OntarioMD’s
EMR Maturity Model
Advancing Optimization and Use
Ontario College of Family Practice
Annual Scientific Assembly
Presented By:
Darren Larsen, MD, CCFP, MPLc
November 29. 2013
Faculty/Presenter Disclosure
• Faculty: Dr Darren Larsen
• Program: 51st Annual Scientific Assembly
• Relationships with commercial interests:
• Receive consultant fees from OntarioMD Inc. and the
Canadian Medical Association and salary from Ontario
Medical Association
Disclosure of Commercial Support
• This program has received financial support from OntarioMD
in the form of development and implementation funding.
• This program has received no in-kind support from
Potential for conflict(s) of interest:
• Dr. Darren Larsen has received payment OntarioMD Inc which
developed a product that will be discussed in this program,
the EMR Progress Reporting Tool
MITIGATING POTENTIAL BIAS
• [Explain how potential sources of bias identified in slides 1
and 2 have been mitigated].
• Refer to “Quick Tips” document
EMM PROGRESSION AT EHEALTH
2011
2012
2013
5
• Concept
• Model
• Production
©2012 OntarioMD Inc. Confidential, not to be reproduced without permission
ALIGNMENT TO QUALITY AGENDA
SAFE
EQUITABLE
EFFECTIVE
QUALITY
IS…
SUSTAINABLE
ACCESSIBLE
6
EFFICIENT
PATIENT
CENTRED
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
SUPPORTS MOHLTC OBJECTIVES
Health
Links
QIPs
QBP
Innovations in care
7
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR MATURITY MODEL
8
Innovative and useful tool for assessing EMR
adoption in community care practices
Detailed maturity roadmap of potential EMR
capabilities
Six levels of 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
FEATURES
Online Self-Assessment
Benchmarking Reports
Gap Analysis/ Potentials for advanced
EMR use
Online Resources, Tools and Useful Links
9
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
BENEFITS TO PRACTICES
10
Opportunities to advance EMR use and experience in
enhancing patient care
Real-time access to measure of own performance vs.
colleagues
Customized and personalized goal setting
Support from a network of peer leaders with advance EMR
experience at no cost.
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
11
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EMR MATURITY LEVELS
Strengthen
Integrated Care
Transform
Practice Efficiency
12
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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
13
©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
14
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
Launch
App Here
15
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR PROGRESS REPORTING
16
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
EMR PROGRESS ASSESSMENT
17
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18
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
INTERACTIVE CHART
19
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
Individual Performance vs. Colleagues
Also available by
Sole Practice 0r
Primary Care
Group
20
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
ONLINE RESOURCES , TOOLS AND LINKS
21
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
Pilot Site
PROFILE SUMMARY OF RESPONDENTS
15 persons completed the EMR progress survey
• 13 Family Physicians
• 2 Healthcare Providers
7 groups participated
Years in Use
22
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
PILOT PRACTICE 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
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
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
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
Average
23
©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
24
•
•
•
•
•
•
•
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
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
AREAS 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
26
©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
28
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
29
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
30
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
150 Bloor Street West, Suite 900
Toronto, Ontario, M5S 3C1
Support: 1 866 744 8668
Fax:
416 623 1240
Email: info@ontariomd.com
31
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission
THANK YOU!
Questions?
darren.larsen@ontariomd.com
32
©2013 OntarioMD Inc. Confidential, not to be reproduced without permission