Accelerating Recovery

Information Technology Maturity Index

Presented by: Stephen A. Wood, FHIMSSHealthCare Perspective, LLC

Information System MaturityClient Life Cycle – Stage 1

Referral Pre-Registration / Screening Wait List ManagementAdmission/Registration/DemographicsDiagnostic Assessment Payor / Financial DataService Activity / EncountersDischarge or Transfer

Paper Based Clinical Records

Information System Maturity

Scheduling / Census – Stage 2Scheduling Program Capacity Resource Scheduling (facility, interpreters,

transportation) Census (respite, residential, psychiatric inpatient ad

state hospital) Caseload Capacity

Paper Based Clinical Records

Information System Maturity

Billing and Accounts Receivables – Stage 3 Credentialing / Provider Set-upBilling Set-up (Codes, Rules / Edits) Payor AuthorizationsAdministrative Case Management All service billing (internal claims and invoices)Electronic billing (HIPAA Compliant – 837P)Posting Payments and Adjustments (835)Manage Accounts Receivables (Gross to Zero)

Information System Maturity

Client Care – Stage 4 Assessments (Electronic)Progress Notes Templates (Electronic)Treatment Plan / Service Plans (Electronic)Service Authorization (Electronic)Utilization Management (Computer)Case Management / Coordination (Computer)Quality Management (Computer)

Information System Maturity

Clinical Orders – Stage 5Medication Management and Administration

(Computer)Electronic Prescriptions – (External)Lab tests – Orders and Results (Electronic)Vital signsTherapy Orders

Information System Maturity

Client Records (eRecords) – Stage 6Legal electronic health record defined for disclosure

purposesRelease of Information Disclosure TrackingDisclosure Violation Tracking and ReportingRetrieval and production of digital or paper client

record for outside requestsTracking of legacy paper medical recordsExternal document storage in imaging system

Information System Maturity

Health Information Exchange – Stage 7Ability to send and receive CCR and/or CCD

CCR = Continuity of Care Record CCD = Clinical Care Document

CCD is Interoperable PDF Browser Fully XML

Connected to Health Information Exchange

National Perspective

ARRA/HITECH Funding is Driving EHR Adoption2011 Goal – Level 52013 Goal – Level 62015 Goal – Level 7

Assess Current Status

Develop Long Term Plan => 2015 Target

Start Process From Where you Are!

Issues and Barriers

Major Issue is the Leap from a Paper Based Practice Management System to an Electronic Clinical Record.

High Failure Rate………Change is Difficult

IT Focused Projects => Failure

Change Management Focused Projects => Possible Success

Clinical Leadership => Success

Keys to Success

Senior Management Must be Involved

Establish a Clear Charter and Value Statement

Set Expectations Correctly Throughout the Process

Communicate to Everyone – Over and Over

Expect Resistance – Good for You is Bad for Them

Persevere and Expect Some Failure - Don’t Be Afraid to Fail

Keys to FailureLack of Leadership Commitment to the Project

Lack of Planning – Lack of Project Management

Failure to Make Decisions – Decision Deadlock

Failure to Staff the Right People to Right Tasks

Failure to Build Consensus - “Turf” Wars

Failure to Create a Positive Environment for Change