Training Needs Around EHR Penny Davies Planned Parenthood of Utah penny.davies@ppau.org

Where EMR is today Over 400 vendors Part of Health Care Plan HITECH- Health Information Technology for Economic and Clinical Health $$$$$- reimbursement incentives National standards – meaningful use

Advantages Improve Quality of Care Promote Evidence Based Medicine Access = Communication READ EVERY CHART !!! NO LOST CHARTS!!!!

Disadvantages CHANGE!!! Costs Technology Concerns about Privacy-HIPPA Security-access rights CHANGE!!!

The Experience The Commitment / $$$ Selection Process Time IT Expansion Loss of Revenue

Acknowledgement of Change Everyone is effected Doing things differently Disruption to Operations Not Seamless/Not Painless

Templates

Chart Summary

Roles of Training Centers Assisting in Evaluating and Implementation Training, system development and monitoring Provide support and ideas to improve quality Collaborative Expertise Technical Assistance Planning and Management Research Commitment to Public Health Etc………

Assisting in the Selection Process Evaluate Readiness Identify “working systems” What to look for in contracts Assist in “team” preparedness Ways to make it affordable

Successful Implementation Strategies Basic Questions Convert – what!! Scan – what!! Preparing staff for changes Training models Scheduling tips Go Live Ideas

Best Practices Signature pads- laminated consent form Location of computers Workflow Efficiencies Checking In History taking Enhancing communication Cost Shifting

Improving Productivity Training New Employees Providers Scheduling Clinic Flow Cross Training Relationship Building

Quality of Care Audits Customer Service Evidence Based Medicine Case Management

Topics to Think About Training Staff/ Reviewers Revising/Developing Tools Comparing Quality Indicators Report Card Tracking Performance Indicators Surveys

How to contract with 3rd parties Identifying program strengths and weaknesses Tools to evaluate system Research Technical Assistance

What is next Constant Change! PHR – personal health record Patient Medical Home HIE – health information exchange TELEMEDICINE Remote patient monitoring Home health care http://tie.telemed.org/default.asp