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Adoption of Electronic Healthcare Records Alexander Flores Arin Halicki Tiangan Lian Damien Mar Chong Mahesh Seethraman.

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Presentation on theme: "Adoption of Electronic Healthcare Records Alexander Flores Arin Halicki Tiangan Lian Damien Mar Chong Mahesh Seethraman."— Presentation transcript:

1 Adoption of Electronic Healthcare Records Alexander Flores Arin Halicki Tiangan Lian Damien Mar Chong Mahesh Seethraman

2 Introduction State of US Healthcare  Rising Costs  Quality of Care  Recent Legislation Solution: What can EHR do for you?

3 Network Good EHR is a Network good with it’s own delicate eco-system…. Hospitals Doctors Benefits Patients Insurance Companies Insurance Companies Government Benefits Medical Groups EHR (platform)

4 EHR Platforms Interoperability and Scalability Can Drive EHR Success Different versions  Formats  Language  Service offerings Different pricing models  Size  Bundles  Incentives

5 ProductsScalability / Cost Language/ Interoperability EPIC Systems Corporation Ambulatory & Inpatient Specialties / Departments / Ancillaries Health Information Management (HIM) Medical Groups to Practices or Organizations of any Size Health Level Seven (HL7 ) ANSI X12 XML Allscripts-Misys Healthcare Solutions, Inc. Practice Mgmt Systems Electronic Prescribing Document Imaging Patient Access Individual Practices to Practices or Organizations of any size CCHIT Certified Open Source Connect written in Java Cerner Corporation Hospitals /Health Systems Private Practice Pharmacy Employers Home Care Services & Devices Individual Practices to Practices or Organizations of any size The Digital Imaging and Communications in Medicine (DICOM) GE Healthcare Hospitals /Health Systems Private Practice Pharmacy Peer Vision Processing & Planning Services & Devices Medical Groups to Practices or Organizations of any Size The Digital Imaging and Communications in Medicine (DICOM) Health Level Seven (HL7 ) Integrating the Healthcare Enterprise (IHE™)

6 What’s driving EHR adoption?  American Recovery and Reinvestment Act of – 2015 scaled payment incentives to hospitals and physicians By 2015 scaled reimbursement penalties from Medicare plus escalation  Reporting treatment outcomes and other metrics Physician Quality Reporting Incentives (PQRI) State Reporting Requirements eg. CA DMHC/OPA/OSHPD Pay for performance  Improved Quality – error reductions  Cost reduction

7 Top Motivating Factors for EHR Adoption (75% of Hospitals) Share patient-record info among healthcare practitioners and professionals Improve clinical processes or workflow efficiency Reduce medical errors; improve patient safety Improve quality of care State and Pattern of HIT Adoption, RAND, 2005

8 Factors Influencing EHR Adoption System-level factors Regional factors Hospital type Hospital-bed-size Medicare and Medicaid Physician practice and size

9 By System-Level Factors

10 By Regional Factors

11 By Hospital Type

12 By Hospital-Bed-Size Category

13 By Medicare

14 By Medicaid

15 By Practice and Size

16 Barriers to EHR Adoption Older Records Costs of conversion Ownership Other challenges (Tech/Human) Patient rights & Privacy HIPAA regulations Digital security Theft of information

17 Barriers to EHR Adoption Other reasons  Lack of support from medical staff  Resistance to change  One system does not fit all needs  Fragmentation & customization  ROI impact State and Pattern of HIT Adoption, RAND, 2005

18 Barriers to EHR Adoption Interoperability Synchronization Hardware Costs Who pays for it Startup costs Maintenance costs Hardware – High fixed costs Process change

19 Recommendations Single payer system Create interoperability standard Public-private ownership for patient information Financial incentives for EHR Adoption Leasing of EHR solutions or SaaS Pay for performance Free/Subsidized basic System Train new healthcare practioners about EHR. At Medical schools


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