Presentation
Course details
Presentation of attendies
Difference between EMR & EHR
History & Background
HIS - Hospital Information System
LIS - Laboratory Information system
PM - (PMS) Practice Management System
PHR - Personal Health Record
HIE - Health Information Exchange
Why EMR? - Folds financial and clinical “sides”
together.
Triple Aim:
Better care for individuals
Better health for the population
Lower cost through improvement
Shift in EHR Adoption
Changing trends in EMR and its future
• Mobile
• Cloud
• Big Data
• Analytics
Sinister / parasitic
• Control over 1/7th of the economy
• Easier to convict fraud/abuse
• Governmental agencies get the ability to access
your info
Should government be involved?
• Positive
• Negative
Standardization
• Interoperability -Exchange of information/data
across platforms/applications/devices
• Lab - As true data not “pictures of the reports”
• Imaging
• Referrals (incoming and outgoing)
• ePrescription
• Health Ministry (local,regional, national), i.e.
diseases outbreaks (eg. ebola case)
• Devices (EKG, spirometer, glucometer, Holter, etc.)
• Chart Notes, Other Health Data
• HIPAA Privacy and Security
• EHR Safety Alerts
• FDA's Role
CASE STUDY - Incentive to buy an EMR in USA -
Meaningful Use
Why do physicians need a governmental incentive to
do something that ultimately benefits physicians
Meaningful Use - What is it?
Components of Meaningful Use
• Core measures
• Menu measure
Mechanics of Meaningful Use
• Why bother?
Hospital systems vs physician systems
Retun on Investment (ROI)/What costs vs benefits?
EHR Costs
• Obvious Costs
• Forgotten EHR Software Costs
• Forgotten EHR Hardware Costs
EHR Benefits
• Simple EHR Benefit Calculations
• Harder EHR Benefit Calculations
Guaranteed EHR Benefits
Possible EHR Benefits
Debatable EHR Benefits
EHR Time Savings
Other EHR Benefits?
EHR Selection Suggestions
Vendor flexibility/capability
• interfaces to outside systems (dictation,
accounting,document management...)
• FHIR Interoperability (API)
• Makes Use of public domain data
Forward thinking
• Solves tomorrow’s problems before they become
today’s crisis
What about all the paper?
How should you approach EHR Switching?
• What can you do now in case you have to switch
EHR later?
Regulation Requirements
What about free EMRs?
Interoperability and Standards
• Interoperability vs Integration (PACS, HL7, FHIR,
DIRECT, APIs, etc)
EHR Contracting
Future of EHR
• Personal Sensors and Health Data
• Implantables
• Genomic Medicine
In House, Open Source, and Off the Shelf EHR Debate
Localization of EHR system
How to create venue specific workflows to simplify
EMR use
Fully functioning multilingual; EHR system
User friendly systems
Customization and intuitive embarked technology in
EMR system design
How it’s purchased and installed…
EMR/EHR implementation approaches
• Big bang EHR implementation
• Phased EHR implementation
EMR/EHR training
• Training - Don't skimp
EMR/EHR ergonomics
Ongoing EMR/EHR improvement plan
What will the EMR/EHR look like in the future
• Device
• Voice to text/commands - how far behind is thought
to text? Video?
• Existing systems deficiencies
• Systems compatibility with future development
• Preparing staff and management for shift of
technology
• Status of EMR/EHR implementation in the region
• Investigate the existing disparities
• Latest Development in public & private sector
• Innovation
• Future trends & objectives
Course Program | |
---|---|
Time | Topic |
Day 1 | |
08:00 to 08:30 | Registration & Introduction |
Day 1-2 | |
08:30 to 10:00 | Session One |
10:00 to 10:15 | T E A B R E A K & N E T W O R K I N G |
10:15 to 12:00 | Session Two |
12:00 to 13:00 | Z U H R P R A Y E R & L U N C H B R E A K |
13:00 to 14:30 | Session Three |
14:30 to 15:00 | T E A B R E A K & N E T W O R K I N G |
15:00 to 16:30 | Session Four |