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Erickson Communities Developer of large scale retirement communities
1500 independent apartments Service rich environment Home care (nursing and rehab) Outpatient rehab Extended care Skilled inpatient nursing and rehab Long term care Assisted Living Physician Practice on site (one doctor/400 residents) Sublease to Specialists Only CCRC with its own Medicare Advantage Plan
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Strategy Optimize the Resident Provider Encounter
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Interdisciplinary Care Delivery Model
3/31/2017 9:19 PM Interdisciplinary Care Delivery Model
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Automating the Clinical Model
Erickson committed to automating all clinical transactions in 2003. Strong interdisciplinary team due to clinical model Emphasis on customer service due to “Erickson Living” Excellence in Geriatrics is defined by whole person care on their terms Less testing, less medications, lower hospitalization rates More use of rehabilitative and restorative services
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Erickson Health IT Functional Health Record Care Coordination
Medical Center Out Patient Rehab Renaissance Gardens Labs Functional Health Record Home Health Retail Pharmacy Electronic Health Records are comprised of a complete collection of all medical information about a resident. We are building a comprehensive chart of a resident that covers all these locations and more. The implementation of Centricity and CareMEDX covers most of our current clinical settings and working to incorporated a complete view internally along with incorporating external sources of information like the hospital, pharmacy, labs, etc. Along with the information we are aligning our efforts around the Erickson Advantage program. Institutional Pharmacy Specialists Resident Portal Hospital 5
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Solutions Ambulatory Practice EMR (GE Centricity)
Custom content for all types of service and levels of care Compliance support E and M Risk Adjustment Workflow tools Meds to be avoided in elderly, meds contributing to falls Advance Care PQRI Preventive Measures
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Ambulatory EMR Resident Portal (launched 2005)
Reporting Quarterly provider dashboard on Quality Registry to CMS for PQRI Resident Portal (launched 2005) Integrations with Care MEDX (The Erickson Functional Health Record) Health Risk Assessments
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ER Chart Summary
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Ambulatory EMR ER Chart Summary (2004) Resident Portal (launched 2005)
Reporting Quarterly provider dashboard on Quality Registry to CMS for PQRI ER Chart Summary (2004) Resident Portal (launched 2005) Integrations with Care MEDX (The Erickson Functional Health Record) Health Information Exchange with hub Hospital (with Health Unity) 2007
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Care MEDX “Vision” Long Term Care Assisted Living
Inpatient and Outpatient Rehab Home Health (to be completed with occasionally connected solution)
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Intel Health Guide Resident apartment
High risk patient in skilled care Complex patients in Erickson Advantage 30 devices, Peripherals, Care Management Very high compliance with care plans Improved review of critical issues Weight gain Blood Pressure Medication Compliance High patient and care manager satisfaction Improved patient knowledge of disease
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The Functional Health Record
Integrations across all clinical platforms Lab Corp electronic order entry Electronic Prescribing (2009) Document imaging Point of care reporting Physicians use physicians system at all levels of care Nursing and Allied health use their systems View reporting allows chart review, data mining and decision support Advance Directive Project Interdisciplinary Workflow Alignment Application
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Quality Measures Q1 Medical Group National Benchmark
Pneumococcal Vaccine 95% 62% Flu Vaccine 90% 67% Hospital Admission / Members 272 364 Hospital Readmission Rates within 30 days 8.6% 19.6% Meds to be Avoided Among Seniors 0.6% 3.0% Osteoporosis and Vitamin D level 98%
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Advance Directives on File
National Average < 10%
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Long Term Plan Close gap on Medication Reconciliation
Single Source for all aspects of medication use, administration and compliance Transitions of Care Improve patient involvement in HRA Planned transitions Better integration with Specialists through HIE Unplanned Transitions Reduce admission rate from Ere Reduce transition rate
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Beyond the Gates How can community health systems achieve care alignment and quality Incentives HIT adoption and Functionality Patient Expectations Training
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