Company

LOGO

Cerner Ambulatory

The Physician Perspective

Carlos Vigil, DO

Internal Medicine Physician and CEO

of United Hospitalist Group

Agenda

1. Organization Overview

2. Why EMR

3. My Journey

4. Workflow & Benefits

5. Q & A

Organization Overview

Synopsis 6 internal medicine physicians, who spend 50% seeing patients at the

hospital and 50% seeing patients in the clinic

Clinic demographics Approximately 30-35 patients per day per provider

Typical day:

15 patients in the morning at the hospital

20 patients in the afternoon in my clinic

My Staff 1 medical assistant

1 front desk/biller

Cerner Ambulatory solutions Specialty Practice Management - November, 2008

EMR – November, 2008

Hub – Summer, 2010

Key Drivers to My Decision

Connect with hospital & community

physicians through interoperability

Experienced, proven EMR company

Affordable solution

ASP Model and mobility

My Journey

2002-08: I had 2 previous EMRs

August 2008: Selected Cerner

November 2008: Go-live for

practice management and EMR

July 2010 – Cerner Hub live

My Daily Work Flow

20-30 minutes before I start my day, over coffee

ePrescribing, labs, daily scheduling management

Mornings

Manage things as they come in (i.e. prescription refills, msg from staff)

Clinic in the afternoons

Patient is roomed by staff (vitals, med

reconciliation, etc)

I Review vitals with patient, do the exam

Document in the EMR—involve the

patient – some documentation in 30 sec!

Go over health maintenance, send eRx

Patient check out, reschedule next appt.

End of Clinic – last 30 minutes

Ensure all charts are signed-sent to billing

EMR Benefits

Efficiency&

Time SavingsInteroperability

Patient Satisfaction

Better Communication

Cost Saving

Accuracy

Efficiency & Time Savings

No more hunting for paper charts

Everything’s at your finger-tips

Better schedule management

Reminders

Reduced pharmacy calls

Pre-Completed Notes for

documentation

Face-time with Patients increase

EMR Benefits

Efficiency&

Time Savings

Interoperability

Patient Satisfaction

Better Communication

Cost Saving

Accuracy

Better Communication

Inter-office communications - Message Center

Fewer physician calls

Communications are attached to patient chart

EMR Benefits

Efficiency&

Time Savings

Interoperability

Patient Satisfaction

Better Communication

Cost Saving

Accuracy

Improved Patient Satisfaction

ePrescribing & Formulary checking

Health Maintenance

Involving patients in their

healthcare

They love the technology!

EMR Benefits

Efficiency&

Time Savings

Interoperability

Patient Satisfaction

Better Communication

Cost Saving

Accuracy

Cost Savings

Reduction in Staff by 1.5

Little to no Dictation costs

Significant Reduction in Paper costs

No cost for EMR upgrades

No cost for Server due to the ASP

model

EMR Benefits

Efficiency&

Time Savings

Interoperability

Patient Satisfaction

Better Communication

Cost Saving

Accuracy

Interoperability

Results from the hospital in real-time

No paper involved – straight to my inbox

Review the results in EMR, automatically stored in the patient’s

chart

EMR Benefits

Efficiency&

Time Savings

Interoperability

Patient Satisfaction

Better Communication

Cost Saving

Accuracy

Accuracy

Better level of coding

No more reading my handwriting

Health Maintenance

Chronic Condition Management

Looking Back

Pleasant Surprises

Improved level of Coding

Clinical Summary

Efficiency & improved communications – no more sticky notes!

What we Learned

Might have considered a phased approach, Practice Mgmt and

then EMR vs. big-bang

Looking Ahead

Patient Portal - IQHealth

Cerner Hub – more results

Lab Discrete Data

Community Strategy Planning with Cerner

Interoperability with other clinics --- Connecting the Community

QUESTIONS?