environment

Static Data Elements

System Silos

Provider needs from an EHR

Electronic Health Records for Today’s Business

Ideal Characteristics:Flexible

Able to change data structures, requirements, information and tracking on an ongoing basis.

Extensible Scalable for both small and large providers. Must be an “Open” system architecture allowing new features and

functions to be added or plugged in at will.

Interoperable and Secure The system needs to operate and interface easily with other systems. Information must be protected for privacy at all times.

Responsive Information should flow into the EHR system in an “as soon as

gathered mode” rather than weekly, monthly, etc. intervals. Business requirement changes must flow into the system as needed.

Closing Thoughts..

The good-to-great companies used technology as an accelerator of momentum, not a creator of it.  – Jim Collins “Good to Great”

EHR can make an impact on a provider’s

clinical practice and business operations, but

will never change or create core values we

have as providers.