Transcript Electronic Medical Records: What It Means to the ED

Mark Mitchell, D.O., FACOEP, FACEP
Senior VP – Provider Services
Schumacher Group
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Many systems available that vary in ease of
use.
Are the EM Leaders involved in the selection
process?
Is the rollout in stages or hospital wide all at
once?
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Did the facility purchase training?
Is the training adequate?
When does the training occur?
◦ If too far out from Go Live date is an issue
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Who provides training for new providers(after
go live period)?
Will the facility pay for the EM Providers to
undergo the training?
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Door to Provider Time
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Turn around time (LOS)
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LWOTs
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Patient Satisfaction
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Overtime or additional Coverage
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RVU/Visit
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E & M Downcode %
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Door to Provider Time
Turn around time (LOS)
LWOTs
Patient Satisfaction
Overtime or additional Coverage
RVU/Visit
E & M Downcode %
Patient Satisfaction
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Medical Director leadership and positive
outlook – Be a role model.
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Insure all providers participate in training.
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Training about 2 weeks prior to go live.
◦ Too far in advance and providers don’t have the
opportunity to use what is learned and forget it.
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Resources available 24/7 during go live
transition period.
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Build and use template shortcuts.
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Establish ED Superuser.
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Plan for additional coverage in advance.
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Recruiting – Can’t just walk in and work if
unfamiliar with EMR.
◦ Some facilities have limited training opportunities.
◦ Must have log on information
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Still not formatted with ease to find historical
information.
Need prompts on Clinical Decision Making
and Evidence Based Medicine
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Easy access to patient information regardless
of where care performed.
Ability for patient’s records to follow them.
Communication tool with other healthcare
providers.
More cost effective care:
◦ Elimination of duplicate test and medications.
◦ Assist in proper disposition:
Admit/Observation/Discharge/Transfer
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Mark Mitchell, D.O., FACOEP, FACEP
◦ Senior Vice President – Provider Services
Schumacher Group
Office: 337-354-1124
[email protected]