CSI-RI Best Practice Sharing Conference February 18, 2011

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Presentation transcript:

CSI-RI Best Practice Sharing Conference February 18, 2011 Marcus Welby, Robo Doc or Someplace in Between: Creating Clinical Sessions That Work For You

What We Don’t Talk About Why Do Some Providers Run On Time and Others Are Always Behind? Is It Personal Style? Is It A System Issue? Be Ready To Take Notes

Why am I having a bad day? You don’t have the information you need when you step into the exam room? Your EHR isn’t facilitating the visit with prompts and a simple documentation process? Your network or EHR or related programs (e.g., SureScripts) is going down too often? Your patient isn’t informed / motivated / activated? You aren’t compensated enough to provide the care you want to?

Why am I having a bad day? You have too many interruptions? You aren’t focused enough, e.g, you socialize too much with pts., staff, other Drs. You’re too sleepy to be efficient You haven’t created an effective clinical team so that you can concentrate on more complex medical issues? You just haven’t allotted sufficient time for the visit?

Coastal Redesigned Workflow Goals: - Maximize time Drs. doing doctoring - Minimum patient downtime - Have information available Tactics - Team formation (appropriate tasks) - Redesigned space (handed over to pts.) - New process

Coastal Redesigned Workflow Check-in  Room 1 - Welcome, VS, med. rec./RFs, screening, define CC, documenting all in EHR; labs/tests printed out, EKG/pulse ox./etc. Provider  Room 2 - Visit has focus; provider can listen / provide care Complex patients  3 - add’l testing, tx, NCM encounter, counseling, referrals

Hillside Physician Constantly monitoring WR/check-in Reason for visit stated (from prev. appt.) Transcribing hx as pt. gives it Consistent flow to routine F/U visits – pts. become familiar w/ it also Instant email from room for help Move to next room when procedure done Assures pt. has direct access to her

Another Hillside Physician Previst planning driven by MA Hallway Huddle Hallway desktops Direct communication EHR Facilitation Reality Check – Need Longer Appts. Utilization of NCM