Orchestrate Healthcare has a practice dedicated just to Cerner clients helping them transform their hospital or health system. This necessitates processes and workflows within the EMR to be tailored for specific requirements and needs. Taking this a step further, clinician generated clinical automation would completely automate a clinician decision. 5 This evaluation could help medical group practice leaders … Nurses Should Be Involved in Optimizing the EMR April 4, 2017 Although it’s been a long road to EMR adoption with many obstacles in the path, research indicates that the nursing profession as a whole recognizes the benefits of electronic medical records. For over a decade, Galen has partnered with more than 300 specialty practices, hospitals, health information exchanges, health systems and integrated delivery networks to provide high-quality, expert level IT consulting services including strategy, optimization, data migration, data archival, project management, and interoperability. I suggest the following: Meet with your healthcare facility management to discuss the top needs and … Optimization is vital to your organization’s successful long-term use of the EHR. As health systems and providers aggressively push towards Meaningful Use compliance, it is easy to lose sight of clinical system integration and data sharing. Even if you love everything about your new EHR, optimization of the system will always be necessary due to factors … But this approach has produced several unintended consequences and widespread user dissatisfaction. A close look at our quality department’s reports of near misses validated our suspicions on a range of issues, including human errors in recording heights and weights, missed vital s… The case for optimization is strong. Thoughtfully rationalizing some of those siloed legacy systems can produce a significant reduction in TCO. The workflows described may be specific to the EMR … Learn about our personalized operational assessment for your agency. Organizations that fail to properly integrate and leverage EMR capabilities can quickly find themselves in post-implementation purgatory, paralyzed by disenchanted users and underwhelming provider performance. Introducing our new Interoperability Solution Offerings allowing healthcare IT leaders to select affordable options ranging from basic interoperability support services to strategic advisory services. EMRs have not yet achieved their full potential, providers are weary of their inefficiencies, and more resources must be spent to optimize the original investments. A focus on provider retention through enhanced RMR interaction produces truly significant returns; increasing retention by just four providers equates to $1 million to $4 million in savings in costs associated with provider loss and replacement. Suppose, for example, that the workdays of providers are unsustainability long, or, that despite the installation of an EMR, productivity is no better than it was before the new system was adopted. To meet the requirements of the Meaningful Use program, most EMRs were implemented using a Big Bang approach, and very rapidly. Analysis of these workflows, using a temporal query tool, allows for identification of bottlenecks, poor workflows, and other time sinks. Assessment … Richard L Armstrong RRT PMP Profiling an EMR application allows for robust and rich usage data gathering, including clicks, mouse movements, and time spent. MHA's EMR Optimization . Conclusion: Driving Outcomes Through Optimization. Strategic planning for information systems, Requirements and benefit metrics gathering, System selection and contract negotiation, Clinical and financial workflow analysis and development, System implementation, optimization and adoption, Systems performance management and maintenance, Identify and assist with mitigating Risks, Develop and provide training to hospital staff, Perform post go-live optimizations to drive adoption. The accuracy, completeness and validity of any statements made within this article are not guaranteed. Each organization’s needs are unique to their environment, but your overarching challenges may be similar to ones we have already encountered and solved. Interested in linking to or reprinting our content? This situation can be addressed if the new EMR collects – as it must – easily reportable data. EMR Optimization … They complain that multiple prompts and clicks in an Electronic Health Record system can adversely affect patients and contribute to physician burnout. Hospitals and healthcare organizations are recognizing the power of Epic’s EMR solutions. Sr. Vice President & CIO Cerner® solutions enable physicians, nurses and other authorized users to share data and streamline processes across an entire organization. Nevertheless, a recent survey conducted by KPMG in collaboration with CHIME, shows 38% of 112 respondents ranked EMR/EMR optimization as their top choice for the majority of their capital investments for the next three years. Such analysis also facilitates the ability to introduce real-time clinical decision support through workflow interventions. Matching these striking improvements for healthcare organizations is the evidence from physicians: • 59% report cost savings by eliminating management and paper records storage• 70% report faster, more accurate service billing and overall time savings• 53% report increases in worksite efficiency• 71% describe their EMR vendor to be “meeting or exceeding” their expectations for EMR optimization. May 15, 2017 - Healthcare organizations still struggling to improve clinical workflows and address persistent EHR optimization and usability problems often turn first to their vendors in order to seek help with optimization… Specifically, only 35% reported that it had become easier to respond to patient issues, one third said they could not more effectively manage patient treatment plans, and despite the belief that technology would permit caregivers to spend more time with their patients, only 10% said this was occurring. Insight into performance and outcomes data allows HDOs to achieve quality metrics and foster sustained performance improvement. Galen also delivers a suite of fully integrated products that enhance, automate, and simplify the access and use of clinical patient data within those systems to improve cost-efficiency and quality outcomes. A robust EMR optimization strategy can – and will -- help HDOs realize the promised value from implementation of an EMR. We deliver the outcomes your organization needs to provide the quality and cost-effective care you are known for. As a result, the staff may not have been educated on valuable EMR … KPMG’s survey of CHIME members last month found that at least 38 percent of CIOs are investing in EHR optimization projects this year; in fact, they plan to spend more on EHR optimization than any other … In order to make the optimization project effective, technology experts will need to take a look at how the systems are already working. Practice Director, Cerner Committing to the optimization of EMR systems is not like waving a magic wand. … Today, HDOs are at a crossroads. Shafiq Rab, M.D. In 2013, with the process well underway throughout the nation, two thirds of doctors polled said they used EMR systems unwillingly, with 87% of these aggravated physicians complaining about usability and 92% of physician practices complaining that their EMRs were “clunky” and/or too difficult. The goal is to uncover potential gaps in your capabilities, such as computers being too slow, legacy … It must be executed with a clear notion of what must be done and how to do it. Hospital executive and IT employees who had replaced their EMR systems reported higher than expected costs, layoffs, declining revenues, disenfranchised clinicians and serious misgivings about the benefits gained: • 14% of all hospitals that replaced their original EMR since 2011 were losing inpatient revenue at a pace that would not support the total cost of their replacement EMR• 87% of hospitals facing financial challenges now regret the decision to change systems• 63% of executive-level respondents admitted they feared losing their jobs as a result of the EMR replacement process• 66% of the system users believe that interoperability and patient data exchange functionality have declined. Several tools are available in risk management, including root cause analysis, FMEA, and risk register. They may assist with prioritization, planning, data gathering, measurements pre and post, implementation of new enhanced workflows and creating next steps for ongoing workflow monitoring and change as required. We accept no liability for any errors, omissions or representations. Let’s get started today! We are tasked with creating self-perpetuating knowledge to assist in the drive towards national best practices, more cost efficient care and care planning with execution to include the patient at home as well as the clinic or the hospital. We see two focal points that will lead to success: At most HDOs, IT operations feature an assortment of disconnected applications, with most large organizations deploying thousands across the enterprise. What is EHR Optimization? Disclaimer - Content Use Policy: The content in eCW Weekly Users Tips is intended for electronic medical record (EMR) optimization purposes for use by healthcare providers of Children’s Health Centers of Children’s National Medical Center. 5 EHR Optimization Activities for Improving Clinical Efficiency Streamlining clinical workflows and boosting usability during EHR optimization can improve physician productivity. The first part of any optimization project requires an assessment so that you can pinpoint your efforts. Due to less than optimal staffing and time limitations, employees at physician practices are often provided minimal training by Electronic Medical Record (EMR) vendors. They first determine what needs we have and adapt. Our team of top-tier interoperability experts will enable your organization to achieve its specific goals. Build, implementation, and optimization of an EHR … EHR optimization projects are foremost used to improve the functionality of an EHR system that is already in place. Optimization should also contribute to higher levels of satisfaction among physicians whose work flows will be more flexible, whose hours will be reduced and who will more easily secure information because it has become more transparent. If workdays are still too long and productivity is still too low, the EMR must be set up to diagnose specific windows of time – system hours per day and/or the proportion of encounters that include the use of EMR documentation tools (versus free text). EMR optimization can generate cost reductions up to 10% through gains in operational efficiency. WE HAVE YOUR INTEROPERABILITY NEEDS COVERED! They can start over with a new EMR or optimize the one they have. Now our industry is demanding more than just collecting data and displaying high quality information for our end users. Adoption rates maysuffer as end-users become frustrated with the tools while executives struggle with the organizations’ productivity, operational reporting and ROI. The short answer: even better than any dared hope: • Nurses are saving 28-36 minutes per shift• Lab test use and drug costs have declined by 15%• The average length of stays has been reduced by 5% to 10%• The incidence of adverse drug events dropped by 334 to 481 annually• Turnaround time for orders was cut by at least one hour• Vaccination compliance reached 99%• Costs of paper forms were reduced by 67%• Charge capture improved to 64%• Costs of transcriptions were cut by 61%• Administrative staff (82%) reported noticeable improvements to the operational or financial capabilities of their practice management and EMR systems. The Benefits of EMR Clinical Optimization. From assessing project readiness to achieving Meaningful Use, Orchestrate Healthcare EMR consultants are experienced and qualified with EMR (electronic medical records) implementation, optimization, and adoption to help your organization navigate current and future regulations on time, and on budget. The study included hospitals with both comprehensive and basic EHR systems, organizations with brand new EHRs, and those that had switched from one EHR vendor to another. Will your existing EHR governance structure handle EHR Optimization governance? There should be operational data gathering that records messaging and tasking to illuminate workflow opportunities and project goals to be benchmarked prior to optimization efforts. About Galen Healthcare SolutionsGalen Healthcare Solutions is an award-winning, #1 in KLAS healthcare IT technical & professional services and solutions company providing high-skilled, cross-platform expertise. Your EHR readiness assessment must include a review of your existing hardware and software assets. Through such an assessment, they can identify exactly what is working well and what needs to be overhauled, changed or merely tweaked.