esMD Pilot Project University of Pittsburgh Medical Center Human Engineering Research Laboratories Brad E. Dicianno, MD, MS Associate Professor Physical Medicine and Rehabilitation Medical Director, UPMC Center for Assistive Technology
UPMC role Human Engineering Research Laboratories -Center for Assistive Technology -Human Engineering Research Laboratories -Previous work in leading best practice in PMD documentation, CME courses -Active in PMD research
Overview of Pilot Human Engineering Research Laboratories -Problems with incomplete documentation/denials -Need for electronic workflow -esMD clinical template -Alternative PDF workflow for clinics already following best practice
Standards demonstrated Human Engineering Research Laboratories -Ability to produce and transmit a PDF from EMR -Ability to share document with vendor and collaboratively complete documentation -Ability to transmit the PDF to CMS via HIH with proper metadata
Resources Needed Human Engineering Research Laboratories -Clinician experts are key -Clinical office staff who submit documentation -Supplier/Vendor -HIH -CMS -EMR team e.g. EpicCare
Pilot Ecosystem Human Engineering Research Laboratories Payer Patient LCMP DME Supplier Physicians Content Transport Services ECM CMS Private Network Medicare Administrative Contractors 6 HIH eClinical Template University of Pittsburgh Clinical PDF Bundled PDF Detailed Product Description Clinical PDF + LCMP Evaluation
Other Partnerships Human Engineering Research Laboratories -NuMotion -EpicCare -Other HIH?
Measures of Success Human Engineering Research Laboratories - Successful transmission of complete PDF - Ability to transmit PDF via different workflows
Timeline Human Engineering Research Laboratories -Obtain example of best practice documentation -Assemble collaborative team -Identify metadata to be transmitted -PDF Generation -Approval of HIH for collaboration -Begin process of testing workflow
Lessons Learned Human Engineering Research Laboratories -Input from clinicians is key -Need significant support from EMR vendor -Many steps to get workflow through HIH in place -Collaboration by CMS and Vendor crucial
Questions? Human Engineering Research Laboratories