2012 02 11 ehrs - healthcare system chicken soup or rotten egg
Post on 15-Dec-2014
437 Views
Preview:
DESCRIPTION
TRANSCRIPT
Assistant Research Professor, Indiana University School of Medicine Research Scientist, Regenstrief Institute, Inc
CSM 2012 – HPA Tech SIG Feature Presentation
02.11.2012 © 2012
Daniel J. Vreeman, PT, DPT, MSc
Electronic Health Records healthcare system chicken soup or rotten egg?
Associate Director, APTA Practice Department
Matt Elrod, PT, DPT, MEd, NCS
Corporate Director of Technology Integration, Select Rehabilitation
Robert “Bob” Latz, PT, DPT, GCFP
Manager, St Luke's-Elks Rehab - Meridian
Steven G. Wilkinson, PT, PhD
Overview
1. Why EHRs matter 2. Selecting an EHR 3. Mobile devices and other hardware 4. Case study 5. Implementation considerations 6. Open discussion
photo via Vernio77
We are not alone
Why are we here?
The Future Great Scott!
Complete, longitudinal information that follows the consumer
Care that is value-based and coordinated across settings
photos via meddygarnet and brykmantra
Health decisions made with information tools that assist and guide
Have you considered…
Results Fewer errors, waste, variations Consumer-centered care Lower spending
Meanwhile, back on planet Earth…
Patients move faster and further than their health information
Growing Recognition
1960’s • 1st studies of
computers in healthcare
1991 • IOM says
EHR’s are essential
2003 • HHS promotes
widespread use of HIT
2004 • Pres. Bush
makes HIT a top national priority
2004+ • Flurry of
federal activity
2009 • ARRA has $20
billion for HIT adoption
Resolved, at the American Physical erapy Association supports the use of electronic health record systems (EHRs) and promotes the widespread adoption of interoperable EHRs in all physical therapy practice settings.
e "rst priority in realizing the bene"ts of health IT is to achieve nationwide adoption of EHRs and widespread information exchange.
“
CMS EHR Incentive Program
a.k.a. “Meaningful Use”
EHR “Meaningful Use” Reimbursement incentives for eligible providers who become “meaningful users” of certified EHR technology
EHR “Meaningful Use” PTs, OTs, SLPs are NOT eligible providers
“Meaningful Use” drug-drug checks structured lab results in your EHR clinical decision support exchange key clinical info report on quality measures
Do PTs today really use EHRs?
good question…
APTA 2010 Member Survey
28%
33%
38%
1%
Got EMR?
Yes, all electronic Yes, part paper, part electronic No
Don't know
APTA 2010 Member Survey
No plans to acquire
Plan to acquire but > 1yr
Plan to aquire within 1yr
Aquired, but not implemented
Implementation in progress
Fully implemented
0 10 20 30 40
EMR Use
Most common complaint?
anecdotal
Where’s the Rehab stuff???
3 Ways EHRs can Help Accelerate that Vision Data reuse Decision support Canopy computing
practice management, quality reporting, accreditation, public health, research…
Collect once. Use many.
EHR Decision Support A computer-generated suggestion about care for an individual patient
me
photo via liber
The secret sauce of the HIT chicken soup
photo via nosha
e rain forest canopy is a seamless web through which arboreal creatures efficiently
move to reach the edible fruits without any attention
to the individual trees. McDonald et al. Canopy Computing: using the Web in Clinical Practice. JAMA. 1998;280(15):1325-1329.
Only way to corral the infinite indiosyncracies
is with standards.
photo via pfarrell95
Data standards are like telephones. They require a critical mass of users before they become useful.
photo via iboy_daniel
- Clem McDonald, MD 1998
Indiana Network For Patient Care A Unified Patient Record
An EHR is a suite of applications. WAY more than just electronic documentation
8 Core EHR Functions
Results Orders
Decision Support
Communication Patient support
Administrative
Population Health
Where’s the evidence?
photo via paskukaru76
Evidence for Health IT
92% of 154 studies
1968!
is review suggests that EHRs have potential bene#ts for physical therapists. “
Benefits of EHRs
0
2
4
6
8
10
12
Improved Reporting
Improved Operational
Efficiency
Improved Communication
Improved Data Accuracy
Barriers to Implementing EHRs
0
1
2
3
4
5
6
Behavior or Workflow
Modification
Software or Hardware Inadequacy
Staff Training
Success Factors in Implementing EHRs
0
1
2
3
4
5
6
7
8
9
End-user Participation in Development
Data Standardization
Adequate Staff Training
Incorporating Workflow Analysis
Key Lesson of Today
photo via IMLS DCC
or
photo via Robert Couse-Baker and Nina Matthews Photography
Computer +
Human Human
top related