EHR Selection and ImplementationEHR Selection and Implementation
Ali ModaressiDi f EHR T h l HITEC LADirector of EHR Technology, HITEC‐LA
A project of L.A. Care Health PlanA project of L.A. Care Health Plan1
EHR Selection Tips
Certification RESEARCH THE MARKET
SCORE & RANK THE DIFFERENT EHR SYSTEMS&
Compliance
MARKET
PRIORITIZE YOUR REQUIREMENTS
DIFFERENT EHR SYSTEMS
GATHER & COMPARE PRICE QUOTES
Meaningful Use
HIE Connectivity
REQUIREMENTS
BUILD A SHORT LIST OF
PRICE QUOTES
VERIFY REFERENCES &
RegulatoryData
BUILD A SHORT LIST OF EHR VENDORS
VERIFY REFERENCES & EHR VENDOR VIABILITY
Regulatory Reporting
Data SecurityEVALUATE LIVE EHR
DEMONSTRATIONS REVIEW THE SOFTWARE LICENSE AGREEMENT (SLA)
A project of L.A. Care Health Plan 2
Preferred EHR VendorsPreferred EHR Vendors• HITEC‐LA supports all ONC certified EHRs
• HITEC‐LA EHR vendor evaluation outcome:
Clinics Small PracticesClinics Small PracticesAllscripts Professional eClinicalWorks
GE Centricity Allscripts MyWay
NextGen AthenaHealth
Greenway e‐MDs
McKesson 2 more in contract discussions
A project of L.A. Care Health Plan 3
EHR Products SelectionBasic EHR Criteria
• ONC‐ATCB 2011 certified• Meaningful use reporting
b l d f d l• Ability to generate county, state and federal reports • Support HL7 messaging standardS t S S k t L (SSL) di it l tifi t• Support Secure Sockets Layer (SSL) digital certificate
• Report writing tool (e.g. Crystal report)• Audit trail capabilities• Audit trail capabilities
A project of L.A. Care Health Plan 4
Prioritize your Requirementsy qStep 1 – Decision Point
• ASP/SaaS hosted or client/server
• HIPAA privacy & security compliancy
• Data access and ownership
• List the capabilities you want in an ideal EHR system
• Prioritize the list into “must haves” and “nice‐to‐haves”
A project of L.A. Care Health Plan 5
EHR Selection TipspStep 2 – EHR Demonstration
• Determine which EHR system meets your high‐level requirements
Id if h EHR f ill k ffi• Identify ways that EHR software will make your office more efficient
• Determine hi h EHR s stem falls ithin o r b d et• Determine which EHR system falls within your budget
• Rank the vendors based on perceived ease‐of‐use
A project of L.A. Care Health Plan 6
EHR Selection TipspStep 3 – Reference Check
• Ask for two or three references that share your specialty
A k h f h h d ’ lik b h• Ask each reference what they don’t like about the system
• Ask referen es ho the endor responded to an• Ask references how the vendor responded to any problems
• Assess the vendor’s financial and strategic viability• Assess the vendor s financial and strategic viability
A project of L.A. Care Health Plan 7
Pricing Tipsg pSmart Purchase – Bundle Pricing
S ft F• Software Fees– Monthly fee or One time license fee– Include all modules (ePrescibing, Lab, EDI, Portal and HIE)( g )– Hosting fee
• Implementation and TrainingH l fi d f– Hourly vs. fixed fee
– Templates customization cost
• Support and Maintenancepp– Include software upgrades– No charge for after hour upgrades
A project of L.A. Care Health Plan 8
The Hidden CostsThe Hidden CostsAvoiding Surprises
1. Interfaces (device, lab, imaging, portal, HIE, PM )
2 Third party software2. Third party software
3. Claims processing
4. Web portal4. Web portal
5. Template customization
6. Report customization6. Report customization
A project of L.A. Care Health Plan 9
Maintenance and SupportMaintenance and SupportService Level Agreement
• Hours of support (local)
• Support response time
• Support resolution time
• Problem escalation and triage
A project of L.A. Care Health Plan 10
Contract DiscussionsDefine your Terms
• Milestone based payments
• Decide on a start date that works best for your practice
• Mutually agreed to project plan
• 60‐90 days go‐live from signing the contract
• Data screw clause must be specific
• Data must be human readable
A project of L.A. Care Health Plan 11
EHR ImplementationpKeys to Success
• Takes planning and time to make an implementation successful
• Need to be willing to commit the necessary time and• Need to be willing to commit the necessary time and resources
• Need to have buy in from all office staff members
• Create a plan to transition your practice from paper to electronic records
Id if h i “ ” h l i d i• Identify a champion or “super‐users” to help train and assist other staff
A project of L.A. Care Health Plan 12
EHR ImplementationEHR ImplementationKeys to Success
• Plan and prepare for implementation
• Define measurable goals and milestones (scheduling, EHR and PM go live) and share it with staffEHR and PM go live) and share it with staff
• Use the change as an opportunity to improve processes (both patient care and administrative)(both patient care and administrative)
• Focus on meaningful use from the outset of implementation
A project of L.A. Care Health Plan 13
Vendor’s Implementation Gapp p
• Lack of practice‐focused preparation
• Inadequate training
• Lack of support during implementationLack of support during implementation
• Poor go‐live strategy
U l t d f• Unclear costs and fees
• Lack of training on achieving meaningful use
• Lack of practice‐focused HIE connectivity
A project of L.A. Care Health Plan 14
Service Partners• Six Service Partners have been selected; they provide on‐site local technical assistance to:provide on‐site, local technical assistance to:– Determine practice readiness
– Select an EHRSelect an EHR
– Design workflow
– Determine hardware and connectivity needs
– Manage the vendors
– Achieve meaningful use
– Developing interfaces
A project of L.A. Care Health Plan
Phases of EHR Implementation
Planning
P tEHR Selection
Post‐Implementation Meaningful Use
ImplementationIntegration
A project of L.A. Care Health Plan 16
Questions and AnswersQuestions and Answers
www.hitecla.org
(888) 524‐4832
A project of L.A. Care Health Plan 17
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