EMR/EHR Meaningful Use

Course Schedule

Day 1 - Monday 31 August, 2015
Opening Session

Course details
Presentation of attendies

EMR/EHR What is it?

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”

T E A B R E A K & N E T W O R K I N G
Impact of EMR/EHR on Healthcare Industry

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

Z U H R P R A Y E R & L U N C H B R E A K
Health IT - Government’s responsibility

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
• 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

T E A B R E A K & N E T W O R K I N G
CASE STUDY - Incentive to buy an EMR in USA - Meaningful Use & Retun on Investment (ROI)/What costs vs benefits?

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

Day 2 - Tuesday 01 September, 2015
EHR features to look for - EHR Benefits Deep Dive

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

T E A B R E A K & N E T W O R K I N G
DEBATE - To develop or find the Ideal EMR System

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

Z U H R P R A Y E R & L U N C H B R E A K
EMR Integration

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?

T E A B R E A K & N E T W O R K I N G
GROUP DISCUSSION - Trends & development in e- Health (Middle East)

• Existing systems deficiencies
• Systems compatibility with future development
• Preparing staff and management for shift of
• Status of EMR/EHR implementation in the region
• Investigate the existing disparities
• Latest Development in public & private sector
• Innovation
• Future trends & objectives

Certificate distribution
Course Program
Time Topic
Day 1
08:00 to 08:30Registration & Introduction
Day 1-2
08:30 to 10:00Session One
10:00 to 10:15T E A B R E A K & N E T W O R K I N G
10:15 to 12:00Session Two
12:00 to 13:00Z U H R P R A Y E R & L U N C H B R E A K
13:00 to 14:30Session Three
14:30 to 15:00T E A B R E A K & N E T W O R K I N G
15:00 to 16:30Session Four