OntarioMD’s
EMR Maturity
Model & Reporting
Advancing Optimization and Use
e-Health 2013
Accelerating Change Conference
Presented By:
Darren Larsen, MD, CCFP, MPLc
Michael Pray, MD, CCFP
Plumaletta Berry, MHI
May 28, 2013
Faculty/Presenter Disclosure
Faculty: Dr. Michael Pray, Dr. Darren Larsen
Relationships with commercial interests:
• Dr Michael Pray
• Contracted by OntarioMD Inc., Peer Leader funding from
Canada Health Infoway
• Dr. Darren Larsen
• Contracted by OntarioMD Inc., Peer Leader funding from
Canada Health Infoway
• Employee of Ontario Medical Association
Disclosure of Commercial Support
This program has received financial support from eHealth
Ontario via OntarioMD Inc., in the form of funding for
development
Potential for conflict(s) of interest:
• Darren Larsen and Dr. Michael Pray have received payment from
OntarioMD Inc.
EMR MATURITY MODEL & REPORTING EVOLUTION
2011
2012
2013
4
• Concept
• Model
• Production
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
ALIGNMENT TO QUALITY AGENDA
SAFE
EQUITABLE
EFFECTIVE
QUALITY
IS…
SUSTAINABLE
ACCESSIBLE
5
EFFICIENT
PATIENT
CENTRED
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
SUPPORTS MOHLTC OBJECTIVES
Health
Links
QIPs
QBP
Innovations in care
6
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR MATURITY MODEL
7
Innovative and useful model for assessing EMR
adoption in community care practices
Detailed maturity roadmap of existing and
potential EMR capabilities
Five levels of EMR maturity starting with basic
functions first, then moving towards advanced and
complementary functions
Developed with direct input from OntarioMD’s
Physician and Office Manager Peer Leaders
Aligns with COACH’s national tool for broader
comparisons of system performance
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
KEY FEATURES
Online Self-Assessment
Benchmarking
Gap Analysis/ Potentials for advanced EMR use
Online Resources & Tools
Access to Peer Leaders
8
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
BENEFITS TO PRACTICES
9
Opportunities to advance EMR use and experience in
enhancing patient care
Measure of own performance vs. colleagues
Customized and personalized goal setting
Support from a network of peer leaders with advance EMR
experience.
Accelerated learning and access shared best practices/knowledge
from experienced physicians & field staff
Earn Mainpro-C Credits by completing one or more Linking
Learning to Practice exercises
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
ONTARIO’S EMR MATURITY MODEL
10
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR MATURITY LEVELS
Strengthen
Integrated Care
Transform
Practice Efficiency
11
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR ADOPTION PROGRESS TODAY
EMR Progress Report For Practice: Current State (Where I am Now) Matrix
Practice Administration
Information Management
Patient Results Management
Treatment
Planning
Diagnosis Support
Patient
Engagement
Evaluation &
Monitoring
GRP1
3
3
3
1
3
3
3
3
2
1
2
2
3
2
2
2
3
3
2
3
3
3
1
2
3
2
2
GRP2
3
3
3
2
3
4
2
1
4
1
1
2
2
3
3
1
3
3
3
3
3
3
2
2
2
3
3
GRP3
2
2
3
1
3
3
2
2
2
2
2
3
2
2
3
2
2
2
1
2
3
1
1
2
1
1
0
GRP4
3
3
3
2
3
4
2
3
2
4
1
3
0
1
3
1
2
3
1
2
2
1
1
1
2
2
0
GRP5
3
3
2
1
2
3
2
2
2
2
2
3
1
2
2
1
3
3
2
2
2
2
2
1
2
2
1
GRP6
3
4
3
3
3
4
2
3
2
1
3
3
1
1
2
3
3
3
1
3
3
3
2
2
3
1
1
GRP7
2
2
2
1
3
3
1
3
2
0
3
2
0
1
2
1
2
2
2
2
3
2
2
0
2
2
1
GRP8
4
4
3
3
3
4
3
2
3
1
3
2
2
2
3
2
2
3
2
3
4
2
1
2
2
2
1
GRP9
2
2
2
1
2
2
1
2
1
1
2
2
1
1
1
1
2
1
1
2
2
1
1
0
1
0
0
GRP10
3
3
2
2
3
3
3
3
3
2
1
3
1
1
1
2
3
3
1
3
3
2
2
2
3
3
2
GRP11
4
3
3
2
0
4
3
3
3
1
3
3
1
1
1
3
3
2
1
2
3
2
2
1
2
2
0
GRP12
3
4
3
2
3
4
4
3
4
1
3
3
0
2
3
1
3
3
2
2
3
3
3
1
4
4
1
GRP13
3
4
3
1
3
4
2
3
3
1
1
2
2
2
3
3
2
2
2
2
3
1
2
1
2
2
1
GRP14
3
4
4
2
3
4
4
4
4
2
3
3
2
2
3
3
3
3
2
3
3
2
3
2
4
3
0
GRP15
2
2
3
1
3
4
2
0
2
0
1
2
1
1
1
3
3
2
1
2
3
1
2
0
2
2
3
GRP16
3
2
2
0
3
3
2
2
2
1
1
3
1
1
1
2
3
3
1
3
2
2
1
1
3
2
0
AVG
3
3
3
2
3
4
2
2
3
1
2
3
1
2
2
2
3
3
2
2
3
2
2
1
2
2
1
Physicians Reporting
Public Health Reporting
25
Health Outcome (Provincial
Reporting)
24
Health Quality Indicators
23
Self-Care Co Management
22
Patient Education
21
Complex Care/Chronic
Disease Management
20
Medication Management
19
Care Planning &
Coordination
18
Evidence Based Resources
17
Preventive/Follow-up Care
16
Patient Assessment Tools
15
Referrals & Consults
Tracking
14
Hospital Summary
13
Diagnostic Imaging Reports
Results
12b
Diagnostic Imaging Reports
Orders
12a
Laboratory Results
11b
Laboratory Orders
11a
Privacy & Security
10
Document Management
9
Nomenclature Consistency
8
Data Quality Management
7
Encounter Documentation
6
Registration Information
5
Business Continuity
Planning
4
Communication &
Coordination
3
Practice Billing
2
Appointment Scheduling
1
Respondents: N=62
12
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
HOW TO GET STARTED
1
2
7 Steps to
Achieve
the full
benefits of
an EMR
5
6
7
13
Become aware of the EMR maturity benefits
Assess your current EMR use
3
Identify gaps & opportunities for change
4
Set personalized goals
Implement improvement projects
Evaluate Impact
Review and Move to Next Assessment Phase
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR PROGRESS REPORTING
14
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR PROGRESS REPORTING
15
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR PROGRESS ASSESSMENT
16
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
INTERACTIVE CHART
17
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
ONLINE RESOURCES AND TOOLS
18
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
HAMILTON FAMILY HEALTH TEAM
PROFILE SUMMARY OF RESPONDENTS
15 persons completed the EMR progress survey
• 13 Family Physicians
• 2 Healthcare Providers
7 groups participated
Years in Use
19
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
WHERE WE ARE TODAY
EMR Progress Report For Practice: Current State (Where I am Now) Matrix
Patient
Engagement
Treatment
Planning
Diagnosis Support
Patient Results Management
Information Management
Practice Administration
Evaluation &
Monitoring
25
Core FHO
MD1
3
4
3
0
2
4
2
2
3
-1
3
3
1
0
2
1
3
3
1
3
3
3
2
2
3
3
0
Core FHO
MD2
3
0
3
2
0
0
3
3
0
1
3
3
0
3
1
1
3
3
2
0
3
3
2
2
3
3
0
Core FHO
MD3
3
4
2
0
2
4
1
1
2
1
1
2
1
1
2
1
3
2
1
2
1
2
2
1
2
0
0
Core FHO
MD4
5
3
2
1
3
4
3
4
4
4
3
4
3
2
3
3
3
3
2
2
3
2
2
3
3
3
0
Core FHO
MD5
3
3
2
1
3
4
1
3
1
0
1
2
1
1
3
1
2
3
2
2
3
2
2
0
2
0
0
HCHC FHO
MD6
5
4
3
1
3
4
3
2
2
1
3
4
3
3
3
3
4
3
2
3
3
3
2
2
3
3
0
HCHC FHO
MD7
3
1
2
2
1
1
2
2
1
1
1
3
0
1
1
0
2
3
1
2
1
3
2
2
2
0
0
HCHC FHO
MD8
4
3
4
3
0
4
0
4
3
2
3
4
3
4
4
0
3
4
0
4
3
3
3
0
3
3
3
HCHC FHO
MD9
2
2
2
1
3
1
2
2
3
-1
1
1
-1
-1
1
1
3
3
3
2
1
1
1
0
0
-1
0
Innovations FHO
MD10
3
3
0
1
3
4
2
1
2
1
1
2
1
2
3
2
3
3
2
2
2
2
2
1
2
0
3
Intramed FHO
MD11
3
3
3
2
3
4
1
3
2
1
1
2
2
3
3
3
3
3
2
2
1
2
2
1
2
2
2
K. H. Medical Group FHO
MD12
2
3
4
-1
3
4
2
2
4
1
0
4
0
1
2
3
3
3
3
4
3
3
3
0
3
3
-1
Stoney Creek & Hamilton Mountain FHOMD13
2
1
2
0
2
1
0
0
3
-1
1
2
1
1
1
1
2
1
1
2
1
1
2
-1
2
-1
0
Physicians Reporting
Public Health Reporting
24
Health Outcome (Provincial
Reporting)
23
Health Quality Indicators
22
Self-Care Co Management
21
Patient Education
20
Complex Care/Chronic
Disease Management
19
Medication Management
18
Care Planning &
Coordination
17
Evidence Based Resources
16
Preventive/Follow-up Care
15
Patient Assessment Tools
14
Referrals & Consults
Tracking
13
Hospital Summary
12b
Diagnostic Imaging Reports
Results
12a
Diagnostic Imaging Reports
Orders
11b
Laboratory Results
11a
Laboratory Orders
10
Privacy & Security
9
Document Management
8
Nomenclature Consistency
7
Data Quality Management
6
Encounter Documentation
5
Registration Information
4
Business Continuity
Planning
3
Communication &
Coordination
2
Practice Billing
1
Appointment Scheduling
Functional Areas g
Group_Name
Core FHO
HP1
2
-1
1
-1
3
4
-1
3
-1
4
0
2
1
2
-1
1
2
3
2
3
3
2
2
0
3
3
3
St Joseph's Health Hamilton
HP2
2
-1
0
-1
2
2
0
-1
1
-1
1
0
0
0
1
0
2
1
1
2
1
0
-1
2
0
-1
0
3
2
2
1
2
3
1
2
2
1
2
3
1
2
2
1
3
3
2
2
2
2
2
1
2
1
1
Average
20
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
CURRENT STATE: PERFORMING WELL
Level 2
Established
Clinical
Documentation
Level 3
Advance Disease
Support
Management
21
•
•
•
•
•
•
•
Practice Administration
Communication & Coordination
Patient Education
Chronic Disease Management
Laboratory Results Management
Medication Management
Nomenclature Consistency
•
•
•
Clinical Encounter Documentation
Patient Assessment Tools
Preventive Care/Follow-Up
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
1
2
7 Steps to
Achieve
the full
benefits of
an EMR
5
6
7
22
Become aware of the EMR maturity benefits
Assess your current EMR use
3
Identify gaps & opportunities for change
4
Set personalized goals
Implement improvement projects
Evaluate Impact
Review and Move to Next Assessment Phase
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
AREAS WE NEED TO IMPROVE
EMR Progress Report For Practice: Current State (Where I am Now) Matrix
Practice Administration
Information Management
Patient Results Management
Treatment
Planning
Diagnosis Support
Patient
Engagement
Evaluation &
Monitoring
25
Core FHO
MD1
3
4
3
0
2
4
2
2
3
-1
3
3
1
0
2
1
3
3
1
3
3
3
2
2
3
3
0
Core FHO
MD2
3
0
3
2
0
0
3
3
0
1
3
3
0
3
1
1
3
3
2
0
3
3
2
2
3
3
0
Core FHO
MD3
3
4
2
0
2
4
1
1
2
1
1
2
1
1
2
1
3
2
1
2
1
2
2
1
2
0
0
Core FHO
MD4
5
3
2
1
3
4
3
4
4
4
3
4
3
2
3
3
3
3
2
2
3
2
2
3
3
3
0
Core FHO
MD5
3
3
2
1
3
4
1
3
1
0
1
2
1
1
3
1
2
3
2
2
3
2
2
0
2
0
0
HCHC FHO
MD6
5
4
3
1
3
4
3
2
2
1
3
4
3
3
3
3
4
3
2
3
3
3
2
2
3
3
0
HCHC FHO
MD7
3
1
2
2
1
1
2
2
1
1
1
3
0
1
1
0
2
3
1
2
1
3
2
2
2
0
0
HCHC FHO
MD8
4
3
4
3
0
4
0
4
3
2
3
4
3
4
4
0
3
4
0
4
3
3
3
0
3
3
3
HCHC FHO
MD9
2
2
2
1
3
1
2
2
3
-1
1
1
-1
-1
1
1
3
3
3
2
1
1
1
0
0
-1
0
Innovations FHO
MD10
3
3
0
1
3
4
2
1
2
1
1
2
1
2
3
2
3
3
2
2
2
2
2
1
2
0
3
Intramed FHO
MD11
3
3
3
2
3
4
1
3
2
1
1
2
2
3
3
3
3
3
2
2
1
2
2
1
2
2
2
K. H. Medical Group FHO
MD12
2
3
4
-1
3
4
2
2
4
1
0
4
0
1
2
3
3
3
3
4
3
3
3
0
3
3
-1
Stoney Creek & Hamilton Mountain FHOMD13
2
1
2
0
2
1
0
0
3
-1
1
2
1
1
1
1
2
1
1
2
1
1
2
-1
2
-1
0
Core FHO
MD14
2
-1
1
-1
3
4
-1
3
-1
4
0
2
1
2
-1
1
2
3
2
3
3
2
2
0
3
3
3
St Joseph's Health Hamilton
MD15
2
-1
0
-1
2
2
0
-1
1
-1
1
0
0
0
1
0
2
1
1
2
1
0
-1
2
0
-1
0
3
2
2
1
2
3
1
2
2
1
2
3
1
2
2
1
3
3
2
2
2
2
2
1
2
1
1
Physicians Reporting
Public Health Reporting
24
Health Outcome (Provincial
Reporting)
23
Health Quality Indicators
22
Self-Care Co Management
21
Patient Education
20
Complex Care/Chronic
Disease Management
19
Medication Management
18
Care Planning &
Coordination
17
Evidence Based Resources
16
Preventive/Follow-up Care
15
Patient Assessment Tools
14
Referrals & Consults
Tracking
13
Hospital Summary
12b
Diagnostic Imaging Reports
Results
12a
Diagnostic Imaging Reports
Orders
11b
Laboratory Results
11a
Laboratory Orders
10
Privacy & Security
9
Document Management
8
Nomenclature Consistency
7
Data Quality Management
6
Encounter Documentation
5
Registration Information
4
Business Continuity
Planning
3
Communication &
Coordination
2
Practice Billing
1
Appointment Scheduling
Functional Areas g
Group_Name
Average
23
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
AREAS WE NEED TO IMPROVE
1
2
7 Steps to
Achieve
the full
benefits of
an EMR
5
6
7
25
Become aware of the EMR maturity benefits
Assess your current EMR use
3
Identify gaps & opportunities for change
4
Set personalized goals
Implement improvement projects
Evaluate Impact
Review and Move to Next Assessment Phase
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
READY TO ADVANCE
•
Moving beyond
Basic Record
Keeping
Advancing to
Higher
Functions
26
Self-Care/Co-Management
(Improving patient engagement)
Privacy & Security
(Knowledge Gap)
Business Continuity Planning
(Awareness)
•
•
•
•
•
Chronic Disease Management
Reporting Capabilities
Data Quality Management
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
1
2
7 Steps to
Achieve
the full
benefits of
an EMR
5
6
7
27
Become aware of the EMR maturity benefits
Assess your current EMR use
3
Identify gaps & opportunities for change
4
Set personalized goals
Implement improvement projects
Evaluate Impact
Review and Move to Next Assessment Phase
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
CONTACT INFORMATION
Find out how you can participate
today!!!!
Contact Us
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Toronto, Ontario, M5S 3C1
Support: 1 866 744 8668
Fax:
416 623 1240
Email: info@ontariomd.com
28
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
THANK YOU!
Questions?
darren.larsen@ontariomd.com
michael.pray@ontariomd.com
plumaletta.berry@ontariomd.com
29
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission