HDM KLASroom episode 3 – Data where I need it, when I need it
Technologies, workflows and processes must enable clinicians with the data they need at the point of care. How can we enable clinicians to access and use information systems more effectively and efficiently?
Featured in this episode
Episode summary
Amplifying the clinician's impact with improved information access & delivery
The current clinician experience is akin to using a mapping application like Google Maps – inputting the pertinent information: how fast you are traveling, when you are turning right or left and when you get to your destination – but having it act only as a receptacle for the information while providing no guidance to reach your destination whatsoever. If this is how such an app functions, drivers would see no value in using it, and we would be lucky to arrive at any destination. We’d be left to our own past experience and limited knowledge to guide us.
This is the scenario clinicians find themselves in today. Many current clinical information tools simply document what clinicians are doing. There is little to no direction forward from many of the systems currently in use – leading to documentation that is duplicative, distracting and sometimes potentially dangerous to patient care.
Technologies, workflows and processes must enable clinicians with the data they need at the point of care. This is the promise most organizations are working toward. It starts with proper onboarding processes and training experiences enabling clinicians to use information systems properly. Additionally, the technology must be set up strategically and with flexibility to have data fed to clinicians in intuitive ways to enable optimal workflows and achieve better patient care.
HDM and KLAS Research engage with healthcare leaders who are successfully working to improve the clinician experience by getting them data when and where they need it. We explore their key lessons – people, process, technology, uncover the principles for success they have adopted, and share these insights for you to learn and create a true 'Google Maps' experience for clinicians within your organization.
Questions addressed in this episode include
- How are existing technologies being used differently, or enhanced to deliver data your clinicians need when they need it?
- What cocktails of people, process, and technology deliver the best 'Google Maps' you can implement for your clinicians & care teams?
- What can your organization do today to help clinicians optimize the technologies and information available?
On-demand sessions
Session 1
Session (CxE3S1): Clinician Experience – Building the foundation
Helping clinicians optimize the use of technology is a tall order today as so much of care is in a transitional state influenced by said technologies, changing demands of patients, and demands from government and healthcare administration. This has caused clinical and IT leadership teams to be in a state of spackling, responding reactively from one need to another. A need to build a technology house, a place where stakeholders, technologies, and processes all come together to impact the clinicians’ experience in positive ways.
Dawn Walters from the University of Kansas Health System and Jason Hess from KLAS Research discuss the strategies the health system is making in creating a sure foundation, and research and guiding principles that are making it possible.
- recognize the driving principles that create a strong clinician technology relationship.
- better understand the attributes of a strong governance framework.
- determine the core measures that need to be balanced for optimal outcomes.
- Gain insights for implementing effective service and support structures to facilitate optimal governance.
Educators
KLAS Research: Jason Hess, Executive Vice President, Provider Success
University of Kansas Health System: Dawn Walters, System Senior Director Informatics
Health Data Management: Mitchell Josephson, Chief Executive Officer
Session (CxE3S2): Clinician Experience – Fixing burnout at the source; documentation overload
Reducing the administrative burdens that impact patient care is the goal of Section 4001 of the 21st Century Cures Act. That objective led to multiple AMA Practice Transformation Initiative studies exploring the effects of virtual scribes on physician burnout. This session highlights those studies as presented in the Journal of AHIMA white paper From Physician Burnout to Business Traction and offers best-practice details for how virtual scribes can be leveraged within a multi-disciplined clinical documentation workflow to measurably reduce burnout, improve patient satisfaction, and increase captured encounter details to positively influence justifiable billings.
Viewers will learn
- how virtual scribes impact Physician Burnout and work/life balance
- the scope of support provided by Virtual Scribes beyond EHR basic document creation
- how virtual scribes impact document quality and subsequent justifiable billing
- to identify providers who would most benefit from virtual scribe support
Educators
UW Health, Madison: Christine Williams, RHIA, Director, Health Information Management
AQuity Solutions: Dale Kivi, MBA, Senior Director, Communications
Health Data Management: Mitchell Josephson, Chief Executive Officer
Session 3
Session (CxE3S3): Clinician Experience – Beyond RPM device distribution; tech-enabled clinical services for chronic conditions management
Since 2018, The Centers for Medicare & Medicaid Services (CMS), has provided reimbursement for remote physiologic monitoring (RPM) services for Medicare beneficiaries, building upon its program of support for between-visit care that began with the Chronic Care Management (CCM) program three years earlier. Yet, despite rapid expansion of monitoring services and the promise for better patient outcomes, RPM programs have yet to achieve substantial population health management improvements at scale in the US.
Throughout the course of the COVID-19 pandemic, we have witnessed rapid expansion of mobile health technologies. Nonetheless, most healthcare providers still practice in a traditional model of care delivery and have not made adjustments to their systems and workflows necessary for success in team-based care.
Our discussion focuses on how remote monitoring technology is necessary, but not sufficient for success in population health management. Rather, the delivery of technology-enabled clinical services holds great potential for improving clinical quality and improving care team efficiency.
Participants will learn through this discussion:
- Successes and lessons learned with implementation of RPM in a large Federally Qualified Health Center
- Cultural and operational adjustments needed to implement RPM effectively into clinical practice
- Advantages of combining CCM and RPM to improve between-visit patient engagement
Educators
TimeDoc Health: Paul Helmuth, MD, Medical Director
TimeDoc Health: Sarah Cameron, LCSW, Vice President of Care Management
Community Health Network of Connecticut: Richard Albrecht, Executive Director, Telehealth Network
Southwest Community Health Center: Dara Richards, MD, Medical Director
Session 4
Session (CxE3S4): Clinician Experience – Leveraging AI upstream for positive downstream clinician experiences
Growth impacts so much of the clinician’s experience today, from mergers to expanding regions and more. In the midst of these growth activities, legacy technologies and new technologies collided together and create issues potential issues downstream for clinicians in the way of disparate data sources, differences in standards, and dated code systems. Join Dr Rob Lackey, and Chip Gerhart as they share how Wellspan faced these hurdles by leveraging artificial intelligence to streamline medication data reconciliation and drive trust amongst clinicians. Attendees will be better able to:
- Identify gaps in traditional data conversion that prevent medication history data from
being precisely and accurately consumed into the EHR - Demonstrate how artificial intelligence can optimize large-scale data discrepancies and variations to prevent duplication and blank fields in patient records, and reduce the risk
of adverse drug events - Analyze the process of consolidating medication history records from multiple disparate systems to increase workflow efficiency and satisfaction for clinicians at the point of care
Educators
WellSpan Health: Robert M. Lackey, MD, Chief Medical Information Officer
WellSpan Health: Donald “Chip” Gerhart, RPh, Manager, Pharmacy Clinical Informatics
Session 5
Session (CxE3S5): Clinician Experience – Data standardization can reduce burnout while satisfying upstream & downstream information needs
Much of the clinicians’ burden today rests with administrative tasks that are felt downstream by upstream requirements from insurance or government, taking the form of pre-authorization, quality reporting, and certain required clinical data exchange. These required tasks can create unnecessary churn in a clinician’s day, month, year. Chuck Jaffe and Viet Nguyen from HL7, and Kirk Anderson from Cambia Health Solutions discuss the work being done behind the scenes to help mitigate these burdens so clinicians can better focus on their patients.
This session explores:
- the importance and difference between HL7, FHIR, and the many national accelerator programs that are being set up to address data sharing challenges
- the work being done within the HL7s FHIR accelerators to create impactful data standards to enable better information sharing among institutions.
- the progress made on many data-sharing issues, and how healthcare delivery organizations can take advantage of these advancements, applying them to enhance administrative and clinical workflows.
Educators
Cambia Health Solutions: Kirk Anderson, Vice President and Chief Technology Officer
HL7 International: Viet Nguyen, MD, Chief Standards Implementation Officer
HL7 International: Charles Jaffe, MD, PhD, Chief Executive Officer