David West
A provider’s perspective on…
ElectronicHealth Records
Overview
Organizational Impacts from Electronic Health Records (EHR)
Provider Strategies for Electronic Health Records (EHR)
Who Are We
The mission of Avita Community Partners is to promote safe, stable and meaningful lives. Avita partners with individuals, families and communities to minimize barriers for persons with mental health, developmental disabilities, addictive diseases and similar life challenges.
Seeing people achieve their dreams
Avita Community Partners envisions all individuals served as:Avita Community Partners envisions all individuals served as:
•Having a homeHaving a home
•Having a jobHaving a job
•Being knowledgeable about their disability and service optionsBeing knowledgeable about their disability and service options
•Having a natural support systemHaving a natural support system
Servicing 13 Counties• Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart,
Lumpkin, Rabun, Stephens, Towns, Union, and WhiteLumpkin, Rabun, Stephens, Towns, Union, and White 3,400 square miles3,400 square miles OfficesOffices Residential FacilitiesResidential Facilities Intensive ServicesIntensive Services Community-Based careCommunity-Based care
Avita Systems before an Electronic Health Record
An Over-arching System
With an EHR, Avita’s was able to streamline, integrate and coordinate business processes, technology, and information.
Technology Thoughts..
Do you realize if it weren't for Edison we'd be watching TV by candlelight? ~Al Boliska
Organizational Impacts..
A provider can use an EHR system to accelerate how we deliver and manage clinical services
Organizational Impacts..
Improvements gained from Electronic Health Records
Clinical Practice
Business Operations
Integration treatment across
service line providing more
holistic plan of care
Single electronic record compared to paper records
with different programs and service lines
1. Foster a team approach to a system to care
2. Providers share data with other providers and community partners
Impacts to Clinical Practice
Error reduction as result of information sharing.
Progress notes match billing records and other required documentation
Comprehensive medication list
from treatment team
Immediate access to information
On call Staff
Mobile Staff (Hospital Liaison)
System alerts for authorization
and allergies
Impacts to Clinical Practice
Clinical Form consolidation
Had over 150 forms that were streamlined into the clinical workflow
Only enter data elements once
EHR Impacts to Business Operations
Access to health records
Client transfer to different offices and counties
Ease of health record reviews and route
records to other reviewers
Immediate data entry (billing) and
concurrent documentation
Enhance tracking and analysis on
workflow for quality improvement
and outcomes.
Wait times
Measurements for Satisfaction
with services
Changes in level of functioning
EHR Impacts to Business Operations
We are the children of a technological age. We have found streamlined ways of doing much of our routine work. Printing is no longer the only way of reproducing books. Reading them, however, has not changed...-- Lawrence Clark Powell---
Technology Thoughts..
Functional and Business Requirements
Key Characteristics for an
Electronic Health Record
Provider Strategies for Electronic Health Records
What are your functional and business requirements
Systems that are:
Flexible
Adaptable
Extensible
Interoperable
Secure
Responsive
Today’s Business
Past Business Environment
Static Data Elements
System Silos
Provider needs from an EHR
Electronic Health Records for Today’s Business
Ideal Characteristics:Flexible
Able to change data structures, requirements, information and tracking on an ongoing basis.
Extensible Scalable for both small and large providers. Must be an “Open” system architecture allowing new features and
functions to be added or plugged in at will.
Interoperable and Secure The system needs to operate and interface easily with other systems. Information must be protected for privacy at all times.
Responsive Information should flow into the EHR system in an “as soon as
gathered mode” rather than weekly, monthly, etc. intervals. Business requirement changes must flow into the system as needed.
Closing Thoughts..
The good-to-great companies used technology as an accelerator of momentum, not a creator of it. – Jim Collins “Good to Great”
EHR can make an impact on a provider’s
clinical practice and business operations, but
will never change or create core values we
have as providers.