EHR Planning Your EHR Implementation

7/30/2019 EHR Planning Your EHR Implementation

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Planning Your EHRPlanning Your EHR


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Webinar

Schedule

October

27

and

30

SelectingyourEHR January26and29

February23and26

p m z ngyour or ua yImprovement March23and26


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Looking

for

More

Information?

Live,comprehensive,

6part

series

on

each

Limitingseries

to

40

participants

SeriesstartsDecember11inRaleigh,NC

[email protected]

formore

info

and

to

register


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Why

Promote

EHR/

HIE?Why

Promote

EHR/

HIE?EffectiveEHR/HIEImplementationwill:

Improvepatient

quality

of

care

Preventmedicalerrors

Reducehealthcarecosts

Decreasepaperwork

Expandaccess

to

affordable

care


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Prework

Assessment

EHR

system

selection EHRsystemimplementation

EHRpostimplementationevaluation

Clinicalsystemimprovement


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Review:

Pre

work

Steps1. Performfinancial/ROIassessment

2. Confirmsenior

level

commitment

3. Assi na h siciancham ion

4. SelectEHRimplementationteam

.

6. LearnEHRhardwareandsoftwareterms

7. Reviewrecommended

EHR

functionalities


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Review: AssessmentSteps

Performreadinessassessment

Assess

practice

cu ture

Evaluatetheenvironmentforchange

Assesscomputerskillsofallemployees

Evaluatehardwareandnetworkingneeds

Per ormwor ow

ana ys s


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EHRA option

Step

3

EHRA option

Step

3ann ng ourann ng our

mp emen a onmp emen a on


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Planning

StepPlanning

Step IncludesIncludes Createplans: Turnassessmentfindingsinto

ac ona e n orma on.

Planforbackloadingandscanningpapercharts

DetermineImplementationApproach

implementation

measurements


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ep

CreatePlans


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TurningAssessmentintoAction

Create documentedplansfor:

resourceassi nmentmatrix

Trainingneeds

(computer

skills,

other)

communications Interfaceandconversionneeds

Functionalit wishlist/vendorselectionmatrix

processimprovementplanspre/postEHR


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TrainingPlan

Plancomponents

as ccompu ers san yp ng ra n ngnee e

Staffneedingtraining

Communityorotherresourcesavailable

Costsassociated

Schedulesforstafftraining


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HardwareandSoftwarePlanPlancomponents:

, ,

workstations,etc

new

network

drops

(if

necessary) newelectricaloutlets(ifnecessary)

wirelessnetworkneedsincludingsuggested

placementof

access

points


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CommunicationsPlan

Plancomponents

Stakeholdercommunications

Implementationteammeetingschedule

a commun ca ons

Requirementsforwrittenv.verbal

communication


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InterfaceandConversionPlan

Detailedaccount

of

the

interfaces

needed

Plan

for

current

PM

system

(keep

or

replace) Detailedaccountofneededdataconversions


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FunctionalityWishList

Plancomponents

,

functionalityis

important

to

your

practice?

epor ngrequ remen s

Planfor

assuring

CCHIT

and

meaningful

use

criteriaareincludedintheEHR

Creationofavendorselectionmatrix,oralist

ofquestions

that

will

be

asked

of

every

vendorandamethodforcomparingresults


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ProcessImprovementPlan

Detailedaccount

of

the

issues,

bottlenecks,

,

Based

on

your

workflow

analysis,

what

issues

nee to ea resse preEHR

WhichissuescanberesolvedwiththeEHR?


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BudgetandFundingPlan

Estimateddirect

cost

of

implementation

Estimate in irectcosto imp ementation

Estimatedrevenue

increases

Estimatedrevenuesavings

Fundingplans


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DetermineImplementation

Approach


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Approach1BigBang

systemfunctions

are

turned

on

at

go

live

and

, ,

supportstaffusetheEHRastheirsolemeans

otherpatientrelatedtasks.


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Approach1BigBang

Pros

Cons

time Shortenspainfulparallel

Significantlyhigher

productivityhitatgolivepaper/EHRoperational

periodandsometimeafterward

Staff

or

physicians

unable

to

investmentmuchquicker

Lesslikelytogetstuckpart

ea w c angemayre e

Doesntallowfor

tweakin the rocess

wayto

the

goal

Takesadvantageofstaffbased

on

lessons

learned


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Approach2Phased

toease

into

the

EHR.

The

office

goes

live

with

asmessagingandprescriptionrefills)and

visits.


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Approach2PhasedPros Reducesimplementation

Cons

Totalimplementationand

pa nstoonegroup unct on

atatime

tra n ngcostsmay e g er

ROIis

not

achieved

as

hardwareandsoftware

over

a

longer

period

of

time

Riskgettingstuckpartway

tothe

goal

Lessriskof failure

CANhelpbuildsupportina

Canbeexhausting imparts

thefeelingthatthingsare

Minimizeproductivityloss

Allowstimetotweakthe

Hybridpaper/EHRsystemcanbeconfusing

process


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PhasedApproachSuggestions

, ,

allergies,problems

lists,

vitals,

messaging,

lab

,

Phase2:prompts/reminders,orders,referrals,

Phase3: advancedclinicaldecisionsupport,

pat ent

ea t

ma ntenancemo u es,

c ron c

illnessflowsheets/tracking


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ep

Backloadin

andScannin


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BackloadingandScanning

electronicallyscanning

your

paper

medical

.

Backloadingreferstotheprocessofmanually

EHR.


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BackloadingandScanningKey

Considerations

Whichpaper

charts

will

be

scanned?

All

charts? Activecharts?

Whatorderwillthechartsbescanned?

Willindexingbeused?

Whichparts

will

be

manually

backloaded

?

Whowillscan? Backload? AndWhen?


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Moreconsiderations

Processfornew,incomingdocuments?

Enoughspace

for

ahigh

volume

scanner?

Willscanneddocumentsbe

searchable/reportable? Postscanpaperdocumentstorage?


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BackloadingandScanningTip

,

todevelop

apaper

to

electronic

transition

apatientschart.Forexample,shouldthey

patientschart?


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Step

4Step

4

ImplementationImplementation


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Hopeisnotaplan


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WhyCreateaWorkplan?

Helpscommunicatetheimplementation

toplan

the

timing

of

specific

implementation

tasks

canbe

used

to

plan

resource

allocation

for

eachimplementationtask

Anaidinvendorcontractne otiations.

Tomonitor

and

control

the

implementation


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I

you

aveac ear

v s on

o

WHEN

occur,you

can

add

specific

languagetoyourEHRvendor

livewhenYOUneedittobe.


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SampleBaseWorkplan


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CreatingtheWorkplan

StartwithabaseEHRimplementationplan

.

Plugin

your

desired

live

date

and

then

work

ac war s o n eres o e a es.

Fill

in

who

will

be

responsible

for

each

task.

Theworkplanwillneverbesetinstoneso

anticipatechangestoyourworkplan.

TheEHR

vendor

you

choose

may

also

have

ste sthatneedtobeaddedtothework lan.


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Step

5

and

Measurements


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WhySetGoals?

Helpsdefinesuccessfortheimplementation

an overa qua ty mprovement

Whenyoudefineyourgoals,youcandefine

yourneedsandactions

When

oudefine

our

needs,

ou

can

select

anEHRsystemthatwillmeetyourneeds

communication


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GoalSettingBasics

GoalDefinition: Setclear,measurablegoalsconditions.

ActionPlan: Foreachgoal,defineaplanofactionforachievingthegoal.Whatspecific

steps oyounee tota etoreac yourgoa

MeasuringSuccess: Determinehowyouwillmeasure

the

success

of

your

action

plan.


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SampleGoal

Goal: Decreasethenumberofpharmacy

ActionPlan:

Use

the

eprescribing

feature

in

theEHRtoeliminatepaperandhandwritten

prescriptions.Utilizethedruginteraction

c ec ing eatureo t eEHRtoguar against

druginteractions

Measureof

Success:

In

two

months,

have

an

85%reductioninpharmacyphonecalls


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SampleGoal

and

reduce

transcription

cost.

EHRtoeliminatetheneedfortranscription

.

MeasureofSuccess: Withintwomonthsofve,

re uce

t e

cost

o

transcr pt on

y80%.


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GoalSettingGuidingPrinciples

,

samplesize

and

complicating

factors

,

Involveeveryoneinoffice brainstorm

Defineaplanofactionforachievingthegoal

Determinehow ouwillmeasurethesuccess

ofyour

action

plan


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Contact CCME

TheCarolinasCenterforMedicalExcellence9193809860asktospeakwithEHRServices

YoumayvisitCCME

www.thecarolinascenter.org/EHRYoumayalsoemail

[email protected]

EHR Planning Your EHR Implementation

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