Wednesday, November 10, 2010

#WHIT Healthcare innovation - real world lessons from Early EMR and HIE adopters

Getting closer to the finishing line at WHIT: 

11:00 am -
12:00 pm
KEYNOTE PANEL DISCUSSION: Health Care Innovation – Early Adopters of EMRs and HIEs Evaluate Successes, Failures and Lessons Learned
  • Key components to successful EMR implementation
  • Understanding and overcoming barriers to implementation
  • Best practices in data-sharing and information exchange
  • Evaluate bottom line impacts – ROI and results in quality of care
  • Technology adoption – what works and what doesn’t?
  • Overcoming privacy and security concerns
Jennifer Covich Bordenick
Chief Executive Officer
eHealth Initiative 

 View Biography

Pamela Arora
Vice President and Chief Information Officer
Children's Medical Center of Dallas 

 View Biography

Peter Basch, MD
Medical Director
MedStar Health 

 View Biography

Mike Sauk
Chief Information Officer
University of Wisconsin Hospital and Clinics 

 View Biography

Sue Schade, MBA
Chief Information Officer
Brigham and Women's Hospital 

 View Biography

Peter Basch: Been using EMR since Mid 1990's. 

Pamela A: The organization believes in Technology. So there was leadership support.

Look at how you translate data to information to get value from the system.

Focus on System Ambassadors from amongst the early adopters.

Look at usability. don't make it "too many clicks"

Email in the patient Portal is not email. It is a workflow. You typically want to route email so it is screened before it gets to the doctor. The doctor is usually busy with patients so you want to be able to have the team or front office staff review and triage first.

Don't over design security. If not careful you end up defining roles that prevent users from getting to information for patient care that they need to see. Move to a trust but verify model?

Does the system have one page that "summarizes the patient story"

Peter B: Triangulate the doctor patient and screen. "Let's verify together"

The value of the EMR is when information is used to deliver better patient care.

"Process enable by Technology"

Pamela A: Think about how work shifts and move staff to handle the load. Work load will change over time. You need to plan for the transitions.

Jennifer C: What do you wish you had known before you started?

Peter B: It's going to be hard work. Be prepared for backlash - Remember you are working with a highly skilled workforce running a complex process that on the whole works. Dark days pass. 

Sue Schade: Think about whether a best of breed strategy is necessary.  Systems are improving so an enterprise solution may be more effective.

Mike Sauk: Deploy on a clinic/specialty basis so teams end up asking why they can't have what the other teams have. Budget for surgery furniture redesign. You don't want the doctor with their back to the patient in order to use equipment.

 IT or Business Led project - Sue S - It 's a partnership.

IT has expertise but the Docs and Clinicians  have to live with the product.
IT provides the information to enable an informed decision but the business leaders make the call.

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