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

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

May 02, 2023 290 likes •599 views

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

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Vendor Selection and Implementation of CDS in the Low Resource Setting

Adam Prater, MD/MPH Emory University 6/1/2018

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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

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My Background

  • Neuroradiology and

Informatics Fellow

  • 2015-2017
  • CDS!
  • De Facto Informatics

Director

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Setting

  • Safety Net Hospital
  • ~1000 Beds
  • Comprehensive Stroke
  • Level 1 Trauma
  • Epic
  • Limited IT Resources
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CDS Vendor Selection

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My Team

Senior EPIC specialist Junior EPIC Specialist

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How it Went

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CDS Implementation Challenges with EPIC

  • CPT Mapping to Clinical Indications
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CDS Implementation Challenges with EPIC

  • CPT Mapping to Clinical Indications
  • Best Practice Alert (BPA)
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EPIC fires off BPA (Best Practice Alert)

Orders Changed Here

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Stakeholder Dissent!

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What they Hated

Too many choices! Why can’t I just click it! Too many Clicks!

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What do I do?

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Sage Advice

Use the force

Reach out to ordering stakeholders

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Stay Calm

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Leverage Time

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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
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Consider This As Well

  • Effect on Revenue Cycle?
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Emory Healthcare Vendor Selection

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  • Medicalis
  • MedCurrent
  • ACR Select

+

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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

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Factor Considerations

  • Portal
  • User

Experience

  • AUC
  • Integration
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In the End…

  • Portal
  • User

Experience

  • AUC
  • Integration
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Verdict

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

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Questions?