HIMSS 2006

HIMSS 2006HIMSS 2006

Davies Award Davies Award

Southeast Texas Medical Southeast Texas Medical Associates, LLPAssociates, LLP

(SETMA, (SETMA, www.setma.com))

February 14, 2006February 14, 2006


SETMA’s Time Line SETMA’s Time Line

October, 1997– MGMAOctober, 1997– MGMA

March, 1998 – Purchase March, 1998 – Purchase

August, 1998 – EPM RolloutAugust, 1998 – EPM Rollout

January 1999 – EMR RolloutJanuary 1999 – EMR Rollout


BenchmarksBenchmarks

Worst Day of My lifeWorst Day of My life Jan ‘99Jan ‘99

CelebrationCelebration May ‘99May ‘99

Fahrenheit 451 Fahrenheit 451 Jan ‘00Jan ‘00

Hospital EMR Hospital EMR Jan ‘01Jan ‘01


Benchmarks ContinuedBenchmarks Continued

Disease Management Disease Management Jan ’02Jan ’02

Diabetes EducationDiabetes Education May ‘04May ‘04

PaperlessPaperless Dec ‘04Dec ‘04

Nursing Home EMRNursing Home EMR Dec Dec ‘04‘04


Benchmarks ConcludedBenchmarks Concluded

LESSLESS Initiative Initiative Dec ‘04Dec ‘04

Tutorials CompletedTutorials Completed July ‘05July ‘05

Research ProgramResearch Program Jan ’06Jan ’06

The FutureThe Future


Current Functions of NoteCurrent Functions of Note

Diabetes PreventionDiabetes Prevention

Hypertension PreventionHypertension Prevention

Pain Management and Habituating Pain Management and Habituating MedicationsMedications


Current Functions of NoteCurrent Functions of NoteNursing Home CareNursing Home Care

Hydration AssessmentHydration AssessmentNutrition AssessmentNutrition AssessmentUnavoidable Skin LesionsUnavoidable Skin LesionsDepressionDepressionFall Risk AssessmentFall Risk Assessment


Current Functions of NoteCurrent Functions of NoteDisease ManagementDisease Management

ACS, Angina, Asthma, CHF,ACS, Angina, Asthma, CHF,Diabetes, Diabetes Education,Diabetes, Diabetes Education,Headaches, Hypertension, Lipids,Headaches, Hypertension, Lipids,Metabolic Syndrome, RenalMetabolic Syndrome, RenalDisease, Weight Management Disease, Weight Management



Electronic Tickler FileElectronic Tickler FileFuture LabsFuture LabsCharge PostingCharge PostingGuidelines (28)Guidelines (28)Insulin InfusionInsulin Infusion



Smoking CessationSmoking Cessation

ExerciseExercise

RoutineRoutineCHFCHFDiabetesDiabetes



Drug InteractionsDrug Interactions

Admission OrdersAdmission Orders

Discharge SummariesDischarge Summaries


Special Data BasesSpecial Data Bases

General MedicineGeneral MedicineNursing HomeNursing HomeOphthalmologyOphthalmologyPediatricsPediatricsPhysical TherapyPhysical TherapyRheumatologyRheumatology

HIMSS HIMSS 20062006

Principles of DevelopmentPrinciples of Development

Electronic Patient Management rather Electronic Patient Management rather than Electronic Patient Recordsthan Electronic Patient Records

Bring to bear upon every patient Bring to bear upon every patient encounter what is known rather than encounter what is known rather than what a particular provider knows.what a particular provider knows.



Make it easier to do it right than Make it easier to do it right than not to do it at all.not to do it at all.

Continually challenge providers Continually challenge providers to improve their performance.to improve their performance.



Infuse new knowledge and decision-Infuse new knowledge and decision-making tools throughout an making tools throughout an organization instantly.organization instantly.

Establish and promote continuity of Establish and promote continuity of care with patient education, care with patient education, information and plans of care.information and plans of care.



Enlist patients as partners and Enlist patients as partners and collaborators in their own health collaborators in their own health improvement.improvement.

Evaluate the care of patients and Evaluate the care of patients and populations of patients populations of patients longitudinally.longitudinally.



Audit provider performance based on the Audit provider performance based on the Consortium for Physician Performance Consortium for Physician Performance Improvement Data Sets.Improvement Data Sets.

Create integrated disease-management Create integrated disease-management tools giving patients the benefit of expert tools giving patients the benefit of expert knowledge while they get the benefit of a knowledge while they get the benefit of a global approach to their total health.global approach to their total health.


Healthcare delivery is not improvedHealthcare delivery is not improved

simply by the providing of moresimply by the providing of more

information to the healthcareinformation to the healthcare

provider at the point of care.provider at the point of care.


Care is improved by data displayCare is improved by data display

which creates a dynamicwhich creates a dynamic

interaction all members of theinteraction all members of the

healthcare team, simultaneouslyhealthcare team, simultaneously

integrating data across diseaseintegrating data across disease

processes and specialties.processes and specialties.


Care is improved when data andCare is improved when data and

decision-making tools aredecision-making tools are

displayed in a fashion whichdisplayed in a fashion which

dynamically changes as thedynamically changes as the

patient’s situation and needspatient’s situation and needs

change.change.


Care improves when data processed inCare improves when data processed in

one setting is simultaneously availableone setting is simultaneously available

in all settings resulting in efficiency and in all settings resulting in efficiency and

in displaying the impact elementsin displaying the impact elements

contained in one data set exert uponcontained in one data set exert upon

multiple aspects of a patient’s health.multiple aspects of a patient’s health.


Care is improved when evaluation ofCare is improved when evaluation of

its quality, as measured by evidenced-its quality, as measured by evidenced-

based criteria, is automaticallybased criteria, is automatically

determined at the point of care and determined at the point of care and

when the data display makes it simplewhen the data display makes it simple

for the provider to comply with thefor the provider to comply with the

accepted standards of care.accepted standards of care.


Healthcare Healthcare is is improved when data can beimproved when data can be

Displayed longitudinally, showing theDisplayed longitudinally, showing the

patient how their efforts have affected theirpatient how their efforts have affected their

well-being. This is circular thinking. well-being. This is circular thinking.

A person begins at health. A person begins at health. Aging and habits result in illness. Aging and habits result in illness. Positive steps retain or restore health.Positive steps retain or restore health.


Healthcare improvement viaHealthcare improvement via

systems will require dynamicsystems will require dynamic

auditing tools giving providers andauditing tools giving providers and

patients immediate feedback on thepatients immediate feedback on the

effectiveness of their healthcare.effectiveness of their healthcare.


The FutureThe Future

What is will look like is beyond meWhat is will look like is beyond mebut it will be built upon thebut it will be built upon thefoundation of excellence, just asfoundation of excellence, just asour presence system is.our presence system is.

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HIMSS 2006

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