The Faster Leaner HIE

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17 Νοε 2013 (πριν από 3 χρόνια και 8 μήνες)

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eP
-
Doc in the ED



The Faster Leaner HIE

Fermin

Barrueto

Jr., MD, FAAEM, FACEP, FACMT

Regional Director, Dept of EM, UCHS

Clinical Assoc Prof,
UofMD
, Dept of EM

Pilot Study

4 Emergency Physicians

3 months Paper T
vs

3 months Forerun

Integrated with Voice Recognition


Dragon

ePen

utilized but not main mode of data input

Trial had minimum integration of ADT interface only

ED Environment

Patients/Hour

1.68

1.49

1.65

1.64

1.55

1.54

1.53

1.50

1.54

1.33

1.64

1.45

1.78

1.90

1.85

1.79

1.92

1.78

1.62

1.57

1.46

1.56

1.62

1.56

1.20
1.30
1.40
1.50
1.60
1.70
1.80
1.90
2.00
Jan
Feb
March
May
June
July
A
B
C
D
Study

RVU/Hr

7.98

6.76

7.15

7.81

7.43

7.60

6.79

6.70

7.43

6.15

7.54

6.82

7.69

7.99

8.09

7.94

8.28

7.72

8.24

7.44

7.08

7.45

7.88

8.05

6.00
6.50
7.00
7.50
8.00
8.50
Jan
Feb
March
May
June
July
A
B
C
D
Study

RVU/Pt

4.72

4.55

4.35

4.75

4.78

4.95

4.42

4.44

4.77

4.61

4.61

4.71

4.29

4.21

4.37

4.44

4.3

4.34

4.48

4.73

4.85

4.77

4.88

5.17

4
4.2
4.4
4.6
4.8
5
5.2
5.4
Jan
Feb
March
May
June
July
A
B
C
D
Study

Overall Results

Medical Staff Satisfaction

Forerun
vs

Meditech

Forerun

Meditech

P
-
Doc

Needs Dragon VR

Yes

Yes

Needs

Integration

Yes

No

Integrate Radiology

Yes


Nighthawk also

Partly


no Nighthawk

Clinical Decision
Support

Yes

No

Load Time of Chart

1.6


3.0
secs

Unknown
-

CPOE

Productivity

Proven

Unknown

ePen

Yes

No

ARRA Certified

Yes

Yes

Build Required

No

Yes

Cost Analysis

Meditech

Estimated Risk

10% reduction in productivity (0.2 pts/hr) +

Dragon

= $1.44 Million

+ Cost of “Building” (unknown time)

No cost for
Pdoc

program

Hospital Benefits

20% decrease in facility charge denials

Medical Staff Satisfaction

Improved Patient Safety (CDS)

ARRA Meaningful Use Certified

Improved Peer Review (CDS)

Improved Risk Management (CDS)

Improved Core Measure/HAI (CDS)



Conclusion

UCEMP LLC willing to share the monetary risk to
avoid the
Meditech

risk

Hospital will avoid
Meditech

risk and gain an EMR

Hospital has agreed


contract signed, implement 7/12

Meditech

v6 CPOE

ePhys

Documentation with Forerun

Physician buy
-
in, enthusiasm for implementation

One physician recruit stated he would only accept
position if we had this EMR

Vision

Regionalization
of Emergency Medicine

UMEMN is 10
EDs

on 10 different platforms

EDs

can communicate

Syndromic

survelliance



better than hospital

Develop Best Practice Guidelines
-

avoid Readmits

Improve Peer Review/QA/Core Measures
-



quality

Improve Risk Profile


decrease medical malpractice

Improve Revenue


proved in pilot