Medical/Dental Professionals

Information Technology

EMR Coaching Sessions Prove Invaluable

George Matthews, MD, FACP, FACC, chief of internal medicine for Kaleida Health and a UBMD cardiologist, recently completed his second EMR Coaching session.

He had this to say:

"The EMR coaches will assess the manner in which you utilize the medical record – whether it be for documentation, chart review, orders, Dragon, PowerChart Touch – and provide tips and strategies to enhance your workflow and efficiency.

"I have utilized the coaches on two separate occasions for 15 to 30 minutes and have learned a number of ‘tricks’ to improve my efficiency. I have found the coaching sessions to be invaluable."

Call the IT service desk at 716-859-7777, option 1, to book an EMR coaching session today.

BGMC/GVI and MFSH Launch Patient Centered pCare TV System

During the week of November 4, Buffalo General Medical Center/Gates Vascular Institute and Millard Fillmore Suburban Hospital (MFSH) will be launching a new patient TV system with enhanced benefits and features for patients as well as their families and visitors. The new system combines the "smart” TVs with numerous new features and functions including:

  • New pillow speakerspcare
  • Movies on demand (entertainment, education and relaxation videos)
  • Monthly reports to assess utilization of educational videos
  • Infrastructure upgrades: all new cabling for improved reception and viewing experience
  • Interactive portal to display hospital information
  • User-friendly, intuitive TV and video controls
  • Onsite support
  • 24/7 call center support

Representatives from pCare, BGMC/GVI and MFSH will provide training huddles on the nursing units throughout the week to ensure staff are able to assist patients with the enhanced capabilities of the pCare system.

New Procedure for EMR Downtime

Kaleida Health is instituting a new procedure for maintaining access to GLIMR (the Great Lakes Integrated Medical Record) during planned and unplanned incidents when the primary Cerner Millennium database is unavailable or unreachable.

You may have seen a new workstation being installed in your workspace that has been identified as a 724Access Downtime Viewer.

http://www.kaleidahealth.org/kyi/news/images/CMSPhoto_15x3.5%20laminated%20card%2010-25-19_20191029160542.jpg

About 200 of these dedicated workstations are being deployed system-wide. They are exclusively for use during EMR downtime events, providing continued access to accurate and up-to-date, clinically important patient data during a downtime. You can read more about the 724Access Downtime Viewer here:

           724Access Downtime Viewer Overview

The goal is to have all 200 workstations up and running for a planned outage on Sunday, December 8, 2019 to accommodate two major changes to the EMR. These are a code upgrade from Millennium 2015.01 to Millennium 2018.01 and the transition from our current Kaleida Health Client local data center to the Cerner data center Remote Hosting Option (RHO), which we first told you about in March. For more information, follow this link:

           Code Upgrade and RHO Flip Overview

If you have questions about the 724Access Downtime Viewer, contact Chief Clinical Information Officer Theresa Wills at TWills2@KaleidaHealth.org.

Code Upgrade Timed to Coincide with December Flip to RHO

Millennium 2015.01, our current electronic medical record (EMR), has been in use by Kaleida Health since May 2017. It will no longer be supported after December 2020. After that date, our current version of Millennium will not be receiving service packages (corrected and enhanced code that’s released every other month).

Meanwhile, as we announced here in March, Great Lakes Health will be switching from the current Kaleida Health Client Hosting Option (CHO) to the Cerner Remote Hosting Option (RHO) by the end of this year. That means all Millennium-related hardware will transition to secure Cerner technology centers.

All of these factors made the decision to switch to Millennium 2018.01, Cerner’s most up-to-date code, an easy one. Since we’re doing the RHO flip now, it doesn’t make sense to move into Cerner’s hosting environment on unsupported code and technology. Therefore, both the RHO flip and the code upgrade to version 2018.01 are scheduled to go live in early December. In addition to adopting the latest code, switching to Millennium 2018.01:

  • Allows us to stay current with Cerner Model Experience best practices
  • Meets the ePrescribe NCPDP regulatory requirement
  • Eliminates downtime for daylight saving time conversion

Transitioning to RHO promises predictable, uninterrupted connectivity and superior system management in highly secure, state-of-the-art technology centers specifically designed for Cerner’s solution.

It gives the Great Lakes Health System the power, speed and agility needed to address challenges associated with system growth and expansion, security, uptime and technology management.

Interoperability Requirement is the Focus of HHS Conference

The 21st Century Cures Act passed by Congress in late 2016 included a provision meant to ensure a patient’s access to information about their medical history or treatment. The Department of Health and Human Services (HHS), the Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare & Medicaid Services (CMS) are tasked with implementing the provision.

The act defines interoperability as "the secure exchange of electronic health information with, and use of electronic health information from, other health information technology without special effort on the part of the user."

Michele Lauria, MD, MS, FACOG, ambulatory medical information officer for the GLIMR project, was invited to the ONC’s Third Interoperability Forum in Washington, DC in August to speak on a panel and provide public comment on a recent ONC report titled, "Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs." The report and public commentary are required by the 21st Century Care Act.

"I spoke at the panel on burden reduction and was part of a listening session on prior authorization, where I discussed a patient-centered perspective," said Dr. Lauria. "The conference was fantastic."

The theme of her talk was unintended consequences, particularly those having to do with outside health information reconciliation as required by the legislation. "While interoperability and sharing of patient data have tremendous potential to improve communication surrounding patient care, it also means that we will be sharing on a national stage each other’s large and often messy problem lists," she said.

"The requirement will force care teams to work together in new ways," said Dr. Lauria "For complicated patients who receive substantial amounts of health care across multiple healthcare systems, intraoperative ability has the potential to significantly increase visit time, especially if the problem list and medication lists are poorly maintained. Time spent in outside record reconciliation may distract the care team from more vital patient care activities."

Dr. Lauria also participated in a focus group of national payors, EMR vendors and IT leaders on the burden of prior authorizations and how a national framework with standardized requirements could help relieve that burden, resulting in improved patient care.