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EHR – Rural Perspective

EHR – Rural Perspective. EHR Implementation Challenges for Rural Hospitals EHR Implementation Challenges for Rural Clinics Considerations for an Effective Integrated EHR Minnesota E-Health Initiative Advisory Committee . EHR IMPLEMENTATION CHALLENGES FOR RURAL HOSPITALS.

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EHR – Rural Perspective

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  1. EHR – Rural Perspective • EHR Implementation Challenges for Rural Hospitals • EHR Implementation Challenges for Rural Clinics • Considerations for an Effective Integrated EHR • Minnesota E-Health Initiative Advisory Committee

  2. EHR IMPLEMENTATION CHALLENGES FOR RURAL HOSPITALS • Lack of capital resources to invest in an EHR (upfront costs seem prohibitive) • Lack of standards for interoperability (waiting for national or state standards) • Significant process change is often required • Lack of internal IT leadership and personnel resources needed to handle the temporary increase in work load often accompanying a software implementation • Clinical providers’ acceptance of change or impending change • Demonstrating the ROI that outweighs the expense, pain, and suffering

  3. EHR IMPLEMENTATION CHALLENGES FOR RURAL CLINICS • Lack of capital resources to invest in an EHR • Concerns with loss of productivity (and revenue) during transition to an EHR system • Lack of internal IT leadership • Concern for clinical providers’ ability to input data • Proving ROI

  4. CONSIDERATIONS FOR AN EFFECTIVE HOSPITAL/CLINIC EHR • Openness and transparency • easy to use and easy to pull, query and analyze data • Defined limitations • who can enter and edit information in the integrated system • How is confidential information protected • How is information shared • Data integrity and quality • Security and safeguards • Accountability and oversight

  5. MINNESOTA E-HEALTH INITIATIVE ADVISORY COMMITTEE • Advisory Committee Convened by the Commissioner of Health in October - 2004 • Diverse representation • Public Health, Health Plans, Large Hospitals (Kim Pederson), Rural Hospitals (Mary Klimp), Clinics, Pharmacists, Consumers, Academics and Research, Long Term Care, Stratus Health, Purchasers, MNA, MMA, Senior Federation, HIPAA Collaborative

  6. Initial Charge • Provide recommendations on: • Ways to accelerate the adoption of electronic health records systems and other relevant health information technology • Define the role for MDH and State Government in the development, financing, promotion, and implementation of EHR and HIT • Address at least the following issues: • Barriers to adoption of EHR • Identify the core components of an EHR and standards for interoperability • Assess the status of current implementation of EHR • Assess the costs for primary and acute health care providers in implementation of EHR • Identify partnership models and collaboration potential for EHR implementation • Monitor the development of federal standards • Identify barriers and develop a plan to develop a standardized record system

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