Electronic Health Records' Tom Fitzpatrick and Kevin Johnston lead the discussion on how HDMC has ha

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• Electronic Health Records. Tom Fitzpatrick and
  Kevin Johnston lead the discussion on how HDMC
  has had E.H.R. impact their practice
• vendors, interface / integration
• customization, billing requirements, workflow
  changes for efficiency
• implementation, clinician use of system (desk
  top, laptop, notepad)
• options for wireless
• system updates, voice recognition dictating in
  front of patients
• Potential problems power outages, data loss,
  viruses, equipment failure, vendor bankruptcy,
  software upgrades......
• The last part of the presentation is a live
  Demonstration of Centricity(HDMCs EHR) by
  Kevin Johnston MD.He connected wirelessly to our
  clinic and opened a demo chart to show workflow
  etc.

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HDMC EHR OVER 10 YEARSONE CLINICS EXPERIENCE
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MEDICINE SIMPLIFIED

• THE SUMMARY OF MEDICINE CAN BE TWO WORDS---

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GLORIFIED BEANCOUNTING!

• The more efficiently we track and utilize
  patient information
• The more we can provide
• Optimized patient care
• Improved productivity

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WHY WE USE IT

• EFFICIENCY-instant access to information
• OVERHEAD MANAGEMENT
• IMPROVED MEDICAL CARE
• TRANSCRIPTION COSTS ELIMINATED
• ITS FUN? (after the 1st 6 months)
• FLEXIBILITY ADD /SUBTRACT PROVIDERS w/o adding
  Front office Personnel

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ALLOWS FOR....

• INTEGRATION w/ Radiology, lab and Hospital
• Photo tracking of wounds/dermatology etc.
• ABILITY to access patient information from
  Home/ED/the road--global access dream is now
  reality.We find less time in the office
  appealing.
• IMMEDIATE access to technical data(ECG,Chart
  data,Consults,Reminders...)
• COMMUNICATIONemail and flags allow interaction
  with all staff. we are now adding secure email
  to communicate with our patients)

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IMPROVED EFFICIENCY

• Instant lab access
• Printed patient handouts/instructions following
  visit
• No chart chases/filing
• Integrate EHR w/ Practice management system.
• HIPAA compliance
• Improved Workflow
• Go home earlier and see same number of patients

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EMR AND OVERHEAD REDUCTION
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FTEPROVIDE RATIO

• HDMCs FTEProvider ratio reduced from 3.51 to
  21 over 9 years.

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HOW WE DECREASED FTEPROVIDER RATIO

• Decrease FTEs by attrition and shifting FTEs
  into positions that EMR vacated (transcription,
  float for chart management....)
• Less ancillary staff(coding now ½ time )Other
  positions consolidated.
• Chart filing eliminated
• Ability to add up to 2-3 providers w/o adding
  office staff.(nursing only)

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TRANSCRIPTION

• Reduction w/ ultimate
• Elimination
• Learn to Type
• Use Voice Recognition Software
• Reduce/Eliminate by using Templates
• No transcription currently at HDMC.

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ICD-9 CODING RESULTSwith EMR
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The concept of improved coding due to better
documentation is a proven way for a practice to
improve reimbursement.It not only improves cash
flow,but will enhance patient care by providing
reminders for consistent History,Review of
systems,and Exam VIRTUAL MD
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EHR and COST

• 3/4 FTE one year of EHR support(vendor)
• 3/4 FTE 1 year of I.T. support(clinics I.T.)
• No Transcription12-15K saved/year/practice
• UPCODINGof your current ptsthink of ability
  to charge 99214 vs 99213 if you could be more
  thorough in a timely manner.
• INVESTMENTWe see EHR as an investment in our
  patients and our business.

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IMPROVED PRODUCTIVITY

• Improved documentation
• ?improved reimbursement.
• Electronic Charts
• ?less time looking for charts/data more pts
  seen.
• CLEAR communication with staff,pharmacies, and
  patients ?better/ patient care
• E-BILLING?IMPROVED CASH FLOW.

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THE FUN PART OF EMRover 10 years

• POWER OUTAGES(common)
• DATA LOSS(none yet)
• VIRUSS(all caught so far)
• HARDWARE/SOFT WARE UPGRADES
• EQUIPMENT FAILURE(4-5 x so far)
• VENDOR CHAPTER 11(it happened to us)

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WOULD WE GO BACK?

• THE LATEST POLL??
• NO WAY!!!!

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DAY TO DAY USE OF EHR AT HDMC KEVIN
JOHNSTON MD.