New Advances in ECM: How content management is transforming HIM practices Dan Stober Solution Consultant Recall Healthcare IT Challenges One EMR was supposed to be enough Is everything really in the EMR? What makes up the complete legal record? We have all of these complex processes that aren t addressed in the EMR Clinical l Non clinical I.T. resources are limited Multiple vendors Multiple system administrators 1
Old Way of Doing Things HIM Content Challenges Historicali Paper Volume Physical Chart Management Photos Fetal Monitor Strips Loose Sheets HIM Content Challenges Current EMR/EHR Content Disparate Systems Images ologies Rl Release of Information Information Governance HIM at the table? 2
4/15/2016 Legal Clinical Care Pharmacy Behavioral Health Monthly Close Scheduling M di l I Medical Imaging i Admitting/Patient Patient Access Human Resources Home Health/Hospice Physician Office Patient Accounting Revenue Cycle Accounts Payable Audits Health Information Management To become paperless, an organization must o beco e pape ess, a o ga at o ust stop creating new paper, digitize incoming paper at the beginning of a process, and digitize any required old paper. Robert Geschke Hyland Software 3
Centro Cirúrgico1935 Slide do Dr.Ed Hammond Centro Cirúrgico2015 Slide do Dr.Ed Hammond 4
Stop Creating Paper What Content is Missing from the Record? Specialty Areas Anesthesiology Cardiology Dermatology ED Endocrinology Family Medicine Gastroenterology Hematology ICU Nephrology Neurology Nuclear Med Obstetrics Oncology Ophthalmology hh l Oral Surgery Pathology Pediatrics Pulmonology Radiology Rehabilitative Medicine Rheumatology/Immunology Surgery Urology Examples of Commonly Required Content Angiogram Operative Reports CT Scan EKG Fetal Strips Holter Monitoring Reports MRI Renal Scan Digital Path Images Pathology Reports Mole Mapping Wound Images PET PT Videos Glucometer readings PFTs Fluoroscopy CV Cath Procedure Reports SPECT U/S Mammogram Consults 5
GAME CHANGER New Technologies 6
Paperless Registration/Access on a Tablet Key Features Configure sets offorms forms for patients by visit type and facility E forms Defined form lifespan support Supports multiple languages Flexibility to support multiple platforms Android vs. ios Benefits Eliminate the need for patients to fill out information that s already known, such as name, DOB and address Eliminate the need for patients to complete forms already on file Patients visiting other clinical areas will not be asked to fill out the same forms that were completed minutes earlier 7
Improve Patient Access Eliminate scanning and indexing Increase Patient Access efficiency Forms linked through HL7 messages to the Electronic Patient Record (EPR/EMR) Information collected at the point of access is available immediately across the hospital Resolve form redundancy for patients What to consider? What is your current Patient Access process? How many Patient Access forms do you have? Line of Patients at Patient Access Desk How often is care delayed due to lack of signed consent forms? Numerous clipboards/form files 8
Mobile Wound Capture Upload Wound Pictures to EMR Benefits Resolves lack of consistent image storage locations Phones, Tablets, etc. Instantly upload images to patient record Automatically indexed Virtual real time access to images Help clinical staff (pre vs post op, inpatient, outpatient and home care) Leverage Health Systems' mobile device investments Key Features Allows Comparison ofimages Indexed directly to the patient All image formats supported Provides a complete picture for Patient Care Can use any mobile device to upload images Images don t reside on the device 9
What to Consider? How are you capturing wound photos? Cameras, phones, tablets Are these images loaded into the EMR? What departments are capturing this type of content? CanHIMaccess access the images? Can clinicians easily access the images? Hyperbaric Chamber, Diabetic Centers, ED/Trauma Universal Scope Capture Capture, Store, Annotate Images 10
Benefits Images stored directly into patient chart/encounter Improved clinical experience Save cost on printing of thermals Workflow maintains the same between scopes Scope Vendor and Specialty agnostic No longer needing to print and store images Key Features Images stored directly into patient chart/encounter Images viewable within the Electronic Patient Record immediately Clinicians can digitally annotate on images without permanent alteration Images become part of the medical record Location to store outlier images Viewable within EMR through specialized viewers What to Consider? What are you currently doing with your surgical scope images? How are the thermals/images currently being stored? Paper? Electronically? Are you able to store all clinical specialties or only select groups? Multispecialty Surgical Groups GI, Orthopaedics, Cardiology, OB/GYN 11
Clinical Viewers & Enterprise Integration Benefits Quickly navigate to the right information Everything pulled together in one are DICOM and Non DICOM Timeline view Transforms the clinicians experience Configurable Tabs Color, personal, new Side by Side Viewing Key Features View relevant documents alongside images Access necessary information from within the EMR Universal access to clinical content and images from all specialties Improve processes and create efficiencies i i Documents/Images shown in thumbnails 12
Capture and Organize Configurable Tabs & Filtering 13
New Content View Personal Tabs & Thumbnail View 14
Case Container: User created tabs Specific to Clinician and Patient DICOM Access 15
Side by Side Viewing All content: DICOM and non DICOM images Timeline Viewing: View content (episodes) across continuum 16
What to Consider? Is all your clinical i l information and images viewable within your EMR? Are clinicians currently accessing multiple PACS? Do your physicians need to open another screen to view PACS/DICOM Images? Is there an initiative to have physicians stay within the EMR? Multi Screen Set up in Reading Rooms Vendor Neutral Archive (VNA) DICOM and Non DICOM in one place 17
VNA Vendor Neutral Archive Benefits Eliminate the Multi Silo Storage Approach Cut down on PACS Storage Store both DICOM and Non DICOM Can leverage current investment in OnBase Cut down on PACS Storage and Costs Reduce resources to manage Imaging systems Increase sustainability and governance of the archive process Key Features Access to Patient Information in EMR CT, X Rays, MRIs Access images with Diagnostic Viewing Quality All documents become part or DM and Back up Processes Management of all documents in one location Easily access from the Patient or encounter level 18
Release of Information List of Requests Group by columns Sort by columns Filter by text 19
Lookups prevent the need to type information Request Pricing Policies and tiered pricing support multiple pricing structures Supports all delivery methods including electronic Account for items outside of OnBase Easily Add Documents 20
Automatically Generate and Print Invoices Merges all required contact information Customize with your letterhead Automatically creates and populates tables of information THANK YOU 21