Current Status and Vision for SETMA Diabetes Dr Jaweed Akhter.
Davies Award Winner, 2005 Southeast Texas Medical Associates, LLP (SETMA)
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Transcript of Davies Award Winner, 2005 Southeast Texas Medical Associates, LLP (SETMA)
Davies Award Winner, 2005Southeast Texas Medical Associates, LLP (SETMA)
Dwane J. McGowanHTM 680
13 June, 2013
CASE OVERVIEW: SETMA
Sought change from document management to data management using NextGen technology
Multiple clinics, ER, hospitals, hospice, level II laboratory, and a nursing home
Desires an Enterprise Practice Management (EPM) system, starting with an EMR
Vendor chosen bases on reputation, financial stability, support/training provided, and scalability
Phased go-live, 1 work area at a time
SETMA’s Objectives
Improve care qualityImprove patient safetyIncrease patient/provider communicationEnhance reporting efficiencyRaise provider production and satisfactionDevelop a comprehensive clinical documentImprove workflow/billing practices
ONC MU GOAL 1Improving quality, safety, efficiency, and
reducing health disparitiesAdoption of e-prescribingImproved billing with ICD-9, CPT codesRecorded demographics, vital signs-capture of
notes and basic data about patientsIncorporated lab results into the EHRMet public health reporting requirements for
diseases and immunizationsReported to patient registries
ONC MU GOAL 2Engage patients and their families
E-mail communication with patientsSend lab results if authorized and security in
place Clinical summaries of visits availablePhone calls electronically sent to physicians for
review- improved inquiry documentationPatient portal established
ONC MU GOAL 3Improve care coordination
One time registration/data capture
Sharing of data system-wide
Decreased duplication of testing, requests for personal data
ONC MU GOAL 4Improve population & public health
Transmit data to immunization registries
Increased immunization rates from 20% to 80%
Created disease specific clinics
Use of templates with best practices
ONC MU GOAL 5Privacy & Security of PHI
Security in place 24/7 for transmission of emails and lab results
Use of an established vendor to meet HIPAA requirements
Benefits Realized by EHR
Increased efficiencies system-wideStreamlined referral process for specialistsImproved clinical documentation, workflowNet annual revenue increased $3 millionCharting and transcription costs down $352,000Patient safety improved, medication errors downPhysician satisfaction, and production increased
Lessons Learned
Focus on full-scale implementation essential and “high tech will promote high touch”
All capabilities of the EHR must be employedNeed a respected physician champion for
provider buy-inDon’t delay starting an EHR initiative- benefits
entity, payors, and the publicOngoing training for all levels of staff essentialEstablish a defined timeline for implementation
QUESTIONS?
References
Healthcare Information and Management System Society (2007). Improving quality and reducing cost with electronic health records: case studies from the nicholas e. davies awards. Chicago, IL: HIMSS