OntarioMD’s EMR Maturity Model Advancing Optimization and Use Ontario College of Family Practice...

OntarioMD’sEMR Maturity Model

Advancing Optimization and Use

Ontario College of Family PracticeAnnual Scientific Assembly

Presented By: Darren Larsen, MD, CCFP, MPLc

November 29. 2013

Faculty/Presenter Disclosure

• Faculty: Dr Darren Larsen• Program: 51st Annual Scientific Assembly

• Relationships with commercial interests:• Receive consultant fees from OntarioMD Inc. and the

Canadian Medical Association and salary from Ontario Medical Association

Disclosure of Commercial Support

• This program has received financial support from OntarioMD in the form of development and implementation funding.

• This program has received no in-kind support from

Potential for conflict(s) of interest:• Dr. Darren Larsen has received payment OntarioMD Inc which

developed a product that will be discussed in this program, the EMR Progress Reporting Tool

MITIGATING POTENTIAL BIAS

• [Explain how potential sources of bias identified in slides 1 and 2 have been mitigated].

• Refer to “Quick Tips” document

©2012 OntarioMD Inc. Confidential, not to be reproduced without permission5

EMM PROGRESSION AT EHEALTH

2011

• Concept

2012

• Model

2013

• Production

6

ALIGNMENT TO QUALITY AGENDA

©2013 OntarioMD Inc. Confidential, not to be reproduced without permission

QUALITYIS…

SAFE

EFFECTIVE

EFFICIENT

PATIENT CENTREDACCESSIBLE

SUSTAINABLE

EQUITABLE


SUPPORTS MOHLTC OBJECTIVES

Innovations in care

QBP

QIPs Health Links


EMR

MAT

URI

TY M

OD

EL Innovative and useful tool for assessing EMR adoption in community care practices

Detailed maturity roadmap of potential EMR capabilities

Six levels of maturity starting with basic functions first, then moving towards advanced and complementary functions

Developed with direct input from OntarioMD’s Physician and Office Manager Peer Leaders

Aligns with COACH’s national tool for broader comparisons of system performance


FEAT

URE

SOnline Self-Assessment

Benchmarking Reports

Gap Analysis/ Potentials for advanced EMR use

Online Resources, Tools and Useful Links


BEN

EFIT

S TO

PRA

CTIC

ES Opportunities to advance EMR use and experience in enhancing patient care

Real-time access to measure of own performance vs. colleagues

Customized and personalized goal setting

Support from a network of peer leaders with advance EMR experience at no cost.

Accelerated learning and access shared best practices/knowledge from experienced physicians & field staff

Earn Mainpro-C Credits by completing one or more Linking Learning to Practice exercises


ONTARIO’S EMR MATURITY MODEL


EMR MATURITY LEVELS

Strengthen Integrated Care

Transform Practice Efficiency


EMR ADOPTION PROGRESS TODAY

Respondents: N=62

1 2 3 4 5 6 7 8 9 10 11a 11b 12a 12b 13 14 15 16 17 18 19 20 21 22 23 24 25

Phys

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GRP1 3 3 3 1 3 3 3 3 2 1 2 2 3 2 2 2 3 3 2 3 3 3 1 2 3 2 2

GRP2 3 3 3 2 3 4 2 1 4 1 1 2 2 3 3 1 3 3 3 3 3 3 2 2 2 3 3

GRP3 2 2 3 1 3 3 2 2 2 2 2 3 2 2 3 2 2 2 1 2 3 1 1 2 1 1 0

GRP4 3 3 3 2 3 4 2 3 2 4 1 3 0 1 3 1 2 3 1 2 2 1 1 1 2 2 0

GRP5 3 3 2 1 2 3 2 2 2 2 2 3 1 2 2 1 3 3 2 2 2 2 2 1 2 2 1

GRP6 3 4 3 3 3 4 2 3 2 1 3 3 1 1 2 3 3 3 1 3 3 3 2 2 3 1 1

GRP7 2 2 2 1 3 3 1 3 2 0 3 2 0 1 2 1 2 2 2 2 3 2 2 0 2 2 1

GRP8 4 4 3 3 3 4 3 2 3 1 3 2 2 2 3 2 2 3 2 3 4 2 1 2 2 2 1

GRP9 2 2 2 1 2 2 1 2 1 1 2 2 1 1 1 1 2 1 1 2 2 1 1 0 1 0 0

GRP10 3 3 2 2 3 3 3 3 3 2 1 3 1 1 1 2 3 3 1 3 3 2 2 2 3 3 2

GRP11 4 3 3 2 0 4 3 3 3 1 3 3 1 1 1 3 3 2 1 2 3 2 2 1 2 2 0

GRP12 3 4 3 2 3 4 4 3 4 1 3 3 0 2 3 1 3 3 2 2 3 3 3 1 4 4 1

GRP13 3 4 3 1 3 4 2 3 3 1 1 2 2 2 3 3 2 2 2 2 3 1 2 1 2 2 1

GRP14 3 4 4 2 3 4 4 4 4 2 3 3 2 2 3 3 3 3 2 3 3 2 3 2 4 3 0

GRP15 2 2 3 1 3 4 2 0 2 0 1 2 1 1 1 3 3 2 1 2 3 1 2 0 2 2 3

GRP16 3 2 2 0 3 3 2 2 2 1 1 3 1 1 1 2 3 3 1 3 2 2 1 1 3 2 0

AVG 3 3 3 2 3 4 2 2 3 1 2 3 1 2 2 2 3 3 2 2 3 2 2 1 2 2 1

EMR Progress Report For Practice: Current State (Where I am Now) Matrix

Practice Administration Information Management Patient Results Management Diagnosis SupportTreatment

PlanningPatient

EngagementEvaluation & Monitoring


HOW TO GET STARTED

7 Steps to Achieve the full

benefits of an EMR

Become aware of the EMR maturity benefits 1

Assess your current EMR use 2

Identify gaps & opportunities for change 3

Implement improvement projects 5

Evaluate Impact6

Set personalized goals4

Review and Move to Next Assessment Phase7


EMR PROGRESS REPORTING

Launch App Here


EMR PROGRESS REPORTING


EMR PROGRESS ASSESSMENT


INTERACTIVE CHART


Individual Performance vs. Colleagues

Also available by Sole Practice 0r

Primary Care Group


ONLINE RESOURCES , TOOLS AND LINKS


Pilot Site

PROFILE SUMMARY OF RESPONDENTS15 persons completed the EMR progress survey

• 13 Family Physicians• 2 Healthcare Providers

7 groups participatedYears in Use


PILOT PRACTICE TODAY

1 2 3 4 5 6 7 8 9 10 11a 11b 12a 12b 13 14 15 16 17 18 19 20 21 22 23 24 25

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Core FHO MD1 3 4 3 0 2 4 2 2 3 -1 3 3 1 0 2 1 3 3 1 3 3 3 2 2 3 3 0

Core FHO MD2 3 0 3 2 0 0 3 3 0 1 3 3 0 3 1 1 3 3 2 0 3 3 2 2 3 3 0

Core FHO MD3 3 4 2 0 2 4 1 1 2 1 1 2 1 1 2 1 3 2 1 2 1 2 2 1 2 0 0

Core FHO MD4 5 3 2 1 3 4 3 4 4 4 3 4 3 2 3 3 3 3 2 2 3 2 2 3 3 3 0

Core FHO MD5 3 3 2 1 3 4 1 3 1 0 1 2 1 1 3 1 2 3 2 2 3 2 2 0 2 0 0

HCHC FHO MD6 5 4 3 1 3 4 3 2 2 1 3 4 3 3 3 3 4 3 2 3 3 3 2 2 3 3 0

HCHC FHO MD7 3 1 2 2 1 1 2 2 1 1 1 3 0 1 1 0 2 3 1 2 1 3 2 2 2 0 0

HCHC FHO MD8 4 3 4 3 0 4 0 4 3 2 3 4 3 4 4 0 3 4 0 4 3 3 3 0 3 3 3

HCHC FHO MD9 2 2 2 1 3 1 2 2 3 -1 1 1 -1 -1 1 1 3 3 3 2 1 1 1 0 0 -1 0

Innovations FHO MD10 3 3 0 1 3 4 2 1 2 1 1 2 1 2 3 2 3 3 2 2 2 2 2 1 2 0 3

Intramed FHO MD11 3 3 3 2 3 4 1 3 2 1 1 2 2 3 3 3 3 3 2 2 1 2 2 1 2 2 2

K. H. Medical Group FHO MD12 2 3 4 -1 3 4 2 2 4 1 0 4 0 1 2 3 3 3 3 4 3 3 3 0 3 3 -1

Stoney Creek & Hamilton Mountain FHOMD13 2 1 2 0 2 1 0 0 3 -1 1 2 1 1 1 1 2 1 1 2 1 1 2 -1 2 -1 0

Core FHO MD14 2 -1 1 -1 3 4 -1 3 -1 4 0 2 1 2 -1 1 2 3 2 3 3 2 2 0 3 3 3

St Joseph's Health Hamilton MD15 2 -1 0 -1 2 2 0 -1 1 -1 1 0 0 0 1 0 2 1 1 2 1 0 -1 2 0 -1 0

Average 3 2 2 1 2 3 1 2 2 1 2 3 1 2 2 1 3 3 2 2 2 2 2 1 2 1 1

Group_Name


Functional Areas g Practice Administration Information Management Patient Results Management Diagnosis SupportTreatment

PlanningPatient



CURRENT STATE: PERFORMING WELL• Practice Administration• Communication & Coordination• Patient Education• Chronic Disease Management• Laboratory Results Management• Medication Management• Nomenclature Consistency

Level 2Established

Clinical Documentation

Level 3Advance Disease

Support Management

• Clinical Encounter Documentation• Patient Assessment Tools• Preventive Care/Follow-Up



benefits of an EMR





Evaluate Impact6




AREAS TO IMPROVE

1 2 3 4 5 6 7 8 9 10 11a 11b 12a 12b 13 14 15 16 17 18 19 20 21 22 23 24 25Ph

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Core FHO MD1 3 4 3 0 2 4 2 2 3 -1 3 3 1 0 2 1 3 3 1 3 3 3 2 2 3 3 0

Core FHO MD2 3 0 3 2 0 0 3 3 0 1 3 3 0 3 1 1 3 3 2 0 3 3 2 2 3 3 0

Core FHO MD3 3 4 2 0 2 4 1 1 2 1 1 2 1 1 2 1 3 2 1 2 1 2 2 1 2 0 0

Core FHO MD4 5 3 2 1 3 4 3 4 4 4 3 4 3 2 3 3 3 3 2 2 3 2 2 3 3 3 0

Core FHO MD5 3 3 2 1 3 4 1 3 1 0 1 2 1 1 3 1 2 3 2 2 3 2 2 0 2 0 0

HCHC FHO MD6 5 4 3 1 3 4 3 2 2 1 3 4 3 3 3 3 4 3 2 3 3 3 2 2 3 3 0

HCHC FHO MD7 3 1 2 2 1 1 2 2 1 1 1 3 0 1 1 0 2 3 1 2 1 3 2 2 2 0 0

HCHC FHO MD8 4 3 4 3 0 4 0 4 3 2 3 4 3 4 4 0 3 4 0 4 3 3 3 0 3 3 3

HCHC FHO MD9 2 2 2 1 3 1 2 2 3 -1 1 1 -1 -1 1 1 3 3 3 2 1 1 1 0 0 -1 0

Innovations FHO MD10 3 3 0 1 3 4 2 1 2 1 1 2 1 2 3 2 3 3 2 2 2 2 2 1 2 0 3

Intramed FHO MD11 3 3 3 2 3 4 1 3 2 1 1 2 2 3 3 3 3 3 2 2 1 2 2 1 2 2 2

K. H. Medical Group FHO MD12 2 3 4 -1 3 4 2 2 4 1 0 4 0 1 2 3 3 3 3 4 3 3 3 0 3 3 -1

Stoney Creek & Hamilton Mountain FHOMD13 2 1 2 0 2 1 0 0 3 -1 1 2 1 1 1 1 2 1 1 2 1 1 2 -1 2 -1 0

Core FHO MD14 2 -1 1 -1 3 4 -1 3 -1 4 0 2 1 2 -1 1 2 3 2 3 3 2 2 0 3 3 3

St Joseph's Health Hamilton MD15 2 -1 0 -1 2 2 0 -1 1 -1 1 0 0 0 1 0 2 1 1 2 1 0 -1 2 0 -1 0

Average 3 2 2 1 2 3 1 2 2 1 2 3 1 2 2 1 3 3 2 2 2 2 2 1 2 1 1

Group_Name


Functional Areas g Practice Administration Information Management Patient Results Management Diagnosis SupportTreatment

PlanningPatient


AREAS WE NEED TO IMPROVE



benefits of an EMR





Evaluate Impact6




READY TO ADVANCE

• Chronic Disease Management• Reporting Capabilities• Data Quality Management

Moving beyond Basic Record

Keeping

• Self-Care/Co-Management(Improving patient engagement)

• Privacy & Security (Knowledge Gap)

• Business Continuity Planning (Awareness)

Advancing to Higher

Functions



benefits of an EMR





Evaluate Impact6




CONTACT INFORMATION

Find out how you can participate today!!!!

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OntarioMD’s EMR Maturity Model Advancing Optimization and Use Ontario College of Family Practice...

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