EHR Selection and Implementation
EHR Selection and Implementation
Ali Modaressi
Di f EHR T h l HITEC LA
EHR Selection Tips
Certification
RESEARCH THE MARKET
SCORE & RANK THE
DIFFERENT EHR SYSTEMS
& Compliance MARKET PRIORITIZE YOUR REQUIREMENTS DIFFERENT EHR SYSTEMS GATHER & COMPARE PRICE QUOTES Meaningful Use HIE Connectivity REQUIREMENTS
BUILD A SHORT LIST OF
PRICE QUOTES
VERIFY REFERENCES &
Preferred EHR Vendors
Preferred EHR Vendors
• HITEC‐LA supports all ONC certified EHRs
• HITEC‐LA EHR vendor evaluation outcome:
Clinics Small Practices Clinics Small Practices
Allscripts Professional eClinicalWorks GE Centricity Allscripts MyWay NextGen AthenaHealth Greenway e‐MDs
EHR Products Selection
Basic EHR Criteria
• ONC‐ATCB 2011 certified • Meaningful use reporting b l d f d l • Ability to generate county, state and federal reports • Support HL7 messaging standard S t S S k t L (SSL) di it l tifi t • Support Secure Sockets Layer (SSL) digital certificate • Report writing tool (e.g. Crystal report)• Audit trail capabilities
EHR Selection Tips
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Step 2 – EHR Demonstration
• Determine which EHR system meets your high‐level requirements
Id if h EHR f ill k ffi
• Identify ways that EHR software will make your office more efficient
• Determine hi h EHR s stem falls ithin o r b d et
• Determine which EHR system falls within your budget
EHR Selection Tips
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Step 3 – Reference Check
• Ask for two or three references that share your specialty A k h f h h d ’ lik b h • Ask each reference what they don’t like about the system• Ask referen es ho the endor responded to an
• Ask references how the vendor responded to any problems
• Assess the vendor’s financial and strategic viability
The Hidden Costs
The Hidden Costs
Avoiding Surprises
1. Interfaces (device, lab, imaging, portal, HIE, PM )
2 Third party software
EHR Implementation
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Keys to Success
• Takes planning and time to make an implementation
successful
• Need to be willing to commit the necessary time and
EHR Implementation
EHR Implementation
Keys to Success
• Plan and prepare for implementation
• Define measurable goals and milestones (scheduling, EHR and PM go live) and share it with staff
EHR and PM go live) and share it with staff
• Use the change as an opportunity to improve processes (both patient care and administrative)
(both patient care and administrative)
Vendor’s Implementation Gap
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•
Lack of practice‐focused preparation
•
Inadequate training
•
Lack of support during implementation
Lack of support during implementation
•
Poor go‐live strategy
U l
t
d f
•
Unclear costs and fees
Service Partners
•
Six Service Partners have been selected; they
provide on‐site local technical assistance to:
provide on‐site, local technical assistance to:
– Determine practice readiness
– Select an EHRSelect an EHR
– Design workflow
– Determine hardware and connectivity needs
– Manage the vendors
– Achieve meaningful use
