Implementation of Electronic Health Records at Choctaw General Hospital Lisa Sims November 12, 2012

EHR Needs Assessment The American Recovery and Reinvestment Act (ARRA) of 2009 and the Health Information Technology for Economic and Clinical Health (HITECH) act established five goals: Improve quality, safety and efficiency; reduce disparities Engage patients and families Improve care coordination Improve population health Ensure privacy and security

What is Meaningful Use? The American Recovery and Reinvestment Act of 2009 specifies three main components of Meaningful Use: The use of a certified EHR in a meaningful manner, such as e-prescribing. The use of certified EHR technology for electronic exchange of health information to improve quality of health care. The use of certified EHR technology to submit clinical quality and other measures. Simply put, "meaningful use" means providers need to show they're using certified EHR technology in ways that can be measured significantly in quality and in quantity.

Theories of Change Lewin’s Theory Lippitt’s Theory Havelock’s Theory

Stakeholders Employees Physicians Patients Visitors Investors Board of Directors Community

Issues with Implementation of EHR Up to date training for employees Interface issues with other departments Log In ID and password issues Limited access to needed areas of charting Physician resistance to EHR Internet connection problems

Human Drivers / Resistors Drivers Rush Health Systems Administration Information Technology Case Management Resistors Physicians

MU Measures-IT Functionality

MU Measures Quality e-Measures

CMS Meaningful Use Design

Resources EHR Incentive Programs | Centers for Medicare & Medicaid Services EHR Incentive Programs | Centers for Medicare & Medicaid Services McKesson Corporation (2010). McKesson’s horizon clinical receives ONC-ATCB certification via drummond group: Advanced electronic health record to help providers achieve meaningful use and more. Retrieved from Newsroom/Press%2BReleases%2BArchives/2010/McKesson% 2527s%2BHorizon%2BClinicals%2BReceives%2BONC- ATCB%2BCertification%2Bvia%2BDrummond%2BGroup.html Newsroom/Press%2BReleases%2BArchives/2010/McKesson% 2527s%2BHorizon%2BClinicals%2BReceives%2BONC- ATCB%2BCertification%2Bvia%2BDrummond%2BGroup.html