esMD Pilot Project University of Pittsburgh Medical Center
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Transcript of esMD Pilot Project University of Pittsburgh Medical Center
esMD Pilot ProjectUniversity of Pittsburgh Medical
Center
Human Engineering Research Laboratories
www.herl.pitt.edu
Brad E. Dicianno, MD, MSAssociate Professor
Physical Medicine and Rehabilitation
Medical Director, UPMC Center for Assistive Technology
UPMC role
Human Engineering Research Laboratories
www.herl.pitt.edu
- Center for Assistive Technology- Human Engineering Research Laboratories- Previous work in leading best practice in PMD
documentation, CME courses- Active in PMD research
Overview of Pilot
Human Engineering Research Laboratories
www.herl.pitt.edu
- Problems with incomplete documentation/denials- Need for electronic workflow- esMD clinical template- Alternative PDF workflow for clinics already following
best practice
Standards demonstrated
Human Engineering Research Laboratories
www.herl.pitt.edu
- Ability to produce and transmit a PDF from EMR- Ability to share document with vendor and
collaboratively complete documentation - Ability to transmit the PDF to CMS via HIH with proper
metadata
Resources Needed
Human Engineering Research Laboratories
www.herl.pitt.edu
- Clinician experts are key- Clinical office staff who submit documentation- Supplier/Vendor- HIH - CMS- EMR team e.g. EpicCare
Pilot Ecosystem
Human Engineering Research Laboratories
www.herl.pitt.edu
Payer
Patient
LCMP
DME Supplier
Physicians
Content Transport Services
ECM
CMS Private Network
MedicareAdministrative
Contractors
6
HIHeClinical Template
University of Pittsburgh
Clinical PDF
Bundled PDF
Detailed Product Description
Clinical PDF+
LCMP Evaluation
Other Partnerships
Human Engineering Research Laboratories
www.herl.pitt.edu
- NuMotion - EpicCare- Other HIH?
Measures of Success
Human Engineering Research Laboratories
www.herl.pitt.edu
- Successful transmission of complete PDF - Ability to transmit PDF via different workflows
Timeline
Human Engineering Research Laboratories
www.herl.pitt.edu
- Obtain example of best practice documentation- Assemble collaborative team- Identify metadata to be transmitted- PDF Generation - Approval of HIH for collaboration- Begin process of testing workflow
Lessons Learned
Human Engineering Research Laboratories
www.herl.pitt.edu
- Input from clinicians is key- Need significant support from EMR vendor- Many steps to get workflow through HIH in place- Collaboration by CMS and Vendor crucial