Electronic Health Record Update Annette Pounders, Physicians’ Primary Care of SWFL Mike Smith, Chief Information Officer, LMHS Mike Biel, Internal Medicine Associates

Electronic Health Record Develop a method for transferring electronic patient information among physicians, caregivers, and facilities to improve delivery of care and transition of patients between acute care settings and other locations.

Electronic Health Record - Scorecard

Electronic Health Record Improve quality and convenience of patient care Increase patient participation in their care Improve accuracy of diagnoses and health outcomes Improve care coordination Increase practice efficiencies and cost savings. With more complete patient information, providers improve their ability to make well-informed treatment decisions quickly and safely. Above description copied from http://healthit.gov/providers-professionals/benefits-electronic-health-records-ehrs

Accomplishments Regulatory Requirements Meaningful Use Stage 1 Quality Reporting Security Risk Assessments Patient Health Record/ Patient Portal(s) Follow My Health – 21,000 patients have sign-ons My Chart (Epic) – 70,000 patients have sign-ons IMA Patient Portal – 12,320 patients have sign-ons Mu stage 1 – accomplished by LPG and Large independent groups, Epic – “mychart” Other independent groups have patient portals

Accomplishments Electronic patient record exchange (interoperability) is progressing… slowly Summary of Care (CCD exchange is happening) PPC – 2,600 CCD records transmitted since October ’14 LMHS – 40,000 records transmitted since October ’14 Lee Physician Hospital Organization “Clinical Integration Network” is operational Venue for collaboration on quality, efficiency, data exchange among providers

Challenges Sending “Summary of Care” records does not accomplish all interchange goals: Not all EMR vendors have added these capabilities Not all providers have upgraded their EMR software The CCD Design does not satisfy all provider/patient needs Meaningful Use Stage 2 demands substantially greater EMR capabilities Vendors and providers are struggling to achieve MU 2 ICD10 Coding/Reimbursement Changes – October 1

Challenges Continued care delivery and reimbursement changes - requires new software capabilities Software vendors (and providers) are struggling to keep up with needed software updates The move toward non-hospital care… opportunities to innovate - i.e. tele-health Securing electronic records – requires ongoing focus The need for more care access & capacity – requires greater technological investments

Future Opportunities e-Visits Consumer level in-home diagnostics – connected to the EMR Smart phone-enabled diagnostics

Next Steps ICD-10 diagnosis coding – Oct 1, 2015 Meaningful Use Stage 2 – this year Enhanced Health Information Exchange - Between Hospital and Medical Practices Between all Medical Practices Between Radiology, Lab and other facilities Stage 2 – improve patient care through better clinical decision support, care coordination and patient engagement. This stage will help advance the goal to save the health care system money, save time for doctors and hospitals and save lives. ICD10 – major change – (extremely expensive) HIE – expensive but required. Mike Smith will coordinate a meeting with large medical practices.

Lee County Healthcare Connected Medical Centers Doctors’ Offices Commercial Lab Pharmacies Ambulatory Clinics Direct Exchange

Discussion • Questions for the co-champions? • Other updates from the steering committee? • Suggestions for further improvements?