Electronic Medical Records (EMRs) in a long-term and

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• Electronic Medical Records (EMRs) in a long-term
  and
• mental-health care setting

Douglas A. Struyk, President and CEO Jennifer
DAngelo, Director of Software Implementation
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Christian Health Care Center
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Our programs for the elderly and mentally ill

• Elder-care programs
• Heritage Manor Nursing Home Post-acute Care
  Unit PACU, Long-term Care Unit, Special-care
  Unit 252 residents
• Southgate behavior-management unit Special-care
  unit 40 residents
• The Longview Assisted Living Residence 95
  residents
• Christian Health Care Adult Day Services Wayne
  and Wyckoff
• Hillcrest Residence - 39 residents
• Evergreen Court - 40 affordable apartments
• Mental-health programs
• Ramapo Ridge Psychiatric Hospital - 58 beds
• Ramapo Ridge Partial Program For post-acute
  adults
• Pathways partial-hospitalization program
  Developmentally disabled/mentally ill adults
• Christian Health Care Counseling Center
  Traditional outpatient

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Unique needs of long-term care (LTC) facilities
with EMR initiatives

• Differ from acute-care setting needs
• Acute-care more focused on diagnosis, treatment,
  and communication speed.
• Implementing acute care-oriented systems in LTC
  settings encounter limitations due to larger
  records and longer lengths-of-stay.
• LTC facilities need extensive histories and
  descriptive information with less treatment
  information and provider communication.

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Direct benefits of our EMR

• Improvements in QI/QM data, in addition to survey
  outcomes
• Reduction in errors (resident/patient safety)
• Improved staffing efficiency
• Interoperability with lab, pharmacy,
  rehabilitation, radiology, etc. to minimize
  transcription errors and streamline information
• Savings with third-party vendors

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Barriers surrounding implementation

• Financial
• - Christian Health Care Center invested 750,000
  for hardware, software, training, and wireless
  set-up costs
• Staff
• Adaptation/computer literacy
• Fear/change
• Time-sensitive

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Our implementation process

• Three phases designed
• Back-order entry, CPOE, Progress Notes
• Care plans, MDS, CMS forms
• Assessments, nurse instructions, CNA assignments,
  policy and procedure revisions
• Staff awareness began 12 months prior
• Letters sent and meetings with families
• Kick-off party and celebrated project
• Implementation begins!

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Daily documentation totals
eMAR/eTAR
TOTAL
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• Electronic
• Medical Record
• demonstration