Elmhurst Memorial Healthcare Successfully Attests to Stage 1 Meaningful Use
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1 Welcome! Elmhurst Memorial Healthcare Successfully Attests to Stage 1 Meaningful Use Presented by: Larry Katzovitz & Judy Triano Elmhurst Memorial Healthcare Kay Jackson (978) Kay.Jackson@iatric.com
2 Successfully Attesting to Stage 1 Meaningful Use Judy Triano Larry Katzovitz 09 August 2012
3 About Elmhurst Memorial Healthcare 15 Miles west of Chicago, IL New Acute Care Hospital 860,000 ft 2 Facility Hospital operates 259 beds 16 locations Outpatient sites located throughout DuPage and Cook Counties 3,000 employees Largest employer in Elmhurst Among largest in DuPage County 600 Physicians on staff More than 800 volunteers
4 Guiding Principles Embrace the personal technology of patient and family members Empower the physicians and nurses with key clinical information facilitate communication Allow clinicians to access key medical information anytime and everywhere Integrate medical information and clinical information, make it easy to access Ensure the medical record tells the patients story Make sure the technology delivers all of the time age: 4
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6 Accreditations and Certifications STAGE 6! The Joint Commission Gold Seal of Approval: Inpatient Diabetes Stroke Acute Myocardial Infarction Heart Failure Outstanding Achievement Award
7 Our Applications Sovera Medical Records Meditech 5.65 C/S Merge CVIS &C- PACS RegistraGon & Bar Orders POM, PWM, EDM Lab, Radiology, Pharmacy, Financials Varian Oncology DR Systems PACS Radiology Imaging Intego Nursecall
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9 Outline of Today s Webcast Understanding HITECH Act and Your Organization Organizational Road Map Organizing the Team for Success MU Workgroups Monitoring results Documentation Finalizing and Realizing Your Goals Attestation Lessons learned & challenges Celebration Q & A
10 Organizational Road Map Know HITECH ACT and EHR Incentive Programs Research & select monitoring tool Create Steering Committee Create MU leadership/resource teams Understand financial impact Define each objective as a separate project Create timeline Communicate and address workflow changes Monitor progress Celebrate progress
11 Understanding HITECH Act Assigned one person to focus on interpreting HITECH Act and Final Rule Kept up to date with rule changes Medicare list serve Engaged outside counsel
12 Frequently reviewing FAQ s Understanding HITECH Act
13 Meaningful Use Working Groups MU Steering Commi.ee Meaningful Use Working Groups Physicians Hospitalists Nursing HIM Registra<on Ancillaries Info Services Problem List (H) CPOE (H) Clinical Decision Support (L) Record Vitals (L) Maintain Act Meds (L) Med Allergy List (L) Record Smoking Status (L) EHR Education Resources (L) Med Reconciliation (L) Advanced Directives (L) Electronic Discharge Instructions (L) Patient e-copy (L) Clinical Data Target Patient Specific Condition (L) Clinical Quality Measures (H) Patient Demographics (M) Incorporate Lab Results in EMR (L) Electronic Transfer of Data to Health Agencies (M) Drug Formulary Checks (L) Drug/Drug/Allergy Checks (L) Electronic Exchange Key Clinical Info (H) Implement Secure Patient Data (M)
14 MU Steering Commi.ee Meaningful Use Steering Committee Ensure program objectives are met Gain active participation of all stakeholders Measure progress and success Remove roadblocks and ensure organizational commitment CLEAR VISION & MISSION President CEO CFO CIO CMIO VP s Patient Care Director Medical Records Hospitalist Leader Board Members
15 Meaningful Use Working Groups Physicians Hospitalists Nursing HIM Registra<on Ancillaries Lab & Pharmacy Info Services Drives day-to-day project activities Establish target objectives based on meaningful use criteria Work in teams to institute the change necessary in both process and technology to ensure criteria is met Escalate roadblocks as necessary
16 Approaching Meaningful Use Determine Measure Requirement s IdenGfy Content Sources Develop Processes Workflow Impacts Make Design Changes Capture Data AXest
17 Workgroup Methodology Review e- measure Re- assess & Monitor Current workflow data Workflow changes Gap Assessment
18 Workgroup Methodology Individual Project - Charter - Clear objectives - Timelines Regular Meeting Schedule Minutes for Each Meeting Made Resources Available IS Frequent Feedback
19 Examples of Workflow Change Demographics - Registration E-copy Discharge Instructions/Health Record - Nursing Problem List - Physicians & Coders DVT Assessment for CQM s - Physicians, Nursing, & HIM RxNorm - Pharmacy & IS
20 Workflow Change - Demographics Registration - Preliminary Cause of Death
21 Workflow Change -E-copy Discharge Instructions Nursing
22 Workflow Change -E-copy Health Record HIM
23 Examples of Workflow Change Demographics - Registration E-copy Discharge Instructions/Health Record - Nursing RxNorm - Pharmacy & IS Problem List - Physicians & Coders DVT Assessment for CQM s - Physicians, Nursing, & HIM
24 Problem List Comment: Several commenters noted that the coding of problem lists at the point of care is outside the normal workflow process and would be disruptive. Response: We did not and do not intend that coding of the diagnosis be done at the point of care. This coding could be done later and by individuals other than the diagnosing provider.
25 DVT Assessment Quality Measures
26 I think you should be more explicit here in Step Two.
27 Our Timeline Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sept Oct Meaningful Use Stage 1 Project Milestones Kickoff MeeGng Measurement Design Workgroups Task CompleGon Meditech Upgrade Live IS/Workgroup Build/Approval Process Test Data CollecGon/QA/OpGmize AXestaGon Data CollecGon AXestaGon SubmiXal Over estimated time Attested ahead of schedule in mid May 2012
28 Monitoring Results
29 MU Dashboard Track all Meaningful Use events, compliance and action items from one convenient Web-based dashboard Provide visibility to all stakeholders Be alerted to problem areas daily Centralize MU knowledge Minimize audit risks Certified Past experience with vendor
30 MU Dashboard
31 MU Dashboard
32
33 All Systems Go!
34 Attestation Process Registration start early - CMS Registration Guide Legislation/EHRIncentivePrograms/downloads/ EHRHospital_RegistrationUserGuide.pdf NPI CCN TIN PECOS EHR Certification
35 Attestation Process CMS Registration cover Medicare and Medicaid Navigating CHPL - like shopping fill cart until 100% of measures covered Attestation about 25 web screens Get a Check!
36 All Systems Go!
37 Attesting
38 Attesting CQM s
39 MUM Source of Documentation
40 Celebrating Our Success Thank you - Team effort - Include complete healthcare organization Education - It is not just about the $ - Putting the patient first Setting the foundation for Stages 2, 3, and beyond.
41 Celebrating Our Success
42 Lessons Learned CQM s very challenging Need components for all Menu Set measures Modular vs. Complete Meditech EHR
43 Quality Measures #1 Concern College of Healthcare Information Management Executives (CHIME) September 2011 Survey: Quarter of CHIME Healthcare CIOs Report Their Organizations Have Qualified for Stimulus Funding. Page 9.
44 Quality Measure Concerns Confusing Requirements - Not always aligned with Joint Commission and other quality data being collected - Challenging workflow changes to collect data Identifying Data e-elements Measuring Progress
45 CQM Dashboard
46 CQM Drill Down
47 Applications for all Menu Set Measures Question [ ]:.Do I need to possess EHR technology that has/have been tested and certified: A) to all of the applicable certification criteria adopted in ONC s Standards and Certification Criteria Final Rule; or B) only to those certification criteria that correlate with the Stage 1 core set objectives and associated measures and menu set objectives and associated measures I select to report on to CMS? Answer: A - to all of the applicable certification criteria adopted in ONC s Standards and Certification Criteria Final Rule.
48 Applications for all Menu Set Measures Possession of Certified EHR Technology Physical possession of medium on which a certified Complete EHR or combination of certified EHR Modules resides Legally enforceable right by an eligible health care provider to access and use, at its discretion, the capabilities a certified Complete EHR or combination of certified EHR Modules includes. An eligible health care provider may determine the extent to which it will implement or use these capabilities, which will not affect the provider s possession of Certified EHR Technology
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50 Judy Triano: Larry Katzovitz:
51 Iatric Systems Certified Solutions Meaningful Use Manager PtAccess Public Health Interfaces OrderEase-MAGIC Visual Flowsheet CDE PDI PHR Connect
52 iforum
53 Meaningful Use Manager
54 Meaningful Use Manager Contact Us Survey Survey says: Please take the survey that appears when you close your Internet Browser after this webcast. You could win a $100 Amazon.com Gift Card. Forum: Meaningful Use Stay Connected: MEDI-Talk Follow us: For more information: Please contact your Iatric Systems Account Manager or send an to info@iatric.com or visit Thank you for attending!
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