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Transforming Health Information Technology into Improved Healthcare Delivery

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Transforming Health Information Technology into Improved Healthcare Delivery WPI's Center for eHealth Innovation and Process Transformation Briefing for the Joint ... – PowerPoint PPT presentation

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Title: Transforming Health Information Technology into Improved Healthcare Delivery


1
Transforming Health Information Technology into
Improved Healthcare Delivery
  • WPI's Center for eHealth Innovation and Process
    Transformation
  • Briefing for the Joint Committee on Health Care
    Financing
  • July 20th, 2010
  • Larry Garber, M.D., Medical Director for
    Informatics, Fallon Clinic

2
Larry Garber, MD
  • Medical Director for Informatics x 12 years
  • Principle Investigator for a 1.5M AHRQ grant for
    SAFE Health, a consent-enabled Health
    Information Exchange network currently live in
    central Massachusetts
  • Vice Chair, Massachusetts eHealth Collaborative
  • Internist at the Fallon Clinic x 24 years

3
Imagine the Future
4
MD Gets a Problem Call on Weekend From Another
MDs Patient
  • Can see all of their Past Medical History
  • Can see 15 years of test and treatment results
  • Can see their allergies and current medications
  • Can see that patient isnt a drug-seeker
  • Can appropriately treat another physicians
    patient as if the covering MD had been caring for
    that patient for the past 15 years
  • All of this because of a shared Electronic Health
    Record (EHR)

5
Annual Physical on a Patient
  • Can see that a Pap Smear and Mammogram were
    recently done by a gynecologist that works in a
    separate practice across town
  • Can see that a tetanus booster was given last
    year in an Emergency Room in Florida
  • Can see patient has been non-compliant with
    taking her meds based on refill dates
  • All of this information appears automatically in
    the Primary Care Physicians (PCPs) EHR
  • All because of Payer Claims Data being fed into
    the PCPs EHR

6
Office Visit on a Patient After a CABG
  • Can see the ER note, the Operative Report, and
    the D/C Summary with treatment plans
  • Can see that the Past Surgical History was
    automatically updated with the CABG
  • Can see the echocardiogram report that wasnt
    available at the time of discharge
  • Can see the notes from the Visiting Nurses
  • Can refill the cholesterol medication started in
    the hospital with one click of the mouse
  • Can know everything thats happening to a patient
    simply by looking in the MDs EHR
  • All because of a Health Information Exchange
    (HIE)

7
Patient is Watching TV at Night
  • A patient sees a story on TV about someone with
    the same symptoms that she has
  • She goes to her PCPs website to learn more about
    the disease that the patient on TV had
  • She looks up her own test results online
  • She doesnt understand one of the tests so she
    clicks on it to get more information
  • Then at 1AM she sends her PCP a secure email
  • All because her PCPs practice has a tethered
    Personal Health Record (PHR) integrated with
    patient-friendly clinical references

8
Physician Reviews Quality Reports
  • Can see the percent of diabetics who have had
    HbA1Cs done in the past 6 months
  • Can compare this rate to those of colleagues as
    well as competing organizations
  • Can identify those patients that are overdue or
    poorly controlled
  • All because the EHR submits data to a Quality
    Data Center for analyses

9
This is a bold and wonderful vision of the future
for all healthcare providers and patients
10
This has also been the experience of patients and
physicians practicing at the Fallon Clinic for
the past 2 years
11
The Fallon Clinic
  • 300 provider multi-specialty group practice
  • 30 specialties, including Occ Med Behav Med
  • 23 sites in central Massachusetts
  • 200,000 patients with over 1 Million visits/year
  • Not-for-profit
  • At financial risk for 60 of our patients
  • Not affiliated with any hospitals
  • We are not Fallon Ambulance
  • We are not FCHP

12
Fallon Clinics EHR
13
Pre-loading the EHR
of Years of Records
Prescriptions 22 32 Million
Lab 16 30 Million
Imaging 14 2 Million
Notes 14 11 Million
Visits 15 20 Million
Total 95 Million
14
Pre-loading the EHR (continued)
  • Immunizations, Health Maintenance, Disease
    Management 15 years
  • Allergies 10 years
  • EKGs 15 years
  • Future Lab and Visit appointments 1 year

15
Fallon Clinics HIE
16
  • Health Information Exchange (HIE) Live in Central
    Massachusetts since June 2009
  • Patients give opt-in consent to exchange
    clinical data only between specific organizations
    where patient receives care
  • No central clinical repository. Data flows from
    EHR to EHR.
  • Developed with 1.5 Million AHRQ Grant
  • Sustainability is enabled by low operating
    expenses resulting from internally developed
    software and no RHIO

17
MyChart Personal Health Record
18
(No Transcript)
19
Since Fallon Clinic has been so successful
implementing HIT, why do we need CeHIPT? Because
WPIs CeHIPT helped us get to where we are today!
20
How WPIs CeHIPT Is Helping
  • Analyzed our processes throughout rollout
  • Identified that our ability to standardize
    processes is role-dependant
  • Identified issues with job-satisfaction related
    to changing roles with EHR
  • Identified unanticipated patient misconceptions
    regarding the proper use of the MyChart PHR
  • All of these have led to changes that are
    improving the quality and efficiency of our
    healthcare delivery

21
Summary
  • The future of healthcare is here today at Fallon
    Clinic
  • The future is great for patients and healthcare
    providers
  • Achieving a successful future requires
    introspective analyses
  • WPIs CeHIPT provides that transforming analysis

22
Questions?
Lawrence.Garber_at_FallonClinic.org
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