Selecting the Right Vendors
for Your Health IT Projects
April 17, 2012
• Listen only mode
• This webinar will be recorded and available on
NACCHO’s website
• The slides will also be available for download
• Please complete the evaluation when you receive
the link
• Type your questions in the box as we go
Tuesday, April 17, 2012
Outline of Webinar
Goals for today
Lincoln Lancaster County Health Department (NE)
Cabarrus Health Alliance (NC)
Questions
NACCHO ePublic Health Upcoming Events
Tuesday, April 17, 2012
Goal of Webinar
By the end of the webinar you will know the following:
• Strategies LHDs can use to select vendors for health IT
projects
Tuesday, April 17, 2012
Lincoln-Lancaster County Health Department
Lincoln, NE
April 17, 2012
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Understand your business
What are the core guidelines or principles
that need guide investments for your
business?
What will an IT solution offer?
We adopted these principles
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
Support staff at the “point of service” – when and
where they work
Eliminate paper-based reporting & documentation
Off the shelf to assure taking advantage of new
features and technology
Guiding Principles
• Use standards
• Potential scalability
• Document for future
• Easily accessible and
usable
• Integrated with
partners

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Not every health department is the same
A business case analysis of the cost benefit of
IT investments is important
What services do you provide today? What
services will you provide in five years?
◦ Example: Full Service compared to small
department with Immunizations and Access to Care

Business Process Analysis
◦ Do you want or need to make changes in the way
you currently do business?

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What are your core partners doing?
What are the goals of your director,
supervisors and front line staff?
What are other health departments like you
doing?
What are your investment options? Funding
strategies?

What are your options?
◦ Advantages and disadvantages of each type
◦ For example:
 Public Health System that supports mandated
reporting
 Electronic medical record or other point of service
system that focuses on documentation and record
keeping for services
 Use / share software provided by another (State
Immunization Systems

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Support direct service efficiently
Reduce errors, promote consistency and quality of
care
Support quality assurance and improvement efforts
Facilitate transfer of information needed to provide
care
Eliminate paper records
Communicate accurately and quickly
Measure outcomes and monitor performance
Take advantage of technology advancements and
conveniences



Designed for Physician /
physician extender as
providers
Need to create templates and
routines to support public
nurse as provider
Vocabulary for communitybased and case management
services is more limited
compared to medical

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Key staff from users
from all program areas
that will be impacted
Obtain buy-in /
sponsorship county
Include:
◦
◦
◦
◦
Legal
Purchasing
Finance
Technical
This is going to be
a major investment
of time and
money—Involve
your stakeholders
from the
beginning.

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
What are the steps you propose for making
this decision?
Clarify roles and responsibilities of your team
and team members
Outline the “products or outcomes of the
work”
◦
◦
◦
◦
Business Process analysis and flow charts
Request for Proposals
Evaluation and selection
Decision-making process

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Are you satisfied with your current structure
and processes?
Opportunity to examine Business processes
and practices and refine and improve
Are there specific improvements that you
hope to make with the right software or tool?
Our Core Requirements
 CCHIT certified
 Master patient index
 Off the shelf
 No or very limited customization
 Training / Informatics competencies of front line staff
 Tools to adapt to work processes and work flow in
software
 Medical record vs. reporting
 Standard Processes

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Research the vendors and products most
likely to meet your needs
Talk to them and encourage them to submit a
proposal once you issue an RFP
Use consultation / technical expertise to
reach the vendors who will be able to meet
your needs– Regional Extension Center
Use varied approaches to get vendors to
submit proposals
We sent our RFP to more than 80 vendors and
received 6 proposals
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Analyzing work flow and processes
Developing / reviewing requirements
Reviewing and prioritizing criteria for
evaluation
Reviewing and evaluating proposals
(including / especially demos)
If you don’t receive proposals that meet your
needs—don’t be afraid to try again. Take
what you learn and revise your RFP / criteria /
vendor search
Our implementation came after our third
effort
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Document carefully
We went from a complex tool to a very simple
form
And then assigned individuals to teams to
evaluate specific capacities
Scoring – the numbers never make the final
decision
Review and follow-up—it is never apples to
apples
Functional Area
Team Members
On-site Demo 1
Vendor, Date, Place
th
TBA: T-F, 12th
– 15tthh
Introductory
Scenario
All
Your supervisor may
request that you attend
all of the next 4
sections
Bernice Afuh*
Geri Rorabaugh*
Shirley Terry*
Sharla Griess*
Carol Kukuk*
Jane Linsenmeyer*
Barb Martinez*
Brenda Monroe*
Cindy Peters*
Kris Saunders*
Customer Service
Ivonne De La Torre
Jann Douglas
Janette Johnson
Gwendy Meginnis
Janet Rose
Information &
Refe rral
Annette Sturtz
Anita King
Clinical
Shirley Achord
Jean Pearson
Kris Saunders
Annette Sturtz
Tim Timmons
Lisa Truax
Shannon Williams
12:30 to 1:30 p.m.
Case Management
Deb Edelmaier
Ali Hettenbaugh
Marilyn James
Jean Krejci
Kim Rettig
Chris Riffle
Anh Tran
Lisa Truax
Nicky Turner
Cheryl Schulte
Tammy Weihe
1:40 p.m. to 2:40 p.m.
System/ Global
Requirements
Charlotte Burke
Mary Christensen
Kathleen Cook
Ann Fetrick
Trudy Franssen
Judy Halstead
Magdalena Krynsky
Andrea Mason
Jim Walkenhorst
Zhong Xu
All day, particularly
2:50 to 4:30 p.m. or
whenever finished
8:00 to 9:30 a.m.
9:40 to 10:40 a.m.
10:50 to 11:50 a.m.
While reviewing the
proposals please use the
following evaluation
criteria: This first review
will develop the short list
for further consideration.
1. Comprehensive response that clearly tracks to the RFP.
Is the proposal written to LLCHD or is it just a set of canned
forms and templates? Is the proposal clear and easy to
follow or are there errors that show sloppiness or lack of
care?
0 1
2
3
4
5
0 1
2
3
4
5
0 1
2
3
4
5
0 1
2
3
4
5
0 1
2
3
4
5
2. Overall price.
Are pricing estimates included? Is the pricing estimate based
on each nurse as equivalent to a physician or PA/Advance
Practice Nurse provider? (This would not be expected.)
3. Red flags
Rate 0 as very poor or
non-existent and 5 as
the HIGHEST
# of things that raised red flags as you reviewed the proposal,
for example, implementation plan timeframe, years company
has been in business, # of & experience of employees, etc.
Note: 5 means no red flags, 0 means lots of red flags. Please clarify
what the red flags are in the note section below.
4. References in Midwest.
0=no references within 8 hour drive (500 miles)
1=references within 500 miles, 8 hour drive
2=references within 200 miles, 4 hour drive
3=references within 50 miles,1 hour drive
5. General impression the product will meet all functionality
needs.
Are all requirements addressed and discussed? For example,
does the product clearly indicate the ability to do the practice
management/billing as well as clinical functions?
Use Scenarios
Background information:
We call this patient a “presumptive” and will generally follow her through
pregnancy, childbirth, and afterward for about two months. We will include visits to
the baby for as long as needed, possibly for a number of years. “Following her”
includes clinic nurse assessment, education, and community referrals, including
referring her to a doctor (external) for
prenatal care, and to the LLCHD nurse home visitation program (internal).
CLINIC
1. Woman, Juanita Hernandez, thinks she is pregnant so has her friend, who
speaks English, call the clinic to find out when she can come to clinic to find out if
she is pregnant. She comes to the clinic.
2. Lab work is done that confirms pregnancy.
3. Mrs. Hernandez is assisted by the interpreter to complete the application for
Medicaid and other needed paperwork. She is seen in the LLCHD WIC Clinic.
4. An appointment is made for her to see a doctor (not at our clinic) in 3 weeks.
Cab transportation and an interpreter are arranged.
5. Nursing Assessment is done, including risks that indicated need for nurse home
visitation. Nurse doing presumptive opens chart record and refers client for Home
Visitation services by the Maternal Child Health (MCH) section of CHS.
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Project Management tools
Business Process / Flow Chart tools
Sample Requests for Proposals
Evaluation tools
Scoring methodology


Ask for references from the vendor for use of
their product in a business like yours
Phone references with a team so you verify:
◦
◦
◦
◦
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Did they stay within cost parameters?
Did they implement within time parameters?
Does it work the way you hoped?
How responsive was the development/ implementation
team to your needs?
If it is feasible visit a current user of the product
If you still aren’t sure – see if you can “take a test
drive” -- some vendors provide a “playground”
that you and your staff can try some of the
features
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Work with your legal and purchasing departments
Negotiate payment terms and time frames
Make sure that you retain some payments for “final”
when everything is completed—incentive to complete
This can take up to several months to finalize
through all the approvals
Don’t try to skip this—if for any reason, the project
goes bad—you need the support from legal and
purchasing
This can be a major investment—take the time to get
it right—you will likely have to live with it for the next
twenty years

SuccessEHS – Electronic Medical Record
◦ Practice Management (July 2009)
◦ Clinical (October 2009)

Dentrix – Dental Electronic Record
◦ Practice Management and Chair side charting
(2008)
◦ Digital radiography (2009)
Selecting the Right Vendors for
your Health IT Projects
April 17, 2012
Tracy Lockard
Business Process Director
Cabarrus Health Alliance
Background
• Awarded grant (12/2006-12/2009) from the Robert Wood
Johnson Foundation entitled, Common Ground:
Transforming Public Health Information Systems
• Goal: Have public health electronically communicate with
a health information exchange (HIE), community health
care partners and consumers
• Project: Practice Management (PM)/ Electronic Medical
Record (EMR) Evaluation Project
• Objectives: Develop requirements for evaluating and
selecting an PM/EMR system
• Develop efficient and effective best practice workflows for
clinic processes, case management and practice
management
Collaborative Requirements
Development Methodology
PM/EMR Evaluation Project Timeline
3/2008
Goal
Objective
Business Rules
Triggers
* Complete
and accurate
registration
records for
all clients
* Complete and
accurate client
registration
record
(demographic
info, payor info,
income info,
appointment
history) to
maximize
reimbursements
and collections
* HIPAA regulations
* NC Administrative Rules
* Federal Poverty Guidelines
* Local Health Department
policies and procedures
* Title X (Family Planning Federal
Guidelines)
* Title IXX (Medicaid) - Proclaims
that at the states discretion, it can
finance the healthcare for
individuals who were at or close
to the public assistance level
* Title VI (Civil Rights Act, provide
language assistance and
translated materials)
* Title V (language assistance)
* NC Identity Theft Protection Act
* Client calls for an
appointment
* Appointment
* Client walk-in
* Physician referral
Business Process Analysis
Business Process Redesign
•Redesigned 46 Business Processes
Task Sets
1. Collect/enter basic
* Appointment
demographic information * Medical record
2. Verify & update payor
and income information
and Medicaid eligibility
3. Complete consent forms
(i.e. eligibility, HIPAA,
financial policies, terms and
conditions)
4. Schedule appointment if
needed
5. Reinstate bad debt that
was written off if applicable
6. Provide self-history form
to client
7. Collect payments
8. Give patient receipts
11/2008
1/2009
Requirements Definition
•Defined 680 Requirements
•Determined over 4000 Data Fields
7/2009
9/2009
Evaluation Phase
• Evaluated Vendors with Tools
& Scoring System
• Site Visits
• Gap Analysis of Meaningful Use Criteria
Health Outcomes
Policy Priority
Care Goals
Objectives
Eligible Providers
[EP]
Improve quality, • Provide access to
safety, efficiency, comprehensive patient
and reduce health health data for patient’s
disparities
health care team
12/2009
Requirements Defined
Data Fields Defined
Hospitals
Inpatient = [IP]
Outpatient = [OP]
2011 - Objectives & Measures - Goal is to electronically capture in coded format and to report health information and to use that information to track key clinical conditions
1
• Use evidence-based order
sets and CPOE
• Apply clinical decision
2
support at the point of care
Selected and Acquired a
PM/EMR System - Insight
Measures
3
• Generate lists of patients
w ho need care and use
them
to reach out to patients (e.g.,
reminders, care instructions,
etc.)
4
• Report to patient registries
for quality improvement,
5
public reporting, etc.
• Use CPOE for all orders 2
• 10% of all orders (any type)
• % of orders (for medications, lab • Lab - #1-#8
directly entered by authorizing
tests, procedures, radiology, and • Maternal Health - #21
provider (e.g., MD, DO, RN, PA, NP) referrals) entered directly by
• Global - Education - #1-#8
through CPOE2
physicians through CPOE
• Global - Immunizations - #2, #20
• Global - Medication - #29-#34
• Global - Referral - #1-#6
• Implement drug-drug, drug-allergy, • Implement drug-drug, drug-allergy,
• Global - Medications - #15-#19, #21-#23
drug-formulary checks
drug-formulary checks
• Maintain an up-to-date problem list • Maintain an up-to-date problem list • % patients at high-risk for cardiac
of current and active diagnoses
of current and active diagnoses
events on aspirin prophylaxis [EP]
based on ICD-9 or SNOMED
based on ICD-9 or SNOMED
• % eligible surgical patients w ho
receive VTE prophylaxis [IP]
• Lab - #1-#7, #12-#13, #15-#16
• Global - Education - #1-#10
• Global - Immunizations - #1-#4
• Global - Medication - #28-#53
• Global - Plan of Care - #1-#7
• Global - Referral - #1-#34
• Generate and transmit permissible
prescriptions electronically (eRx)
• Global - Medications - #28-#53
• Maintain active medication list
• Global - Medications - #20, #24-#26, #28, #29-#34
• Maintain active medication list
• % of all medications, entered into • Global - Medications - #1-#14
EHR as generic, w hen generic
options exist in the relevant drug
class [EP, IP]
• Global - Progress Notes - #1-#5
• Global - Medications - #1-#11
• Use of high-risk medications (Re:
Beers criteria) in the elderly
6
7
• Maintain active medication allergy • Maintain active medication allergy
list
list
• Record demographics:
• Record demographics:
• Stratify reports by gender,
◦ preferred language
◦ preferred language
insurance type, primary language,
◦ insurance type
◦ insurance type
race ethnicity [EP, IP]
◦ gender
◦ gender
◦ race3
◦ race3
◦ ethnicity
◦ ethnicity
Inputs
• Global - Allergies - #1-#8
• Global - Allergies - #1-#4
• Registration/Checkout - #18, #20
• Registration/Checkout - #30-#34, #134, #137-#138, #141
• CSC - #30, #33-#35, #43
• IHV - #49-#51, #78
• MCC - #30, #33-#35, #43
Outputs
Outcomes
* Client
* Registration
checked in for record is
clinic
completed
appointment
* Appointment
* Payment
receipt (copayments and
flat fees)
2/2010
PM/EMR
Implementation
Timeline
3/2010
4/2010
Upgrades to IT Infrastructure
• Installed shared storage at primary and disaster
recovery data centers
• Moved to VMWare for critical servers
• Implemented Citrix for deployment of EMR and
related applications
5/2010
6/2010
7/2010
Document Imaging Project
• Scanned 60,000 paper charts
• Developed workflows to automatically file
documents created and scanned daily
• Deployed the digital chart to CHA staff as well
as labor and delivery staff at the local hospital
Migration to WIC State System
8/2010
Practice Management interface with
new state public health system
9/2010
10/2010
11/2010
Go-Live with Practice Management
Modules
12/2010
Implement Practice Management
• Patient Registration
• Appointment Scheduling
• Encounter Processing
• Immunization Tracking & Inventory
• Patient Tracking
• Lab Tracking
• Patient Accounts
• Event Management
HIT Project Team Goals & Objectives
• Implement a Practice Management & EMR system
• Have representatives from each department gain
a broader and deeper understanding of the entire
PM/EMR system (and other systems)
• Improve quality and efficiency of health care,
access to care, preventive care, care process,
patient safety, and provider or patient satisfaction
• Obtain Medicaid EHR incentives and demonstrate
meaningful use
• Support Beacon Community grant efforts
12/2010
1/2011
PM/EMR
2/2011
Implementation 3/2011
Timeline
4/2011
Go-Live with Practice Management Modules
Implement Additional PM Features & Processes
• Registration Speed Forms
• Integration with Laserfiche
• Patient Identification
• Electronic Billing
5/2011
6/2011
7/2011
Implement EMR Modules (Phase 1) for:
• Child Health
8/2011
Go-Live with EMR Modules (Phase 1)
9/2011
10/2011
11/2011
Define Modifications to Lab Module
11/2011
PM/EMR
Implementation
Timeline
12/2011
Implement EMR Modules (Phase 2) for:
• STD/HIV
• TB
Digital Signatures (CoSign) for Consents/Forms
1/2012
Go-Live with EMR Modules (Phase 2)
2/2012
3/2012
4/2012
5/2012
6/2012
Implement EMR Modules (Phase 3) for:
• ePrescribing (OrderConnect)
• Pharmacy
Go-Live with EMR Modules (Phase 3)
7/2012
8/2012
Implement EMR Modules (Phase 4) for:
• Family Planning
• Maternal Health
9/2012
10/2012
11/2012
Go-Live with EMR Modules (Phase 4)
PM/EMR
Implementation
Timeline
11/2012
12/2012
Implement EMR Modules (Phase 5) for:
• Lab Modifications
• LIMS
• Hospital Lab Interface (CareConnect)
1/2013
Go-Live with EMR Modules (Phase 5)
2/2013
3/2013
Implement EMR Modules (Phase 6) for:
• Health Information Exchange (CareConnect)
4/2013
Go-Live with EMR Modules (Phase 6)
5/2013
6/2013
7/2013
TBD
• Supplies Inventory
• State Lab Interface
• Lab Instrument Interface
Implement EMR Modules (Phase 7) for:
• Patient Portal (Consumer Connect)
Go-Live with EMR Modules (Phase 7)
8/2013
9/2013
10/2013
Meaningful User
What are the major tasks for each
module rollout – Tasks and Resources
•
•
•
•
•
•
•
•
•
Project team meetings
Train-the-trainers
Tables
EMR Notes
Define Reports/EMR Dashboards
Process/Workflow Changes
Staff Training
Practice/Mock Clinic
Go Live
Resource Planning
Milestones
Major Tasks
1 Develop EMR Notes
Train-the-Trainers
EMR Notes - Education (All programs)
EMR Notes - Referral (All programs)
TOTAL
2 Implement Child Health
EMR Notes - Child Health Environment
EMR Notes - Child Health HEEADSSS (ages 15-21)
EMR Notes - Child Health - PEDS
(ages 1 month - 6 years)
EMR Notes - Child Health - Pediatric
Sympton Checklist (ages 6-16 years)
EMR Notes - Child Health - MCHAT
(ages 18-24 months)
EMR Notes - Child Health - Newborn
Home Visit
Test Custom Development of Module
Train-the-Trainers
Tables
Define Reports
Staff Training
Practice/Mock Clinic
Go Live
TOTAL
3 Implement Patient Tracking for Child Health
Tables
Define Reports
Staff Training
Practice/Mock Clinic
Go Live
TOTAL
GRAND TOTAL
Estimated #
Estimated Clincal Team Resources Needed = Total of Clinical Estimated IT Team Resources Needed = Total
Hours
Hours
Team Man
Days
Project team x 1 week x 4 hours
4 persons x 2 weeks x 5 hours = 40 hours
2 persons x 2 weeks x 3 hours = 12 hours
40
12
52
6.5
Project team x 1 week x 4 hours
2 persons x 3 weeks x 24 hours = 144 hours
2 persons x 2 week x 12 hours = 48 hours
6.5
144
48
192
Estimated #
Estimated
of IT Team
# of Weeks
Man Days
24 days
5 weeks
24
5
Proposed
Schedule
March 2011
June 2011
April 2011
April 2011
April 2011
1 person x 3 weeks x 12 hours = 60 hours
60
7.5 days
2 persons x 3 weeks x 20 hours = 120 hours
120
15 days
April 2011
May 2011
15 weeks
2 person x 1 week x 6 hours = 12 hours
12
1 person x 2 weeks x 8 hours = 16 hours
Project team x 1 week x 4 hours
1 person x 2 weeks x 20 hours = 40 hours
1 person x 1 week x 8 hours = 8 hours
1 person x 3 weeks x 26.67 hours = 80 hours
1 person x 1 week x 18 hours = 18 hours
1 person x 1 week x 40 hours = 40 hours
16
1 person x
1 person x
1 person x
1 person x
2 weeks x 4 hours = 8 hours
1 week x 2 hours = 2 hours
3 weeks x 3.5 hours = 10.5 hours
1 week x 3 hours = 3 hours
40
8
80
18
40
274
8
2
10.5
3
0
23.5
349.5
1.5 days
1 person x 1 week x 24 hours = 24 hours
1 person x 2 weeks x 16 hours = 32 hours
Project team x 1 week x 4 hours
1 person x 2 weeks x 20 hours = 40 hours
25.25 days 1 person x 1 week x 16 hours = 16 hours
1 person x 3 weeks x 26.67 hours = 80 hours
1 person x 1 week x 18 hours = 18 hours
1 person x 1 week x 40 hours = 40 hours
34.25
1 person x
1 person x
2.8125 days 1 person x
1 person x
2.9375
43.69
2 weeks x 4 hours = 8 hours
1 week x 4 hours = 4 hours
3 weeks x 3.5 hours = 10.5 hours
1 week x 3 hours = 3 hours
24
3 days
April 2011
28.25 days
March 2011
April 2011
April 2011
May 2011
May/June 2011
June 2011
June 2011
32
40
16
80
18
40
370
46.25
8
4
10.5 3.0625 days
3
0
25.5
3.1875
588
May 2011
73.44
15
7 weeks
9
29
May 2011
May 2011
May/June 2011
June 2011
June 2011
Resource Planning
Role
Name
# of Man
Days
Project Team
1
Bobbie Seabolt
April 2011
Task & Type of Work
Actual
1.5
# of Man
Days
EMR Notes - Child Health - Environment
1.5
1.5
0.375
EMR Notes - Child Health - HEEADSSS (ages 15-21)
1.5
1.5
0.125
EMR Notes - Child Health - PEDS (ages 1 month - 6
years)
EMR Notes - Child Health - MCHAT (ages 18-24
months)
EMR Notes - Child Health - Newborn Home Visit
3
EMR Notes - Child Health - Pediatric Sympton
Checklist (ages 6-16)
EMR Notes - Child Health - MCHAT (ages 18-24
months)
EMR Notes - Referral
1
Tables - Patient Tracking for EMR
Bobbie Seabolt
Bobbie Seabolt
Bobbie Seabolt
0.375
Bobbie Seabolt
Bobbie Seabolt
Bobbie Seabolt
Sub-Total
2 Jason Hada
Jason Hada
Jason Hada
Jason Hada
0.25
4.5
1.5
Jason Hada
Sub-Total
3 Ryan McGhee
0.25
1.5
Ryan McGhee
Lockard
Lockard
Lockard
Lockard
0
3
1.5
1.5
1.5
Tracy Lockard
1.5
Tracy Lockard
4
13
19
30
Tracy
Tracy
Tracy
Tracy
Sub-Total
0.5
1
8.5
Define Reports - Patient Tracking for EMR
Staff Training - Patient Tracking for EMR
- Child Health - Newborn Home Visit
- Child Health - HEEADSSS (ages 15-21)
- Child Health - PEDS (ages 1 month - 6
- Child Health - MCHAT (ages 18-24
2.125
0.25
Ryan McGhee
Ryan McGhee
4 Tracy Lockard
EMR Notes
EMR Notes
EMR Notes
years)
EMR Notes
months)
Integrate Laserfiche & Insight PM
Ryan McGhee
Total
GRAND TOTAL
1.125
0.75
0.5
0.625
Ryan McGhee
Sub-Total
May 2011
Task & Type of Work
EMR Notes - Child Health - MCHAT (ages 18-24
months)
0.4375 EMR Notes - Child Health - HEEADSSS (ages 15-21)
0.125 EMR Notes - Child Health - PEDS (ages 1 month - 6
years)
0.125 Tables - Child Health
0.9375
Test Custom Development of Module - Child Health
EMR Notes - Child Health - Environment
0.25
EMR Notes - Child Health - HEEADSSS (ages 15-21)
0.125 EMR Notes - Child Health - PEDS (ages 1 month - 6
years)
0.25
EMR Notes - Child Health - Newborn Home Visit
0.25
EMR Notes - Child Health - MCHAT (ages 18-24
months)
4
Tables - Child Health
4.875
9.0625
11.25
0
1.5
3
EMR Notes - Child Health - MCHAT (ages 18-24
months)
EMR Notes - Child Health - Pediatric Sympton
Checklist (ages 6-16)
EMR Notes - Referral
6
1
2
3
Tables - Child Health
Define Reports - Child Health
Staff Training - Child Health
1.5
6
20.5
33
Lessons Learned in Adopting EHR
•
•
•
•
•
Lots of process change
Focus on cross-department processes
Billing – Can’t test until live
Productivity/Revenue decrease
Never done! EHR is an integral part of your
operations efficiency and effectiveness
Reference Materials
• PM/EMR Evaluation Project Web site –
www.cabarrushealth.org/commonground
Questions
Please type your questions in the box
Tuesday, April 17, 2012
Upcoming NACCHO ePublic Health Events
Webinar Series:
Meaningful Use and Public Health
Integration and Interoperability Across Public Health, Human Services,
and Clinical Systems
http://www.naccho.org/topics/infrastructure/informatics/resources/spring2012-webinars_ephi.cfm
Vendor Portal
Tuesday, April 17, 2012
Contact Information
Vanessa Holley, MPH
Program Analyst, ePublic Health
vholley@naccho.org
(202) 507-4239
Tuesday, April 17, 2012