Physician Utilization:Driving Acceptance & Adoption
Joanne S. RickleyProject Manager - Physician Computing
Sentara HealthcareNorfolk, Virginia
June 28, 2005
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Discussion Topics
• Who We Are
• Our Journey
• Where We Are Today
• Future Direction
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Hospitals & FacilitiesSentara Norfolk General Hospital
Sentara Leigh HospitalSentara Bayside Hospital
Sentara Virginia Beach General HospitalSentara CarePlex Hospital
Sentara Williamsburg Community Hospital
Long-term CareNursing Centers: Ches., Norfolk, Hampton, Va. Beach, Portsmouth, Currituck, and Windermere
Assisted Living: Norfolk, Va. Beach, Ches.
EnterprisesHome Health, Hospice, DME, Medical Transport,
Personnel Services
Care Delivery
Medical GroupsSentara Medical Group
Williamsburg Community Medical Group
Sentara Healthcare
Sentara Health Foundation Division of Community Health
Optima
Mental Health Management
Sentara Family Care
Health Management
Strategy & Planning
Marketing & Communication
Information Technology
Human Resources
Finance
Decision Support
Compliance
Strategy & Support
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Require-ments gathering ForPhysicianComputing
1995 4Q 20042Q 20042Q 2003 3Q 2004
Physician Computing Journey…
Phase I – CareVISION Pilot
1998 1999 2002 1Q 2003 2Q 2005
Phase II – CareVISION general roll-out to community physicians
Implement Facility – Based Physician Support Model
Business @ The Speed Thought
Implement Dedicated Physician Support Desk
1993
Launch of SPIN – Basic Medical Record
MDoffice – Physician Portal
AGFA Web100 Digital Imaging (PACS)
SPIN WebIntranet
WI-FI Network completed/ Pocket PC’s delivered to Physicians
Labs / PVLsED ReportsHealth PlanReferralsClaimsEligibility
Physician Web Scheduler
MGMT Reports &Carbon Copies
New Signing Module & Print Capabilities
Application
Enhancements
Support Milestones
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Microsoft Case Study
“. . .SpinWeb will provide the patient’s medical records online for any medical team with proper authorization. . . “
- Bill Gates Microsoft
Chairman March 1999
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Key Milestones
Sentara Intranet1998
Physician Portal/ Internet 2002
Single Sign-on MDoffice2004
Modem to Modem1995
E-Care e-Care
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Dedicated Physician Support
Support Model • Facility-Based vs Application
• Support in Hospitals & Practices
• Dedicated Physician Support Desk
• Physician Advocates
Growth of Physician Support Calls with Dedicated Support Desk
2002 2003 2004 2005
● Increased Acceptance & Adoption• Targeted
Support for Physicians
Support Environment• Internet Access thru Physician Portal
• Hand-Held Access to Patient Records
• Dedicated Wireless Network for Physicians
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Sentara’s Value Proposition
Ongoing Training &Education
Enhanced Coordination with Physicians
IncreasedAdoption of ITSolutions
Sentara ITInfrastructure
IntegratedClinicalSolutions
PhysicianPortal
Facility BasedPhysician Support
Direction of Physician Computing
Infrastructure
RESULTIncreased Adoption by Physicians and Their Office Staff Yields More Time for Patient
Care, Enhances the Quality of Care, and Reduces Errors
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Transformation of Healthcare Enabled by Technology
Agfa Web1000 (PACS)CareVISION – Secured Message CenterLabs, including micro & APHealth Plan - Referrals, Claims, Member EligibilityHand-Held Access
eCare – EMR / CPOEClinical Data RepositoryContinuity of Care RecordInteroperability for Community Physicianse-prescribingPatient e-Visits
Basic Medical RecordElectronic SigningOp Notes Health & PhysicalsED Reports
Ac
Phase 1:Access
Phase 1:Access
Phase 3: All-Pervasive
Physician Computing
Phase 3: All-Pervasive
Physician Computing
Phase 2:Enterprise Integration
Physician Portal
Phase 2:Enterprise Integration
Physician Portal
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