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maryland himss ambulatory ehr case study

Agenda. Overview of FredMed OrganizationOverview of Practice EMR EvolutionOverview of EMR Business/Technology ModelImplementation Status Lesson Learned (To Date)Benefits Anticipated. FredMed Mission. Leverage FMH IT Investment to Provide Cost Effective IT Services to Frederick Area PhysiciansProvide Cost Effective Connectivity to Frederick Memorial Hospital Provide Building Blocks for Community Health Information Exchange.

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maryland himss ambulatory ehr case study

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    1. Maryland HIMSS Ambulatory EHR Case Study October 12, 2007

    2. Agenda Overview of FredMed Organization Overview of Practice EMR Evolution Overview of EMR Business/Technology Model Implementation Status Lesson Learned (To Date) Benefits Anticipated

    3. FredMed Mission Leverage FMH IT Investment to Provide Cost Effective IT Services to Frederick Area Physicians Provide Cost Effective Connectivity to Frederick Memorial Hospital Provide Building Blocks for Community Health Information Exchange

    4. FredMed Governance Board of Directors 3 Elected Physician Members 1 Serves as Board President 2 Year Staggered Terms 2 Appointed FMH Staff CFO Bill Pugh CIO David Quirke

    5. FredMed Benefits Meditech and Other FMH Applications from Any Workstation for Any Staff Member Practice Management Software (Misys) Internet with Filtering and FMH Firewall Centrally Managed Antivirus Software

    6. 1998 - Planning Started, MSO Site Visits 1999 May - First Employee Hired 1999 July - Organizational Meeting 1999 October - First Practice on WAN 2000 WAN Rollout, Transcription Pilot 2001 Misys PM Pilot, Transcription Rollout 2002 Rollout Misys with Master Files, Auto Print/Fax Results from Meditech 2003 First EMR Assessment, T1 Pilot, Antivirus 2004 Physician Websites, HIPAA Security Briefings, FredMed Quarterly Newsletter, PACs 2005 Voice/Data Bundled Service Rollout, Heat Implementation 2006 Electronic Prescription, Bring Your Own Internet Option, FMH Basic Service Level FredMed History

    7. Membership Statistics

    8. Membership Satisfaction April 2007 (Scale 1-5) 26 Practices Represented Technical Services Overall - 4.9 Responsiveness 4.9 Sensitivity to Your Needs and Environment 5.0 Misys Practice Management Software Support Overall 4.6 Master Files 4.6 Cost Effectiveness 4.7 FMH Transcription Quality 3.9 Turnaround Time 3.3 92% Would Recommend FredMed to Another Practice

    9. FredMed EMR Initiative History 2002 - Contracted Superior Consultants to Assist in Vendor Identification and Evaluation June 2002 Vendor Expo January, April 2003 Finalist Vendor Fairs October, November 2003 LSS Company and Site Visits November 2003 Board Decision to Focus on Component-Based Solution Transcription Seen as Poor Mans EMR Pursuit of Electronic Prescription Solution

    10. FredMed EMR Initiative History 2005 FredMed Board Voted to Revisit EMR Product Line and Evaluate Two Options LSS Integrated with Meditech Environment Misys Existing FredMed Investment with 16 practices/60+ physicians LIVE on Practice Management Software 2006 Misys EMR Solution Selected and Contract Negotiations Begun July 2007 Misys Contract Signed

    11. FredMed EMR Model Leveraging FMH IT Infrastructure Data Center Server Housing Terminal Servers SAN Storage Backups Exchange/Enterprise Fax Solution FredMed Purchases Bulk Misys Licenses Practices Pay Per Provider/User per Month Utilization Fees Practices Purchase All Site Equipment (Tablets, Scanners, Thin Clients)

    12. Misys EMR Overview - Schedule Infrastructure Development Fall 07 2 Pilot Practices with Misys Project Management Continuing Rollout with FredMed Project Management/Misys Channel Partner Agreement

    13. Misys EMR Overview Practice Implementation Methodology Practices Using Misys for Practice Management Take Priority Phased Rollout for Each Practice Document Management/Messaging Initially Caregiver Documentation Ramped Up Over Several Weeks All Caregivers Do NOT Need To Implement Concurrent Visit Documentation No Big Bang LIVE Basic Implementation 8-12 Weeks Phased In Result/Report Interfaces (Meditech, LabCorp, Quest)

    14. Lessons Learned (To Date) Consensus On One Vendor Solution Not Possible Todays Practice Management Software Decisions are Driven by EMR Community MPI Not Soup Yet but Practices Can Still Obtain Advantages Selection and Contract Negotiation Very Slow Process Rapid Change in EMR

    15. Benefits Anticipated - FMH Building Block for Community Health Information Exchange Improve Results Communication Between FMH and Community Physicians Limit Integration Platforms for FMH Assist with Physician Recruitment to Frederick Community Facilitate Improved Care in Community

    16. Benefits Anticipated - Physicians Cost Effective Option to Quality EMR Removal of IT Hassle Factor for Practices Backups, Updates, Upgrades, Climate Control, etc. Mitigation of Risks Security, System Failure Local Support and Expertise Local User Community Stable Practice Management Platform

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