Physician CareConnection

HIT Upgrade Status

Program provided by:

Confidential and Proprietary 2013 CHA,

LLC,copyright 2013

Goals of the Upgrade

Improve efficiencies and care coordination in the following areas:
Patient
Improved clinical outcomes
Improved transitions of care
Reduction or elimination of duplicative or unnecessary
procedures or tests
Improved visit experience and satisfaction
Administration
Reporting- advanced clinical financial and analytics
Cross-facility utilization and readmissions
Opportunities for trend and pattern analysis
Care management platforms
Provider
Access to valuable clinical data
Improved monitoring of patient movement and disease
management
Improved patient satisfaction and provider experience
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Process to Date

Staff Readiness Assessment

Staff and Physician Surveys

Workflow Assessment
Improve or Identify Workflow issues
Must improve workflow before implementing an
EMR

Staff Readiness and

Survey
EMR readiness
o Staff and volunteers willingness to help with project!
o Positive statements on the general adoption and readiness for EMR
upgrade!

o Comments on the current state:

o
o
o
o
o
o
o
o
o

Medical Records missing

Poor legibility
Untimely referrals
Long wait times
Chart Chasing
Inefficient use of resources
Result tracking
Medication refills
Unavailable appointments

Physician Survey

Slight bit of hesitation

They know its needed

Positive overall support

Confidential and Proprietary 2013 CHA,

LLC,copyright 2013

EMR systems used in our

Network

Columbus Neighborhood Health CentersAllscripts Pro

Lower Lights- NexGen
OSU Family Practice- Epic Ambulatory
Nationwide Children's- Epic Ambulatory
Some of the OHIO FQHCs- NexGen or Epic
Ohio State- Epic
Mount Carmel- NexGen
OhioHealth Family practices

GE Centricity moving to Epic Ambulatory

EMR systems Top Ten in Ohio

Epic
2. eClinicalWorks
3. NextGen Ambulatory EHR
4. Allscripts Professional EHR
5. AthenaClinicals
6. MEDENT
7. MED3000, Inc
8. Greenway
9. Practice Fusion
10.E-MDs
1.

Workflow Assessmentobservations

During Clinic hoursKiosk for check in

Use of scanners

Pharmacy

Runners

Administrative CMA officeExtensive duplication of information on paper, within

the same system and repeat duplication into a
different system
Missing charts

Confidential and Proprietary 2013 CHA,

LLC,copyright 2013

Technology and Workflow Planning

Reporting Analytics -population management

E-RX
Formulary Management
E-M Coding
Patient Portal
Fax Server
Interface Development

Immunization interface
HIE interface

Clinical Content
Order Entry
Decision Support
Patient Registration
Desire a kiosk alleviate and/or eliminate patient questionnaires

Duplex scanning of license and card identifiers

Patient photographs

Yet to be determined
Technology and Workflow Planning

Hosting Strategy currently they have servers on site- may want to go with servers off siteIT professional
Device Strategy
Dependent on cost- if any will be integrated ex, glucometer, vitals
Hardware Purchase
Dependent on EMR system, think about laptops, tablets, etc.
Paper Records Conversion Strategy in EHR strategy-Key Information
Key patient demographic data
Problem list
Historical procedures
Allergies
Current medications
Last Lab report
Immunizations
Growth charts for pediatric patients
Billing
they want to begin a FFS business model
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Paper Record Conversion

Direct Entry into the system
Scanning and indexing of documents

Practices must consider how much information

will be converted; what information may be
scanned, or entered directly;
The timeframe for the conversion;
Staff resources including the costs associated with
each option.

There are tradeoffs to be considered such

as cost of direct data entry and scanning

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Items to consider in regards to hardware

and software budgeting for implementation

EMR licensing purchase- vendor needs to be creative due to

nature of practice, and the use of volunteers
Number and cost for remote workstations
Computer type-dell or apple
Workstation Operation System
Cost of upgrades/updates
Cost of exchange fees
Internet services fees
Training and support costs
Offsite data storage and back-up costs
Server Operating System
Maintenance/upgrades equipment
Insurance/Legal contracting

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http://www.youtube.com/watch?v=WFCkDt
TNqGQ

13

Please review the RFP

Plan to send RFPs to the following vendors

Allscripts Pro
Epic ambulatory through Ohio State- confirmed
that they would be able to offer
Not sure if OhioHealth is offering it at this point?

NexGen- through Mt.Carmel

Ge Centricity

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Thank You for your time!

Questions?
Lori Bergman, Senior Consultant
Comprehensive Healthcare Advisors, LLC
(614) 761-1255, ext. 132
lbergman@ch-advisors.com