Ron SconyersRural Healthcare Solutions, LLC

F oundation L everage E ngage X exute

What is your IT Identity HIMSS What are you dealing with

◦ Definition of terms

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IT Personality Emerging, leading or bleeding edge

Measured benefits

Necessary Evil

Approach to IT Aggressive Optimized and balanced

Cautious

Uses for IT Strategic advantage

Consolidation & productivity

Utility

Risk Tolerance High Moderate Low

IT Metrics Strategic advantage

Value-based Efficiency

IT Investment Behaviors

“bet the farm” “All things in moderation”

“Cost of doing business”

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RECORD TERMS◦ Electronic Medical Records◦ Electronic Health Records◦ Personal Health Record

NETWORK TERMS◦ Health Information Exchange◦ Health Information Organization◦ Regional Health Information Organization

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ELECTRONIC MEDICAL RECORD (EMR)◦ An electronic record of health-related information

on an individual that can be created, gathered, managed, and consulted by authorized clinicians

and staff within ONE health care organization.

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ELECTRONIC HEALTH RECORD (EHR) ◦ An electronic record of health-related information

on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by

authorized clinicians and staff across MORE THAN ONE health care organization.

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PERSONAL HEALTH RECORD (PHR) ◦ An electronic record of health-related information

on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.

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HEALTH INFORMATION ORGANIZATION (HIO) ◦ An organization that oversees and governs the

exchange of health-related information among organizations according to nationally recognized standards. .

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HEALTH INFORMATION EXCHANGE (HIE) ◦ The electronic movement of health-related

information among organizations according to nationally recognized standards.

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REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) ◦ A health information organization that brings

together health care stakeholders within a defined geographic area and governs health information exchange among them for the purpose of improving health and care in that community

Data from HIMSS AnalyticsTM Database N = 1,257 / 3,913 2009 HIMSS Analytics

Stage 2

Stage 3

Stage 4

Stage 5

Stage 6

Stage 7

Stage 1

Stage 0

Clinical Data Repository, Controlled Medical Vocabulary, Clinical Decision Support, may have Document Imaging

Clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology

CPOE, CDSS (clinical protocols)

Closed loop medication administration

Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS

Medical record fully electronic; HCO able to contributeCCD as byproduct of EMR; Data warehousing in use

Ancillaries – Lab, Rad, Pharmacy – All Installed

All Three Ancillaries Not Installed

0.0%

0.0%

1.0%

1.0%

18.7%

29.6%

13.0%

36.7%

0.4%

1.0%

4.4%

3.4%

42.9%

32.8%

7.7%

7.4%

PPS CA

Data from HIMSS AnalyticsTM Database N = 2,579 / 1,257 2009 HIMSS Analytics

Stage 2

Stage 3

Stage 4

Stage 5

Stage 6

Stage 7

Stage 1

Stage 0

Clinical Data Repository, Controlled Medical Vocabulary, Clinical Decision Support, may have Document Imaging

Clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology

CPOE, CDSS (clinical protocols)

Closed loop medication administration

Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS

Medical record fully electronic; HCO able to contributeCCD as byproduct of EMR; Data warehousing in use

Ancillaries – Lab, Rad, Pharmacy – All Installed

All Three Ancillaries Not Installed

0.0%

0.2%

1.4%

1.3%

23.1%

35.9%

12.3%

25.7%

0.0%

0.0%

1.0%

1.0%

18.7%

29.6%

13.0%

36.7%

Critical Access

<100 Beds

Data from HIMSS AnalyticsTM Database N = 1257 2009 HIMSS Analytics

F oundation L everage E ngage X exute

ARRA Other areas to address

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Medicare – Hospitals◦ System must be “certified” (assume means

CCHIT)◦ Connected in a manner that provides…for the

electronic exchange of health information to improve the quality of health care.

◦ Submits information ..on such clinical quality measures and such other measures as selected

F oundation L everage E ngage X exute

Develop a Strategic Plan S W O T Analysis Gap analysis from Office of National

Coordinator Policies Identify Physician leader(s)

F oundation L everage E ngage X exute

Execute your plan Develop status reports

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(1)Hickman, George T., and Smaltz, Detlev H. (Herb), The Healthcare Information Technology Planning Fieldbook. Chicago, IL: Health Information and Management Systems Society; p28