Cerner Ambulatory The Physician Perspective · 2011. 8. 13. · Might have considered a phased...
Transcript of Cerner Ambulatory The Physician Perspective · 2011. 8. 13. · Might have considered a phased...
Company
LOGO
Cerner Ambulatory
The Physician Perspective
Carlos Vigil, DO
Internal Medicine Physician and CEO
of United Hospitalist Group
Agenda
1. Organization Overview
2. Why EMR
3. My Journey
4. Workflow & Benefits
5. Q & A
Organization Overview
Synopsis 6 internal medicine physicians, who spend 50% seeing patients at the
hospital and 50% seeing patients in the clinic
Clinic demographics Approximately 30-35 patients per day per provider
Typical day:
15 patients in the morning at the hospital
20 patients in the afternoon in my clinic
My Staff 1 medical assistant
1 front desk/biller
Cerner Ambulatory solutions Specialty Practice Management - November, 2008
EMR – November, 2008
Hub – Summer, 2010
Key Drivers to My Decision
Connect with hospital & community
physicians through interoperability
Experienced, proven EMR company
Affordable solution
ASP Model and mobility
My Journey
2002-08: I had 2 previous EMRs
August 2008: Selected Cerner
November 2008: Go-live for
practice management and EMR
July 2010 – Cerner Hub live
My Daily Work Flow
20-30 minutes before I start my day, over coffee
ePrescribing, labs, daily scheduling management
Mornings
Manage things as they come in (i.e. prescription refills, msg from staff)
Clinic in the afternoons
Patient is roomed by staff (vitals, med
reconciliation, etc)
I Review vitals with patient, do the exam
Document in the EMR—involve the
patient – some documentation in 30 sec!
Go over health maintenance, send eRx
Patient check out, reschedule next appt.
End of Clinic – last 30 minutes
Ensure all charts are signed-sent to billing
EMR Benefits
Efficiency&
Time SavingsInteroperability
Patient Satisfaction
Better Communication
Cost Saving
Accuracy
Efficiency & Time Savings
No more hunting for paper charts
Everything’s at your finger-tips
Better schedule management
Reminders
Reduced pharmacy calls
Pre-Completed Notes for
documentation
Face-time with Patients increase
EMR Benefits
Efficiency&
Time Savings
Interoperability
Patient Satisfaction
Better Communication
Cost Saving
Accuracy
Better Communication
Inter-office communications - Message Center
Fewer physician calls
Communications are attached to patient chart
EMR Benefits
Efficiency&
Time Savings
Interoperability
Patient Satisfaction
Better Communication
Cost Saving
Accuracy
Improved Patient Satisfaction
ePrescribing & Formulary checking
Health Maintenance
Involving patients in their
healthcare
They love the technology!
EMR Benefits
Efficiency&
Time Savings
Interoperability
Patient Satisfaction
Better Communication
Cost Saving
Accuracy
Cost Savings
Reduction in Staff by 1.5
Little to no Dictation costs
Significant Reduction in Paper costs
No cost for EMR upgrades
No cost for Server due to the ASP
model
EMR Benefits
Efficiency&
Time Savings
Interoperability
Patient Satisfaction
Better Communication
Cost Saving
Accuracy
Interoperability
Results from the hospital in real-time
No paper involved – straight to my inbox
Review the results in EMR, automatically stored in the patient’s
chart
EMR Benefits
Efficiency&
Time Savings
Interoperability
Patient Satisfaction
Better Communication
Cost Saving
Accuracy
Accuracy
Better level of coding
No more reading my handwriting
Health Maintenance
Chronic Condition Management
Looking Back
Pleasant Surprises
Improved level of Coding
Clinical Summary
Efficiency & improved communications – no more sticky notes!
What we Learned
Might have considered a phased approach, Practice Mgmt and
then EMR vs. big-bang
Looking Ahead
Patient Portal - IQHealth
Cerner Hub – more results
Lab Discrete Data
Community Strategy Planning with Cerner
Interoperability with other clinics --- Connecting the Community
QUESTIONS?