JJSH Clinic Management for Prostate Health

Heather BegleyJaimie BubbJoanne RimacStephanie Wong

JJSH Healthcare Consulting

MED INF 405 Group Project

Background

Project Purpose

Electronic Patient Record

RadiologyLab

System

Pharmacy

Financial

Dictation

Scheduling

Patient notificatio

n

Assumptions

Current Workflow

Future Workflow

Scheduling System

Snail Mail Reports

Dictation/Transcription System

Pharmacy

Patient Health Scheduling

e-Prescription

Clinical Application Linkages

Electronic Patient Record

Auto fax system

Patient Appointment Reminder System

Voice Recognition

Laboratory SystemRadiology System

Patient Portal

Clinical Trials Database

Referral/Consultation Portal

Patient Check-in Kiosk

Financial System

Patient Tracking (RFID)

Legend

Uni-directional interface

Bi-directional interface

Faxed RequisitionsPhone reminder

Stakeholders

Patients (who follow up at clinic for prostate health)

Family members of patients

Physicians-including referring physician, clinic MDs, NPs, PAs, hospital MDs as well as surgeons, specialty MDs (and their associated NPs/PAs), anesthesiologists/nurse anesthetists, Physician Review Board

Stakeholders

Clinic/Hospital clinical personnel including RNs/LPNs, nurse’s aides/techs

Clinic/Hospital clinical ancillary staff including pharmacists/pharmacy staff/techs, lab staff/techs, radiology staff/techs, nutritionists/dietary staff, social workers, case managers, discharge planners

Clinic/Hospital administrative staff including registration and unit clerks, medical records staff, billing staff

Clinic/Hospital Executive staff including COO, management, and other executives within facilities

Hospital/Home Health adjunct staff including PT/OT, home health/hospice care

Stakeholders

Government Community/Public Vendors supporting clinic Insurance companies Familial Registry Clinical Trials Tumor Registrar

EPR Integration Related to Prostate Health

2/3 of patients diagnosed are over the age of 65

The number of Americans age 65 and older will more than double by the year 2030

The cost of providing health care to older Americans is three to five times > those younger than 65

Financial benefits: transcription costs reduced, lab, pharmacy, radiology, billing and scheduling automated

Clinical benefits: Accuracy of documentation which enhances billing charges, data gathered quickly and efficiently

Organizational benefits: Increased clinician satisfaction due to enhanced workflow and patient satisfaction related to immediate access of clinical and educational information

ROI related to EPR Implementation

Cincinnati Childrens (2003) experienced an improved registration process because records were prepared electronically before arrival

Queens Health Network (2002) 50% decrease in pharmacist intervention with medication orders in ambulatory care due to improved legibility, system alerts and increased completeness of prescriptions

Maimonides (2002) duplicate testing dropped dramatically, ancillary tests by 48.9%, U/A by 41.6%, microbiology by 40.6%and hematology by 6%

Citizens Memorial (2005) Automatic charge capture increased revenue by $34 per patient

Patil, Puri & Gonzalez (2008) Implementation of EMR and eliminating transcription costs coincides with increased revenue per provider

Kaiser Permanente (2009) A patient satisfaction survey found that nearly all patients utilizing a kiosk had a successful experience. Opportunity for revenue cycle management at the front end.

Conclusion

Incorporate evidence-based practice guidelines related to prostate health

Promote an informed decision-making process for prostate screening exams

Optimize opportunities for patient and staff education regarding prostate health

Utilize information technology standards to complement high quality cost effective care

Maintain data integrity for outside investigators and stakeholders