4/11/2017 1 Technology Adoption Challenges with Electronic Medical Record Direction/Selection in 2010 By: Amnah Allboani and Jason Johnson Fall 2015 1 Contents ● Executive Summary ● Parkview Healthcare’s Mission ● Parkview History ● Business Model ● Challenges / Problems ● State in 2010 ● Options ● Questions ● Medical Technology ● EMR, EHR ● EMR/EHR Software Providers ● Pre- Implementation ● Implementation ● Phase 1 ● Phase 2 ● Evaluation ● References 2
Transcript
4/11/2017
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Technology AdoptionChallenges with Electronic Medical Record Direction/Selection in 2010
By: Amnah Allboani and Jason Johnson
Fall 2015
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Contents
● Executive Summary
● Parkview Healthcare’s Mission
● Parkview History
● Business Model
● Challenges / Problems
● State in 2010
● Options
● Questions
● Medical Technology
● EMR, EHR
● EMR/EHR Software Providers
● Pre- Implementation
● Implementation
● Phase 1
● Phase 2
● Evaluation
● References
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Executive Summary
● In healthcare, technology is progressively playing a role in almost all processes, from patient registration to data monitoring, from lab tests to self-care tools. Electronic Health Records is a technological advancement in healthcare that has emerged over the last ten years.
● Data is what medical staff use to make both critical and non-critical decisions, centralizing the information will improve the outcomes of the consistency of medical care delivered.
● This case study will examine and evaluate one of the technology management challenges that Parkview Healthcare experienced in 2010. By
● Evaluating existing Electronic Medical Record (EMR) systems
● Best solution would be to provide the quality of healthcare wanted to be deliver.
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Parkview Healthcare’s Mission
● Parkview Health’s mission is to improve the health of the communities being served by them, which implies putting patients and their community first, by engaging with patients and communities in a positive proactive manner.
● Parkview’s mission is to provide quality health services to all who entrust their care, and work to advance the health of the communities they serve.
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Parkview History
• 1878 – Fort Wayne City Hospital• 1918 - Hope Methodist Hospital• 1922 - Methodist Hospital of Fort Wayne• 1953 - Parkview Memorial Hospital• 1995 - Parkview Health System
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Business Model
Parkview Health System is a local nonprofit health system enjoys income and property tax exemptions.
Parkview controls 8 hospitals with 990 beds.
Provides a wide range of health services to residents of Northeastern Indiana, northwest Ohio and southern Michigan.
Considered as one of the region’s largest employers, with more than 8,800 employees and 340 physicians.
Annual Revenues of Parkview healthcare system is about $1.1 billion with Patient Encounters 1,675,786
Parkview Foundations are comprised of five interdependent foundations that are governed by volunteer boards of directors.
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Competitors
Community Health Systems, INC.
Beacon Medical Group, INC.
Indiana University Health Ball Memorial Hospital, Inc.
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Challenges / Problems
● Inefficiencies in use of the existing EMR GE Centricity that was implemented back in 2000
● Lack of system functionality to support new government regulations and reimbursement programs
● Decentralized systems and multiple manual process being on paper left the story of care fractured.
● Parkview was dealing with legal issues such as taking the healthcare industry to court.
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State in 2010
❖ Concern with code quality and deadlines
❖ Concern with ability to deliver vision
❖ End user satisfaction low
❖ Technically challenging to maintain
❖ Operationally challenging to deploy
❖ Workarounds
❖ Will require gap‐fillers for Meaningful Use(MU)
❖ Patient portal, Computerized Physician Order Entry(CPOE)
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Options
● Stay with existing Electronic Medical Record (EMR GE Centricity )
● Upgrade and join the best of breed applications
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Questions
1. Why did Parkview system decide to change EMR software?2. What are the available companies providing the medical software and
how big is their business?3. What system was chosen and by what method was it implemented?4. Did the new system meet Parkview’s requirements? How is the system
performing today?5. If we need to make the decision now, what company do we choose
and why? 6. Was cost the most important factor in making the decision?7. Were physicians and nurses who would use the system included in the
decision process?8. Did the deciding committee members investigate the various programs
at locations where those programs had already been implemented?9. Were the training programs for each system investigated?
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Medical Technology
● Innovation plays a crucial role in sustaining health.
● Improvements in medical technology have allowed better diagnose and treatment.
● These technologies include:
● tools being used for diagnosing (scanning, echo)
● testing and monitoring
● Technology to support the business: Enterprise Patient Systems, Hospital Patient Management, Hospital clinical, Ambulatory EMR, Practice Management, and Business/Administrative.
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Electronic Medical Records
● Digital version of paper charts
● Contains medical and treatment history of patients
● Centralized electronic system
● Lack of standardized terminology, system architecture, and indexing
● Within the same facility but not outside
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EMR System
Doctors
Patient
Laboratory
Pharmacy
Hospital Medical
Dept.
Hospital Administr
ation
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Electronic Health Records
● Structured data allows patient information to be easily retrieved and transferred
● EHRs are designed to reach out beyond the health organization that originally collects and compiles the information.
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EMR vs EHR
EMR EHRLocation Locally in one
Practice/Clinic.Cloud
Who can access Accessed by only medical staff and physicians at a specific location
Clinicians and specialist of various location. (Physician offices, hospital, specialist…)
What data is held Hold patients’ medical data
Patient’s information related to all points of care. ( where was seen for any medical assistance)
Other information Information shared outside with email or regular mail
All EMR information is transferred into EHR 16
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EMR/EHR Software Providers
● GE Healthcare
● Epic Systems
● Cerner
● McKesson
● Allscripts Healthcare Solutions
16%
15%
15%7%13%
21%
13%
EHR Market Share2010
EPIC eClinicalworks Allscripts Practice Fusion GE Others NextGen
Name Centricity EMR EpicCare Allscripts ProfessionalTop Specialties
Cardiology Diagnostic Radiology Family Practice Gastroenterology General Surgery Internal Medicine Neurology Obstetrics/Gynecology Orthopedic Surgery Pulmonary Disease
Cardiology Family Practice Gastroenterology General Surgery Hematology/Oncology Internal Medicine Neurology Obstetrics/Gynecology Orthopedic Surgery Pulmonary Disease
Cardiology Family Practice Gastroenterology General Surgery Internal Medicine Neurology Obstetrics/Gynecology Orthopedic Surgery Pulmonary Disease Urology
Solutions Available
Electronic Medical Records
Practice Management
Electronic Medical Records
Patient Scheduling Practice Management
Electronic Medical Records
Medical Billing Patient Scheduling Practice Management
Intended User
Hospital, Private Practice Hospital, Private Practice Hospital, Private Practice
Platform Online On Premise Online / MobileHIPAA Compliant
