1. Time for an EHR Check Up? Derek Kosiorek Principal MGMA Healthcare Consulting Group October 2013 MGMA 2013 ANNUAL CONFERENCE

2. Objectives Diagnose EHR productivity and workflow issues Apply continuous-improvement principles to the EHR system Understand the current and future opportunities that a properly configured EHR can offer

3. 30 in 30 – EHR Optimization Make sure the version of your EHR is certified

4. 30 in 30 – EHR Optimization EHR is NOT an IT function

5. 30 in 30 – EHR Optimization Watch for newer technologies. Cloud based solutions and new input devices can offer many advantages.

6. 30 in 30 – EHR Optimization Using post-it notes can help visualize the flow of data in the office.

7. 30 in 30 – EHR Optimization Revisit original goals of EHR transition How did you do?

8. 30 in 30 – EHR Optimization Create list of measurable goals for optimization

9. 30 in 30 – EHR Optimization Make sure data is backed up

10. 30 in 30 – EHR Optimization Are data points structured?

11. 30 in 30 – EHR Optimization Speed of data lines

12. 30 in 30 – EHR Optimization What is attitude of staff? Who do you need to win over the most?

13. 30 in 30 – EHR Optimization Meaningful Use Gap analysis

14. 30 in 30 – EHR Optimization www. Launch that portal.com

15. 30 in 30 – EHR Optimization Visit portal as patient to see if it works as expected

16. 30 in 30 – EHR Optimization Risk = Threat x Vulnerability x Impact

17. 30 in 30 – EHR Optimization Interview or survey staff about what can be improved. Remember, perception is reality!

18. 30 in 30 – EHR Optimization Identify users who need refresher training

19. 30 in 30 – EHR Optimization Create a training structure for new users. The worst person to teach them is often sitting next to them.

20. 30 in 30 – EHR Optimization Any opportunity in the physical workflow?

21. 30 in 30 – EHR Optimization Gauge the alerts to make sure they do not show up too rarely or too frequently. Alert fatigue is a real thing!

22. 30 in 30 – EHR Optimization Interfaces should flow to structured data No more printing and reading lab reports

23. 30 in 30 – EHR Optimization When buying new equipment, consider the interface needs

24. 30 in 30 – EHR Optimization Determine what reports are needed Are they taking a long time for someone to put together?

25. 30 in 30 – EHR Optimization Prepare for doctor-patient messaging

26. 30 in 30 – EHR Optimization Kiosks in your reception area can easily pay for themselves in a short amount of time.

27. 30 in 30 – EHR Optimization Have someone in clinical review and sign off on the workflows. They bring credibility to other clinical staff.

28. 30 in 30 – EHR Optimization DON’T assume your patients are too old for internet

29. 30 in 30 – EHR Optimization Test the software upgrades Including the Interfaces & UI

30. 30 in 30 – EHR Optimization Don’t trust your written processes. Visit your remote sites and observe whether they are actually being followed.

31. 30 in 30 – EHR Optimization Have system guru or owner

32. 30 in 30 – EHR Optimization Follow the 80/20 rule! Don’t get hung up on exceptions

33. Questions?