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BPR in Patient Mediated Health Information Exchange:

BPR in Patient Mediated Health Information Exchange

PowerPoint Presentation:

Incoming Hospital Care Records Incoming Requests for Patient Records Diagnostic Radiology Reports Results Physician Chart Notes Patient Status Lab Results Birth Reports Nuclear Medicine Reports/Results Surgery Reports Critical Care Reports ED Reports Endoscopic Center Reports Rehab Services Reports Archived Record Retrieval Tests Results Requests Medical Records Requests Referral Admissions Requests Patient Records Patient Orders Referrals Physician Orders Discharge Summaries Visit Summaries Outgoing Requests for Patient Records Outpatient Care Center Assisted Living Nursing Homes Communication Flows Around The Primary Care Physician Primary Care Provider Other Medical Specialists Outgoing Incoming Physician Orders Referrals to Admit Nursing Home Notes Patient Status Updates Discharge Summaries Test Results Aggregated Patient Encounter History Lab Results Medication Histories Immunization Hx Referral Communication Public Health MU Use Cases Clinical Alerts to Primary Care Provider of Anywhere Care HIE Payers Public Health Other Information Destinations Orders for Services Provided in a hospital Orders for Rx Orders for Diagnostic Imaging Orders for Labs Services while Patient is under Care o f PCP Outgoing Incoming Referrals Referrals Referrals Requests for Medical Records Specialists Reports Existing Medical Records Labs Immunizations Encounters

BPR in Patient Mediated Health Information Exchange:

BPR in Patient Mediated Health Information Exchange To keep the doors open a Primary Care Physician will engage between 1200 and 1450 unique patients annually and must service 20 to 25 patient visits a day.

PowerPoint Presentation:

Incoming Hospital Care Records Incoming Requests for Patient Records Diagnostic Radiology Reports Results Physician Chart Notes Patient Status Lab Results Birth Reports Nuclear Medicine Reports/Results Surgery Reports Critical Care Reports ED Reports Endoscopic Center Reports Rehab Services Reports Archived Record Retrieval Tests Results Requests Medical Records Requests Referral Admissions Requests Patient Records Patient Orders Referrals Physician Orders Discharge Summaries Visit Summaries Outgoing Requests for Patient Records Outpatient Care Center Assisted Living Nursing Homes Communication Flows Around The Primary Care Physician Primary Care Provider Other Medical Specialists Outgoing Incoming Physician Orders Referrals to Admit Nursing Home Notes Patient Status Updates Discharge Summaries Test Results Aggregated Patient Encounter History Lab Results Medication Histories Immunization Hx Referral Communication Public Health MU Use Cases Clinical Alerts to Primary Care Provider of Anywhere Care HIE Payers Public Health Other Information Destinations Orders for Services Provided in a hospital Orders for Rx Orders for Diagnostic Imaging Orders for Labs Services while Patient is under Care o f PCP Outgoing Incoming Referrals Referrals Referrals Requests for Medical Records Specialists Reports Existing Medical Records Labs Immunizations Encounters

PowerPoint Presentation:

5 BPR in Patient Mediated Health Information Exchange Consent to share PHI Payers Radiology Labs PCP Hospitals Medical Specialists Public Health

PowerPoint Presentation:

Payers Hospitals Clinics Physicians Radiology Medicare Medicaid Labs Research Public Health Medical Specialists Patient Portals can Realign the Relationships between the Consumer and Medical Service Providers Formerly synchronous c ommunications become asynchronous c ommunications

BPR in Patient Mediated Health Information Exchange :

BPR in Patient Mediated Health Information Exchange “Asynchronous communication of information is less costly and faster than synchronous communication of information, with no real impact on the quality of communication” ( Kock , 2007).

BPR in Patient Mediated Health Information Exchange :

BPR in Patient Mediated Health Information Exchange “Patient portals can save significant money for healthcare providers that adopt them. Providers report various types of savings: 63 cents every time they don't have to mail a lab result (HealthPartners); $ 17 every time they can handle a billing query online rather than by phone, and $7 for every appointment scheduled online ( Northshore University Health System); and a 25 percent reduction in the number of patients who have to come into the office for a surgical follow-up visit ( Geisinger Health System, for which a reduction in office visits is good news financially, due to its other role as an insurer for many of its patients). Geisinger also estimates that it averts 12,000 phone calls a month because people can transact business and get their questions answered online.” (Gardner, 2010) Source: Health Data Management, http://www.healthdatamanagement.com/issues/18_3/will-patient-portals-open-the-door-to-better-care-39853-1.html?zkPrintable=1&nopagination=1

PowerPoint Presentation:

Clinical Messaging Medication Reconciliation Shared EMR Credentialing Eligibility Checking Results Delivery Secure Document Transfer Shared EMR Clinical Decision Support Credentialing Eligibility Checking Clinical Messaging Orders Needs Assessment Surveillance Reportable Conditions Results Delivery Clinical Quality Measurement Claims Adjudication Secure document transfer De-identified, longitudinal clinical data Personal Health Records Health Information Exchange Data & Services Healthcare Organizations Health Data Sources Hospitals Health Data Uses / Services Physicians Labs Public Health Payers Researchers Patients Electronic Health Records Consumer Mediated Health Information Exchange Patient Portal Technologies Creates opportunities for knowledge exchange by isolating non operational process time in which knowledge transfer can occur!

BPR in Patient Mediated Health Information Exchange:

BPR in Patient Mediated Health Information Exchange The Economic Incentives are Changing Accountable Care Organizations (ACO) Patient Centered Medical Homes (PCMH) Better Care Coordination Less Cost Better Healthcare Delivery Quality Business Process Redesign will be essential to accomplish these goals!

BPR in Patient Mediated Health Information Exchange:

BPR in Patient Mediated Health Information Exchange Health Information Exchange Health Information Exchange Data & Services Research Payers Public Health Hospitals Laboratories Rehabilitation Services Specialists Primary Care Physician Imaging Long Term Care Patient Portal Technologies

BPR in Patient Mediated Health Information Exchange:

BPR in Patient Mediated Health Information Exchange “For more advanced portals, the combination of EHRs, online patient communication, and clinical decision support systems could lead to dramatic care improvements and cost reductions. For example, a sophisticated system could differentiate between a patient whose statistical risk of breast cancer is so low that she should wait until age 60 to get a mammogram and a patient who should start being screened at 40, and could send more urgent reminders to the latter.” (Gardner, 2010) Source: Health Data Management, http://www.healthdatamanagement.com/issues/18_3/will-patient-portals-open-the-door-to-better-care-39853-1.html?zkPrintable=1&nopagination=1

PowerPoint Presentation:

Incoming Hospital Care Records Incoming Requests for Patient Records Diagnostic Radiology Reports Results Physician Chart Notes Patient Status Lab Results Birth Reports Nuclear Medicine Reports/Results Surgery Reports Critical Care Reports ED Reports Endoscopic Center Reports Rehab Services Reports Archived Record Retrieval Tests Results Requests Medical Records Requests Referral Admissions Requests Patient Records Patient Orders Referrals Physician Orders Discharge Summaries Visit Summaries Outgoing Requests for Patient Records Outpatient Care Center Assisted Living Nursing Homes Communication Flows Around The Primary Care Physician Primary Care Provider Other Medical Specialists Outgoing Incoming Physician Orders Referrals to Admit Nursing Home Notes Patient Status Updates Discharge Summaries Test Results Aggregated Patient Encounter History Lab Results Medication Histories Immunization Hx Referral Communication Public Health MU Use Cases Clinical Alerts to Primary Care Provider of Anywhere Care HIE Payers Public Health Other Information Destinations Orders for Services Provided in a hospital Orders for Rx Orders for Diagnostic Imaging Orders for Labs Services while Patient is under Care o f PCP Outgoing Incoming Referrals Referrals Referrals Requests for Medical Records Specialists Reports Existing Medical Records Labs Immunizations Encounters

BPR in Patient Mediated Health Information Exchange:

BPR in Patient Mediated Health Information Exchange The automation of communication processes to: constrain points of contact, reduce the need for synchronous communications through asynchronous communications Transfer labor costs out of the clinical practice to the patient, Elimination of redundant information entry and information storage Realignment of knowledge transfer to an asynchronous communication process

BPR in Patient Mediated Health Information Exchange:

BPR in Patient Mediated Health Information Exchange Health Information Exchange Health Information Exchange Data & Services Research Payers Public Health Hospitals Laboratories Rehabilitation Services Specialists Primary Care Physician Imaging Long Term Care Patient Portal Technologies

References:

References Gardner , E. (2010, March 1). Will Patient Portals Open the Door to Better Care? Retrieved from HealthData Management: http://www.healthdatamanagement.com/issues/18_3/will-patient-portals-open-the-door-to-better-care-39853-1.html?zkPrintable=1&nopagination=1 Kock , N. (2007). Systems Analysis & Design Fundamentals. Thousand Oaks: Sage Publications. Nazi, K. (2013, April 4). The Personal Health Record Paradox: Health Care Professionals' Perspectives and the Information Ecology of Personal Health Record Systems in Organizational and Clinical Settings. Retrieved from Journal of Medical Internet Research: http://www.jmir.org/2013/4/e70/ Short, J., & Venkatraman , N. (1992, Fall). Beyond Business Process Redesign. Sloan Management Review , pp. 7-21.

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