ppt课件-define data warehousing（定义数据仓库）.pptVIP

Challenges and Strategies When Implementing an Electronic Health Record (EHR): A Ground Level Perspective * Guillermo Diaz Jr, MD Chief Medical Information Officer QueensCare Family Clinics /gallery/Color_Smurfs_Pictures/jpg/Smurfs_Color_Pictures_Smurf_Tug-Of-War.jpg Warning hard work ahead!!! 6 clinical sites: ~ 215 FTE employees ~30,000 lives served/yr ~130,000 visits/yr 33 FTE providers (MD/NP) Services offered include: * Family Medicine Cardiology Pediatrics Podiatry Optometry Obstetrics Dental * Current Practice Management System - 10 years Dictation System for 2yrs – Failed Manual Disease registry 3 years – becoming out-dated Electronic Health Record (EHR) - 2 years - 1.5 years (Full implementation) QCFC’s Health Information Technology History: * Implementation Financing: $2.7 million to implement - California Health Financing Authority Grant ~$471,000 - QueensCare Charitable Foundation ~$550,000 - Remainder - Clinic budget * Request For Proposal Defined: What do you want out of the system and what does the system have? 109 requirements – 92% of criteria were met * Create Workflows Create the As-Is Workflows How do you do what you do daily on paper? Create the To-Be Workflows How will you do what you do on computer? Validate the To-be Workflows Establish Best Practices * Create a System of Support Created - Support Desk - User Groups Trained - Trainers - By Clinic - Work Type - In Groups - 1:1 sessions - Online Training continues today… * Are providers satisfied? * Would providers go back to paper? Will Quality Improve (cont’d)? * Will productivity ever be the same? * Challenges Lessons Learned Have a predefined selection process Be Flexible Interfaces have inherent flaws Scan Today’s Work Today Patience is a virtue Consider ROI (Return on Investment) Be willing to self-evaluate/obtain outside evaluations Communica