JJSH Clinic Management for Prostate Health

1. JJSH Clinic Management for Prostate Health MED INF 405 Group Project Heather Begley Jaimie Bubb Joanne Rimac Stephanie Wong JJSH Healthcare Consulting

2. Background

3. Project Purpose Financial Radiology Lab System Electronic Patient Record Pharmacy Patient notification Scheduling Dictation

4. Assumptions

5. Current Workflow

6. Future Workflow

7. Clinical Application Linkages Patient Tracking (RFID) Patient Appointment Reminder System Referral/Consultation Portal Faxed Requisitions Phone reminder Patient Check-in Kiosk Scheduling System Patient Health Scheduling Clinical Trials Database e-Prescription Pharmacy Dictation/Transcription System Patient Portal Electronic Patient Record Voice Recognition Financial System Radiology System Laboratory System Auto fax system Snail Mail Reports Legend Uni-directional interface Bi-directional interface

8. Stakeholders • Patients (who follow up at clinic for prostate health) • Family members of patients • Physicians-including referring physician, clinic MDs, NPs, PAs, hospital MDs as well as surgeons, specialty MDs (and their associated NPs/PAs), anesthesiologists/nurse anesthetists, Physician Review Board

9. Stakeholders • Clinic/Hospital clinical personnel including RNs/LPNs, nurse’s aides/techs • Clinic/Hospital clinical ancillary staff including pharmacists/pharmacy staff/techs, lab staff/techs, radiology staff/techs, nutritionists/dietary staff, social workers, case managers, discharge planners • Clinic/Hospital administrative staff including registration and unit clerks, medical records staff, billing staff • Clinic/Hospital Executive staff including COO, management, and other executives within facilities • Hospital/Home Health adjunct staff including PT/OT, home health/hospice care

10. Stakeholders • Government • Community/Public • Vendors supporting clinic • Insurance companies • Familial Registry • Clinical Trials • Tumor Registrar

11. 2/3 of patients diagnosed are over the age of 65 The number of Americans age 65 and older will more than double by the year 2030 The cost of providing health care to older Americans is three to five times > those younger than 65 Financial benefits: transcription costs reduced, lab, pharmacy, radiology, billing and scheduling automated Clinical benefits: Accuracy of documentation which enhances billing charges, data gathered quickly and efficiently Organizational benefits: Increased clinician satisfaction due to enhanced workflow and patient satisfaction related to immediate access of clinical and educational information EPR Integration Related to Prostate Health

12. ROI related to EPR Implementation • Cincinnati Childrens (2003) experienced an improved registration process because records were prepared electronically before arrival • Queens Health Network (2002) 50% decrease in pharmacist intervention with medication orders in ambulatory care due to improved legibility, system alerts and increased completeness of prescriptions • Maimonides (2002) duplicate testing dropped dramatically, ancillary tests by 48.9%, U/A by 41.6%, microbiology by 40.6%and hematology by 6% • Citizens Memorial (2005) Automatic charge capture increased revenue by $34 per patient • Patil, Puri & Gonzalez (2008) Implementation of EMR and eliminating transcription costs coincides with increased revenue per provider • Kaiser Permanente (2009) A patient satisfaction survey found that nearly all patients utilizing a kiosk had a successful experience. Opportunity for revenue cycle management at the front end.

13. Conclusion • Incorporate evidence-based practice guidelines related to prostate health • Promote an informed decision-making process for prostate screening exams • Optimize opportunities for patient and staff education regarding prostate health • Utilize information technology standards to complement high quality cost effective care • Maintain data integrity for outside investigators and stakeholders