Training Needs Around EHR

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Training Needs Around EHR

• Penny Davies
• Planned Parenthood of Utah
• penny.davies_at_ppau.org

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Where EMR is today

• Over 400 vendors
• Part of Health Care Plan
• HITECH- Health Information Technology for
  Economic and Clinical Health
• - reimbursement incentives
• National standards meaningful use

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Advantages

• Improve Quality of Care
• Promote Evidence Based Medicine
• Access Communication
• READ EVERY CHART !!!
• NO LOST CHARTS!!!!

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Disadvantages

• Costs
• Technology
• Concerns about
• Privacy-HIPPA
• Security-access rights
• CHANGE!!!

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The Experience

• The Commitment /
• Selection Process
• Time
• IT Expansion
• Loss of Revenue

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Acknowledgement of Change

• Everyone is effected
• Doing things differently
• Disruption to Operations
• Not Seamless/Not Painless

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Templates
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Chart Summary
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Roles of Training Centers

• Assisting in Evaluating and Implementation
• Training, system development and monitoring
• Provide support and ideas to improve quality
• Collaborative Expertise
• Technical Assistance
• Planning and Management
• Research
• Commitment to Public Health
• Etc

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Assisting in the Selection Process

• Evaluate Readiness
• Identify working systems
• What to look for in contracts
• Assist in team preparedness
• Ways to make it affordable

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Successful Implementation Strategies

• Basic Questions
• Convert what!!
• Scan what!!
• Preparing staff for changes
• Training models
• Scheduling tips
• Go Live Ideas

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Best Practices

• Signature pads- laminated consent form
• Location of computers
• Workflow Efficiencies
• Checking In
• History taking
• Enhancing communication
• Cost Shifting

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Improving Productivity

• Training
• New Employees
• Providers
• Scheduling
• Clinic Flow
• Cross Training
• Relationship Building

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Quality of Care

• Audits
• Customer Service
• Evidence Based Medicine
• Case Management

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Topics to Think About

• Training Staff/ Reviewers
• Revising/Developing Tools
• Comparing Quality Indicators
• Report Card
• Tracking Performance Indicators
• Surveys

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• How to contract with 3rd parties
• Identifying program strengths and weaknesses
• Tools to evaluate system
• Research
• Technical Assistance

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What is next

• Constant Change!
• PHR personal health record
• Patient Medical Home
• HIE health information exchange
• TELEMEDICINE
• Remote patient monitoring
• Home health care
• http//tie.telemed.org/default.asp