Transcript HIS Vendor Presentation

Healthcare Leaders Embrace Reform
17th Annual Scottsdale Institute Spring Conference
April 14-16, 2010
Camelback Inn
Scottsdale, AZ
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37 Hospitals
17 Long Term Care
21 Home Health/Hospice
1,122 Employed Physicians
50,000 Employees
$6m Net Revenue
Centura
AHS IS
Florida Hospital
A Decade of
Clinical Information Transformation
Cerner
Selected
Pilot Kickoff
Pilot
Go-Live
2nd & 3rd
Pilots Live
 2002-2005
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CEO/CFO/CNO EMR Meeting
Selection of Cerner
Pilots at 3 Hospitals
Replaced
◦ Reg/Schel/MPI/HIM
◦ Lab/Rad/Phrm/Surg
◦ Implemented
◦ Nrsg Doc/ICU/ED
◦ Order Mgt
◦ Doc Imaging
13
Hospitals
Live
16
Hospitals
Live
Final Hospital
Live &
Upgrade
 2006-2008
◦ EMR Rollout to 30
Hospitals
◦ Major Upgrade
(4 levels of code)
◦ Developed Evidence
Based Order Sets for
CPOE
Enhancements
2 CPOE
Pilots
&
15
Hospitals
Live CPOE
15
Hospitals
Live CPOE
 2009-2011
◦ CPOE pilots & rollout
◦ Physician
Documentation Pilot and
Rollout
◦ Clinical Doc
Enhancements
◦ Process & workflow
optimization
Hospital “Meaningful Use” 2011 Objectives
Significantly Meets Objectives at AHS:
Drug/Drug allergy alerts
Provide Pt with electronic copy of health info
Maintain active Med & Allergy lists
List of patients by condition for quality improvement
Provide access to Pt specific educ resources
Perform med reconciliation
Record Pt demographic data
Recording Vitals, Lab Results
Implement a 5 Clinical Decision Rule
Provide electronic Lab results and Syndronic
surveillance data to PH
Data Security Risk Assessment
Generate Pt list by specific condition
Electronic Eligibility & Claims Submission
Gaps Today:
CPOE – 10% of all Orders
Up-to-Date Problem List by Physicians
Report on 43 Quality measures from EMR
Provide Patient with electronic copy of Discharge Instructions
Capability to exchange key clinical information among providers
Submit electronic data to immunization registries
Provide summary of Care Record for each transition of care
Physician “Meaningful Use” 2011 Objectives
Significantly Meets Objectives for Practices on EPM/EMR:
CPOE
Report Ambulatory Quality Measures to CMS
Drug/Drug & Allergy alerts
Electronic Eligibility & Claims Submission
Maintain Up-to-Date Problem List
Document progress note for each encounter
ePrescribing
Provide electronic copy of pt’s health info
Maintain active Meds & Allergy List
Access to pt specific education resources
Record Patient demographic data
Provide Pt with Clinical Summaries for each
encounter
Record Vitals, Adv Dir & Lab Results
Perform Medication Reconciliation
Patient lists by specific conditions for QI
Clinical Summary to patient for office visit
Gaps Today:
EMR Deployment–Currently 30% of 600 Employed Clinic Phys deployed
Patient Portal for Timely electronic access to Health Info
Electronic Reminders to Pts for Preventive Care
Capability to exchange clinical info among providers
Submission of electronic data to immunization registries
Provide electronic syndronic surveillance to Public Health
Data Security Risk Assessment
Implement 5 Clinical Decision Rules
Alignment of AHS with Meaningful Use Objectives
• 2009
• Projected potential Stimulus Funding
• Gap Analysis – High Level
• Aligned IT Strategic Plan with Meaningful Use
Requirements
• 2010 – 1st Quarter
• Appointed Meaningful Use Coordinators (Czar)
• Detail Gap Analysis Completed
• Corporate Meaningful Use Taskforce
• Submitted Comments to CMS
• Corporate – Outlined Allocation of Stimulus Funding
Capital Allocation Based % on EBDITA
100%
90%
Balance Sheet
Improvement, 25%
80%
70%
Strategic, 25%
Corporate IT
55%
60%
50%
40%
Division IT
65%
Division, 10%
IT, 5%
Reallocation to
Large Hospital, 10%
30%
Hospital, 35%
Hospital, 35%
Hospital, 35%
Std Capital Allocation
Stimulus - Hospital
Stimulus - Physician
20%
10%
0%
Alignment of AHS with Meaningful Use Objectives
• 2010 – 2nd Qtr
• Continuing Deployment – CPOE/Physician EMR
• Developing Compliance Reporting/Dashboards
• 2010 – Next Steps Upon Final Meaningful Use Regulations
• Update Meaningful Use Gap Analysis
• Obtain Vendor’s – Approach/Enhancement Timeline
• Update IT Plan for 2010/2011
• Obtain Management’s Support for Plan/Resources
• Initial Focus:
• Meaningful Use Requirements Requiring Workflow
Changes
• Hospital/Physicians Achieving Compliance Levels
• Planning for Stage 2