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Two Information tools, the electronic medical record and telehealth technology, have huge potential to improve quality and value of health care, especially in rural America. Dr. Ringel will discuss how we have barely scratched the surface of what can be accomplished with these powerful implements. His presentation will explore fundamental principles for using the EMR and telehealth most effectively.
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Horizon to Horizon--An Overview Electronic Health Record and Telehealth
Marc Ringel, MD11/4/2011
School of Medicine
San Luis Valley Health Information Technology Symposium, November 4, 2011
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The material in this tutorial is copyrighted as indicated in each slide footer and any references made by the author.Companies and individuals may only use this material in accordance with copyrights expressly stated. Contact the speaker directly for further informationNeither the Author nor the Presenter is an attorney and nothing in this presentation is intended to be nor should be construed as legal advice or opinion. If you need legal advice or legal opinion, please contact an attorney.The information presented herein represents the Author’s personal opinion and current understanding of the issues involved. The Author, the Presenter and the San Luis Valley AHEC do not assume any responsibility or liability for damages arising out of any reliance on or use of this information.NO WARRANTIES, EXPRESS OR IMPLIED. USE AT YOUR OWN RISK.
San Luis Valley AHEC Legal Notice
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Basic Principles
• Needs assessment• Ease of use• Workflow• Interoperability• People• People• People
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Not as Big a Deal
• Bandwidth• Security
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Electronic Health Record
• Needs AssessmentMeaningful use
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Electronic Health Record
• Needs AssessmentMarc’s view
--Chronic problem list--Chronic medications--Adverse drug reactions--Organized clinical data
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Electronic Health Record
• Ease of use
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Electronic Health Record
• Ease of useHands-on trialsTraining and supportAsk students and residents
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Electronic Health Record
• WorkflowTeam care (Patient Centered Medical Home)
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Electronic Health Record
• WorkflowTeam care (Patient Centered Medical Home)Coding
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Electronic Health Record
• WorkflowTeam care (Patient Centered Medical Home)CodingData versus story
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Electronic Health Record
• InteroperabilityWithin your systemTalk to your neighborsData exchange (e.g. CORHIO)
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Electronic Health Record
• PeopleChampionsEarly and wide involvementMeet often
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Electronic Health Record
• PeopleChampionsEarly and wide involvementMeet oftenHold hands, solve problemsListen
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Telehealth
Telehealth is the use of communication technology to overcome barriers of time and place to deliver health care services.
Bauer, J.C., and Ringel, M. Telemedicine and the Reinvention of Healthcare: The Seventh Revolution of Medicine. Burr Ridge (Illinois): McGraw-Hill, 1999.
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Telehealth
• Needs assessment“Low-hanging fruit”Appropriate technology
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Telehealth
• Ease of useReliableLocal technical supportTechnically simpleCrisp, defined administrative routinesLocation and/or portability of equipment
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Telehealth
• WorkflowMissed clinicsRegularly scheduled clinicsPRN services are more difficult
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Telehealth
• InteroperabilityWeb enabledIncorporated into EHR
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Telehealth
• PeoplePatientsCliniciansProcessSupport
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Conclusions
• The electronic health record and telehealth are powerful tools if used well.
• Needs assessment, ease of use, workflow and interoperability are critical considerations.
• People are more the issue than technology.
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THANK YOU!
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