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National University

HTM 660 System Management and


Planning

Project
Proposal

Professor Susan Leonard

Patient Education
Documentation Solution (PEDS)

Team Members
Edwin Ocasio
o

Chief Information Officer (CIO)

David Agriam
o

Chief Medical Information Officer (CMIO)

Kelly Erazo
o

Chief Financial Officer (CFO)

Tina Lu
o

Certified Nurse Educator (CNE)

Our Organization
Forest Regional Health Care is a Multi-hospital
Community-based provider

Centers of Excellence For Multiple Specialties


Network of 16 Primary Care Clinics
Senior Communities for Independent and Assisted Living, Longterm Care
Employee Assistance Plan Serving 1.5 Million Covered Lives
Home Care and Hospice
Staffing Agency and Nursing Homes (Joint Venture)
Health & Fitness Club Including Holistic Medicine and Physical
Therapy
Information Services Serves:

All IDN entities above +

Background

The Centers for Medicare & Medicaid


Services (CMS)

Meaningful Use Stage 2 and 3


Objective

Use certified EHR technology

To identify patient-specific education


resources

Provide those resources to the patient.

Background
Forest Regional and its partners are meeting this
measure

Entirely by a completely manual data extraction


method

Paper process with limited resources

It provides patients with basic, generalized


information

About their medications and laboratory test results

Not integrated in the current EHR

Purpose
Proposal:

A Patient Education Documentation Solution


(PEDS)

Meet and/or exceed current Stage 1 and 2


meaningful use requirements.

Provide the infrastructure to implement new


technologies

Stage 3 mandates

Platform for providing resources to community


partners

Purpose
Certified EHR systems must be able to

Electronically identify patient-specific education resources

Based on data included in the patient's

Problem list

Medication list

Laboratory tests and values/results.

FRHC has several initiatives involving upgrades to these


various health information technology (HIT) systems.

Purpose
If the proposal is approved

Development and implementation of this


proposed PEDS

In conjunction with these projected updates

Would be cost effective and minimize any


anticipated disruption of services.

Can host the solutions internally

In the cloud, or contract and education provider.

Education providers offer multiple options

Solution
Education Service Provider

This would be the optimal solution

Meet business and IT organizational objectives

Meet the timeline to comply with current and future CMS


requirements

Set the stage to support future initiative for FRHCs


partners and communities.

It will also give Forest Regional a competitive edge as a cost


efficient quality care provider in this health care industry.

Patient Education
Includes adherence to specifications of
patient education featured in HITECH
law of 2009
Based on evidence based medicine
Offers interoperability connectivity with
Google Translate

Electronic Health Records (EHR)


Health information with be extracted from
EHR.
Personalization counts.
Connectivity associated with evidencebased medicine websites and guidelines.
Evidence-based medicine is to ensure
patients health information is accurate.
Searches for other medical conditions will
also connect to evidence-based medicine.

Diabetes: An Example of How it all


Works
Interaction between patient and health
professional will be streamlined.
For example, if patient has diabetes,
health information will be accessible via
EHR.
Patient and healthcare professional
access to patients diabetic information.
Patient and healthcare profession
interact via technology.

care
their
their
has
can

Diabetes: An Example of How it


Works
Patients
diabetic
information
will
be
connected to evidence-based medicine for
accuracy.
EHR extraction is personalized by individual
patient, so no two will be alike.
Being connected to evidence-based websites
and personalized EHR, interactions between
patient and healthcare professional is
accurate.

Diabetes: An Example of How it


Works
Patient can search for accurate, up to date
information about diabetes.
Diabetic information is personally tailored to
patients medical condition.
Patient and healthcare professional can search
other medical conditions.
Information tied to evidence medicine makes it
accurate.
Reduces
medication, medical errors and
unneeded testing.

Foreign Language Interaction


System will be interoperable with Google
Translate based on what language patient
speaks.
Information made more accurate by translating
health information into patients language.
Can be used as a tool by healthcare professional.
Accessible by healthcare organization and
patients.
Broadened and expanded to include translation
into Google Translate.

Best Practices
Best practices based on pertinence, relevance
and best interest of patients.
System will be accurate as evidence-based
medicine can be.
Evidence-based medicine will guide interactions.
Patient education will be strengthened based on
the above concepts.
Organization will be in compliance with
Meaningful Use criteria.

Best Practices
Patient education will be moved into a whole
other level.
Patients and healthcare professional bond
strengthened.
Patient
education
will
create
better
communication.
Health information research will be accurate.
Creates open door policy, ease of interaction,
reduced errors and promotes proactivity.

Infrastructure and Adherence

Project will be attached to current


infrastructure.
Legal adherence to laws and
regulations.
Will progressively move forward
between stages in Meaningful Use
criteria.
Currently at 30-40% gradually to

Cost

Value

Budget

Type of
Expenditure

Budgete
d

Salaries of project staff

$100,00
0

Capital

YES

Summary

Contractors/Outsourced parties

$75,000

Capital

YES

Training courses

$5,000

Capital

YES

Building premises for project team

$5,000

Operational

YES

Equipments and materials

$30,000

Operational

YES

Tools (computers, phones)

$10,000

Operational

YES

Advertising/ branding

$1,000

Capital

YES

Promotional materials

$2,000

Capital

YES

PR and communications

$2,000

Capital

NO

Operational down-time

$3,000

Operational

NO

Short-term loss in productivity

$2,000

Operational

NO

System updates and maintenance

$20,000

Operational

YES

Consequences of Project Rejection


Failure to complete Core objective of Meaningful Use
Stage 2
Loss of $21,250.00
Decrease in Quality of Care
Decrease from 78% to 57%
Inability to provide information in a short period of
time
Lack of useful resources for community providers
Pharmacists
Nursing Homes
Primary care providers

Educational Materials and


Resources
Self Care
Taking care of your health while you take part in
PEDS
Symptom Management
Helpful information about symptom management
strategies
Tests/Procedures
Explains some of the tests and procedures you
might have

Educational Materials and


Resources
Conditions/Diseases
Some of the conditions/diseases we
studywhat they are and how to
manage them
Medications
Information
about
some
of
the
medications patients might needwhat
they do, how they work, side effects, and
precautions
Procedures/DiagnosticTests/Procedure
Instructions

MU Criteria
PEDS conforms to all meaningful use criteria, which
are linked and aligned with the nation's health
outcome policy priorities:
Improve health care quality, safety, and
efficiency and reduce health disparities
Engage patients and families in their health care
Improve care coordination
Improve population and public health
Ensure adequate privacy and security of

Feasibility
Componen Rating Method Used to Determine
t
Feasibility
(1-10)

New
Technology

A technology Prototype was created to assess


the solution

A survey was completed to identify skill-set


availability

New Processes 3

Processes within similar organizations were


reviewed
Physical assets were inspected

New People

New Assets

Risks
Description Likelihoo Impact Mitigating Actions
d

Inability to
recruit skilled
resource
Technology
solution is
unable to
deliver
required
results
Additional
capital
expenditure
may be
required in
addition to
that approved

Low

Medium

Medium

Very High Outsource project to a company


with proven industry experience
and appropriately skilled staff
High
Complete a pilot project to prove
the technology solution will deliver
the required results

Medium

Maintain strict cost management


processes during the project

Issues
Description

Priorit Resolution Actions


y

Required capital
High
expenditure funds
have not been
budgeted
Required computer
Medium
software is only at
beta phase and has
not yet been released
live
Regulatory approval Low
must be sought to
implement the final
solution

Request funding approval as part


of this proposal
Design solution based on current
software version and adapt
changes to solution once the final
version of the software has been
released
Initiate the Regulatory approval
process early so that it does not
delay the final roll-out process.

Summary

Approval of this proposal


A

Patient Education Documentation Solution


(PEDS)
Education Service Provider
Meet and/or exceed current Stage 1 and 2
meaningful use requirements and Stage 3
mandates
This would be the optimal solution

Summary

Approval of this proposal


Meet

business and IT organizational objectives


Meet the timeline to comply with current and
future CMS requirements
Set the stage to support future initiative.
Forest Regional a competitive edge as a cost
efficient quality care provider

Questions?

Thank You