RPMS-EHRElectronic Health RecordOriginally developed by :Susan Pierce-Richards, MSN, ARNP, FNP-BC, ANP-BCCDR, US Public Health ServiceOIT National Programs – EHR TestingFederal Lead – EHR, Clinical (EHR) Reminders
Session ObjectivesAt the end of this session, participants should be able to: Understand the basic end user functionality of ClinicalRemindersPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC2
What are Clinical (EHR)Reminders? “The Clinical Reminders system allows caregivers to track andimprove preventive healthcare and disease treatment forpatients and to ensure that timely clinical interventions areinitiated.” (VA Vista Website) Interactive decision support tools that can provide patientspecific screening or treatment recommendations on the basisof the most recent available data within the RPMS (InformationTechnology as a Tool to Improve the Quality of AmericanIndian Health Care. Thomas D. Sequist, MD MPH, TheresaCullen, MD, MS and John Z. Ayanian, MD, MPP).Simple terms:Clinical Reminders chart reviews for you and tells you what thepatient needsPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC3
Where are Clinical (EHR)Reminders? They are visible from 4 places in HER:1- “Alarm clock” icon on the toolbarPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC4
Where are Clinical (EHR)Reminders?2- Reminders list on the Cover Sheet display DUEremindersPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC5
Where are Clinical (EHR)Reminders?3-“Reminders drawer” on the Notes tabPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC6
Where are Clinical (EHR) Reminders?Reports tab (requires configuration):Presented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC7
Where are Clinical (EHR) Reminders?able by right-clicking on a reminderDetails are avaiPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC8
What are Clinical ReminderDialogs? Clinical Reminder Dialogs facilitate documentation- Looks like a Template- Resolves the reminder (enters info into EHR/PCC)- Creates the note all at the same time!!! Generates order- Meds- Labs- Consults Supports treatment algorithmsPresented by Emmanuel Y. Yennyemb, MBA, CSAP,CAC9
Hands-onThe following reminders are due forthis patientPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC10
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Why do we need remindersystems? Improve preventive health care tracking Improve disease treatment monitoring Assist in clinical guideline implementation Improve patient safety Improve capture of GPRA and other reporting measuredata (MU/IPC/)Presented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC12
Why can’t we just use the HealthSummary reminder system with EHR? The Health Summary reminder system is not highlyvisible in EHR The Health Summary reminder system does not have adocumentation tool for EHR No longer using PCC Presented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC13
Do we need Clinical (EHR)Reminders?YES Clinical (EHR) Reminders restores: A visible reminder system A streamlined documentation toolClinical (EHR) Reminders additionallydelivers:- Locally configurable tools to solve local problems- Reports tool to extract real time data on specific reminderPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC14
Types of Clinical (EHR)Reminders National Reminders Delivered to all sites Based on same logic as Health Maintenance reminders Many have associated ‘dialogs’ for data entry/note generation Local Reminders Written at a local site to solve a particular clinical problem Can be shared between sites Dialogs can also be shared Reminder Reports Can quickly extract data by provider Very helpful for local reminders in identifying and tracking sitespecific issuesPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC15
A little “Reminders” lingo Presented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC16
Finding A FINDING is a piece of information that the remindersearches for in the computer FINDINGS are used to determine: Who needs an intervention (cohort) What resolves the reminderFindings include individual or groups of Labs, Pt EdTopics, Taxonomies of codes (ICD9, ICD0, CPT), Exam,Measurements, Health Factors, Medications Presented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC17
Applicable The Cohort is the “who needs the intervention” A reminder is APPLICABLE to a patient if they are in thecohortCohort IdentifiedAge 50Presented by Emmanuel Y. Yennyemb, MBA, CSAP, CACNO h/oColon ca18
Resolution What will turn this reminder OFF?DM HgbA1C Lab test DM ACE/ARB Current & filled rx for ACEI or ARB A reminder is considered RESOLVED if the intervention(finding) defined by the reminder has been met/foundPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC19
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Due A reminder is DUE for patient if they are in the cohort(applicable) and have not yet had the intervention(finding) that the reminder is seeking.Presented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC21
Basic Reminder LogicNoDoes Patient meet cohort criteria?Reminder not applicable(white clock)Any Exclusions?Reminder not applicable(white clock)Reminder ResolvedApplicable (blue clock)CACFulfills resolution criteria?Reminder DueDue (red clock)22
National Reminder – Dialogtools Screening bundle Alcohol Screening and Brief Intervention (ASBI) Tobacco counseling and interventionPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC23
The future Reminders can be locally created and used for bothproblem identification and interventions Dialogs can be used to resolve reminder Dialogs can stand along and be used as documentationtools like PCC Reminders and Dialogs can be SHARED between sitesPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC24
CAC Resources FTP HR%20Reminders/ Sharepoint site for those with D1 default.aspx Recorded webex trainings Reminders start to finish (several done by Mary Hager) Getting started series (several done by Susan Richards) Road map to deployment Reminders – copy and customize Dialogs – customize Importing/Exporting remindersPresented by Emmanuel Y. Yennyemb, MBA, CSAP, CAC25
Clinical (EHR) Reminders – More than just a memory jogger Author: Emmanuel Yennyemb Subject: Clinical (EHR) Reminders More than just a memory jogger Keywords: Clinical (EHR) Reminders – More than just a memory jogger
Professional EHR - An EHR catered towards small-mid sized healthcare providers, offering an easy to use interface. TouchWorks EHR - Touchworks EHR software is a product from Allscripts, a vendor that provides multi-site and specialty support as well as configurable desktop. Sunrise EHR - A comprehensive EHR system for large clinical enterprises.
with this EHR. 9. This EHR enables me to practice higher quality medicine than I could with paper charts. 10. I have a good idea how much this EHR system is costing my practice. 11. This EHR is worth the expense. 12. Our EHR vendor provides excellent training and support. Survey overview: 13. I a
7 The EHR's Impact on Professional Satisfaction and Work-Life Balance 2 hours administrative work for every hour of direct patient care Distracted Doctoring in Exam Room 53% of time on direct clinical face time 37% on EHR and desk work Work after work Average 1- 2 hours of EHR time at home o Pajama time o Saturday night date with EHR Decreased Interaction with Colleagues in the .
87% of office-based physicians had adopted an EHR. p. 3 But many of these practices are not happy with the EHR they are using. According to technology consultant Software Advice, 59% of buyers who contacted them in 2015 were existing users looking to replace their old EHR system, with 24% saying that their EHR was too cumbersome or faulty.
Send postcard reminders. Use your clinic’s Facebook page for reminders and education. Use Vetstreet reminders. Use various ProHeart 6 reminders from Zoetis. Talk to your Zoetis representative for moren iformaoitn. Encourage dog ow
using the EHR and its data. 1. IMPACT. Impact and mitigation for transitioning sites 2. INTEGRATE. Research-EHR integration, such as for clinical trials 3. SUSTAIN. Foster sustainability of research data Understanding incoming data Advising about using new data alongside legacy data 4. ACCESS. Advocate for access to EHR data for .
[21-24]. It is very challenging to validate an EHR-based study, due to the heterogeneity and complexity of EHR systems, the challenge of collaboration across diverse research stakeholders (i.e. physician, informati-cian, statistician, and IT), and the lack of standard processes and best practices for conducting EHR-based studies [19, 20, 25].
EHR Data more complete than claims Analysis of diabetics using claims data vs data extracted from the EHR Claims data only identified 75% of existing diabetics EHR data identified 97% of existing diabetics J Am Med Inform Assoc. 2007 Jan-Feb;14(1):10-5. Epub 2006 Oct 26
WA State Medicaid EHR Incentive Program in state EHR Module (eMIPP). If you are beyond those 90-days, go back to your CMS Registration, make any necessary changes and re-submit. This will start the 90-days over. Wait at least 24 hours before you attest in eMIPP. EHR CERTIFICATION NUMBER (ONC NUMBER): Starting in 2014 you are required, to use a 2014
9.1 Login to the New Jersey EHR Incentive Program Attestation Application . 27 9.1.1 Starting the New Jersey EHR Incentive Program Attestation Application . 27 9.2 Registering a Provider within the New Jersey EHR Incentive Program Attestation Application 30
20 Greenway Intergy EHR 9.10 New System Features. Chart. Showing/Hiding the Patient Picture. Showing/Hiding the Patient Picture. As in previous versions of Intergy EHR, you can set up Intergy EHR parameters so that you can view an available photo for the patient, birth date, and Social
Aprima EHR 78.2-1% üüü 7. ADP AdvancedMD EHR 78.0 3% üüü 8. e-MDs Chart 74.0-13% üüü 9. GE Healthcare Centricity Practice Solution EMR 73.8 1% üü T10. eClinicalWorks EHR 73.4-7% üüü T10. Henry Schein MicroMD EMR 73.4 4% üü 12. NextGen Healthcare EHR 65.1-3% üüü 13. Allscripts Profe
Sep 01, 2020 · Fellows Health Connect, LLC/ Pivot Point Consulting. September 1, 2020 . Top 5 Behavioral Health EHR products in OR Epic /OCHIN Epic Credible Nextgen Qualifacts Netsmart Evolv. Behavioral Health EHR Ratings May 2020 – KLAS . Thursday, May 7, 2020 8:33 PM . EHR Cost Components EHR software license and maintenance
access is to make the structure of EHR data and access path invisible to users who are unauthorized or only authorized to access a partial component of the EHR data. Furthermore, for healthcare settings with untrusted DB, the indices of EHR data should be invisible too. In the common setting o
User Manual System Navigation September 2020 6 2.3 Architecture CCDA processing can be initiated in four ways: If EHR version 1.1, patch 13 has been installed and configured at the site, then authorized EHR users are able to request Clinical Summary and Transitions of Care documents for display within the EHR GUI client.
Clinical Reminders may be used for both clinical and administrative purposes. However, the primary goal is to provide relevant information to providers at the point of care, for improving care for veterans. The package benefits clinicians by providing pertinent data for clinical decision-mak
1 Creating Order Sets to include patient education in eClinicalWorks EHR Order Sets in eClinicalWorks EHR provide simultaneous ordering of all necessary components associated with effective clinical care such as lab tests, x-rays, and medications.
EHR Patient Report Instructions: Greenway Intergy Reports in Greenway Intergy EHR can be used to identify appropriate patients within the practice panel not at treatment goal. These reports enable the practice to analyze clinical data about their patients based on specific i
EHR technology and the changes in work patterns due to the EHR implementation. The direct impact of EHR technology on clinical performance and patient care (e.g., quality and safety of patient care) was not examined in this study. 2. Conceptual framework The most common reason for failure of technology implementation is that the implementation .
outside and inside of the caisson (as used in undrained pile design) and Nc is an appropriate bearing capacity factor for a deep strip footing in clay (typically a value of about 9 might be adopted). For undrained analysis Nq 1. Suction-assisted penetration Once the self-weight penetration phase has been completed, so that a seal is formed around the edge of the caisson, it will be possible .