FLEX and HIT

1
FLEX and HIT

• Ron Sconyers
• Rural Healthcare Solutions, LLC

2
F L E X

• F oundation
• L everage
• E ngage
• X exute

3
F O U N D A T I O N

• What is your IT Identity
• HIMSS
• What are you dealing with
• Definition of terms

4
Identify IT Identity (1)
IT Personality Emerging, leading or bleeding edge Measured benefits Necessary Evil
Approach to IT Aggressive Optimized and balanced Cautious
Uses for IT Strategic advantage Consolidation productivity Utility
Risk Tolerance High Moderate Low
IT Metrics Strategic advantage Value-based Efficiency
IT Investment Behaviors bet the farm All things in moderation Cost of doing business
5
Defining Key Terms

• RECORD TERMS
• Electronic Medical Records
• Electronic Health Records
• Personal Health Record
• NETWORK TERMS
• Health Information Exchange
• Health Information Organization
• Regional Health Information Organization

6
What is an Electronic Health Record?

• ELECTRONIC MEDICAL RECORD (EMR)
• An electronic record of health-related
  information on an individual that can be created,
  gathered, managed, and consulted by authorized
  clinicians and staff within ONE health care
  organization.

7
What is an Electronic Health Record?

• ELECTRONIC HEALTH RECORD (EHR)
• An electronic record of health-related
  information on an individual that conforms to
  nationally recognized interoperability standards
  and that can be created, managed, and consulted
  by authorized clinicians and staff across MORE
  THAN ONE health care organization.

8
What is an Electronic Health Record?

• PERSONAL HEALTH RECORD (PHR)
• An electronic record of health-related
  information on an individual that conforms to
  nationally recognized interoperability standards
  and that can be drawn from multiple sources while
  being managed, shared, and controlled by the
  individual.

9
What is a Health Network

• HEALTH INFORMATION ORGANIZATION (HIO)
• An organization that oversees and governs the
  exchange of health-related information among
  organizations according to nationally recognized
  standards. .

10
What is a Health Network

• HEALTH INFORMATION EXCHANGE (HIE)
• The electronic movement of health-related
  information among organizations according to
  nationally recognized standards.

11
What is a Health Network

• REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO)
• A health information organization that brings
  together health care stakeholders within a
  defined geographic area and governs health
  information exchange among them for the purpose
  of improving health and care in that community

12
EMR Adoption ModelSM
Data from HIMSS AnalyticsTM Database

N 1,257 / 3,913 ?2009 HIMSS
Analytics
13
EMR Adoption ModelSM lt100 Beds and Critical
Access
Data from HIMSS AnalyticsTM Database

N 2,579 / 1,257 ?2009 HIMSS
Analytics
14
EMR Adoption Model Scores for Critical Access
Hospitals (n1257)
Data from HIMSS AnalyticsTM Database

N 1257 ?2009 HIMSS Analytics
15
F L E X

• F oundation
• L everage
• E ngage
• X exute

16
Leverage

• ARRA
• Other areas to address

17
Funding and Incentives

• Medicare Hospitals
• System must be certified (assume means CCHIT)
• Connected in a manner that providesfor the
  electronic exchange of health information to
  improve the quality of health care.
• Submits information ..on such clinical quality
  measures and such other measures as selected

18
F L E X

• F oundation
• L everage
• E ngage
• X exute

19
ENGAGE

• Develop a Strategic Plan
• S W O T Analysis
• Gap analysis from Office of National Coordinator
  Policies
• Identify Physician leader(s)

20
F L E X

• F oundation
• L everage
• E ngage
• X exute

21
Xecute

• Execute your plan
• Develop status reports

22
Bibliography

• (1)Hickman, George T., and Smaltz, Detlev H.
  (Herb), The Healthcare Information Technology
  Planning Fieldbook. Chicago, IL Health
  Information and Management Systems Society p28