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
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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.