EhrPresentation

Howard Hays, MD, MSPH David Taylor MHS, RPh, PA-C, RN, CDE, NCPS RPMS EHR Where Are We Now? IHS Combined Councils February 26, 2007

Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EHR Presentations Page www.ehr.ihs.gov

The National EHR Initiative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is RPMS EHR? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EHR Milestones and Status ,[object Object],[object Object],[object Object],[object Object],[object Object]

EHR Sites as of 02/21/07 22 Tribal Health Ctr/Stn 5 Tribal Hospital 30 Federal Health Ctr/Stn 21 Federal Hospital

Advantages of RPMS EHR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How Can EHR Improve Care? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Provider Productivity ,[object Object],[object Object],[object Object],[object Object]

EHR Creates the Potential to Improve Collections: ,[object Object],[object Object],[object Object],[object Object]

Patient Care Metrics ,[object Object],[object Object],[object Object],[object Object],[object Object]

Medication Errors (Site A) EHR

Medication Errors (Site E) EHR

GPRA Indicator - Flu Vaccine 65+ (Site A) EHR

GPRA Indicator – Prenatal HIV (Site A) EHR

GPRA Indicator – DV Screen Age 15-40 (Site A) EHR

GPRA Indicator – Tobacco Assessment (Site A) EHR

GPRA Indicator – Medication Education (Site A) EHR

EHR Preparation and Lessons Learned

EHR Planning & Implementation Elapsed time (in months) Please note that this is just a general timeline of how long it might take for your site to implement EHR. Every site will be different, and the amount of time it takes to implement EHR depends upon many factors, including size of the facility, services offered at the facility, current state of RPMS and packages installed and utilized. Decision to implement EHR Review EHR Website 0 Complete EHR Site Survey Begin EHR Site Tracking Record Hire CAC Establish EHR Implementation Team Attend Lessons Learned class RPMS current, CACHE Begin pharmacy drug file cleanup for Pharm 5/7 Begin procurement process for hardware Install PIMS Optimize “Point-of-Service” RPMS Packages Optimize PCC Error Reports Install Radiology 5.0, Lab 5.2 p18 Install Pharmacy 5/7 and EHR GUI Implement Paperless Refill Attend CAC training On-site Setup with Nat’l EHR Team EHR Super User training EHR Go-Live with Nat’l EHR Team Full rollout 1 2 3 5 8 10 6 11 12 24

“ Lessons Learned” Principles, Practices & Techniques (Clinical Applications – Literature – VHA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is an EHR ,[object Object],[object Object],[object Object],[object Object]

What is an EHR? ,[object Object]

RPMS Integrates Multiple Clinical Systems Laboratory Appointment System Patient Registration Dental Emergency Room PCC Patient Database Elder Care Public Health Nursing Pharmacy Behavioral Health System Women’s Health RCIS Immunization Radiology Case Management CHR Surgery EHR PCC Data Entry

EHR Includes Four (4) New Packages Myth: Does Not Replace RPMS TIU “ Notes” OE/RR “ Orders” (CPRS) Reminders Consults PCC Patient Database

Medical Informatics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Journey Not a Destination (Optimize RPMS Packages) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ Journey not a Destination” (It’s Never Over!!!) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ Journey not a Destination” (It’s Never Over!!!) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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