1. Electronic Health Record Update
Annette Pounders, Physicians’ Primary Care of SWFL
Mike Smith, Chief Information Officer, LMHS
Mike Biel, Internal Medicine Associates

2. Electronic Health Record
Develop a method for transferring electronic patient information among physicians, caregivers, and facilities to improve delivery of care and transition of patients between acute care settings and other locations.

3. Electronic Health Record - Scorecard

4. Electronic Health Record
Improve quality and convenience of patient care
Increase patient participation in their care
Improve accuracy of diagnoses and health outcomes
Improve care coordination
Increase practice efficiencies and cost savings.
With more complete patient information, providers improve their ability to make well-informed treatment decisions quickly and safely.
Above description copied from

5. Accomplishments Regulatory Requirements
Meaningful Use Stage 1
Quality Reporting
Security Risk Assessments
Patient Health Record/ Patient Portal(s)
Follow My Health – 21,000 patients have sign-ons
My Chart (Epic) – 70,000 patients have sign-ons
IMA Patient Portal – 12,320 patients have sign-ons
Mu stage 1 – accomplished by LPG and Large independent groups,
Epic – “mychart”
Other independent groups have patient portals

6. Accomplishments
Electronic patient record exchange (interoperability) is progressing… slowly
Summary of Care (CCD exchange is happening)
PPC – 2,600 CCD records transmitted since October ’14
LMHS – 40,000 records transmitted since October ’14
Lee Physician Hospital Organization “Clinical Integration Network” is operational
Venue for collaboration on quality, efficiency, data exchange among providers

7. Challenges
Sending “Summary of Care” records does not accomplish all interchange goals:
Not all EMR vendors have added these capabilities
Not all providers have upgraded their EMR software
The CCD Design does not satisfy all provider/patient needs
Meaningful Use Stage 2 demands substantially greater EMR capabilities
Vendors and providers are struggling to achieve MU 2
ICD10 Coding/Reimbursement Changes – October 1

8. Challenges
Continued care delivery and reimbursement changes - requires new software capabilities
Software vendors (and providers) are struggling to keep up with needed software updates
The move toward non-hospital care…
opportunities to innovate - i.e. tele-health
Securing electronic records – requires ongoing focus
The need for more care access & capacity – requires greater technological investments

9. Future Opportunities e-Visits
Consumer level in-home diagnostics – connected to the EMR
Smart phone-enabled diagnostics

10. Next Steps ICD-10 diagnosis coding – Oct 1, 2015
Meaningful Use Stage 2 – this year
Enhanced Health Information Exchange -
Between Hospital and Medical Practices
Between all Medical Practices
Between Radiology, Lab and other facilities
Stage 2 – improve patient care through better clinical decision support, care coordination and patient engagement. This stage will help advance the goal to save the health care system money, save time for doctors and hospitals and save lives.
ICD10 – major change – (extremely expensive)
HIE – expensive but required. Mike Smith will coordinate a meeting with large medical practices.

11. Lee County Healthcare Connected
Medical Centers
Doctors’ Offices
Commercial Lab
Pharmacies
Ambulatory Clinics
Direct Exchange

12. Discussion
• Questions for the co-champions? • Other updates from the steering committee? • Suggestions for further improvements?