EHR and Health IT Consulting
46.8K views | +11 today
Follow
EHR and Health IT Consulting
Technical Doctor's insights and information collated from various sources on EHR selection, EHR implementation, EMR relevance for providers and decision makers
Your new post is loading...
Your new post is loading...
Scoop.it!

3 Roles to Support EHR Optimization

3 Roles to Support EHR Optimization | EHR and Health IT Consulting | Scoop.it

Technology should make it easier for Physicians to get their work done, right?  I mean, it seems to work in all other industries and most other aspects of our lives. So, why should healthcare be any different? Well, the fact remains that healthcare is very different. Physicians are trained to be independent thinkers using all available data. Each patient looks for a personalized decision to improve their health and wellbeing.

 

This autonomy of clinical practice is generally not compatible with most of today’s electronic health record (EHR) systems, which has led to a decrease in clinical efficiency and growing frustration for all care team members. While this individualized approach may seem beneficial, advances in medicine and surgery have identified uniform diagnostic and treatment protocols that lead to better patient outcomes in all disease categories.

 

Further, regulatory and payor data collection requirements have added layers of additional burdens to health systems that require the use of standardized technology systems. Optimization is making the best or most effective use of a situation or resource. Within healthcare, this means EHR Optimization.

 

As healthcare systems look to optimize Physician workflows, they should invest in three key supporting roles to help ensure success.

 

1. Process Improvement Specialists - In general, to reliably achieve results, you need a standard approach. A variation in approach leads to a variation of results; this applies to clinical practice as well. Before any new tool, whether it’s a scalpel or an order set, is given to a Physician, all care team members, especially the Physicians, need to understand how that tool will make them more efficient and why it’s effective in driving a particular outcome.

 

If that tool does not enable both tasks, it will likely not be adopted. High performing healthcare organizations understand that concept and intentionally leverage Process Improvement Specialists to focus their efforts on the process before implementing a transformation initiative.

 

They carefully map out the steps for each standardized process and look to understand how technology and insights can provide value along the way. Once a new process is defined, a change management education plan is formulated based on the gap between current and future state.

 

This is an absolute requirement before considering implementing new IT functionality. Otherwise, end-user adoption and optimization will be much more challenging.

 

2. Application Solutions Analysts - As successful organizations design standardized processes, they look to technologists to help them work smarter and not harder.  Typically, Application Solutions Analysts serve in that capacity.

 

These individuals are not only well versed in the functional capabilities of the core EHR system but are also in tune with the industry's best practices for a given process. The “out of the box” functionality promoted by EHR vendors rarely fit ideal workflows and almost always require some amount of configuration to meet the organization’s best practice process.

 

Furthermore, there is often decision support logic or machine learning algorithms that Physicians can leverage to enhance the diagnosis and treatment of patients. To drive innovation, healthcare teams must understand the “art of the possible” from their core systems and incorporate new capabilities into their workflows.

 

3. Insight Engineers - The third leg of the optimization stool is the measurement.  If you can’t measure it, you can’t manage it. Many health systems fall short with the adoption of change simply because they lack the data needed to measure the on-going success (or failure) of their initiatives. Insight Engineers, skilled in measuring lead and lag key performance indicators (KPIs), are valuable participants to the change management process as they bridge the divide between the care delivery teams and the IT analytics/informatics teams.

 

They work with subject matter experts, Applications Solution Analysts, and Process Improvement Specialists to define actionable KPIs that care teams will use to achieve their goals and work with the IT teams to deliver them before go-live.

 

Clinicians and operators need to understand compliance and variation to process in real-time or near-real-time to achieve sustainable clinical outcomes.

 

For example, knowing which Physician is deviating from a specific component of sepsis protocol at the moment is much more impactful to course-correcting behavior than finding out 45 days later in an aggregated report. Without actionable dashboards, leadership will struggle to hold all teams accountable for the care delivered.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Points to Consider for EHR Optimization

Points to Consider for EHR Optimization | EHR and Health IT Consulting | Scoop.it

It is often said that implementing a new electronic health record (EHR) is just the beginning of a journey that will lead to better patient care, greater efficiencies and improved return on investment. It is true that the work will continue, so it is worth pondering how you will approach the post go-live world.  It’s not enough to install EHR software.  

 

It could be argued that tailoring the EHR to your organizational needs and implementing new functionality is where the real work lies.  This much is clear though, EHR optimization is vital to your organization’s successful long-term use of the EHR.  Below are some tips to help you think through the challenges ahead.

 

Plan Early


Start planning for how you will approach and manage your IT investments early.  Putting your plan together even before your implementation begins is not too soon.  Your plan should include an outline of what you will undertake during the implementation and what can wait, or should wait, until after the implementation phase is complete.  For example, it may make sense to wait and deploy some population health tools after go-live.

 

Tie Plans and Programs to Organizational Strategy


IT strategies should mirror the strategies of the organization.  For example, many organizations are actively exploring mergers and acquisitions.  IT leaders should understand the outlook for the organization and any challenges that lie ahead and have a plan to grow the IT environment appropriately when the EHR optimization phase begins.

 

Establish Strong Governance


Having a strong governance structure from the beginning is critical, but tweak the structure as needed during both implementation and post go-live phases.  The decisions that need to be made post go-live will likely be different from those made during the implementation phase.  Adjust the membership on the committee when needed to ensure that the proper stakeholders are represented and engaged.

 

Manage Change


Change management is a necessary activity throughout the implementation and as the EHR evolves post go-live.  Not only will the business practices and workflows change but people’s roles will change as well.  It is important to communicate early and often regarding changes so that employees understand the “why” of the change and “how” the change will affect them.

 

Standardize and Innovate


This topic may seem like an oxymoron – it is not.  Standardizing where it makes sense such as standardizing workflows, project management toolsets and methodologies, will allow for a stable environment post go-live. Stability lends itself to innovation because chaos is contained and a certain amount of predictability occurs.

 

This stability will allow creativity and innovation to thrive.  One area to pay close attention to is enterprise reporting.  Resist the temptation to merely recreate your current reports and instead approach report development and distribution as a way to improve operations and show off the power of your new system.

 

Contain Costs


Once the initial, and substantial, cost of implementation is behind you, the CFO and other executives will look for cost containment, even reductions.  Consider strategies to contain costs such as targeted outsourcing. Explore cost reduction strategies as well, such as consolidation and eliminating legacy systems as quickly as possible.

 

IT Shift


The IT staff will be exhausted after many months of intense pressure to get the system up and running smoothly.  The pressure will continue post go-live as EHR optimization becomes the focus.  Be sensitive to your staff’s needs, both inside and outside of IT, as they refresh and regroup.  Have a plan in place to maintain proper staffing as well as give your teams some much needed time away. 

 

HR departments can help with this plan. Also, added skills such as reporting and analytics, will be in higher demand during the EHR optimization phase as greater emphasis is placed on data and its value in improving patient care and operations.

 

Conversion and Archiving


Have a plan for the method and technology needed to convert data from your legacy systems to the new systems early on.  You need to specify the minimum data set that you will convert.  In addition, some departments, for example, Oncology, may have special conversion requirements.  

 

Also, figure out an archiving solution well ahead of time.  The archiving solution should account for easy access to the data that did not convert to the new system.

 

As with all EHR changes, proper guidance and preparation can be the difference between success and failure.  The outline above can get you started, but also consider outside resources such as those at Optimum Healthcare IT. Experts in the art of EHR Optimization bring insights that can only be gained through experience.

 
 

 

 

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
Gabe Maxwell's comment, September 26, 6:50 PM
<a href="https://getmedicalmarijuanaonline.com/product/buy-gushers-online/">Buy Gushers</a>
<a href="https://getmedicalmarijuanaonline.com/product/special-blend-10g-oral-applicator-3-pack/">Buy 10g Oral Applicator</a>
<a href="https://getmedicalmarijuanaonline.com/product/green-label-15g-oral-applicator-6-pack/">Buy 15g Oral Applicator</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-moonrocks-now/">Buy Moonrocks</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-nyc-diesel/">Buy Nyc Diesel</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-lemon-kush/">Buy Lemon Kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-zkittlez/">Buy Zkittlez</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-purple-kush/">Buy Purple Kush</a>

<a href="https://getmedicalmarijuanaonline.com/product/buy-gelato-33/
">Buy Gelato</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-mango-kush/
">Buy Mango Kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-fire-og-kush/
">Buy Fire Og</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-death-star/
">Buy Death Star</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-green-crack-buy-green-crack-online/
">Buy Green Crack</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-grapefruit-kush/
">Buy Grapefruit kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/ghost-train-haze/
">Buy Ghost Train Haze</a>

<a href="https://getmedicalmarijuanaonline.com/product/chocolope/
">Buy Chocolope</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-banana-kush/
">Buy Banana Kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-headband/
">Buy Headband</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-golden-goat/
">Buy Golden Goat</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-orange-kush/
">Buy Orange Kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-northern-lights-2/
">Buy Northern Lights</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-grape-ape/
">Buy Grape Ape</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-agent-orange-buy-agent-orange-online/
">Buy Agent Orange</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-blueberry-kush-online/">Buy Blueberry Kush</a>
Scoop.it!

Benefits of an EPCS Certified EHR

Benefits of an EPCS Certified EHR | EHR and Health IT Consulting | Scoop.it

In response to the nation’s climbing prescription drug abuse problem, the Drug Enforcement Administration (DEA) finalized a rule in 2010, permitting electronic prescriptions for controlled substances (EPCS). Today, e-prescribing is legal in all 50 states, and becoming increasingly popular. According to SureScripts’ 2015 National Report, the number of e-prescriptions have doubled since 2012.

 

So why is EPCS becoming more and more of a standard practice? EPCS is a step in the right direction to fighting fraud and abuse of controlled substances and provides numerous benefits for physicians and their patients, outlined below.

 

Benefits of EPCS for Small Practices

  • Makes prescribing more efficient and secure - With EPCS, physicians can send prescriptions for patients directly to the pharmacy from within the EHR at the point of care, instead of having to handwrite a prescription that could potentially get lost or stolen or prompt a phone call from a pharmacist needing further clarification.

 

  • Reduces medication errors, fraud and abuse - By eliminating the need for paper prescription pads, EPCS ensures prescriptions are getting into the right hands. EPCS has also been proven to improve prescription accuracy by preventing drug to allergy interactions, incorrect dosing, illegible prescriptions, etc. With EPCS, long gone are the days pharmacies receive scripts they can’t read.

 

  • Added convenience and safety, for physicians and patients - With EPCS, physicians can confidently and seamlessly e-prescribe controlled substances to their patient’s pharmacy. EPCS ensures the prescription reaches the pharmacy and the patient can easily pick up their medication, also improving patient medication adherence.

 

EPCS has proven to be beneficial for physicians and although legal, EPCS has not been mandated nationwide with the exception of four states. The following have passed legislation, mandating electronic prescriptions for controlled substances:

 

  • Virginia
  • New York
  • Minnesota
  • Maine


Interested in EPCS?

Many small practices realize the benefits of EPCS and want to partake, even if not required by their state. To begin e-prescribing for controlled substances there are a few initial steps: (1) use an EPCS certified application (EPCS certified means the application has completed testing and certification through a third party auditor, required by the DEA) and (2) complete the provider authentication process.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Practice EHR Success Story: Britt Larka, D.P.M

Practice EHR Success Story: Britt Larka, D.P.M | EHR and Health IT Consulting | Scoop.it

Situation

 

As a solo podiatrist, Britt Larka, D.P.M struggled to find an electronic health record (EHR) system designed to meet the needs of her Houston-based practice. In an effort to find the right system for her practice, Dr. Larka implemented multiple EHR's, continually facing the same three challenges. With each new system, Dr. Larka experienced financial, workflow and operational challenges.

  • Financial - Implementation, training, etc., on top of system pricing, became a financial burden
  • Workflow - The EHR's were not made for a practice of her size and difficult to navigate
  • Operational - The EHR's were cumbersome,  negatively impacting patient care, day-to-day operations, and efficiency

Unsure where to turn next, Dr. Larka received a recommendation from her long-time billing services provider,  leading her to Practice EHR - an EHR with built-in specialty-specific content and a simple workflow designed for small practices. 

 

Results

  • Seamless implementation.  Implementing Practice EHR was a smooth process for Dr. Larka and her office staff. For all new clients, Practice EHR offers data migration, integration, training and customer support at no additional cost, easing the financial burden and the learning curve that small practices typically experience with an EHR implementation.

 

  • Improved efficiency of documentationAfter implementing Practice EHR, Dr. Larka and her team quickly appreciated the system’s easy-to-use and intuitive workflow. Practice EHR's ease of use enabled her team to work more efficiently. In addition, with built-in podiatry templates and clinical content, Dr. Larka could easily log patient care, allowing her to spend more face time with patients. 

 

  • Improved efficiency of billingDr. Larka’s staff improved practice management and efficiency with the help of Practice EHR’s electronic claim submission feature. With Practice, EHR encounters get sent electronically to billing providers from within our system, increasing efficiency for the staff and helping physicians get paid faster.


About Practice EHR

Practice EHR is a cloud-based and specialty-specific electronic health record (EHR) and practice management (PM) solution designed exclusively for small practices. We realize that a one-size-fits-all EHR isn’t right for all care settings, that’s why we designed Practice EHR to meet the needs of small practices and their specialty. Simplifying the entire documentation and billing process, Practice EHR helps more than 1,000 physicians in 23 different specialties deliver care while running a more profitable and efficient practice. Interested in learning more about Practice EHR? Request a Demo by clicking below and a member of our team will contact you.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
Scoop.it!

Stanford Launches App That Connects to Epic EHR & Healthkit

Stanford Launches App That Connects to Epic EHR & Healthkit | EHR and Health IT Consulting | Scoop.it

Stanford Health Care today announced its new iOS 8 MyHealth mobile health app for patients. Developed in-house by Stanford Health Care (SHC) engineers, MyHealth connects directly with Epic’s EHR, Apple’s HealthKit and cloud services for consumer health data monitoring.

The SHC MyHealth mobile app is designed to make it quick and simple for patients to manage their care right from their iPhones, including:

• Make appointments

• Get test results – your lab results are automatically made available in the palm of your hand

• Communicate with your care team through a secure messaging system where your information is always kept confidential

• Have a video visit with your doctor through the new ClickWell Care clinic which gives you the convenient option of a “virtual” appointment

• Manage your prescriptions and medications

• View your health summary

• Access and pay your bills

• Share your vitals with your doctor via HealthKit integration

Secure Messaging 

With the new MyHealth app, patients can communicate directly with their care team through a confidential and secure messaging system. In addition, the app automatically syncs with wearable and wireless products, allowing patients to take vital signs at home or on the go. That data is automatically and securely added to the patient’s chart in Epic for their physician to review remotely. 

“The SHC MyHealth app allows patients to connect their lives with their health care,” said Pravene Nath, MD, Chief Information Officer, Stanford Health Care. “By integrating with companies like Withings, our physicians have access to meaningful patient data right in Epic, without having to ask the patient come in for an appointment. We believe this is the future of how care will be delivered for many types of chronic conditions.”

The free SHC MyHealth app can be downloaded from the Apple App Store. It is available for current Stanford Health Care patients with a MyHealth account. Existing SHC patients that do not have a MyHealth account can sign up at myhealth.stanfordhealthcare.org.


more...
No comment yet.
Scoop.it!

Unfortunately, Epic Seeing Growth Explosion | Hospital EMR and EHR

Unfortunately, Epic Seeing Growth Explosion | Hospital EMR and EHR | EHR and Health IT Consulting | Scoop.it

Let me be candid here: I’m not too pleased with the progress of Epic as the hospital system of choice. Experience tells me that once a vendor becomes the default choice, seemingly due as much to C-suite peer pressure as technical merit, vendors get lazy and worse, extremely arrogant.

I admit most of us would be blinded by the magnitude of Epic’s success. According to chief administrative office Stephen Dickman, who spoke at a recent business luncheon in Madison, Epic’s stats include the following:

* It had 260 customers last year, and expects to add another 30 large customers this year

* It serves hospitals and clinics treating 33 percent to 44 percent of the U.S. population

* It has 5,225 employees and expects to add 1,000 this year

* It expects to have generated $1.2 billion in 2011 revenues

*  It has only five sales people on staff (!)

Sure, these numbers are very impressive. But that doesn’t excuse Epic’s imperial attitude, or CEO Judith Faulkner’s contention that hospitals should only worry about interoperating with her company’s products. Look, Ms. Faulkner: I’m sure you’re bright, but I’m pretty sure you’re no Steve Jobs. You may be taking over the hospital EMR business, but you’re not reinventing it.

In my experience, users uniformly say that Epic’s interface is all but broken, that it’s hard to adapt and in some cases, that the 20-something young geniuses the company sends to install and service its systems aren’t particularly deferential. (If you want to hear a particularly galling tale — downright terrifying, if true — check out the tale of one engagement in which Epic staffers seemingly tried to get a hospital CIO fired.)

Meanwhile, if Epic leaders ever gave a damn about building great products, they don’t have a lot of incentive to do that now. Yes, they face well-financed competition from Cerner and Meditech and GE, but if they only have five sales people on board, they must assume they can beat those folks with one hand tied behind their back.  At this point, in other words, competition isn’t enough reason to keep improving their product.

I guess the bottom line here is that I instinctively distrust any company that seems too secure at the top, especially if they’re not known for being especially likeable or having a superior product. Isn’t anyone going to show up and challenge them for the throne?


more...
No comment yet.
Scoop.it!

Questions to Ask Before Choosing an EHR

Like many managers or owners of a thriving medical practice, you have heard about the benefits of using electronic health records software and are interested in implementing an EHR in your organization. You can assume that many, if not all, of your nearby competitors are using EHR, and the more effective they are in using this software, the better they will be able to attract and keep patients.

Transitioning from the old methods of paper-based systems to the latest advances in medical software is bound to raise some questions among you and your staff. Therefore, it’s a good idea to do some research first before making the commitment and selecting your EHR. With that in mind, here are some questions to ask as you prepare to make your choice.

Is the Software Vendor Knowledgeable and Reliable?

It’s much better to go with a software vendor that has sufficient experience, knowledge, and a proven track record in developing mission-critical software like EHR. Find a firm that has been around for a while and that has excellent reviews from your peers, as well as your competitors.

A software developer for medical organizations must have a staff that keeps up with the changing nature of healthcare delivery, adjustments in industry standards, and governmental rules. This ensures that you will always have access to software this is compliant with the entities you do business with.

What Kind of Training is Available?

After assessing the skill level and knowledge of your medical organization, you will have a better idea of how much training you need. Make sure that your software provider will give your team the training and help it needs to quickly get up to speed with using EHR software.

How Does the Software Company Handle Upgrades?

Upgrades are a fact of life in any computer system. You’ll want to ask your vendor how it approaches upgrades. There will be upgrades to improve the quality of the software, to be sure, but there will also be required updates, such as the ones EHR software developers must finalize to meet the U.S. government’s required change from ICD-9 to version 10 of the International Classification of Diseases.

Does the Software Vendor Provide Good Customer Service?

The last thing you want when dealing with unfamiliar software is to contend with unanswered questions on how to use it. Check the level of customer service from your prospective provider. Otherwise, your staff may experience unexpected and unnecessary downtime, hampering office productivity and lowering your organization’s financial success.

Making the decision to move from a paper-based system for managing your medical organization will make a significant impact on your staff’s daily activities. Now that you know you want to implement an EHR, it’s crucial to resolve any unanswered questions before making your software selection.

Key Takeaway:

  • Medical practice owners and managers who are aware of electronic health record software will want to ask some questions before choosing their EHR.
  • Don’t rush into buying EHR software that you are unfamiliar with. Make sure you understand how it will integrate with your organization.
  • Check what kind of training your software provider offers to ensure your staff can quickly get up to speed with the EHR system.
  • Verify the skill level and knowledge of your software company to make sure it will be capable of handling upgrades, especially those mandated by governmental regulations.
  • Does the EHR vendor provide the type of customer service that you deem appropriate? You will want to go with a firm that has excellent communication skills and will respond in a timely manner.


more...
No comment yet.
Scoop.it!

Planning for Successful EHR Training

Planning for Successful EHR Training | EHR and Health IT Consulting | Scoop.it

A successful EHR training program is the result of many months of planning and communicating organizational expectations. There is always a myriad of logistical elements that go into the EHR training planning process – identifying training locations, setting up classrooms and determining how registration and completion of courses will be tracked is essential to identify early on, as this will likely be one of the most significant training initiatives the organization has undertaken.

 

Identifying trainers who understand the system and workflows, and how different types of employees may require different types of learning, whether it be web-based, classroom or one-on-one training, is essential. Finally, communicating EHR training expectations for future users of the system will ensure that everyone is trained and ready for the system to go live.

 

Physician Personalization Labs - A key feature within Epic is the ability to personalize the software for each physician’s needs. The modules will be the same for all users, but Epic can be customized to accommodate an individual provider’s preferences when entering clinical documentation and orders, allowing providers to focus on time spent with their patients rather than time spent in the system.

 

In the weeks leading to go-live, personalization labs – an extension of training – should be set up where trainers can work with physicians to make sure their templates and orders are set up; Every step that can be taken to prepare for go-live helps ease the transition, and this is a big one.

 

Technical Dress Rehearsal - The technical dress rehearsal is a planned event where all equipment that will be used during the Epic go-live is checked before the actual event. This includes everything from servers to monitors, scanners and devices, printers, etc.

 

For example, printing is a common issue during Epic implementations, and Technical Dress Rehearsals allow your implementation teams to check and recheck printing processes before they go-live.

 

End-User Dress Rehearsal - Dress rehearsals allow end-users to marry the new EHR technology with what may be newly redefined processes to evaluate how well they are functioning together. End-users are asked to sign on to the EHR system, test their training, validate that they can accomplish what they need to achieve during a typical day’s work, ask questions and continue to learn in a safe environment.

 

It is an extension of training, allowing end-users to build much-needed confidence going into go-live. It is also an opportunity to address any last-minute quirks in the system’s setup. A constant dialogue between end-users, Super Users, application teams and IT is vital to taking advantage of this opportunity.

 
  

SuperUser Preparedness - Super User Preparedness, and to a great extent your Super User Program overall, maybe the most important personnel aspect of a successful go-live and sustained long-term success.

 

When establishing the parameters of a Super User program, organizations must look, think and plan for the long term. If your Super User program is only set up to get you through go-live, you’re doing end-users and your organization a significant disservice.

 

A well thought out and managed the Super User Program should serve as your primary source of knowledge transfer from implementation specialists and go-live consultants to in-house staff and full-time employees.

 

Super Users should be engaged during the planning process, implementation, optimization, and beyond. They should act as the liaison between the application teams and end-users. Super Users are distributors and gatherers of information as they communicate directly with end-users and report issues back to the application teams. When done correctly,

 

it’s one of the most effective ways to check the pulse of the end-users and ensure that you’re addressing the issues that matter to them the most.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
No comment yet.
Scoop.it!

Pro-Active EHR Optimization is a Necessity

Pro-Active EHR Optimization is a Necessity | EHR and Health IT Consulting | Scoop.it

Everyone knows that routine maintenance is required to keep a home, car, or even a person in good shape and performing well.  The same is true in regards to our electronic health records (EHR).  To meet the requirements and capitalize on the benefits of meaningful use, the US market has seen an unprecedented amount of EHR implementations. However, many organizations aren’t seeing the expected benefits.

 

Factors such as rushed, system-focused implementations, lack of standardization or focus on workflows, end-user and physician dissatisfaction, high ticket, and request volumes, and/or sub-optimal training are major drivers for optimization needs. Routine maintenance and pro-active EHR optimization are a constant and ongoing necessity and should be treated that way from a planning, budgeting and prioritization perspective. Here are some key areas to consider in a post-EHR go live world.

 

Thorough Assessment, Prioritization, and Management of Current Issues and Complaints

 

Most organizations use a ticketing system to log EHR issues. Following an EHR activation, ticket volumes often increase to the point where an organization cannot manage the volume and cannot differentiate priority issues from common, organizational issues. This is exacerbated by the constant “pull” of resources that are now needed for other organizational objectives and projects.

 

The truth is, your EHR “project” doesn’t go away when the system goes live. Rather, a program management organization, complete with an integrated Governance structure, must remain to manage upgrades, maintenance, and optimization. A great first step is understanding issues and prioritizing ongoing efforts for your teams and your organization

 

A thorough review, cleanup, validation, and categorization of all issues should be conducted. This requires the establishment and ongoing execution of a ticket intake and review process that identifies the priority and necessity, understands the source of the problem (e.g., user proficiency, workflow inefficiency, build defects) and reconciles that against the objectives of the organization. It is critical to include operational and clinical leaders in this process and often requires time for interviewing and even shadowing clinical and operational users to fully understand and accurately document issues.

 

Categorizing, Prioritizing, Integrating and Approving Effort

 

Most issues can be categorized into four areas:

  1. Break/Fix
    • Break/fix are issues with the software functionality that need to be fixed by either the IT analysts or vendor.
  2. System Enhancement
    • Enhancement issues pertain to desired functionality that is either not yet developed by the vendor or not yet implemented by the IT department.
  3. Workflow
    • Workflow issues arise when a process or procedure is inefficient.
  4. Training
    • Training issues occur when the system is functioning as designed but the end user is unaware of how to use it properly. Training may also be needed to teach advanced functionality.

 

After categorization, issues should be prioritized. The prioritization process should be carried out through the Program Management and Governance structure and is typically not simply an “IT” process.  Understanding the issues and requests, prioritizing them against the organizational objectives and then including them in the ongoing capital and operating plans allows adequate focus, funding, and validation for the work.

 

This may be simple and quick – break/fix items, refresher training, etc. However, the focus may be more complex and cross multiple areas of the organization – new system functionality, upgrades, workflow redesign, etc.  The latter often requires the organization to move back into “project mode” with a detailed timeline, project plan and in some cases, capital funding.

 

Optimization Implementation and Ongoing Maintenance

 

Now that a structure is in place, resources are adequately funded and work is prioritized, the organization can move forward knowing that the EHR can be properly maintained, but also leveraged for its true functionality. There will be many moving parts that may involve system configuration, system upgrades, workflow redesign, and end user training.

 

Having a dedicated optimization team and project manager that interacts and coordinates with the key operational and clinical leaders is key to ensuring success, but also aides in optimizing an EHR solution that supports the organization’s objectives as well as the patient experience.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
Gabe Maxwell's comment, September 26, 9:42 PM
<a href="https://getmedicalmarijuanaonline.com/product/buy-gushers-online/">Buy Gushers</a>
<a href="https://getmedicalmarijuanaonline.com/product/special-blend-10g-oral-applicator-3-pack/">Buy 10g Oral Applicator</a>
<a href="https://getmedicalmarijuanaonline.com/product/green-label-15g-oral-applicator-6-pack/">Buy 15g Oral Applicator</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-moonrocks-now/">Buy Moonrocks</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-nyc-diesel/">Buy Nyc Diesel</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-lemon-kush/">Buy Lemon Kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-zkittlez/">Buy Zkittlez</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-purple-kush/">Buy Purple Kush</a>

<a href="https://getmedicalmarijuanaonline.com/product/buy-gelato-33/
">Buy Gelato</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-mango-kush/
">Buy Mango Kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-fire-og-kush/
">Buy Fire Og</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-death-star/
">Buy Death Star</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-green-crack-buy-green-crack-online/
">Buy Green Crack</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-grapefruit-kush/
">Buy Grapefruit kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/ghost-train-haze/
">Buy Ghost Train Haze</a>

<a href="https://getmedicalmarijuanaonline.com/product/chocolope/
">Buy Chocolope</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-banana-kush/
">Buy Banana Kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-headband/
">Buy Headband</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-golden-goat/
">Buy Golden Goat</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-orange-kush/
">Buy Orange Kush</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-northern-lights-2/
">Buy Northern Lights</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-grape-ape/
">Buy Grape Ape</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-agent-orange-buy-agent-orange-online/
">Buy Agent Orange</a>
<a href="https://getmedicalmarijuanaonline.com/product/buy-blueberry-kush-online/">Buy Blueberry Kush</a>
Scoop.it!

Why Are Some EHR Systems Confusing and Inefficient?

Why Are Some EHR Systems Confusing and Inefficient? | EHR and Health IT Consulting | Scoop.it

In theory, EHR systems can alleviate informational errors, increase efficiency and allow doctors to spend more time with patients. The reality, however, is that many EHR solutions can talk the talk, but they can hardly walk the walk.

 

Why is this?

Some EHR companies in the marketplace have produced software without doing their due diligence to completely understand what a doctor’s real day looks and feels like -- they’ve produced generic platforms that don’t address doctors’ real concerns.


Any EHR System Must:

  • Be Scalable
  • Integrate Seamlessly with Other Software
  • Have a Simple User Experience
  • Priced Fairly for the Practice

The third bullet, ‘Have a Simple User Experience,’ is the benefit we’re going to be discussing today because it’s often taken for granted. 

A Simple User Experience

Inputting data into a computer is easy, but the problem arises when EHR solutions can’t correctly identify a doctor’s workflow. Doctors have hundreds of patients, and since no two are alike, thousands of records of unique data are created. This data demands distinct form fields to capture a patient’s specific information. EHR systems must be prepared to capture, organize and file this data away so that a doctor can easily recall it when needed. And when it is recalled, this information must be easily understood by the doctor who may have forgotten exactly how he inputted it.

The solution is intuitive form fields and workflows.

EHR systems should allow for any doctor or office manager to easily understand where to input the right data into the right field. This may sound simple, but most EHR systems just do not comprehend the gravity of proper user experience.

When form fields are misunderstood and unobvious, data finds itself into the wrong reports. In the healthcare industry, this is alarming. Not only does this open up practices and doctors to lawsuits, but before you know it, the EHR system that was supposed to save your practice time and money is now doing the exact opposite.

The Power of Practice EHR
Next-generation, cloud-based software can and will improve a doctor’s day, but not every EHR system is created equal. The Practice EHR team was frustrated by the poor quality of the very EHR systems that were supposed to be improving doctors’ day-to-day lives. So we went and built a better one.

Practice EHR is a solution built by doctors for doctors. It’s specialty-specific, meaning it comes out of the box purpose-built for your specialty practice. It’s also the perfect system for smaller practices of about 1-3 doctors and it was made to alleviate time and hassle in doctors’ busy schedules.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
Scoop.it!

3 EHR Features to Improve the Patient Check-In Process

3 EHR Features to Improve the Patient Check-In Process | EHR and Health IT Consulting | Scoop.it

While the patient experience begins long before a patient steps into the examination room, it’s important to make a good impression the moment a patient steps through the doors of your medical practice. Starting off on the right foot during the check-in process can positively impact the patient experience and determine the pace of the patient visit.

There are many moving parts to an office visit that all demand attention. With the help of technology, patient check-in can be less of a burden for patients and staff. Here are a few EHR features your practice can use to improve patient check-in.

Patient Kiosk

One of the most popular features being used to improve patient check-in is kiosk. This technology is similar to what is used today at airports and fast-food chain restaurants. In a medical practice equipped with the Practice EHR kiosk, patients can check in on an iPad or tablet using interactive forms that guide them through the check-in process, collecting medical history info, patient information updates, signatures for consent forms and payment. Once the patient completes check-in, the information collected is automatically integrated into the EHR. Medical practices who implement a kiosk can reduce the resources required for check in at the front desk and improve efficiency.

Patient Portal

Medical practices looking for an alternative to the kiosk model can implement a patient portal. With a patient portal, patients provide information and complete forms online, prior to the visit, eliminating the need for paperwork when they arrive. Portals typically provide additional time-saving features, such as online scheduling, secure messaging and easy sharing of test results and medical information. Medical practices who’ve implemented portals are using them effectively to reduce costs and the amount of time it takes for a patient to check-in.

ID Scanner

An ID scanner will quickly become a favorite for your front desk staff. With this technology your practice can capture the front and back of patient cards and documents digitally in seconds, eliminating paper copies from the workflow. Medical practices who use ID scanners can significantly speed up the patient registration process. There are several ID scanners in the marketplace. However, Practice EHR is integrated with Ambir Technology, ensuring captured information gets populated automatically in the EHR.

As the healthcare industry shifts to a value-based and consumer-driven model, it’s important that medical practices review current processes and work to improve the patient experience 

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

more...
Scoop.it!

Deloitte Announces New Approach to EHR Implementation and Support

Deloitte Announces New Approach to EHR Implementation and Support | EHR and Health IT Consulting | Scoop.it

Today Deloitte announces Evergreen, a new approach to electronic health records implementation and maintenance designed to help reduce hospital system IT costs as health care moves to a value-based model more reliant on clinical and enterprise data.

Evergreen may help health systems save up to 30 percent on EHR operating costs by using a global staffing model and a standardized design that works to improve clinical optimization. Evergreen also leverages Deloitte’s acclaimed cyber risk services in providing advanced levels of data security and compliance.

In addition to supporting large providers and academic health centers, Evergreen may especially benefit mid-sized healthcare systems looking for more EHR innovation and efficiency as they move to a new environment marked by declining reimbursements and a focus on quality outcomes.


According to Mitch Morris, principal, Deloitte Consulting LLP, and Deloitte’s global healthcare leader, Evergreen’s potential savings will enable providers to put more capital back into caring for their communities. “Evergreen offers an innovative approach to achieving the expected benefits of clinical and revenue management systems in a post-reform world,” said Morris. “It can provide clinicians with the software applications they prefer while supporting the clinical and financial results that health systems are looking to achieve.”

Evergreen is modeled after Deloitte’s mature services approach developed for Catholic Health Initiatives’ Epic deployment, and it builds upon Deloitte’s extensive history in managing other application management services engagements. In addition to the core EHR benefits, Evergreen leverages Deloitte’s advanced analytics and reporting capabilities, which can improve clinical performance by gleaning insights from clinical and financial data.  It also wraps clinical transformation and workflow optimization into the approach.

“Evergreen draws upon Deloitte’s world-class capabilities in strategy, consulting and application management services,” said Tim Smith, principal, Deloitte Consulting LLP, and leader of Deloitte’s health care technology practice. “It brings the enterprise-wide view that organizations may need in retooling their cultures around a greater use of data.”

Catholic Health Initiatives is the first provider to implement the full Evergreen approach. The company said Evergreen is increasing its ability to capture, analyze and share information, which will help position the organization as a leader in the areas of evidence-based medicine and care coordination.

“Evergreen is part of our vision to become a forerunner as health care moves to a value-based model,” said Michael O’Rourke, chief information officer at CHI. “It will enhance our ability to deliver the right treatments to the right patients at the right time, with improved quality and reduced costs.”

Morris commented that there is “tremendous” market potential for Evergreen. “Health care is an industry looking for tools and direction on how to make the transition to population health,” he said.  “We anticipate that providers in the U.S. and abroad will be very receptive to an approach that makes EHRs more relevant to their missions.”


more...
No comment yet.
Scoop.it!

Clearing the Way for Patients to Get Access to their Data

Clearing the Way for Patients to Get Access to their Data | EHR and Health IT Consulting | Scoop.it

The National Association for Trusted Exchange (NATE) today kicked off its new NATE Blue Button for Consumers (NBB4C) Trust Bundle at the 2015 ONC Annual Meeting with a surprise display of interoperability in patient-mediated exchange.  Shortly after NATE’s announcement, Greg Meyer, Director, Distinguished Engineer, Cerner Corporation, demonstrated how a provider using a Cerner electronic medical record (EMR) can simply push a patient record to the patient’s personal health record (PHR), in this case to the Humetrix iBlueButtonapp running on the patient’s smartphone.

The new NBB4C Trust Bundle helps relying parties to identify consumer facing applications (CFAs) that meet or exceed criteria considered to be the most important characteristics of a trustworthy steward of consumer health information, while still enabling patients to benefit from the value of having access to their health information.  Participation in the trust bundle will facilitate secure exchange of health information from provider-controlled applications to consumer-controlled applications such as PHRs using Direct secure messaging protocols.

“Thank you to my colleagues at Cerner and Humetrix for helping NATE demonstrate the capabilities of the new NATE Blue Button for Consumers Trust Bundle at the ONC Annual Meeting.  Greg’s demonstration today shows that the NBB4C is ready now to enable real world exchange between provider-facing applications and consumer-facing applications, empowering the consumer to get access to their data,” said NATE’s CEO Aaron Seib.  “Our industry achieved a major milestone today.  We studied the issues around securely sharing information from providers to patients and together we took a leap of faith.  Consumers across the country will now have more control over their care.  NBB4C gets the information flowing to where it should be: in the hands of the patient.  I look forward to the day when patients across the nation routinely download their health information into a consumer-facing application of their choice and use it to improve their lives and the lives of those they love.”

The NBB4C Trust Bundle is the result of the next generation of NATE’s ongoingPHR Ignite Project and incorporates lessons learned from NATE’s administration of the Blue Button Consumer Trust Bundles.  Over the past year, NATE and a task group made up of thought leaders in the patient-mediated exchange space worked together to develop a set of criteria and expectations that balances what is a ‘must have’ for today and what can wait until tomorrow, what is practical as a starting point and what is a showstopper that would kill consumer engagement if introduced.  In November 2014, NATE crowdsourced the trust framework, calling for and receiving comments from across the industry.  In January 2015, the NATE Board of Directors approved the workgroup’s recommendation for release into production.

“The NBB4C establishes a practical framework that will enable patients to securely exchange health information with their providers without burdening the patient with unnecessary steps to obtain their data and share it with whomever they choose,” said MaryAnne Sterling, Consumer Ombudsman for the NATE Board of Directors.  “As a long time caregiver for my aging parents, this work is important to all of us who manage healthcare on behalf of others.  I have confidence that applications participating in the NBB4C will meet or exceed my expectation that my family’s health information will be confidential and secure.”

Interested CFAs may begin onboarding to the NBB4C Trust Bundle now athttp://nate-trust.org/trustbundles.  Stakeholders interested in participating in the next phase of NATE’s work in consumer-mediated exchange should consider NATE membership or subscribe to news from NATE’s PHR Community.


more...
No comment yet.