May 17 2017 Avera Healths HIMSS Analytics Stage
- Slides: 34
May 17, 2017 Avera Health’s HIMSS Analytics Stage 7 Journey: Lessons Learned Susan Feilmeier, Pharm. D IT Clinical Services Officer Avera Sacred Heart IT Regional Information Officer
Journey to HIMSS Stage 7 Award EMRAM (EMR Adoption Model) “A strategic roadmap for effective EMR adoption and maturity” www. himssanalytics. org
Journey to HIMSS Stage 7 Award HIMSS EMRAM
HIMSS Analytics Stages STAGE 2016 Q 3 2016 Q 4 N: 5449 N: 5478 7 4. 6% 4. 8% 6 30. 5% 5 34. 5% 34. 9% 4 10. 1% 10. 2% 3 14. 1% 13. 9% 2 2. 2% 2. 3% 1 1. 7% 1. 4% 0 2. 4% 1. 9% www. himssanalytics. org
HIMSS Annual Scoring Tool Complete HIMSS Annual Study Scoring
HIMSS Stage 6 – Telephone Interview Survey
Journey to HIMSS Stage 7 Award HIMSS EMRAM
Journey to HIMSS Stage 7 Award – Original Timeline
Lessons Learned Use your EMR Vendor Go and See Mock it Up Timeline Realism
Journey to HIMSS Stage 7 Award - Tools Lesson #1: Use your EMR Vendor VENDOR Baseline Assessment
Journey to HIMSS Stage 7 Award - Tools HIMSS Stage 7 Reviewer Guide
Journey to HIMSS Stage 7 Award - Tools Criteria Scoring Document
Journey to HIMSS Stage 7 Award
Journey to HIMSS Stage 7 Award Lesson #2: Go and See Visit your own Departments and Observe Visit Other Health Systems HIMSS Stage 7 Surveys
Journey to HIMSS Stage 7 Award - GAPS Acute CPOE Pervasiveness Acute BMV Pervasiveness OR/PACU Medication Code Blue Medication 24 -7 -365 Clinical Relevant Document Scanning Breast Milk Scanning TAR
Journey to HIMSS Stage 7 Award - GAPS Acute CPOE Pervasiveness Acute BMV Pervasiveness OR/PACU Medication >90% for 4 consecutive months 24 -7 -365 Clinical Code Blue Medication Relevant Document Scanning Providers & Midlevels TAR Breast Milk Scanning
Journey to HIMSS Stage 7 Award - GAPS Acute CPOE Pervasiveness Acute BMV Pervasiveness OR/PACU Medication >95% for 4 consecutive months 24 -7 -365 Clinical Code Blue Medication Relevant Document Scanning Breast Milk Scanning Patient and Medication Scan TAR
Journey to HIMSS Stage 7 Award - GAPS Acute CPOE Pervasiveness Acute BMV Pervasiveness OR/PACU Medication 24 -7 -365 Clinical ORCode and PACU Medications Entered Blue Relevant Breast Milk Medication Document Scanning into the EMR prior to patient Scanning transfer out of PACU TAR
Journey to HIMSS Stage 7 Award - GAPS Acute CPOE Pervasiveness Acute BMV Pervasiveness OR/PACU Medication Code Blue Medication 24 -7 -365 Clinical Relevant Document Scanning Breast Milk Scanning Code Blue Medications Entered TAR into the EMR prior to patient transfer to next level of care
Journey to HIMSS Stage 7 Award - GAPS Acute CPOE Pervasiveness Acute BMV Pervasiveness OR/PACU Medication Code Blue Medication 24 -7 -365 Clinical Relevant Document Scanning Breast Milk Scanning Clinical Relevant (<24 hours) TAR Clinically Irrelevant (<72 hours) Document Scanning into EMR
Journey to HIMSS Stage 7 Award - GAPS Acute CPOE Pervasiveness Acute BMV Pervasiveness OR/PACU Medication Code Blue Medication 24 -7 -365 Clinical Relevant Document Scanning Breast Milk Scanning If NICU, Breast Milk scanning to TAR mom and baby
Journey to HIMSS Stage 7 Award - GAPS Acute CPOE Pervasiveness Acute BMV Pervasiveness OR/PACU Medication >95% for 4 Consecutive 24 -7 -365 Clinical Months Code Blue Medication Relevant Document Scanning Patient and Product Scan TAR Breast Milk Scanning
Journey to HIMSS Stage 7 Award – Methodology Plan Adjust Do Check
Journey to HIMSS Stage 7 Award Lesson #3: Mock it Up
Journey to HIMSS Stage 7 Award Vendor Mock Survey Self Mock Survey Vendor Mock Survey with Presentation Formal HIMSS Survey
Journey to HIMSS Stage 7 Award – Mock with Surveyor Guide
Journey to HIMSS Stage 7 Award - Presentation • 90 -120 Minutes • Key Features – Demographics and Awards – Health System Overview – Pervasiveness Data and CDS – IT Governance – CIBI – 3 + Case Studies – HIE – Data Integrity, Security and Recovery
Journey to HIMSS Stage 7 Award - Presentation • Case Studies – >12 mos RIO data • Required 80 -120+ hours • Honored Subject Matter Experts • Highlight previous Paper -spaces converted to revenue-generating spaces
Journey to HIMSS Stage 7 Award Lesson #4: Time Estimate 12+mos December 2015
Journey to HIMSS Stage 7 Awards Avera Mc. Kennan Hospital 12/2015 Avera Sacred Heart Hospital 10/2016 Avera Queen of Peace Hospital 12/2016
Journey to HIMSS Stage 7 Award – New HIMSS Tools
Journey to HIMSS Stage 7 Award- O-EMRAM • • • • Clinical Data Repository HIE Clinical Charting Clinical Order Entry e. RX/Med Rec CPOE e. Messages (referrals, consultants, patient messaging) CDS Provider Documentation Incorporate Encounter, Growth Charts, Data in structured data Exam Results Patient Monitoring Summary of To. C Patient reminders letter Patient/Consumer Functions
Journey to HIMSS Stage 7 Award- Proposed New Stages Stage 7 • Anesthesia EMR • CPOE Infusion Pumps Stage 6 • CPOE, BMV, TAR, Breast Milk, Barcode specimen collection • Security risk assessment submissions to authority Stage 5 • Provider Documentation/NLP create discrete data • Portable Device Security Stage 4 • >90% Allied Health & Nursing electronic documentation/e. MAR/TAR & ED Live • Business Continuity: Meds, Allergies, Problems, Labs Stage 3 • >50% Allied Health & Nursing electronic documentation/e. MAR/TAR & ED Live • Role-based security and intrusion detection Stage 2 • Clinical DR and context aware • Security, encryption, disposal policy, antivirus and firewall program Stage 1 • PACS • Non-DICOM image storage
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