Presentation is loading. Please wait.

Presentation is loading. Please wait.

Cuyahoga County Board of Health (CCBH) and Regional Extension Center (REC) James W Coates, MS, RS Researcher, Epidemiology, Surveillance and Informatics.

Similar presentations


Presentation on theme: "Cuyahoga County Board of Health (CCBH) and Regional Extension Center (REC) James W Coates, MS, RS Researcher, Epidemiology, Surveillance and Informatics."— Presentation transcript:

1 Cuyahoga County Board of Health (CCBH) and Regional Extension Center (REC) James W Coates, MS, RS Researcher, Epidemiology, Surveillance and Informatics

2 Cuyahoga County Board of Health Serves ~845,000 residents in Cuyahoga County, Ohio excluding the City of Cleveland and Shaker Heights.

3 Why EHR at LHD? Participate in the Health Information Exchange Provide Patient Data Get Population Data Increase Revenue Improve Productivity and Efficiency Improve Customer Service and Quality of Care Improve Regulatory Compliance

4 Keys to Success Senior-level Management Support Funding, priority setting, and executive attention Physician and Nurse/Staff buy-in Identify Champions Abandon inefficient processes Leave the weve always done it that way behind Maintain Constant Communication Understand Technology alone will not transform nursing practice Liang, L. Connected for Health Using Electronic Health Records to Transform Care Delivery. 2010. Jossey-Bass A Wiley Imprint.

5 Goal To record all patient interactions, migrate historical data from current practice management (PM) system, track and generate claims, achieve stage 1 meaningful use, participate in the State health information exchange, and comply with HIPAA 5010 and ICD-10 requirements.

6 CMS Incentive Flow Chart Centers for Medicare & Medicaid Services. ICN# 905343 (September 2010) https://www.cms.gov/MLNProducts/Downloads/Eligibility_Flow_Chart-ICN905343.pdf

7 History of Events October 2010 REC Kick-off Meeting Not Eligible for REC Services November 2010 Title X Letter December 2010 Signed REC Agreements

8 Golden Ticket *Additionally CCBH contracts with Certified Nurse Midwife with prescriptive authority and a M.D.

9 REC Experiences Case Western Reserve University (CWRU) Assigned Consultant Welch Allyn Preparation Questions Personnel Budget Work flows

10 Welch Allyn Preparation Questions Personnel Budget Work flows

11 CCBH Direct Services Immunizations Child Adult Travel Title X Family Planning School Based Dental Sealant

12 Work Flows Documents sequence of events between actor and the system. Excellent learning experience for all Communicates needs to developers Essential for developers

13 Example Work Flow Orlova, A., Johns Hopkins University, Health Information Technology Standards and Systems Interoperability Course, Spring 2011. http://ocw.jhsph.edu/courses/infstandards/PDF/infStandards_lec5c_orlova.pdf http://ocw.jhsph.edu/courses/infstandards/PDF/infStandards_lec5c_orlova.pdf

14 Fork in the Road System Type Integrated Include Case Management Interfaced Could Include Case Management

15 Case Management Things to consider Include in build out of EHR Comprehensive System Reporting Maintenance Cost

16 Next Steps Case Management? Develop RFP Evaluate Vendors Vendor Selection

17 Timeline Welch Allyn Process {Deliverable: Requirement Analysis Document} |----------------------------| _______________________________________________________________________________ Jun-11 Aug-11 Apr-12 May-12 Jul-12 Sept-12 Nov-12 Sys. Development {Deliverable 1: Sys. Development Specifications} |----------------------------| {Deliverable 2: Working prototype / pilot} Modification |------| |---| Implementation {D: Sys. Documentation} |-------------------------| Evaluation & Operation {D: Ops. Manual} |-------------------------------> Send out RFP {Deliverable: Receive at least 3 proposals} |----------| Vendor Selection {Deliverable: Choose 1 certified vendor} |----------| Pilot testing & retesting {D: Pilot Testing Protocol/Report} |---| |-----|

18 Contact Information James Coates, MS, RS Researcher Epidemiology, Surveillance and Informatics Cuyahoga County Board Of Health 5550 Venture Drive Parma, OH 44130 Phone: 216-201-2001 ext: 1617 Email: jcoates@ccbh.net


Download ppt "Cuyahoga County Board of Health (CCBH) and Regional Extension Center (REC) James W Coates, MS, RS Researcher, Epidemiology, Surveillance and Informatics."

Similar presentations


Ads by Google