1. IHS EHR Indian Health Service Electronic Health Record

2. Welcome & Introductions  Welcome/Introductions Agenda Overview Agenda Overview Sign in Sheet Sign in Sheet Small Group Break Outs Sign Up Small Group Break Outs Sign Up CME Sign Up CME Sign Up  Lunch Details  Evaluations

3. New Terminology POE – Provider Order Entry POE – Provider Order Entry CAC – Clinical Application Coordinator CAC – Clinical Application Coordinator GUI – Graphical User Interface GUI – Graphical User Interface OE/RR – Order Entry/Results Reporting OE/RR – Order Entry/Results Reporting CPRS – Computerized Patient Record System CPRS – Computerized Patient Record System VueCentric Framework VueCentric Framework Server side applications – roll and scroll; back end applications Server side applications – roll and scroll; back end applications PIMS – Patient Information Management System PIMS – Patient Information Management System TIU – Text Integration Utilities TIU – Text Integration Utilities Vista – Veterans Health Information System & Technology Architecture Vista – Veterans Health Information System & Technology Architecture

4. Warm Springs Health and Wellness Center  57,392 visits FY 04  6,600 active patients.  5.5 Physicians  4 Mid-level providers  3 Computer Support Staff: 1 Health Information Series 1 Health Information Series 2 IT Series 2 IT Series 119 computers for 125 staff 119 computers for 125 staff

5. Warm Springs EHR Timeline  4-2004: First EHR Users  8-2004:~Fully Implemented  11-2004: Stopped sending the paper chart  12-2005Vista Imaging

6. 1993…1994…..1996….1997….2000….2001…2004... 2005 JANE DOE LIFETIME DATA PROBLEM LIST height MEDICATIONS LAB RESULTS Weight Reason for Visit Blood Pressure IMMUNIZATIONS Billing JANES Diabetic Lab Results

7. New Scheduling  Scheduling “GUI”  Important for EHR Workflow Provides electronic routing of pts Provides electronic routing of pts Pt name Changes color when they Arrive Pt name Changes color when they Arrive Chart not needed for visual queue Chart not needed for visual queue

8. Scavenger Hunt  Login to the EHR Train ing Server: Access Code= doctor10 Access Code= doctor10 Verify Code= medicine10! Verify Code= medicine10! Electronic Signature= medicine34. Electronic Signature= medicine34.  Bring up Test,WOMAN

9. Evaluations  http://porwsp-b/wspintranet/EHR/EHR.htm http://porwsp-b/wspintranet/EHR/EHR.htm