CASE 5: SELECTING AN EHR FOR DERMATOLOGY PRACT Brown is convinced that there are not any great dermatology-related E products on the market, but with value-based payment looming, and opportunity to improve quality of patient care, he's open to taking anot look. In addition, one of their newest partners, Pam Martin, just finished residency program where EHRs were an integral part of her training. She is big champion of the effort to select and implement an EHR. She has offered help lead the effort. One of the other partners, John Harris, came back fro a conference impressed with the vendor presentation from Allscripts and co vinced it's the way the practice ought to go. The other physicians are neari retirement and a little nervous about the possible disruption to the office. Information Systems Challenge Even though the patient records at the dermatology practice are paper-based the practice has been using computerized practice management system for patient scheduling and billing for years. Six months ago, they starte to have a nurse enter physician-dictated notes into the paper record whil in the examination room with the patient. The physician then reviews the notes at the end of the visit or day and signs off on them. This is in an effor to decrease the dictation and transcription that the practice had historically done and to get the nurses and physicians ready for the EHR. The expecta- tion is that nurses will do the bulk of the data entry in the exam room while the physicians are seeing the patients. However, the physicians will have to review the documentation and sign off on all entries. The practice currently has approximately four thousand patient visits per month, including 40 percent Medicare and 10 percent Medicaid. Discussion Questions You are tasked with leading the team charged with the selection of tam including FH for notes into the paper record while nurse 89, they started the examination room with the patient. The physician then reviews the mes at the end of the visit or day and signs off on them. This is in an effort decrease the dictation and transcription that the practice had historically the physicians are seeing the patients. However, the physicians will have to han is that nurses will do the bulk of the data entry in the exam room while ne and to get the nurses and physicians ready for the EHR. The expecta- review the documentation and sign off on all entries. The practice currently has approximately four thousand patient visits per month, including 40 percent Medicare and 10 percent Medicaid. Discussion Questions You are tasked with leading the team charged with the selection of the new practice management system, including EHR, for the practice. 1. You begin by convening a practice management-EHR selection team. Who would serve on the team? Who would serve as executive sponsor? Explain your rationale. 2. How might you conduct an EHR-readiness assessment for this practice? What factors will be important to consider? Why? 3. Develop a draft system selection plan for this practice. What do you envision will be the practice's greatest challenges in selecting a replacement practice management system and a new EHR? Explain your rationale