Blank Jeopardy

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Planning Education
Workflow Analysis Redesign
Configuration, Testing Training
Go Live Post Implementation
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Q1
Q1
Q1
Q2
Q2
Q2
Q2
E.H.R. J E O P A R
D Y
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Q3
Q3
Q3
Q4
Q4
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Q5
Q5
Q5
Q5
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Planning Education Question 1

• Which one does not belong on the project team?
• Project Manager
• Champion Users
• Subject Matter Experts
• Trainers
• Technical Support
• Butcher

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Planning Education Answer 1
6. Butcher
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Implementation Planning Project Team Defined

• Project Manager
• Champion Users
• Subject Matter Experts
• Trainers
• Technical Support

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Planning Education Question 2
Define the difference between a Phased vs. a Big
Bang implementation?
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Planning Education Answer 2

• Phased - site by site install
• Big Bang - all sites at once

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(No Transcript)
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Planning Education Question 3
Issue tracking, project plan, newsletter are
examples of what?
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Planning Education Answer 3
Project documentation
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Issue Tracking Example
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Project Plan
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Planning Education Question 4
True or False It is necessary to provide the
Project Team with a training of the E.H.R. being
implemented.
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Planning Education Answer 4
TRUE!
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Planning Education Question 5
What is the biggest hurdle staff need to overcome
when they begin using an E.H.R.? A Using a
computer B Familiarizing themselves with the new
electronic workflows C Remembering their user
names/passwords D All of the Above
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Planning Education Answer 5
A Using a computer
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Basic Computer Skills Training
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Basic Computer Skills Training
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Basic Computer Skills Training
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Basic Computer Skills Findings
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Workflow Analysis Redesign Question 1
Rate the importance of documenting "paper
workflows" when beginning your workflow
analysis? 1-Not important 2-Somewhat
important 3-Important 4-Very Important 5-Criticall
y Important
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Workflow Analysis Redesign Answer 1
5-Critically Important
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Workflow Analysis Redesign Question 2
Yes or No Is it important to consider
Integration between Front Office and Back office
when reviewing workflows?
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Workflow Analysis Redesign Answer 2
Yes!!
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Workflow Analysis
Start
Patient Arrives, Registration is performed.
Patient is Checked In.
Follow-up Work Queues
Patient is scheduled with an appointment
Physician documents the encounter
Next Responsible Party processing, if necessary
Payments, Adjustments, and Denials posted to the
Account.
Charges Reviewed based on rules..
Payment and/or EOB is received.
Clean Charges go to A/R
Dirty Charges go to Charge Review Work Queue
Clean Claims submitted to insurance Electronic or
Paper
Bill/Claim Processing occurs.
Clean claims move on. Dirty claims go to Claim
Edit Work Queues.
Claims are reviewed by edit checks.
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Workflow Analysis Redesign Question 3
True or False Site visits should be interactive.
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Workflow Analysis Redesign Answer 3
True!
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Workflow Analysis Redesign Question 4
Which items do not need to be collected during
the site visits A Staffing Numbers by
Discipline B Paper Encounter Forms C Flow
Sheets D Lunch orders
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Workflow Analysis Redesign Answer 4
D. Lunch Orders
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Workflow Analysis Redesign Question 5
True or False Each site should maintain unique
operational and clinical workflows.
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Workflow Analysis Redesign Answer 5
False!
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Configuration, Testing Training Question 1
Rate the importance of utilizing the re-designed
workflows in configuring the system for
testing. 1-Not important 2-Somewhat
important 3-Important 4-Very Important 5-Criticall
y Important
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Configuration, Testing Training Answer 1
5-Critically Important
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Configuration, Testing Training Question 2
TRUE OR FALSE System testing should be
completed by the Project Manager.
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Configuration, Testing Training Answer 2
FALSE
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Workflows Testing
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Configuration, Testing Training Question 3
YES or NO Is it necessary to provide training to
the Non-Clinical staff (i.e. front office staff)
prior to implementation?
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Configuration, Testing Training Answer 3
Yes!!
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Non-Clinical Training

• Front Office/Business Office Staff
• Clinical workflow overviews
• Primary focus impact on workflows
• Staff concerns about job retention need to be
  addressed

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Configuration, Testing Training Question 4
Fill in the blank __________ is an important
first step in training clinical users as it
provides an opportunity for them to become
familiar with navigating the system as well as
documenting clinical information in the
E.H.R.. 1-Abstracting 2-Purchasing a GPS System
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Configuration, Testing Training Answer 4
Abstracting
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Abstracting

• Pros
• Meaningful information in E.H.R. at go-live
• Reduces reliance on paper chart
• Higher physician satisfaction
• Improves length of visit after install of E.H.R.
• Data collection on historical information
  possible

• Challenges
• VERY labor intensive
• Planning/budgeting for time spent

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Configuration, Testing Training Question 5
Re-organize by order of importance for the
training process 1-develop training
materials 2-configure dedicated training
space 3-schedule training 4-schedule "Shadow Day"
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Configuration, Testing Training Answer 5
4,2,3,1 4-schedule "Shadow Day" 2-configure
dedicated training space 3-schedule
training 1-develop training materials
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Clinical Training

• Clinical Training
• Abstracting
• Provider - 4 hour sessions
• Nursing 4 hour sessions
• Application Training
• Provider 8 hour sessions split into 2 days
• Nursing 8 hour sessions split into 2 days

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Go Live Post Implementation Question 1
TRUE OR FALSE You need to consider reducing
physicians schedule load as the practice adjusts
to the E.H.R.
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Go Live Post Implementation Answer 1
TRUE!
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Go Live Post Implementation Question 2

• Go live support planning should be done
• 10 minutes before go-live
• The week before go-live
• Two months before go-live
• Never

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Go Live Post Implementation Answer 2
C. Two months before go-live
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Go Live Post Implementation Question 3
True or False The Project Team should be the
only group meeting daily during go-live.
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Go Live Post Implementation Answer 3
False!
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Go Live Post Implementation Question 4
How soon after go live should you begin your
optimization program? A. 1 Year B. 5 Years C.
1 Day D. 2 Weeks
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Go Live Post Implementation Answer 4
D. 2 Weeks
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Go Live Post Implementation Question 5
Once the first site is live with the E.H.R. there
should be no more modifications made to system
configuration. Agree or Disagree
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Go Live Post Implementation Answer 5
B. Disagree
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Questions
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• Alison Meyers
• Business Systems/Help Desk Manager
• ameyers_at_institute2000.org
• 860-219-0198
• Kathy Cresswell
• Director of Business Operations/Applications
• kcresswell_at_institute2000.org
• 845-255-3435 x312