1. IT & MU Changes For Clinical Staff & Providers Dr. Henderson and Machelle

2. Today’s Goals: Discuss changes within the practice - Meaningful Use - Tasks and Patient Portal - Changes to Referrals - Converting more charts. - Risk Assessments

3. Meaningful Use (The reason for all of the changes.) -We must make changes to our workflow in order to meet Meaningful Use. -We are in Stage 1- more changes are needed for Stage 2.

4. Meaningful Use Soon, (Date to be announced)- we will begin a “90 Day Reporting Period”- in which we must meet the criteria we discuss today. As we make changes to the way we document, I will be doing daily checks so MU goals are met.

5. Why is this important? QIC Demonstration

6. Tasks: Clarifications -Complete tasks that can be seen on the patient portal that were done in the office. (ASQ & MCHAT) -Informational Handouts (Car Seat Safety, Nutrition, Developmental, etc.) can be left so the parents can review.

7. Changes to Referrals In order to meet MU- we needed to change the way we document referrals. Most of the changes will only effect LB and CB. All “incoming” referrals go to Ladonna. Handout: What is an incoming referral?

8. Changes to Referrals The providers will be checking their schedules in order to “Review” scanned referral notes and “Completing” the referral after medication reconciliation.

9. Converting More Charts Effective July, 2 nd 2012 all well visits will be converted, regardless of age. The process will be similar to what we are currently doing- but we have tried to make it easier for the providers and the clinical staff.

10. Converting More Charts The following will always be scanned in: -Hospital Summary (Birth) -Green Lab Sheet & Attached Labs -Well Checks -Intake Sheet

11. Converting More Charts What do we enter before the patient comes in? - 5 Years and Under- Stays the same. - 6 Years and Up- Follow Guidelines.

12. Converting More Charts -Providers will assign ICD9 codes to problem list diagnoses. -Prematurity needs to be on the problem list.

13. Risk Assessments Every EMR patient.

14. Risk Assessments Under 12- ask if they are exposed to 2 nd hand smoke. (You already ask this.) “Does anyone in the home smoke even if they only smoke outside?”

15. Risk Assessments 12 & Up - Ask if the patient smokes, and if anyone in the home does. “Do you, or anyone in your home smoke, even if they only smoke outside?”

16. Demonstration