Vendor Selection and Implementation of CDS in the Low Resource - PowerPoint PPT Presentation

Vendor Selection and Implementation of CDS in the Low Resource Setting Adam Prater, MD/MPH Emory University 6/1/2018 @SIIM_Tweets #SIIM18

Disclosures • Neither the authors nor their immediate family members have financial relationships with a commercial organization that may have a direct or indirect interest in the content @SIIM_Tweets #SIIM18

My Background • Neuroradiology and Informatics Fellow • 2015-2017 • De Facto Informatics Director • CDS! @SIIM_Tweets #SIIM18

Setting • Safety Net Hospital • ~1000 Beds • Comprehensive Stroke • Level 1 Trauma • Epic • Limited IT Resources @SIIM_Tweets #SIIM18

CDS Vendor Selection @SIIM_Tweets #SIIM18

My Team Senior EPIC specialist Junior EPIC Specialist @SIIM_Tweets #SIIM18

How it Went @SIIM_Tweets #SIIM18

CDS Implementation Challenges with EPIC • CPT Mapping to Clinical Indications @SIIM_Tweets #SIIM18

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CDS Implementation Challenges with EPIC • CPT Mapping to Clinical Indications • Best Practice Alert (BPA) @SIIM_Tweets #SIIM18

EPIC fires off BPA (Best Practice Alert) Orders Changed Here @SIIM_Tweets #SIIM18

Stakeholder Dissent! @SIIM_Tweets #SIIM18

What they Hated Why can’t I just click it! Too many Clicks! Too many choices! @SIIM_Tweets #SIIM18

What do I do? @SIIM_Tweets #SIIM18

Sage Advice Use the force Reach out to ordering stakeholders @SIIM_Tweets #SIIM18

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Stay Calm @SIIM_Tweets #SIIM18

Leverage Time @SIIM_Tweets #SIIM18

Lessons Learned • Manpower • Get stakeholders involved in both decision making and implementation • Vendor support was tough • Felt ignored • Suggestions: • Make clear to leadership IT resources needed • Follow change management framework @SIIM_Tweets #SIIM18

Consider This As Well • Effect on Revenue Cycle? @SIIM_Tweets #SIIM18

Emory Healthcare Vendor Selection @SIIM_Tweets #SIIM18

• Medicalis + • MedCurrent • ACR Select @SIIM_Tweets #SIIM18

What we used to decide Criteria Care Select Medcurrent AUC ACR, ACC, NCCN ACC, NCCN, IM, Orderwise User Experience + ++ Non Emory Portal + ++ Integration (CERNER) ++ + Support TIE TIE Cost TIE TIE @SIIM_Tweets #SIIM18

Factor Considerations • Portal • AUC • User • Integration Experience @SIIM_Tweets #SIIM18

In the End… • AUC • Integration • Portal • User Experience @SIIM_Tweets #SIIM18

Verdict Criteria Medcurrent AUC ACR, ACC, NCCN ACC, NCCN, IM, Orderwise User Experience + ++ Non Emory Portal + ++ Integration (CERNER) ++ + Support TIE TIE Cost TIE TIE @SIIM_Tweets #SIIM18

Questions? @SIIM_Tweets #SIIM18