Electronic Health Records A Little Bit About Me Why I’m Here Tonight Why go Electronic Why not to go Electronic
Buckmaster, Bill, Host has reference to this Academic Journal, PHwiki organized this Journal Electronic Health Records Is Now Finally the Time A Little Bit About Me UCLA Chicago Medical School Georgetown-Providence Hospital Medical In as long as matics Fellowship Joined SCPMG in 2001 Why I’m Here Tonight Share my personal experience of implementing, using in addition to now optimizing an Electronic Health Record as long as the last 4 years Share the experiences of other physicians, nurses, staff in addition to patients Going electronic can be challenging, but nobody would go back to paper
This Particular University is Related to this Particular Journal
Why go Electronic Immediate in addition to remote access to clinical in as long as mation E-prescribing Decision support with physician order entry (CPOE) Redeploy existing resources in different ways Integration with other services (i.e. Labs, Radiology, Pharmacy, Inpatient, Emergency Dept) After Visit Summary Personal Health Record Secure Messaging (Encrypted Patient Email) Why not to go Electronic Some initial pain Cost Time Decreased productivity (period of time) IT Support Poor typing or computer skills Critical Success Factors You need to go all in Invest up front Change Management Make time to meet Inout from your Team
Potential Pitfalls The EHR is a Tool, but you have to use it correctly to benefit Bloated progress notes Poor office workflows on paper will become poor office workflows electronically Don’t Assume – spend time up front talking about what’s working in addition to what isn’t Invest time be as long as e you go-live or after Change Management Communicate, Communicate, Communicate Don’t make special deals Create a Positive Vision Fast Change is easier than Slow Change Things get worse be as long as e they get better
An EHR won’t fix everything The EHR is a Tool, but you have to use it correctly to benefit Bloated progress notes Poor office workflows on paper will become poor office workflows electronically Don’t Assume – spend time up front talking about what’s working in addition to what isn’t Invest time be as long as e you go-live or after Typical KP Setup Appointments can be made online at KP.org Paperless Check in via Receptionist or Kiosk Medical Assistant rooms & preps patient Every physician office in addition to exam room with a wired Desktop Computer mostly on carts Clinical Documentation & Computerized Physician Order Entry (CPOE) Patient given After Visit Summary with list of diagnoses, orders, medication list, in addition to patient instructions Prescriptions, Lab or Radiology orders submitted electronically
Training 24 hours of initial training Currently done in 16 hours of training All providers went though a class on Interacting with Patients in addition to a Computer in an Exam Room 4 weeks of reduced patient schedules What Makes Kaiser Permanente Different It’s the Care Delivery Model Integration, Integration, Integration More than an Electronic Health Record More than a Personal Health Record Productivity 50% reduction in schedule as long as 2 weeks 25% reduction in schedule as long as 1 weeks 10% reduction in schedule as long as 1 weeks Physicians took 6-12 months to regain previous productivity
Productivity 50% reduction in schedule as long as 2 weeks 25% reduction in schedule as long as 1 weeks 10% reduction in schedule as long as 1 weeks Physicians took 6-12 months to regain previous productivity Methods of Data Entry Typing Macros or Shortcuts Point in addition to Click interface Voice recognition Decision Support Medication interactions Allergy checking Quality Reminders
EMR Sustainability Is it doable Just a bit about me. Pacific Union College Loma Linda University Bachelor of Science in Nursing Worked in L&D, ER, Trauma, Critical care transport in addition to ambulatory care. Joined SCPMG in 2005. Why AM I here tonight Because Stephen asked me Seriously, to share a nursing, administrative in addition to provider view on EMR sustainability. Share what I learned from my failures, epiphanies in addition to successes. Help avoid some of the pitfalls. Help you become a CSI agent.
We bought it, rolled it out in addition to now we are committed. Now what The Plan That’s about right! What are the challenges to sustainability Spread of in as long as mation Multiple in addition to varied stakeholder’s with different needs that interface. Various training groups may have different messages. Amount of in as long as mation vs time to train. Low priority.
What happens if there is no oversight in addition to sustainability Then Urban legends abound “I thought that’s what they told me to do.” “Someone else told me” “Isn’t that what they said” “I’m just saying” “That’s how we’ve always done it.” Finally Inefficiency in addition to confusion, declining quality in addition to frustration now abound.
Essential pillars to success Active Senior leader sponsorship. Multidisciplinary group interaction-operational, technical, front-line in addition to administrative. Ability to engage, influence in addition to build trust at all levels. Test labs as long as RIM Willingness to try new methods, challenge the status quo. First Steps What are your biggest areas of opportunity or risk Ask the right questions. Facilitate communication with everyone affected. Test with 1-2 people then spread. Widen the view Will you need more resources to spread in addition to sustain Were there any other entities that need the in as long as mation Are there any other venues that can be utilized to communicate in addition to train Develop experts Train 3 deep Have coverage in addition to contingency agreements.
Good luck! Success is yours!
Buckmaster, Bill Host
Buckmaster, Bill is from United States and they belong to Arizona Illustrated-KUAT-TV and they are from Tucson, United States got related to this Particular Journal. and Buckmaster, Bill deal with the subjects like Domestic Lifestyle (Regional); Local News; Regional News
Journal Ratings by Bridgewater State College
This Particular Journal got reviewed and rated by Bridgewater State College and short form of this particular Institution is US and gave this Journal an Excellent Rating.