I will cover a list of misconceptions throughout this blog series which will be covered in the span of seven weeks.
As with every study, the article laid out the limitations of this particular study, which focused on blood pressure only, before getting into the detailed results of their work. The seven limitations they named were quite typical, including possible duplicate data and possible non-reporting of improved patients, but the limitation that seemed most unnecessary and raised my blood pressure indeed was, “Sixth, incentive program CQM reporting was based only on the data available in the EHR system of the health care provider. If a patient transitioned to another provider, such as a specialist, the original EHR might not have subsequent, possibly improved, blood pressure values recorded.”
Recently there was a new report that got the attention of my colleagues here at Extract Systems. The headline was “Urgent Change Needed to Improve Diagnosis in Health Care or Diagnostic Errors Will Likely Worsen.” According to this report issued by the Institute of Medicine of the National Academies of Sciences, Engineering and Medicine, most people will experience at least one diagnostic error – or inaccurate or delayed diagnosis – in their lifetime.
In the course of a clinical research project or trial, researchers must gather patient data and records and prepare them for adjudication and analysis. In keeping with the spirit of HIPAA and PHI regulations, the organization conducting this research or trial likely wishes to control access from both within and outside of its firewall to ensure that any potential for breach of this personal information is strictly curtailed.
Yesterday, the prestigious Institute of Medicine (IOM) announced a soon-to-be-released report highlighting diagnostic errors as a persistent “blind spot in the delivery of quality health care” and urges the healthcare industry to change in order to address the prevalence of diagnostic errors, which the IOM defines as “the failure to (a) establish an accurate and timely explanation of the patient’s health problem(s) or (b) communicate that explanation to the patient.”
You have successfully set up your outreach program and established a strong local presence (please check out my 4 previous posts on this topic). What now? In order to achieve sustainability, you will have pressures to improve efficiency, reduce costs and demonstrate value. It is important to have in place a methodology by which you track your activity from both a quantitative perspective as well as to be sure that the quality delivered matches the quality of your main program.
In our first three blogs of this series, we discussed how educational outreach can lead to opportunities to facilitate more effective patient care locally and strengthen relationships with referring providers. We have focused on the structure of these efforts; now we will focus on the provision of these services and how to differentiate your efforts from others to ensure your investment pays dividends.
You finally found the perfect solution to the problem of getting data out of documents and into your EMR or other system. It’s a system that automates this data entry and the workflows surrounding the entire document handling and quality assurance processes. So, now it’s time to go ask for permission (budget) to purchase this solution.
As I’m standing in line at my favorite coffee shop, I’m thinking about how baristas have perfected workflow; and now have improved perfection by allowing me to eliminate the line entirely by ordering in advance with my smart phone. It always excites me when I see a sequence of steps refined for optimum efficiency. I know it's odd, but I'm really strange like that.
Why do we have EMRs again? Were they meant to be electronic file folders? No, they are meant to hold discrete, structured data and add value by summarizing the most valuable data, giving us a more complete picture of a patient’s history, and allowing us to analyze and see trends in the data while automatically alerting us to data outside of allowed values.
In our first two blogs of this series, we discussed outreach programs beginning with education and facilitating improved patient care in the local community. What happens when the success of these efforts require a more frequent and sustained presence in the local medical community, particularly if the main facility is at a distance and precludes frequent visits by your team? In these cases, it may be beneficial to consider establishing your own brick and mortar facility to provide services to the patients on a routine basis.
You finally found the perfect solution to problem of getting data out of documents and into your EMR or other system. It’s a system that automates this data entry and the workflows surrounding the entire document handling and quality assurance processes. Now it’s time to go ask for permission (budget) to purchase this solution.