Presented at InnoTech Oklahoma 2013. All rights reserved.

1. More Than OK Innovation
In Care Transitions
Norman Regional Health System
Yeaman and Associaties
Brian Yeaman, MD & CMIO

2. Taking action in Oklahoma

3. The Tug-of-Data-War
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

4. The “Global Medical Record”
Largest member of the oldest
and most established privately
sustained HIE in the nation
Disparate connections to
all major EHR platforms
State wide HIE / “Global
Medical Record”
• >150 million data elements
• > 4 million patient encounters
• 2.7 million lives
(36 interfaces)
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

5. Oklahoma Health Information Exchange
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

6. You Don’t Know What You Don’t Know
70% crossover
data
between major health
systems for all patients
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

7. You Don’t Know What You Don’t Know
What is your use case?
ED Visit/New Admission
Discharge Coordination
Specialist Referral
Medication Reconciliation
New or Return Patient to Clinic
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

8. Oklahoma: HIE 2.0
Aggregates data in the
Global Medical Record
Manages care transitions
Integrates with all major
EHR platforms
Single click from EHR to the
Global Medical Record
Supports innovative
environment beyond HIE
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

9. Redefining the Delivery and Business Case for HIE
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

10. Why Information
Exchange?

11. Why Information
Exchange?

12. Improving Care Transitions

13. Aging Population

14. Population Health & Healthcare Reform
80% of healthcare costs
are related to highly
manageable chronic
conditions, yet the
US spends less than 2% on
prevention management
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

15. Oklahoma Challenge Grant
Long Term Care Challenge
Grant
Add on to the State HIE Cooperatives
Care Transition Focus
Acute Care to Long Term Care
Patient Transitions
One of Four in the Nation
OK, MA, MD, and CO
Final Year of Funding
Year 2 of 2
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

16. ADL Documentation

17. Relevant Data Exchanged Regarding the Transition or Visit
Initiate
Close
Accept
Financia
l/Eligibilit
y
Complet
e
Patient
Seen
Schedul
e

18. Challenge Grant Outcomes
98% compliance with
Daily Assessments in
EHR by Nursing Aides
30% reduction of 30-day
readmissions overall in
all five facilities
40% reduction in 30-day
return to ED post-acute
care discharge
97% patient satisfaction
50% reductions in
readmissions in one year
(Cedar Creek Living Center)
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

19. Prescription Drug Monitoring Program
OBNDD

20. Prescription drug abuse death is
one of the fastest growing public
health epidemics, outpacing
deaths from traffic fatalities –
and outnumbering deaths from
heroine and cocaine combined.
Center for Disease Control (CDC)

21. Meditech
EHR
eCW
Cerner

22. Technology and Healthcare Reform
Culture change: the five “E’s”
Evidence-Based Medicine
Electronic Conversion of Health Records
End of Episodic Care
Exchange of Records Across the Care Continuum
Enterprising Care Delivery
© 2013 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.

23. “If you don’t like change, you’re going
to like irrelevance even less.”
Eric Shineski U.S. Army
General