OUTLINE

EMR = EHR = CPR = CIS Advantages of an EHR Whats The Big Deal? KPNWs Journey to The EHR Key Learnings & Success Factors Road Map: Check-List

EHR = EMR = CPR = CIS

Systems largely used by direct care givers (Physicians, nurses and other persons who deliver direct patient care) What we are not talking about:

Practice Management:

Billing, Scheduling

Insurance or Health Plan Systems

Ancillary Systems ADT, other non-clinical

Components of an EHR

Results Reporting or CDR: Read only, leveraging data already in existing systems:

Ancillary, ADT, scheduling, billing, other nonclinical Prescribing, Lab, Referrals, Radiology, Other

Physician Orders

Physician Notes Nurse Charting and Notes InBasket, Messaging Work Queues, MAR (inpatient) Clinical Decision Support Datawarehouse

Major Components of an EHR: Staging

D A T A W A R E H O U S E Clinician Notes

Clinical Decision Support

Nursing Notes

Clinician InBasket

Clinician Order Entry

Work Queues, MAR

Nurse Charting

Imaging & PACS

Results Reporting (CDR)

Why an EHR?
Patient Safety (IOM) Improved Quality of Care Cost Savings in Care Delivery Improved Billing and Reimbursement Improved Clinician and Patient Satisfaction Improved Care Efficiency What is the ROI for you?

So: Whats The Big Deal?

Unlike buying a new MRI, Implementing an EHR Involves:

Significant Change Many failures (? 50%) Cottage industry

Misaligned incentives and ROI

No clear path to success Adoption issues

Redistribution of work

Data Integration: Results Reporting System

Leveraging information in existing systems (1993)
Pathology/ Cytology Outside Reports RIM (Radiology) STAR (Transcription) LIS (Lab)

ADT and Appointment

Tumor Registry

TOPS (Pharmacy) Results Reporting

MIPS (Membership)

CLINICIAN

EHR Decision
Benefits:

Lower operating costs -- chart pulls Improve revenue capture -- coding Improvement in health outcomes (quality) Improve member/customer satisfaction Supports data collection for management Reduces unnecessary cost

Difficult to quantify

First and second order benefits

Building a foundation

Thank You