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Healthcare Leaders Embrace Reform 17th Annual Scottsdale Institute Spring Conference April 14-16, 2010 Camelback Inn Scottsdale, AZ • • • • • • 37 Hospitals 17 Long Term Care 21 Home Health/Hospice 1,122 Employed Physicians 50,000 Employees $6m Net Revenue Centura AHS IS Florida Hospital A Decade of Clinical Information Transformation Cerner Selected Pilot Kickoff Pilot Go-Live 2nd & 3rd Pilots Live 2002-2005 ◦ ◦ ◦ ◦ CEO/CFO/CNO EMR Meeting Selection of Cerner Pilots at 3 Hospitals Replaced ◦ Reg/Schel/MPI/HIM ◦ Lab/Rad/Phrm/Surg ◦ Implemented ◦ Nrsg Doc/ICU/ED ◦ Order Mgt ◦ Doc Imaging 13 Hospitals Live 16 Hospitals Live Final Hospital Live & Upgrade 2006-2008 ◦ EMR Rollout to 30 Hospitals ◦ Major Upgrade (4 levels of code) ◦ Developed Evidence Based Order Sets for CPOE Enhancements 2 CPOE Pilots & 15 Hospitals Live CPOE 15 Hospitals Live CPOE 2009-2011 ◦ CPOE pilots & rollout ◦ Physician Documentation Pilot and Rollout ◦ Clinical Doc Enhancements ◦ Process & workflow optimization Hospital “Meaningful Use” 2011 Objectives Significantly Meets Objectives at AHS: Drug/Drug allergy alerts Provide Pt with electronic copy of health info Maintain active Med & Allergy lists List of patients by condition for quality improvement Provide access to Pt specific educ resources Perform med reconciliation Record Pt demographic data Recording Vitals, Lab Results Implement a 5 Clinical Decision Rule Provide electronic Lab results and Syndronic surveillance data to PH Data Security Risk Assessment Generate Pt list by specific condition Electronic Eligibility & Claims Submission Gaps Today: CPOE – 10% of all Orders Up-to-Date Problem List by Physicians Report on 43 Quality measures from EMR Provide Patient with electronic copy of Discharge Instructions Capability to exchange key clinical information among providers Submit electronic data to immunization registries Provide summary of Care Record for each transition of care Physician “Meaningful Use” 2011 Objectives Significantly Meets Objectives for Practices on EPM/EMR: CPOE Report Ambulatory Quality Measures to CMS Drug/Drug & Allergy alerts Electronic Eligibility & Claims Submission Maintain Up-to-Date Problem List Document progress note for each encounter ePrescribing Provide electronic copy of pt’s health info Maintain active Meds & Allergy List Access to pt specific education resources Record Patient demographic data Provide Pt with Clinical Summaries for each encounter Record Vitals, Adv Dir & Lab Results Perform Medication Reconciliation Patient lists by specific conditions for QI Clinical Summary to patient for office visit Gaps Today: EMR Deployment–Currently 30% of 600 Employed Clinic Phys deployed Patient Portal for Timely electronic access to Health Info Electronic Reminders to Pts for Preventive Care Capability to exchange clinical info among providers Submission of electronic data to immunization registries Provide electronic syndronic surveillance to Public Health Data Security Risk Assessment Implement 5 Clinical Decision Rules Alignment of AHS with Meaningful Use Objectives • 2009 • Projected potential Stimulus Funding • Gap Analysis – High Level • Aligned IT Strategic Plan with Meaningful Use Requirements • 2010 – 1st Quarter • Appointed Meaningful Use Coordinators (Czar) • Detail Gap Analysis Completed • Corporate Meaningful Use Taskforce • Submitted Comments to CMS • Corporate – Outlined Allocation of Stimulus Funding Capital Allocation Based % on EBDITA 100% 90% Balance Sheet Improvement, 25% 80% 70% Strategic, 25% Corporate IT 55% 60% 50% 40% Division IT 65% Division, 10% IT, 5% Reallocation to Large Hospital, 10% 30% Hospital, 35% Hospital, 35% Hospital, 35% Std Capital Allocation Stimulus - Hospital Stimulus - Physician 20% 10% 0% Alignment of AHS with Meaningful Use Objectives • 2010 – 2nd Qtr • Continuing Deployment – CPOE/Physician EMR • Developing Compliance Reporting/Dashboards • 2010 – Next Steps Upon Final Meaningful Use Regulations • Update Meaningful Use Gap Analysis • Obtain Vendor’s – Approach/Enhancement Timeline • Update IT Plan for 2010/2011 • Obtain Management’s Support for Plan/Resources • Initial Focus: • Meaningful Use Requirements Requiring Workflow Changes • Hospital/Physicians Achieving Compliance Levels • Planning for Stage 2
