EHR – Rural PerspectiveEHR – Rural Perspective

EHR Implementation Challenges for Rural EHR Implementation Challenges for Rural HospitalsHospitals

EHR Implementation Challenges for Rural EHR Implementation Challenges for Rural ClinicsClinics

Considerations for an Effective Integrated Considerations for an Effective Integrated EHREHR

Minnesota E-Health Initiative Advisory Minnesota E-Health Initiative Advisory Committee Committee

EHR IMPLEMENTATION CHALLENGES EHR IMPLEMENTATION CHALLENGES FOR RURAL HOSPITALSFOR RURAL HOSPITALS

Lack of capital resources to invest in an EHR (upfront Lack of capital resources to invest in an EHR (upfront costs seem prohibitive)costs seem prohibitive)

Lack of standards for interoperability (waiting for national Lack of standards for interoperability (waiting for national or state standards)or state standards)

Significant process change is often required Significant process change is often required Lack of internal IT leadership and personnel resources Lack of internal IT leadership and personnel resources

needed to handle the temporary increase in work load needed to handle the temporary increase in work load often accompanying a software implementationoften accompanying a software implementation

Clinical providers’ acceptance of change or impending Clinical providers’ acceptance of change or impending changechange

Demonstrating the ROI that outweighs the expense, Demonstrating the ROI that outweighs the expense, pain, and sufferingpain, and suffering

EHR IMPLEMENTATION CHALLENGES EHR IMPLEMENTATION CHALLENGES FOR RURAL CLINICSFOR RURAL CLINICS

Lack of capital resources to invest in an Lack of capital resources to invest in an EHREHR

Concerns with loss of productivity (and Concerns with loss of productivity (and revenue) during transition to an EHR revenue) during transition to an EHR systemsystem

Lack of internal IT leadershipLack of internal IT leadership Concern for clinical providers’ ability to Concern for clinical providers’ ability to

input datainput data Proving ROIProving ROI

CONSIDERATIONS FOR AN EFFECTIVE CONSIDERATIONS FOR AN EFFECTIVE HOSPITAL/CLINIC EHRHOSPITAL/CLINIC EHR

Openness and transparency Openness and transparency easy to use and easy to pull, query and analyze dataeasy to use and easy to pull, query and analyze data

Defined limitations Defined limitations who can enter and edit information in the integrated who can enter and edit information in the integrated

systemsystem How is confidential information protectedHow is confidential information protected How is information shared How is information shared

Data integrity and qualityData integrity and quality Security and safeguardsSecurity and safeguards Accountability and oversightAccountability and oversight

MINNESOTA E-HEALTH INITIATIVE MINNESOTA E-HEALTH INITIATIVE ADVISORY COMMITTEEADVISORY COMMITTEE

Advisory Committee Convened by the Advisory Committee Convened by the Commissioner of Health in October - 2004Commissioner of Health in October - 2004

Diverse representationDiverse representation Public Health, Health Plans, Large Hospitals Public Health, Health Plans, Large Hospitals

(Kim Pederson), Rural Hospitals (Mary Klimp), (Kim Pederson), Rural Hospitals (Mary Klimp), Clinics, Pharmacists, Consumers, Academics Clinics, Pharmacists, Consumers, Academics and Research, Long Term Care, Stratus and Research, Long Term Care, Stratus Health, Purchasers, MNA, MMA, Senior Health, Purchasers, MNA, MMA, Senior Federation, HIPAA CollaborativeFederation, HIPAA Collaborative

Initial Charge Initial Charge Provide recommendations on:Provide recommendations on:

Ways to accelerate the adoption of electronic health records systems Ways to accelerate the adoption of electronic health records systems and other relevant health information technologyand other relevant health information technology

Define the role for MDH and State Government in the development, Define the role for MDH and State Government in the development, financing, promotion, and implementation of EHR and HITfinancing, promotion, and implementation of EHR and HIT

Address at least the following issues:Address at least the following issues: Barriers to adoption of EHRBarriers to adoption of EHR Identify the core components of an EHR and standards for interoperabilityIdentify the core components of an EHR and standards for interoperability Assess the status of current implementation of EHRAssess the status of current implementation of EHR Assess the costs for primary and acute health care providers in Assess the costs for primary and acute health care providers in

implementation of EHRimplementation of EHR Identify partnership models and collaboration potential for EHR Identify partnership models and collaboration potential for EHR

implementationimplementation Monitor the development of federal standardsMonitor the development of federal standards Identify barriers and develop a plan to develop a standardized record systemIdentify barriers and develop a plan to develop a standardized record system