2. Gene Burwell CIO, Jamestown Health Department
Jamestown S’Klallam Tribe Sequim, Washington

3. Jamestown S’Klallam Tribe Health Department
Medical Clinic- Largest Primary Care Clinic in Clallam County
Family Medicine
Women’s Health
Chronic Pain
Coagulation
DSMT- CDE
Pharmacists
Mental Health Services
PPMP Lab Services
LAB/X-Ray- OMC
Dental Clinic Services- Medicaid Children

4. Health Department Staff - 119
Health Clinic - 96
10 Physicians
15 Mid-level Providers
2 Clinical Pharmacists
1 Pharm Tech
16 LPNs & RNs
18 MAs
19 Clinic Support
Dental Clinic - 19
6 Dentists- pediatric dentist
6 Dental Assistants
3 Hygienists
4 Support Staff
Health Program - 4
2 Benefits Program
1 CHR, 1 Home Services Coordinator

5. Jamestown Serves the County
Medical Clinic- FQHC
Total Patients in Epic: 17,800
Patients Seen: 11,378
Total Visits: 49,528
Patients <18 = 270
Patients >90 = 512
Dental Clinic
Total Patients: 4,100
Visits Dental Clinic: 11,200
Ages 0-5: 1,729
Ages 6-18: 5,481
Ages 19-55: 1,332
Ages 55-64: 785
Ages 65 +: 1,782
User Population: ~500

6. Electronic Health Record
Practice Partner- RIP
EPIC- 2014
Practice Partner- Since 2003
Managed our own server
Updated Software
Minimal Training
Difficult Reports
Report Utilization
Quality using CPT II
Community Linkage
Sister’s of Providence Manager
Olympic Medical Center Financial Support
Meaningful Use

7. The Transition Change in Culture Hardware Data migration
Training, Training and more Training
Ancillary devices
Billing
Reports
Loss of Control
Taking Control- Soft Go Live

8. Healthy Hearts & Going Green JOE
Diabetes
Hypertension
Uncontrolled

9. How we used the EHR Reports and Dashboards to monitor progress.
Healthy Hearts
Going Green
CMS 138- Tobacco Screen
CMS 164v4- Aspirin Use
CMS 165 v4- BP Control
CMS 347- Pts on Statin
Pre-Visit Planning
Care GAP Report
Preventive & Chronic Illness Gaps
Risk Stratification
Reports and Dashboards to monitor progress.

10. Managing Care and the EHR
Six Building Blocks- Opioid Crisis
MAT and SUD
Community of Health
Transition of Care
Chronic Care Management
Behavioral Health Integration
SDOH
Single Sign-on
Electronic Prescriptions for Controlled Substances
(WISDOM)

11. Patient Portal and Interoperability
EMR Interoperability
Communications
Forms
Virtual encounters
Electronic Monitoring
Bill Pay
Self-scheduling
Satisfaction Survey
Interoperability is the ability of different information systems, devices or applications to connect, in a coordinated manner, within and across organizational boundaries to access, exchange and cooperatively use data amongst stakeholders, with the goal of optimizing the health of individuals and populations.

12. Electronic Health Record
Community
One Patient-One Chart
Support, Features and Functions
Revenue Cycle Management
Business Intelligence