more than ok innovation in care transistions
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Presented at InnoTech Oklahoma 2013. All rights reserved.TRANSCRIPT
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More Than OK InnovationIn Care TransitionsNorman Regional Health SystemYeaman and AssociatiesBrian Yeaman, MD & CMIO
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Taking action in Oklahoma
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 3
The Tug-of-Data-War
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 4
The “Global Medical Record”
Largest member of the oldest and most established privately sustained HIE in the nationDisparate connections to all major EHR platforms(36 interfaces)
State wide HIE / “Global Medical Record”• >150 million data elements• > 4 million patient encounters• 2.7 million lives
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 5
Oklahoma Health Information Exchange
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 6
You Don’t Know What You Don’t Know
70% crossover databetween major health systems for all patients
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 7
You Don’t Know What You Don’t Know
What is your use case?ED Visit/New Admission Discharge Coordination Specialist ReferralMedication ReconciliationNew or Return Patient to Clinic
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 9
Oklahoma: HIE 2.0
Aggregates data in the Global Medical RecordManages care transitionsIntegrates with all major EHR platformsSingle click from EHR to the Global Medical RecordSupports innovative environment beyond HIE
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 10
Redefining the Delivery and Business Case for HIE
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Why Information Exchange?
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Why Information Exchange?
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Improving Care TransitionsImproving Care Transitions
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Aging Population
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 15
Population Health & Healthcare Reform
80% of healthcare costs are related to highly manageable chronic conditions, yet the US spends less than 2% on prevention management
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 16
Oklahoma Challenge Grant
Long Term Care Challenge Grant
Add on to the State HIE Cooperatives
Care Transition FocusAcute Care to Long Term Care Patient Transitions
One of Four in the NationOK, MA, MD, and CO
Final Year of Funding Year 2 of 2
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ADL Documentation
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Relevant Data Exchanged Regarding the Transition or Visit
Initiate
Accept
Financial/
Eligibility
Schedule
Patient Seen
Complete
Close
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 19
Challenge Grant Outcomes
98% compliance with Daily Assessments in EHR by Nursing Aides30% reduction of 30-day readmissions overall in all five facilities 40% reduction in 30-day return to ED post-
acute care discharge97% patient satisfaction50% reductions in readmissions in one year(Cedar Creek Living Center)
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Prescription Drug Monitoring ProgramPrescription Drug Monitoring Program
OBNDD
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Center for Disease Control (CDC)
Prescription drug abuse death is one of the fastest growing public health epidemics, outpacing deaths from traffic fatalities – and outnumbering deaths from heroine and cocaine combined.
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Meditech eCW Cerner
EHR
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© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 23
Technology and Healthcare Reform
Culture change: the five “E’s”Evidence-Based MedicineElectronic Conversion of Health RecordsEnd of Episodic CareExchange of Records Across the Care ContinuumEnterprising Care Delivery
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“If you don’t like change, you’re going to like irrelevance even less.”
“If you don’t like change, you’re going to like irrelevance even less.”
Eric Shineski U.S. Army General
Eric Shineski U.S. Army General