Tribal Engagement in Health IT Modernization Project
Timing is crucial for procuring modern EHR systems and related tools for enhanced patient care, revenue, interoperability, analytics, and strategy. The success of the project heavily depends on meticulous planning, adequate funding, stakeholder involvement, and understanding of user needs. A dynamic and complex endeavor, failure can result from underfunding, poor decision-making, rushed deployment, lack of standardization, or insufficient staff engagement. Building the system alongside end users is imperative for customization, adoption, and long-term success.
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Presentation Transcript
Tribal Engagement in the Indian Health IT Modernization Project Stewart Ferguson Chief Information Officer (CIO) Alaska Native Tribal Health Consortium sferguson@anthc.org
TIMING: The timing is right for purchasing a modern EHR and related systems (e.g. Lab, Pharmacy, Radiology, Analytics). BENEFITS: There are huge benefits to be realized for patient care, revenue, interoperability, analytics, and strategy. IHS: Historical experience critical. DYNAMIC: This will be highly dynamic. EHRs change. Speed of buying vs speed of building. IMPACT: Do not underestimate the complexity. This is an extremely complicated project, and will impact systems for decades to come. FAILURE: Simplest way to make it fail is underfund, poor choices, insufficient planning, rush the deployment, lack standardization, poor design/workflows, lack of staff involvement, not understand needs. This is NOT just about an EHR.
USERS Providers Nurses Pharmacists Lab techs Rad Techs SERVICES Design Build Testing Training Support HIT Ecosystem REGULATORY Quality Meaningful Use Joint Commission SYSTEMS Lab (LIS) Pharmacy Robots Dispensing Units PACS Nutrition PDMP EDIE HIE PATIENT ENGAGEMENT Portal Apps MANAGEMENT Optimization Governance Change Mgmt Roadmapping Strategy Process Improvement DEVICES PCs Laptops Smart Phones Printers Scanners EHR Patient Chart Revenue Cycle ED, Surgical PROCESSES Revenue Cycle Supply Chain Legal Compliance Contracting Quality HIT DATA Reporting Security Analytics Cloud Computing TECHNOLOGIES Dragon / Dictation WiFi LAN/WAN Telehealth PATIENTS Bedside Medical Devices Fetal Monitors INTEROPERABILITY DSM / CCDA CommonWell Syndromic Surveillance
Building FOR US vs Building WITH US The system cannot be selected, nor designed, without significant input from the end-user organizations. The needs of I/T/U sites and organizations differ. Many sites depend on non-tribal organizations for next-level of care. Workflow definitions, data needs, systems needs, interoperability. Participation means Learning. Staffing needs/skills will change dramatically, and could account for 50% of cost. Success depends on ownership and adoption, not project implementation. COTS sites can also benefit e.g. new solutions, enhanced data, lower costs, support, training. Governance, change management.
Your EHR, Your Needs Clinical Documentation Improvement Long Term Care Revenue cycle eligibility Multifactor Authentication Critical Access Hospital Reference labs External providers (radiology) CHA/Ps and DHATs IVR for Pharmacy refills Participation in incentive programs Shared Formulary QUESTIONS? Dictation Oncology Medication and supply machines Analytics systems Laboratory Information System Employee Health Point Of Care devices Unique measures Maternal Child Health Nutrition Services eSignature forms Outside coding Infection control CMS regulatory compliance ePrescribing Patient engagement and apps Local and state reporting Patient apps Claims clearinghouse Leadership dashboards Supply chain Links to ERPs and Finance systems Radiology systems Physical Therapy Perioperative care ELR, Syndromic surveillance Bar code scanning Federal regulatory reporting Radiology Clinical Decision Support Behavioral Health Patient reminders Internal measures for productivity/HR Fetal monitoring Pharmacy plan for 340B ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 6
