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Innovations in Electronic Information: Improving Office Care

Innovations in Electronic Information: Improving Office Care. Agenda. Meaningful Use for Pediatricians mHealth Mobile apps Social Media, Secure Texting, and Perfectserve What does the future hold for the medical office?. Meaningful Use for Pediatricians.

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Innovations in Electronic Information: Improving Office Care

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  1. Innovations in Electronic Information:Improving Office Care

  2. Agenda Meaningful Use for Pediatricians mHealth Mobile apps Social Media, Secure Texting, and Perfectserve What does the future hold for the medical office?

  3. Meaningful Use for Pediatricians Center for Medicare & Medicaid Services CMS sponsored program Provides subsidies for physicians that implement electronic medical records and show “Meaningful Use”. Focus on Medicare & Medicaid patients Pediatricians must have minimum 20% of patient encounters with Medicaid patients to qualify for subsidy (>30% for full payment) Focus of MU Stage 2 is on Transitions of Care and sharing of patient information between providers of care as patients move from one healthcare setting to another Several key components for peds: Transition of Care (TOC) documents DirectTrust addresses for physicians Patient Portal ePrescribing

  4. St John Providence Patient Portal

  5. Patient View

  6. mHealth Mobile phones Patient monitoring devices Tablet and other wireless devices Email and text for patient-provider communications

  7. Mobile apps Epocrates HealthyChildren (AAP app) Medical Calculators (QuicCalc, etc) LactMed BiliCalc St John Providence Mobile app Specialty Connect

  8. Epocrates Drug information including peds specific dosing Interaction checking Tables and calculators including BMI tool Pill ID Favorites

  9. healthychildren • AAP mobile app • Targeted to parents and families • Includes age-specific information and recommendations • Specific module focused on obesity management tools and strategies

  10. Lactmed Resource with info on breastfeeding related to maternal medications Search by class or name of drug Provides “Summary of Use” and effects on infant and lactation for each search

  11. BiliCalc Based on AAP guidelines Calculation based on age at time of blood draw and bilirubin level Gives yes/no for phototherapy based on risk of neurotoxicity

  12. St John Providence Health System Mobile App Patient-focused app Search by location, service, or physician Save “Favorites” Access centralized scheduling phone # to make appointment for outpatient services

  13. Specialty Connect Physician/provider focused app Search for “niche” programs that may be available at only limited # of sites Search by specialty and save “Favorites” Notifications of new services available

  14. Use of Social Media Address social media related issues with your patients Inappropriate use of text messaging Online bullying Habitual need for “connectivity” Parental “modeling” of appropriate technology use Make sure that your use of social media incorporates patient privacy and HIPAA requirements (secure texting) Need to pay attention to your online reviews by patients

  15. Perfectserve Used by all SJPHS hospitals as paging and communication system Ability for each provider to customize their contact information including on call schedules. Clinical event notification (ED regs, admissions, and discharges) Ability to call patients with caller ID masked

  16. Perfectserve “DocLink” Provider to Provider communication tool Ability to personalize call routing and separate clinical calls (routed based on who’s on call) from individual specific calls (“I need to talk to Dr Daniel”) Secure texting including the ability to send pictures and voice messages

  17. What does the future hold for the pediatric office? Renovating your “medical home” Remote monitoring devices Smartphones as diagnostic tools Patient kiosks Telemedicine (Minute Clinic model) Care teams and Wikipedia-like documentation where care team members all contribute to the record

  18. Questionsted.daniel@stjohn.org

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