David West A provider’s perspective on… Electronic Health Records

Overview Organizational Impacts from Electronic Health Records (EHR) Provider Strategies for Electronic Health Records (EHR)

Who Are We The mission of Avita Community Partners is to promote safe, stable and meaningful lives. Avita partners with individuals, families and communities to minimize barriers for persons with mental health, developmental disabilities, addictive diseases and similar life challenges. Seeing people achieve their dreams Avita Community Partners envisions all individuals served as: Having a home Having a home Having a job Having a job Being knowledgeable about their disability and service options Being knowledgeable about their disability and service options Having a natural support system Having a natural support system

Servicing 13 Counties Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, Rabun, Stephens, Towns, Union, and White Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, Rabun, Stephens, Towns, Union, and White  3,400 square miles  Offices  Residential Facilities  Intensive Services  Community-Based care

Avita Systems before an Electronic Health Record

An Over-arching System With an EHR, Avita’s was able to streamline, integrate and coordinate business processes, technology, and information.

Technology Thoughts.. Do you realize if it weren't for Edison we'd be watching TV by candlelight? ~Al Boliska

Organizational Impacts.. A provider can use an EHR system to accelerate how we deliver and manage clinical services

Organizational Impacts.. Improvements gained from Electronic Health Records Clinical Practice Business Operations

Integration treatment across service line providing more holistic plan of care Single electronic record compared to paper records with different programs and service lines 1. Foster a team approach to a system to care 2. Providers share data with other providers and community partners Impacts to Clinical Practice

Error reduction as result of information sharing. Progress notes match billing records and other required documentation Comprehensive medication list from treatment team Immediate access to information On call Staff Mobile Staff (Hospital Liaison) System alerts for authorization and allergies Impacts to Clinical Practice

Clinical Form consolidation Had over 150 forms that were streamlined into the clinical workflow Only enter data elements once EHR Impacts to Business Operations

Access to health records Client transfer to different offices and counties Ease of health record reviews and route records to other reviewers Immediate data entry (billing) and concurrent documentation Enhance tracking and analysis on workflow for quality improvement and outcomes. Wait times Measurements for Satisfaction with services Changes in level of functioning EHR Impacts to Business Operations

We are the children of a technological age. We have found streamlined ways of doing much of our routine work. Printing is no longer the only way of reproducing books. Reading them, however, has not changed Lawrence Clark Powell--- Technology Thoughts..

Functional and Business Requirements Key Characteristics for an Electronic Health Record Provider Strategies for Electronic Health Records

What are your functional and business requirements

Systems that are: Flexible Adaptable Extensible Interoperable Secure Responsive Today’s Business Past Business Environment Static Data Elements System Silos Provider needs from an EHR

Electronic Health Records for Today’s Business Ideal Characteristics: Flexible  Able to change data structures, requirements, information and tracking on an ongoing basis. Extensible  Scalable for both small and large providers.  Must be an “Open” system architecture allowing new features and functions to be added or plugged in at will. Interoperable and Secure  The system needs to operate and interface easily with other systems.  Information must be protected for privacy at all times. Responsive  Information should flow into the EHR system in an “as soon as gathered mode” rather than weekly, monthly, etc. intervals.  Business requirement changes must flow into the system as needed.

Closing Thoughts.. The good-to-great companies used technology as an accelerator of momentum, not a creator of it. – Jim Collins “Good to Great” EHR can make an impact on a provider’s clinical practice and business operations, but will never change or create core values we have as providers.