Post on 24-Dec-2015
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Ron SconyersRural Healthcare Solutions, LLC
F oundation L everage E ngage X exute
What is your IT Identity HIMSS What are you dealing with
◦ Definition of terms
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IT Personality Emerging, leading or bleeding edge
Measured benefits
Necessary Evil
Approach to IT Aggressive Optimized and balanced
Cautious
Uses for IT Strategic advantage
Consolidation & productivity
Utility
Risk Tolerance High Moderate Low
IT Metrics Strategic advantage
Value-based Efficiency
IT Investment Behaviors
“bet the farm” “All things in moderation”
“Cost of doing business”
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RECORD TERMS◦ Electronic Medical Records◦ Electronic Health Records◦ Personal Health Record
NETWORK TERMS◦ Health Information Exchange◦ Health Information Organization◦ Regional Health Information Organization
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ELECTRONIC MEDICAL RECORD (EMR)◦ An electronic record of health-related information
on an individual that can be created, gathered, managed, and consulted by authorized clinicians
and staff within ONE health care organization.
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ELECTRONIC HEALTH RECORD (EHR) ◦ An electronic record of health-related information
on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by
authorized clinicians and staff across MORE THAN ONE health care organization.
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PERSONAL HEALTH RECORD (PHR) ◦ An electronic record of health-related information
on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.
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HEALTH INFORMATION ORGANIZATION (HIO) ◦ An organization that oversees and governs the
exchange of health-related information among organizations according to nationally recognized standards. .
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HEALTH INFORMATION EXCHANGE (HIE) ◦ The electronic movement of health-related
information among organizations according to nationally recognized standards.
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REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) ◦ A health information organization that brings
together health care stakeholders within a defined geographic area and governs health information exchange among them for the purpose of improving health and care in that community
Data from HIMSS AnalyticsTM Database N = 1,257 / 3,913 2009 HIMSS Analytics
Stage 2
Stage 3
Stage 4
Stage 5
Stage 6
Stage 7
Stage 1
Stage 0
Clinical Data Repository, Controlled Medical Vocabulary, Clinical Decision Support, may have Document Imaging
Clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology
CPOE, CDSS (clinical protocols)
Closed loop medication administration
Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS
Medical record fully electronic; HCO able to contributeCCD as byproduct of EMR; Data warehousing in use
Ancillaries – Lab, Rad, Pharmacy – All Installed
All Three Ancillaries Not Installed
0.0%
0.0%
1.0%
1.0%
18.7%
29.6%
13.0%
36.7%
0.4%
1.0%
4.4%
3.4%
42.9%
32.8%
7.7%
7.4%
PPS CA
Data from HIMSS AnalyticsTM Database N = 2,579 / 1,257 2009 HIMSS Analytics
Stage 2
Stage 3
Stage 4
Stage 5
Stage 6
Stage 7
Stage 1
Stage 0
Clinical Data Repository, Controlled Medical Vocabulary, Clinical Decision Support, may have Document Imaging
Clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology
CPOE, CDSS (clinical protocols)
Closed loop medication administration
Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS
Medical record fully electronic; HCO able to contributeCCD as byproduct of EMR; Data warehousing in use
Ancillaries – Lab, Rad, Pharmacy – All Installed
All Three Ancillaries Not Installed
0.0%
0.2%
1.4%
1.3%
23.1%
35.9%
12.3%
25.7%
0.0%
0.0%
1.0%
1.0%
18.7%
29.6%
13.0%
36.7%
Critical Access
<100 Beds
Data from HIMSS AnalyticsTM Database N = 1257 2009 HIMSS Analytics
F oundation L everage E ngage X exute
ARRA Other areas to address
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Medicare – Hospitals◦ System must be “certified” (assume means
CCHIT)◦ Connected in a manner that provides…for the
electronic exchange of health information to improve the quality of health care.
◦ Submits information ..on such clinical quality measures and such other measures as selected
F oundation L everage E ngage X exute
Develop a Strategic Plan S W O T Analysis Gap analysis from Office of National
Coordinator Policies Identify Physician leader(s)
F oundation L everage E ngage X exute
Execute your plan Develop status reports
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(1)Hickman, George T., and Smaltz, Detlev H. (Herb), The Healthcare Information Technology Planning Fieldbook. Chicago, IL: Health Information and Management Systems Society; p28