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Time for an EHR Check Up?
Derek KosiorekPrincipal
MGMA Healthcare Consulting GroupOctober 2013
MGMA 2013 ANNUAL CONFERENCE
Objectives
• Diagnose EHR productivity and workflow issues
• Apply continuous-improvement principles to the EHR system
• Understand the current and future opportunities that a properly configured EHR can offer
30 in 30 – EHR Optimization
Make sure the version of your EHR is certified
30 in 30 – EHR Optimization
EHR is NOT an IT function
30 in 30 – EHR Optimization
Watch for newer technologies. Cloud based solutions and new input devices can offer many advantages.
30 in 30 – EHR Optimization
Using post-it notes can help visualize the flow of data in the office.
30 in 30 – EHR Optimization
Revisit original goals of EHR transitionHow did you do?
30 in 30 – EHR Optimization
Create list of measurable goals for optimization
30 in 30 – EHR Optimization
Make sure data is backed up
30 in 30 – EHR Optimization
Are data points structured?
30 in 30 – EHR Optimization
Speed of data lines
30 in 30 – EHR Optimization
What is attitude of staff?Who do you need to win over the most?
30 in 30 – EHR Optimization
Meaningful Use Gap analysis
30 in 30 – EHR Optimization
www. Launch that portal .com
30 in 30 – EHR Optimization
Visit portal as patient to see if it works as expected
30 in 30 – EHR Optimization
Risk = Threat x Vulnerability x Impact
30 in 30 – EHR Optimization
Interview or survey staff about what can be improved. Remember, perception is reality!
30 in 30 – EHR Optimization
Identify users who need refresher training
30 in 30 – EHR Optimization
Create a training structure for new users. The worst person to teach them is often sitting next
to them.
30 in 30 – EHR Optimization
Any opportunity in the physical workflow?
30 in 30 – EHR Optimization
Gauge the alerts to make sure they do not show up too rarely or too frequently. Alert
fatigue is a real thing!
30 in 30 – EHR Optimization
Interfaces should flow to structured dataNo more printing and reading lab reports
30 in 30 – EHR Optimization
When buying new equipment, consider the interface needs
30 in 30 – EHR Optimization
Determine what reports are neededAre they taking a long time for someone to put together?
30 in 30 – EHR Optimization
Prepare for doctor-patient messaging
30 in 30 – EHR Optimization
Kiosks in your reception area can easily pay for themselves in a short amount of time.
30 in 30 – EHR Optimization
Have someone in clinical review and sign off on the
workflows. They bring credibility to other clinical staff.
30 in 30 – EHR Optimization
DON’T assume your patients are too old for internet
30 in 30 – EHR Optimization
Test the software upgradesIncluding the Interfaces & UI
30 in 30 – EHR Optimization
Don’t trust your written processes. Visit your remote sites and observe whether they are
actually being followed.
30 in 30 – EHR Optimization
Have system guru or owner
30 in 30 – EHR Optimization
Follow the 80/20 rule! Don’t get hung up on exceptions
• Questions?
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