EHR = Meaningful Use? Kelly Templeton, Application Specialist Citizens Memorial Healthcare Bolivar Missouri

Citizens Memorial Healthcare 55 acute care beds –Medical/Surgical –ICU –The BirthPlace –Geriatric Wellness Emergency Services –Level III trauma center –Ambulance Services –Air Ambulance onsite Home Health, Hospice, Home Medical Equipment, Health Transit Services Long Term Care Facilities Residential Care Facility Physician Clinics Outpatient Services –Rehab –Sleep Lab –Cardiac Cath Lab –Visiting Specialists Ambulatory Surgery Center Carrie J. Babb Cancer Center

Project InfoCare Vision Enable a patient to enter anywhere into the continuum of care and have a personal identity that is maintained across that continuum Physicians and other caregivers will have access to all of that patient’s medical information within the healthcare continuum Providers will be able to document efficiently within the software system, which will free them to have more time to spend with patients The investment of time, talent and money will enable CMH to be a technologically advanced healthcare organization poised to grow and offer new services to our patients and the community at large

EMR that crosses continuum 100% use of CPOE No paper charts

Implemented CPOE e-Prescribing Patient Portal Health Maintenance Quality Measure Research

Quality Reporting/AHRQ Grant Standardize and integrate data capture for quality measurement into the normal documentation of care within the ambulatory EMR Implementation of an automated system for data extraction including valid, reliable reports that provide actionable insight for the measurement, analysis and improvement of care

Research Results: Coding 4 Diabetic Measures 64 cases qualified for the measures, –coders manually coded 16 qualified & 7 cases unqualified (only 25%) –The 16 cases should have had 64 codes; only coded 46 of the 64, (70%) were reported Automated data extraction identified all 64 cases reporting 256 codes (100%)

Challenges with Meaningful Use User utilization Submitting code to CMS Maintaining the changing quality measures Difficult to build into documentation Not consistent