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May 17, 2017 Avera Health’s HIMSS Analytics Stage 7 Journey: Lessons Learned May 17, 2017 Avera Health’s HIMSS Analytics Stage 7 Journey: Lessons Learned

May 17, 2017 Avera Health’s HIMSS Analytics Stage 7 Journey: Lessons Learned - PowerPoint Presentation

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May 17, 2017 Avera Health’s HIMSS Analytics Stage 7 Journey: Lessons Learned - PPT Presentation

May 17 2017 Avera Healths HIMSS Analytics Stage 7 Journey Lessons Learned Susan Feilmeier PharmD IT Clinical Services Officer Avera Sacred Heart IT Regional Information Officer Journey to HIMSS Stage 7 Award ID: 769336

stage himss award journey himss stage journey award gaps patient emr clinical tools scoring emram lesson annual data months

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May 17, 2017 Avera Health’s HIMSS Analytics Stage 7 Journey: Lessons Learned Susan Feilmeier, PharmD IT Clinical Services Officer Avera Sacred Heart IT Regional Information Officer

Journey to HIMSS Stage 7 Award EMRAM (EMR Adoption Model) “A strategic roadmap for effective EMR adoption and maturity” www.himssanalytics.org

Journey to HIMSS Stage 7 Award HIMSS EMRAM

HIMSS Analytics Stages STAGE 2016 Q3 2016 Q4   N:5449 N:5478 74.6%4.8%630.5%30.5%534.5%34.9%410.1% 10.2% 3 14.1% 13.9% 2 2.2% 2.3% 1 1.7% 1.4% 0 2.4% 1.9% www.himssanalytics.org

HIMSS Annual Scoring Complete HIMSS Annual Study Scoring HIMSS Annual Scoring Tool

HIMSS Stage 6 – Telephone Interview Survey

Journey to HIMSS Stage 7 Award HIMSS EMRAM

Journey to HIMSS Stage 7 Award – Original Timeline

Lessons Learned

Journey to HIMSS Stage 7 Award - Tools VENDOR Baseline Assessment Lesson #1: Use your EMR Vendor

Journey to HIMSS Stage 7 Award - Tools HIMSS Stage 7 Reviewer Guide

Journey to HIMSS Stage 7 Award - Tools Criteria Scoring Document

Journey to HIMSS Stage 7 Award

Journey to HIMSS Stage 7 Award Lesson #2: Go and See

Journey to HIMSS Stage 7 Award Journey to HIMSS Stage 7 Award - GAPS

Journey to HIMSS Stage 7 Award Journey to HIMSS Stage 7 Award - GAPS >90% for 4 consecutive months Providers & Midlevels

Journey to HIMSS Stage 7 Award Journey to HIMSS Stage 7 Award - GAPS >95% for 4 consecutive months Patient and Medication Scan

Journey to HIMSS Stage 7 Award Journey to HIMSS Stage 7 Award - GAPS OR and PACU Medications Entered into the EMR prior to patient transfer out of PACU

Journey to HIMSS Stage 7 Award Journey to HIMSS Stage 7 Award - GAPS Code Blue Medications Entered into the EMR prior to patient transfer to next level of care

Journey to HIMSS Stage 7 Award Journey to HIMSS Stage 7 Award - GAPS Clinical Relevant (<24hours) Clinically Irrelevant (<72 hours) Document Scanning into EMR

Journey to HIMSS Stage 7 Award Journey to HIMSS Stage 7 Award - GAPS If NICU, Breast Milk scanning to mom and baby

Journey to HIMSS Stage 7 Award Journey to HIMSS Stage 7 Award - GAPS >95% for 4 Consecutive Months Patient and Product Scan

Journey to HIMSS Stage 7 Award – Methodology

Journey to HIMSS Stage 7 Award Lesson #3: Mock it Up

Journey to HIMSS Stage 7 Award

Journey to HIMSS Stage 7 Award – Mock with Surveyor Guide

Journey to HIMSS Stage 7 Award - Presentation 90-120 Minutes Key Features Demographics and Awards Health System OverviewPervasiveness Data and CDSIT GovernanceCIBI3 + Case StudiesHIEData Integrity, Security and Recovery

Journey to HIMSS Stage 7 Award - Presentation Case Studies >12 mos RIO dataRequired 80-120+ hoursHonored Subject Matter ExpertsHighlight previous Paper-spaces converted to revenue-generating spaces

Journey to HIMSS Stage 7 Award Lesson #4: Time Estimate 12+mos December 2015

Journey to HIMSS Stage 7 Awards

Journey to HIMSS Stage 7 Award – New HIMSS Tools

Journey to HIMSS Stage 7 Award- O-EMRAM Clinical Data Repository HIE Clinical Charting Clinical Order EntryeRX/Med RecCPOEeMessages (referrals, consultants, patient messaging)CDSProvider DocumentationIncorporate Encounter, Growth Charts, Data in structured dataExam ResultsPatient MonitoringSummary of ToCPatient reminders letter Patient/Consumer Functions

Journey to HIMSS Stage 7 Award- Proposed New Stages

THANK YOU FOR YOUR TIME.