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Time for an EHR Check Up?

MGMA 2013 ANNUAL CONFERENCE. Time for an EHR Check Up?. Derek Kosiorek Principal MGMA Healthcare Consulting Group October 2013. Objectives. Diagnose EHR productivity and workflow issues Apply continuous-improvement principles to the EHR system

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Time for an EHR Check Up?

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  1. MGMA 2013 ANNUAL CONFERENCE Time for an EHR Check Up? Derek KosiorekPrincipalMGMA Healthcare Consulting GroupOctober 2013

  2. Objectives • Diagnose EHR productivity and workflow issues • Apply continuous-improvement principles to the EHR system • Understand the current and future opportunities that a properly configured EHR can offer

  3. 30 in 30 – EHR Optimization Make sure the version of your EHR is certified

  4. 30 in 30 – EHR Optimization EHR is NOT an IT function

  5. 30 in 30 – EHR Optimization Watch for newer technologies. Cloud based solutions and new input devices can offer many advantages.

  6. 30 in 30 – EHR Optimization Using post-it notes can help visualize the flow of data in the office.

  7. 30 in 30 – EHR Optimization Revisit original goals of EHR transition How did you do?

  8. 30 in 30 – EHR Optimization Create list of measurable goals for optimization

  9. 30 in 30 – EHR Optimization Make sure data is backed up

  10. 30 in 30 – EHR Optimization Are data points structured?

  11. 30 in 30 – EHR Optimization Speed of data lines

  12. 30 in 30 – EHR Optimization What is attitude of staff? Who do you need to win over the most?

  13. 30 in 30 – EHR Optimization Meaningful Use Gap analysis

  14. 30 in 30 – EHR Optimization www. Launch that portal .com

  15. 30 in 30 – EHR Optimization Visit portal as patient to see if it works as expected

  16. 30 in 30 – EHR Optimization Risk = Threat x Vulnerability x Impact

  17. 30 in 30 – EHR Optimization Interview or survey staff about what can be improved. Remember, perception is reality!

  18. 30 in 30 – EHR Optimization Identify users who need refresher training

  19. 30 in 30 – EHR Optimization Create a training structure for new users. The worst person to teach them is often sitting next to them.

  20. 30 in 30 – EHR Optimization Any opportunity in the physical workflow?

  21. 30 in 30 – EHR Optimization Gauge the alerts to make sure they do not show up too rarely or too frequently. Alert fatigue is a real thing!

  22. 30 in 30 – EHR Optimization Interfaces should flow to structured data No more printing and reading lab reports

  23. 30 in 30 – EHR Optimization When buying new equipment, consider the interface needs

  24. 30 in 30 – EHR Optimization Determine what reports are needed Are they taking a long time for someone to put together?

  25. 30 in 30 – EHR Optimization Prepare for doctor-patient messaging

  26. 30 in 30 – EHR Optimization Kiosks in your reception area can easily pay for themselves in a short amount of time.

  27. 30 in 30 – EHR Optimization Have someone in clinical review and sign off on the workflows. They bring credibility to other clinical staff.

  28. 30 in 30 – EHR Optimization DON’T assume your patients are too old for internet

  29. 30 in 30 – EHR Optimization Test the software upgrades Including the Interfaces & UI

  30. 30 in 30 – EHR Optimization Don’t trust your written processes. Visit your remote sites and observe whether they are actually being followed.

  31. 30 in 30 – EHR Optimization Have system guru or owner

  32. 30 in 30 – EHR Optimization Follow the 80/20 rule! Don’t get hung up on exceptions

  33. Questions?

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