Transcript Challenges and Success* of HIT

The Challenges and
Success of HIT
A perspective of 3 leaders
Beverly Nixon-Lewis, DO
Regional CMIO Texas Tech University HSC-Amarillo, TX
Amarillo – Texas Tech University
Health Sciences Center
 Rolled out EHR in ‘big bang’ delivery beginning in 2008
 60 providers, 90 residents, ~100 students, more than
200 clinical and non-clinical staff
 EHR department of ~7 personnel
 Local Servers
 Off site Disaster Recovery Servers
 IT department of ~5 personnel
Discrete Data
 Several Diagnostic Laboratory Services with interface
through Orchard
 M-Modal for transcription and voice recognition
 Patient portal with discrete data forms
Panhandle Reproductive Research Lab
Non-Discrete Data
 Radiology Services
 Consultant Notes and Hospital records
 Doctor Alliance
 Home Health, DME, Hospice, NH documents.
Patient Engagement
 Patient Portal
 Secure messaging/appt. requests/refills/results
 Increasingly getting patients ‘logged in’
 Unexpected benefits
Decreasing Provider Time in EHR
 Disease specific
Forms customized
 ‘All normal’ with
documentation of exceptions
 Text Templates
 Transcription/Voice Recognition
 Diversion of workflows back to
nursing and support staff
Hospitals of Amarillo
 Baptist St. Anthony’s: Siemen’s-Sorian Clinical
 Results, Medication reconciliation, dictation, Image viewer
 CPOE ‘coming soon’
 Healthconnect patient portal
 Select lab results and radiology results
 Northwest Texas Hospital: Cerner
 CPOE, Results, Medication reconciliation, dictation and
Image viewer
 Online Health Records-Patient portal
 Problem lists, Medications and completed procedures
 Summary of Care
Challenges
 Politics and competition between hospitals
 Staff turnover
 Workflow adaptations
 Institutional Barriers
 Accessing EMR outside
 EHR dept vs IT dept
 MU management of Providers
 Decreasing Provider Job Satisfaction and Burnout
Achievements
 Internal relationships
 Adapting Workflow’s
 Diversion of WF’s away from providers
 Improving speed to documentation
 MU dollars at 2.28 Million