Emergency Department Proposal

MetroHealth Medical Center

Michael J. Nowak Ph.D. Nowak Healthcare Consulting LLC

November 6, 2011

MetroHealth Medical Center Proposal

MetroHealth Medical Center
County Owned Urban Hospital 500 Beds 100,000 Emergency Department Admissions ACS Verified Level 1 Trauma Center for Adults and Level 2 for Pediatrics Regional Burn Center Has High level of Charity Care

MetroHealth Medical Center Proposal

Nowak HealthCare Consulting LLC
Michael J. Nowak, Ph.D. President Extensive experience in Bringing Electronic Medical Record Solutions to Hospitals Installations Nationwide Extensive Experience with EpicCare Award Winning Training

MetroHealth Medical Center Proposal

Proposal
Develop and Install An Emergency Department Electronic Record. The Record Will Be At The Encounter Level. The Encounter Will Interface Directly With The Hospitals EMR. The Encounter Will Interface With Other Key Systems Such As Imaging, Laboratory and Pharmacy. NHC Will Provide Guidance On Hardware and Software Purchasing NHC Will Provide Training

MetroHealth Medical Center Proposal

System Requirements
Encounter Sections: Admission Discharge Demographics Reason for visit Mode of arrival: EMS/Self Medications given ED Notes

MetroHealth Medical Center Proposal

System Requirements
Encounter Sections: Ability to upload scanned documents Imaging Results Lab Results ED Orders All Flowsheet Data Discharge Orders Discharge Instructions

MetroHealth Medical Center Proposal

System Requirements
Smart Form Sections:

Notes Associated Symptoms Review of Systems Attending Hx Physical Exam Exam Notes Assessment, Course, Medical Decision Making, Additional Notes and Disposition.

MetroHealth Medical Center Proposal

System Requirements
Smart Form Sections:

Assessment Course Medical Decision Making Additional Notes Disposition.

MetroHealth Medical Center Proposal

Key Stakeholders
Emergency Physicians Need to have buy in for system to work Take them on visits to other Emergency Departments Train them on how to build smart forms Name a physician to an informatics position Nursing staff Rotate nurses through other parts of the hospital using EPIC Registration staff

MetroHealth Medical Center Proposal

Software EpicCare Full hospital solution Presently used by MetroHealth Has ED component Reduced implementation time Used by 91% of HIMSS Stage 7 Hospitals

MetroHealth Medical Center Proposal

Software
GE Healthcare Centricity EMR Has ED component Would have to build customized interface Would have to provide additional training Has ONC-ATCB 2011/2012 certification, which will enable meaningful users to qualify for federal EHR stimulus funds.

MetroHealth Medical Center Proposal

Training
Option 1 Work as a team integrating the new software into your present software. Allow NHC to become extension of the MetroHealth team. Provide training to all stakeholders Option 2 Train key MetroHealth staff Use train the trainer to educate the rest of the employees

MetroHealth Medical Center Proposal

Additional Resources
Additional server capacity Network hardware Personal computers Thin clients Tablet computers

MetroHealth Medical Center Proposal

Summary
NHC Will Lead The Implementation Of A Patient Encounter level System For The Emergency Department. NHC Will Assist With The Identification And Purchase Of Software MHC Will Make Sure The Encounter Will Link With EpicCare And Other Key Systems Such As Imaging, Laboratory and Pharmacy NHC Will Provide Guidance In The Purchase Of Hardware NHC Will Work With Stakeholders NHC Will Provide Training