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Visit CHIonecare.net to access OneCare tools and resources for KentuckyOne Health. Feb. 16, 2012 OneCare for KentuckyOne Health Navigating the OneCare Program: OneCare Resources Available on CHIOneCare.net OneCare program information, a glossary of terms and other resources are now easily accessible on CHIOneCare.net. CHI’s clinical IT strategy and the KentuckyOne Health—OneCare Cerner project are among topics on this site. Clinical and Physician Advisory Groups Begin Work Members of the Clinical Advisory Group (CAG) and Physician Advisory Group (PAG) are working to support OneCare initiatives within Kentucky. Meaningful Use Eligibility Assessment for Providers Now Available Eligibility determination for the Medicare and Medicaid Electronic Health Record Incentive Programs is the first step for non-hospital based providers to take in the Meaningful Use process. Order Sets for Five Specialties Released and Balloting for Previous Wave Begins The deadline for commenting on new order sets is Monday, Feb. 20. Physician, pharmacist and clinician input and feedback are needed on: Anesthesia, Gynecology, Interventional Radiology, Urology and Vascular Surgery order sets. How Order Sets Will Meet Regional and Local Needs Order set content will be customized to meet regional and local needs once finalized by the national informatics group. Learn how the regionalization process will work. AEHR News & Updates AEHR Video Hub on CHIOneCare.net Offers Array of Resources to Help Prepare for the AEHR Check out new videos on CHIOneCare.net, including an overview of the AEHR, information about practicing in the AEHR sandbox, testimonials from providers and clinicians, and helpful tips. Implementation of Enterprise Master Person Index in Des Moines, Iowa, gives AEHR Added Functionality The recent EMPI implementation will make information flow more effectively in the Ambulatory Electronic Health Record (AEHR) for Mercy Clinics; providers and clinicians across other CHI regions will benefit from this pilot implementation.


OneCare for KentuckyOne Health Navigating the OneCare Program: OneCare Resources Available on CHIOneCare.net OneCare is the way CHI will transform health care by creating a shared, electronic, universal health record for each CHI patient. At some point every KentuckyOne Health physician, nurse and clinician will be affected by OneCare, so it is important for them to understand the multilayered program, how it will affect their work and their colleagues, and how it will lead to better patient care. To aid in this effort, OneCare project overviews, resources and tools are now available on CHIOneCare.net: •

Ambulatory Electronic Health Record (AEHR)

Meaningful Use

Health Information Exchange (HIE)

Another helpful OneCare resource is the KentuckyOne Health OneCare—Cerner Glossary of Terms, also available on CHIOneCare.net. The glossary offers definitions of words and phrases commonly used in communicating about CHI’s OneCare program; CHI’s clinical IT strategy; and KentuckyOne Health—OneCare Cerner initiatives and projects, design, build and implementation. Back to top

Clinical and Physician Advisory Groups Begin Work The OneCare Clinical Advisory Group (CAG), created for workflow and policy considerations of the OneCare initiatives, will be a key to ensuring the alignment of clinical standards across KentuckyOne Health clinical technology. The CAG, which held its inaugural meeting Jan. 19, is made up of representatives from Jewish Hospital and St. Mary’s HealthCare (JHSMH) and Saint Joseph’s Health System (SJHS). Members from JHSMH and their associated roles include: Debby Cornett, Health Information Management; Carrie Dodson, Emergency Department; Lisa Dolan, Med/Surg; Tracy D. Hurst, Therapies/Nursing; Brad Lincks, Behavioral Health; Donna Meador, Nursing; Karen Radabaugh, Informatics; Jennifer Robards, Quality; Dorie Shelburne, ICU; June Waiz, Surgery; and Glenn Watson, Pharmacy. Members from SJHS and their associated roles include: Stacie Back, Radiology; Jennifer Blake, Health Information Management; Grace Campbell, Nursing; LaJava Chenault, Nursing; Cheri Davidson, Quality; Melody Edwards, Surgery; Norma Goss, Nursing; Tommy Hines, Emergency Department; Jonathan Jasper, Therapies; Crystal Jordan, Scheduling; Janet Kissick, Pharmacy; Chris Schweigardt, Nursing; Ronnie Simpson, Health Information Management; Louvonna Stacy, Lab; Marilyn Swinford, Informatics; and Sherry Tichenor, Quality/PI. The Physician Advisory Group (PAG) met for the first time Feb. 9. The PAG is made up of multidisciplinary physician representation working in an advisory capacity to support the OneCare Cerner initiatives within Kentucky. Both the CAG and PAG will work in concert. Members of the PAG from JHSMH include Dr. Jesse Adams, Dr. Fred Klink, Dr. Mike Marvin, Dr. Valerie BrionesPryor and Dr. Val Slayton; members from SJHS are Dr. Donnie Bunch, Dr. Eliseo Colon, Dr. Daniel Rodrigue, Dr. John Sartini and Dr. Worawute Supaongprapa; and PAG members representing CHI are Dr. Tod Russell, regional chief medical informatics officer, and Brian Norris, RN, regional chief nursing informatics officer. Nonvoting PAG members include Teri Gaskin, regional communication lead; Chad Melody, Organizational Effectiveness lead; and Dr. David Sklar, Deloitte. For more information, contact Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer, or Brian Norris, KentuckyOne Health chief nursing informatics officer. Back to top


Meaningful Use Eligibility Assessment for Providers Now Available; Hospital Registration Nears Completion An easy tool to help non-hospital based providers determine their eligibility for Meaningful Use is now available in the Meaningful Use area of CHIOneCare.net. Eligibility determination for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs is the first step in the eligible professionals Meaningful Use process. Non-hospital based providers can participate in either the Medicare or Medicaid incentive program, but not both. There are important steps to take to determine which program to participate in, such as allowable charges requirements and patient volume calculations. Providers eligible for Medicaid dollars can apply for and receive incentives in advance of their EHR go-live. Providers eligible for Medicare incentives can wait to complete the registration process as part of their EHR implementation. Additional registration education will take place closer to each practice’s EHR implementation. Additional materials regarding the eligible professionals program will be announced shortly and posted on CHIOneCare.net. Hospital Registration Nears Completion As of the end of January, 36 out of 42 CHI hospitals, including seven Kentucky hospitals, have completed the Meaningful Use registration process and reported their progress using the CHI hospital registration tracker. CHI hospitals have received approximately $6 million through the Medicare and Medicaid incentive programs. CHI is working to complete the registration process with the Jewish hospitals. For more information, contact Cheryl Canto, Meaningful Use program manager, at cherylcanto@catholichealth.net or MeaningfulUse@CatholicHealth.net. Back to top

Order Sets for Five Specialties Released and Balloting for Previous Wave Begins The Computerized Provider Order Entry (CPOE) team has posted new order sets for review on CHIOneCare.net for five specialty categories. Providers have the ability to vote on and collaboratively determine the order set content. Physicians and clinicians are encouraged to comment, review and respond to one another’s comments within the new interactive, online order set forum. The deadline for reviewing and commenting on new order sets in the following specialty categories is Monday, Feb. 20: • • • • •

Anesthesia Gynecology Interventional radiology Urology Vascular surgery

Additionally, balloting on the previous wave of 37 order sets began the week of Feb. 13. Balloting is intended to resolve questions on content that remain after the review and comment period. The review and comment period on these order sets closed Feb. 6. Balloting information will be sent directly to registered users via email. When balloting is completed, these order sets will be finalized and delivered to electronic health record (EHR) build teams. Participants are encouraged to check the site frequently as additional order sets are added and to view developing discussion on order sets of interest. If you have not yet visited the site, register now to review and comment on order sets. If you have questions or comments, contact Sam Brandt, MD, chief medical informatics and telehealth officer or Tod Russell, MD, KentuckyOne Health regional chief medical informatics officer. Back to top


How Order Sets Will Meet Regional and Local Needs As CHI approaches the completion of the first groups of order sets, some hospitals and clinicians have questions about how order set content will be customized to meet regional and local needs. Additional details on regionalization are being finalized, however, some initial information about the order set process is available. The order set development process includes the creation of order sets that all CHI clinicians are invited to review, comment on and participate in balloting to resolve outstanding questions on order set content after the review period has closed. This order set content is then finalized by CHI’s national informatics group and given to the build teams for CHI’s acute care electronic health record, or EHR. Based on the nationally developed order sets, each region will be given the option to make changes, which will include checking an option that is unchecked, unchecking an option that is checked, adding an order that doesn’t exist, or deleting an order that does exist. CHI plans to develop the ability to “lock” parts of an order set to prevent changes so as to enforce evidencebased, legal or regulatory practices. Regional changes will be submitted to the national content team, and maintained within an environment that catalogs these changes and permits ongoing maintenance and redeployment of national content, with re-application of regional modifications. This will also offer the opportunity to assess the applicability of regionally suggested changes to the national version. The infrastructure to support this process is under development. Additional modifications to each region’s order sets may be made at the local hospital or MBO level. These changes will be limited to issues that are genuinely local in nature, such as formulary and regulatory requirements. Back to top

AEHR News and Updates AEHR Video Hub on CHIOneCare.net Offers Array of Resources to Help Prepare for the AEHR As the OneCare program moves forward, resources and tools are being created and made available to help individuals prepare for project implementations within their markets. Most recently, the Ambulatory Electronic Health Record (AEHR) video hub was posted on CHIOneCare.net as a resource to help clinicians better understand and prepare for the AEHR. It includes: •

AEHR sandbox series providing information and instructions on logging in to and navigating this important hands-on practice tool

Peer videos featuring testimonials from CHI providers and clinicians already using the AEHR

How the AEHR enhances patient care

Tips for working in the AEHR

To take a video tour, go to CHIOneCare.net. Back to top

Implementation of Enterprise Master Person Index in Des Moines, Iowa, gives AEHR Added Functionality


Following the Feb. 4 implementation of the Enterprise Master Person Index (EMPI) in Des Moines, Iowa, information is expected to flow more effectively in the Ambulatory Electronic Health Record (AEHR) for Mercy Clinics. Providers and clinicians across other CHI regions will benefit from this pilot implementation. The EMPI is a CHI-hosted software application that assigns each patient a unique identifier to assure that all records are assigned to the correct patient and to avoid duplicate patient records. The EMPI is important to CHI’s goal of creating a universal health record for each CHI patient— regardless of where they receive care—because it will facilitate the sharing of information between Cerner, Physician Practice Management System (PPMS), AEHR and the Health Information Exchange (HIE) within the KentuckyOne Health market. “The EMPI will give us a more stable environment hosted within CHI that ensures we have the necessary integration to share patient data between the AEHR and practice management and hospital systems,” said Sandy Schuck, director ambulatory physician services. In Des Moines, the EMPI installation is crucial for practices to be able to electronically send and receive lab and radiology orders and results. Only the four Mercy clinics that were part of the pilot launch for the AEHR have had electronic access to orders and test results. The previous system—the Ambulatory Master Patient Index (AMPI)—could not handle the load of information that Mercy’s large clinic network placed on it. With the EMPI now in place, remaining Mercy clinics will benefit from its functionality in the near future. The EMPI is expected to improve the speed of data flow within the system and help CHI’s ITS experts respond more quickly when there are system issues. Back to top

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