EHR and Health IT Consulting
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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
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3 Key Areas to Address During EHR Optimization

3 Key Areas to Address During EHR Optimization | EHR and Health IT Consulting | Scoop.it

If you have ever purchased a new home, you are rarely 100% satisfied when you move in. You may want to add some new furniture, paint a few walls, update the flooring or even do a complete remodel. When implementing a new Electronic Health Record (EHR), many times the need to “get the system live” as soon as possible, results in a rushed implementation of basic functionality and “out of the box” workflows.

 

There is not always time to look at current issues and identify ways to improve processes. Many times the current problems are merely transferred into the new system. Even if you love everything about your new EHR, Optimization of the system will always be necessary due to factors such as advances in medical treatment, compliance & regulatory changes, adding of new specialties and more.

 

Whether it is your existing EHR or a new system, for optimization to be effective, experts with clinical, operational and technical experience will need to look at how the system is working. You may have such experts employed, or you may need to bring in consultants. Either way, these experts will assess how users are interacting with the EHR and if they are having functionality and/or workflow issues. Sometimes, problems can be addressed by merely providing additional training, especially if new features and functionality have been deployed.

 

By taking a thorough look at the system and its users, experts can determine what improvements need to be made.

Below are three areas to take into consideration: 

  1. Governance: A strong governance structure is critical to having a successful optimization plan. Requests for changes to the EHR must be prioritized and evaluated.  An agile governance group made up of the right members, should meet monthly to review all requests and prioritize according to the overall needs of the organization.
  2. Training:  A comprehensive training program is a critical factor that impacts the usability of the EHR. Many times organizations provide new employee training but do not offer any “ongoing” or “refresher” training. Supplemental training can increase basic and advanced knowledge of the system and improve efficiency. As system upgrades and new functionality are implemented, users should have an option to attend classroom training. eLearning can be helpful, but there is no substitute for hands-on classroom training where the user can ask questions and get answers.
  3. Communication: Organizations should have effective and comprehensive communications regarding training, new functionality, and any other changes to the EHR. The creation of a formal enterprise-wide communication plan using a variety of forums and a broad spectrum of communications resources is essential. Being proactive versus reactive such as having the EHR topic as a standing agenda item at a section and other scheduled MD meetings can be very useful.
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3 EHR Optimization Benchmarks Your Practice Should Be Using

3 EHR Optimization Benchmarks Your Practice Should Be Using | EHR and Health IT Consulting | Scoop.it

Following the implementation of an electronic health records (EHR) system, optimization should be the next critical objective for a medical practice. One way to plan a road-map for optimization is to generate benchmarks.

Below are three important benchmarks to help your practice determine if you’re getting the most out of your EHR system.

  1. Computerized Physician Order Entry Indicators

Some of the most important benchmarks in EHR optimization center around computerized physician order entry (CPOE) indicators. These indicators are critical for identifying the efficiency of an EHR, and complying with Meaningful Userequirements. Fortunately, these are often easy to benchmark. For instance, one indicator for a practice with a high volume of electronic prescribing is the number of pharmacist calls regarding contraindicating medications. This indicator is simple to follow, and can inform a practice whether or not an EHR system’s Clinical Decision Support (CDS) alerts or notifications are effective.

Other CPOE indicators that are simple to follow include anything from provider and staff logins to printer use and more. Bottlenecks in data entry can also indicate issues with in-house adoption and areas that could benefit from optimization.

Setting benchmarks for these indicators are an important way to track post-implementation optimization for an EHR system.

  1. Alignment and Standardization of Use

One very common area in need of optimization post-EHR implementation is standardization of workflows. Technicians, nurses, medical assistants, providers, and staff may all do the same task differently. While there will always be slight variation in workflows between team members, major differences (i.e. printing and scanning a document rather than importing data electronically) can lead to large gaps in optimization further down the road. Fortunately, this is measurable, and can be an important indicator to monitor as you optimize your EHR system. Striving for benchmarks within certain tasks and workflows, such as importing medical histories or documenting in-office medications, can help to clarify standardization (or the need for standardization) within a medical practice.

  1. Revenue Cycle Management Indicators

Successful implementation of an electronic records system should reflect financial benefits as well as positive workflow and improved patient indicators. Therefore, important benchmarks in EHR optimization include Revenue Cycle Management (RCM) indicators. Leveraging costs per provider vs. clinic volume before and after implementation (taking into consideration training and adoption periods) can help clarify areas that need further optimization. This may involve taking a closer look at EHR pricing models and what the practice’s needs are heading into the future, along with considerations such as personnel volume, clinic growth, federal reimbursements, and more.

Making Benchmarking Actionable

Benchmarking may begin as a method of determining the efficiency of an EHR system, but it doesn’t stop there. Monitoring indicators and determining strategies to achieve those goals also aligns a practice with the many objectives of electronic health records in the first place: improved patient safety, thorough documentation, and more efficient workflows, to name a few. Therefore, making benchmarking actionable is critical for the health of the entire practice and its patients. Creating teams to address issues with optimization and working through kinks in workflows after benchmarking and monitoring is the next step to operating a truly successful EHR system.

Technical Dr. Inc.'s insight:

Contact Details :
inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com/tdr

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