DOQ-IT Project
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Transcript of DOQ-IT Project
DOQ-IT Project The EHR Roadmap
Tony Linares, MDMedical Director, Quality Improvement
DOQ-IT Strategies
2 Intervention ApproachesStatewide Collaborative Consulting
6 Phases to QIO ImplementationPractice AssessmentPractice PlanningEHR SelectionEHR ImplementationOffice Data & Process EvaluationProcess Improvement
Current State
EHR Journey – DOQ-IT
Physician Offices Have:Multiple Entry Points to the ProjectVariety of Resources Available DOQ-IT Staff Peer-to-Peer Networking National Expert Consultation
Access to Vendors through new ChannelsAdditional Focus on Quality
Time Frame to EHR Adoption
1. Assess 2 Months
2. Plan 2 Months
3. Select 2 - 8 Months*
4. Implement 4 + Months**
5. Evaluate Ongoing
6. Improvemen
t
Ongoing
*Dependant upon duration for EHR selection by Physician Office
** EHR Implementation dependant upon installation complexity
ADOPTION
IMPLEMENTATION
CARE MANAGEMENT
Process for EHR Adoption
Stage 1 - AssessUnderstand the Purpose of DOQ-ITComplete EHR Readiness AssessmentComplete Additional Office AssessmentsAnalyze Current Office ProcessesPractice to Hold Regular Staff Meetings
Process for EHR Adoption
Stage 2 - PlanAssessment FeedbackIdentify Practice Improvement AreasDefine EHR GoalsPrioritize Practice Needs & OpportunitiesInitiate and Facilitate Practice ChangesBuild Business Case
Process for EHR Adoption
Stage 3 - SelectUnderstand Requirements for EHR SystemEHR System Selection GuidancePrepare Staff for Change
Process for EHR Adoption
Stage 4 - ImplementWork with Vendors and Practices to Minimize EHR Installation DisruptionPrepare for Medicare Pay-for-Performance Demonstration ProjectProvide Opportunities for Best Practice Information Sharing to Improve OutcomesCreate Time Table for ImplementationVendor & Practice Installs and Configures System
Process for EHR Adoption
Stage 5 - EvaluationCapture Data Elements for ReportingSubmit Data SetsIdentify Areas for EHR Systems UseReview Patient Data to Improve Outcomes
Process for EHR Adoption
Stage 6 - ImproveQuality Reporting AnalysisPractice Evidence Based MedicineTarget and Improve Office Processes
Practice Performance Improvement
May J une J uly AugustSeptember October NovemberDecemberJ anuary February March April May J une
Collaborative Meeting
Learning Session
One
Learning Session
Two
Learning Session Three
FinalCongress
Topic Pre-Work
Practice Redesign &
Culture Change
Select & ImplementE
HR
Care Mgmt
EHR SystemsSuccess
WebinarsOne Two Three Four Five Six Seven Eight Nine
TopicPractice Redesign & Culture Change
EHR Selection & Implementation
Care Management
2004 2005
Notes
Learning Sessions are an opportunity to both learn from the experts and share ideas with other practices.
WebEx Sessions are convened via the internet and are used to focus new information on a particular issue.
Collaborative Time Line
DOQ-IT Expert Review
Topics for Expert Presentation Include:Preparing for Change in Physician OfficesUnderstanding Efficiencies and PrioritiesLeadership, Planning and ImplementationEHR Systems and FunctionalitySystems Integration and ConnectivityDeveloping the Business Case for EHRImplementation Barriers & SolutionsGuidelines for EHR Contracting
Incentive Programs
MCMP Demonstration ProjectPay for Performance InitiativeDetails Currently UnavailableMay be tied to the 4 DOQ-IT Pilot States
Other InitiativesBridges to Excellence
Lumetra Contacts
Tony Linares, MDMedical DirectorE-mail: [email protected]: (415) 677-2121
John Weir Sr. Project Manager DOQ-ITE-mail: [email protected]: (415) 677-2083