EHR = Meaningful Use? (Text Version)
On September 15, 2009, Kelly Templeton made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (647 KB).
Slide 1
EHR = Meaningful Use?
Kelly Templeton, Application Specialist
Citizens Memorial Healthcare
Bolivar Missouri
Slide 2
Citizens Memorial Healthcare
- 55 acute care beds
- Medical/Surgical
- ICU
- The BirthPlace
- Geriatric Wellness
- Emergency Services
- Levell III trauma center
- Ambulance Services
- Air Ambulance onsite
- Home Health, Hospice, Home Medical Equipment, Health Transit Services
- Long Term Care Facilities
- Residential Care Facility
- Physician Clinics
- Outpatient Services
- Rehab
- Sleep Lab
- Cardiac Cath Lab
- Visiting Specialists
- Ambulatory Surgery Center
- Carrie J. Babb Cancer Center
Slide 3
Project InfoCare Vision
- Enable a patient to enter anywhere into the continuum of care and have a personal identity that is maintained across that continuum
- Physicians and other caregivers will have access to all of that patient's medical information within the healthcare continuum
- Providers will be able to document efficiently within the software system, which will free them to have more time to spend with patients
- The investment of time, talent and money will enable CMH to be a technologically advanced healthcare organization poised to grow and offer new services to our patients and the community at large
Slide 4
- EMR that crosses continuum
- 100% use of CPOE
- No paper charts
Slide 5
- Himss Davies Award
- Citizens Memorial Healthcare
- Himss Analytics Innovative Research Informed Decisions
Slide 6
Implemented
- CPOE
- E-Prescribing
- Patient Portal
- Health Maintenance
- Quality Measure Research
Slide 7
Quality Reporting/AHRQ Grant
- Standardize and integrate data capture for quality measurement into the normal documentation of care within the ambulatory EMR
- Implementation of an automated system for data extraction including valid, reliable reports that provide actionable insight for the measurement, analysis and improvement of care
Slide 8
Research Results: Coding 4 Diabetic Measures
- 64 cases qualified for the measures,
- Coders manually coded 16 qualified & 7 cases unqualified (only 25%)
- The 16 cases should have had 64 codes; only coded 46 of the 64, (70%) were reported
- Automated data extraction identified all 64 cases reporting 256 codes (100%)
Slide 9
Challenges with Meaningful Use
- User utilization
- Submitting code to CMS
- Maintaining the changing quality measures
- Difficult to build into documentation
- Not consistent


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