NK9c, QUEST Executive Steering Committee Presentation pdf. Jim Murry Chief Information Officer

Transcription

1 1 EXECUTIVE STEERING COMMITTEE UPDATE OCTOBER 2011 Jim Murry Chief Information Officer 1

2 Agenda Members: Cygan, Ralph MD; Heydt, John MD; Kris Young; Winner, Cynthia RN ; Belmont, Terry ; Issai, Alice ; Brusuelas, Rebecca ; Frieling, Morris ; Spaide, Leanne ; Grimley, Karen RN; Shehab, Leila QUEST 2012 overview Phase 3.1 Phase 4 DISRP projects Staffing & Space Finance 2

3 Concurrent Projects FY2012 Sept Today 3

4 Phase 3 Timeline Scope October Scope Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Inbox Rx Writer eprescribe SHM Phone Note Basic SCM Upgrade*** QUEST 5.5 Upgrade Orders (office Administered Meds) Wellness Manager Immunization Manager Exit Care Patient Education Log Growth Chart Superbills (interfaces-billing) Medical Necessity Checking (ABN) Vital Signs - Flowsheet ClinDoc Flow Sheet (other than vital signs) Phone Note Advance End of Visit calculation Letters Cancer Staging Nuance Dictation System Place Holder (TBD) Chart Groups (TBD) Scanning (TBD) TDS retirement (TBD) Reports and MLMs (TBD) Tracking Boards (TBD) Meaningful Use CMS / State measure reporting Electronic Copy of Patient info Clinical Visit Summary (paper) Clinical Summary Data Exchange MLMs (Clin Decision Supp) Work in Progress Pilot Go_live No Activities 4

5 Phase 3.1, revenue impact 5 Phase 3.1 (October 2011) 20% reduction for 1 st 2 weeks 10% reduction for next 2 weeks Plan Mandatory training Strong Activation support Carrot, Meaningful Use funds 5

6 3.1 physician incentive Parameter Measurement Incentive When measured Payout Date Training Must Complete Required. Not eligible for any incentives if not trained by 10/24 System Use Not using printed patient info. No longer printing results & reports. (for patient ok). +$1000/faculty +*$1000/faculty goes to Chair if all physicians in dept qualify, else no payout given to Chair. +Dean receives equal amount as Chair. November 1, 2011 through Phase 3.2 activation **April 2011 Meaningful Use Health Issues, Med List, Allergies updated As outlined in policy. eprescribe and RX writer used instead of paper prescriptions. +$2000/faculty +*$2000/faculty goes to Chair if all physicians in dept qualify, else no payout given to Chair. +Dean receives equal amount as Chair November 1, 2011 through Phase 3.2 activation **April 2011 Productivity impact RVU impact during activation (10/24-11/11) +Up to $1m for payout to cover --20% of RVU from 10/24 11/ % of RVU from 11/7 11/11. Only if Faculty meets ALL of above measures. First 3 weeks of activation ( /11). **April

7 7 Phase 3.1 Risks Change on workflow Physician Adoption (eprescribe) System Performance 7

8 Phase 4 scope 8 Hospital Clinical Documentation Medication Administration at-the-bed-side Nursing Acuity System Monitoring Device integration 8

9 DSRIP Actions Now part of QUEST Full-time PM hired Most projects now have IT project plan Resource needs almost complete 9 Challenges Getting Clinical Documentation in place (QUEST 3.3 & 4) 9

10 Staffing & Space 10 Open positions ~16 open positions Launched in-house recruitment project Believe that 12 of those positions can be filled in-house Space Additional 21 spaces now available Another 30 being planned for February

11 Budget FY Through August 2011(in thousands) Capital pre Project Budget $47,247 $15,902 (14,300+1,602) $61,547 Spent $45,646 $ 1,422 $47,068 Forecast $14,876 $60,522 Variance $1,602 $1,026 Through August 2011(in thousands) Operating Pre Project Budget 5,633 ~$4,968 ~$10,601 Spent 6,044 $824 Forecast Variance 11

12 Appendix 12 12

13 Practice Manager Level-Activation NK9c, QUEST Executive Steering Committee Presentation pdf Activation Support Plan Red Coats Role - Key contact for all communications and workflow changes Contact person for all discussions groups Clinic Representative for user groups o Responsibilities-Communication is the key for successful activation. Assist providers with assignment of proxies Confirm delegates for results and eprescribe Assist providers with inbox and secure health messaging Coordinate with command center to resolve issues during go-live. 13

14 Activation Support Plan Super Users Super User Requirements Comfortable with the Quest system Comfortable speaking and teaching small groups or working one on one with colleagues. Approachable and respected by peers and provideers Roles Support end users with application questions Coordinate with Command Center to help to resolve issues Communicate with Support Specialist to follow-up on reported issues during go-live 3/29/