EHR Selection and Implementation Process for CHC Executives

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EHR Selection and ImplementationProcess for CHC
Executives

• Carolyn Hartley
• Physicians EHR, Inc

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Overview

• Planning
• Budget, time, internal/external relationships
• Selection
• Budget, time, product knowledge
• Implementation
• Budget, time, people knowledge

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Three Stages
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EHR Business Drivers
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Plan Your Work Work Your Plan

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Step 1 Build EHR Dream Team

• Provider Champion
• Medical, Dental, Behavioral Health
• Director of Nursing
• Identify super users
• Shadow physicians
• Medical Records Director
• Information Systems Specialist
• Customization team
• Administrators CFO, COO

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Step 2 Assessments
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Step 3 Timetable

• Begin/end dates for research (local, national)
• Decision about connectivity, practice management
  system
• Interface/integrated
• Decision about vendor, technology, funding
• Big Bang vs. Staggered Approach
• Plan to retire charts
• Go Live Date

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Big Bang/Staggered
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Step 4 System Assessments

• What systems meet our
• Business Drivers and Growth
• Needs
• Budget
• Culture
• Connectivity
• wired / wireless / hardware
• ASP / hosted / hybrid

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Step 5 Paper to EHR Strategy

• Current Workflow not an individual assignment
• Check in, Check out
• Prescription
• Chart pulls
• Referrals
• Patient tracking
• Charge capture
• Chart location storage
• Transition Plan (more in implementation)

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Selection Strategies

• Increasing reliability

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What Should We Buy?

• EHR wont break the bank now or next year
• Customer and Technical Support
• Nimble -- can make revisions
• Awesome implementation
• Longevity
• Research and development
• Integrated PM/EHR system

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Integrated or Best of Breed?

• Integrated one system
• Must have an attitude about your PM system
• Change can cost 5,000 to 100,000 depending on
• Contract
• Vendors
• Conversion
• Coordinate plan to capture outstanding
  receivables
• Best of Breed keep your PM system, purchase EHR
• Financial/administrative/clinical

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Push/Pull
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Implementation Planning

• EHRs are wonderfully (_at_!!) configurable
• Build a customization team
• Collect all paper forms
• Get to know the system
• Workflow evaluation
• Directly related to successful or frightful
  implementation
• Map out information exchange through all
  departments
• Scheduling, HR, Med Rec, Networking, Dictation,
  Transcription, billing/collections

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Implementation Timetable
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Implementation Timetable (2)
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Summary

• Planning and workflow evaluation influence
  consequences
• Plan your work, work the plan
• Visit the EHR Lab.
• Ask to see Maria Gonzales
• You have to use the EHR
• Ask for help.

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Thank You

• Questions, Comments, Inquiries
• Carolyn Hartley
• 919-859-9907
• Carolyn_at_physiciansehr.com