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EMR Transformation: Overcoming Hurdles, Building Solutions

February 21st, 2024

Rachel Alexander

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Presentation Elements

Executive Summary
Stakeholders and Impact
EMR System Issues Analysis
Proposed EMR System Solutions
Engineering Propositions
EMR Name Proposals

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Critical Issues�Zinnia's EMR system exhibits disorganized data, inefficient workflow, fragmented platform use, and departmental silos, necessitating prompt action to improve operational efficiency and ensure compliance.�

EMR Build Initiative �Zinnia Health is introducing a new Electronic Medical Records (EMR) system aimed at enhancing healthcare delivery and providing superior patient care.

Measurement and Evaluation �Measuring key indicators and gathering feedback assesses EMR effectiveness, guiding ongoing improvements aligned with established goals

�

Executive Summary

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Innovate processes/products for ASAM compliance
Standardize forms for quality control
Optimize database use for staff efficiency
Foster collaboration across teams
Mitigate data and patient care risks
Achieve enhanced outcomes for patients and objectives

Foundational Objectives and Targets

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Key Stakeholders

Name	Role	Vertical Responsibility	Stakeholder Impact
MG	Executive Sponsor	Excellence / Alignment	Executive Vision / Support
DK	Project Management	Management	Deadlines and Deliverables
RA	Process Excellence	Process	Define Future Processes
BH	Product Management	Product	Define Product Requirements
WR	Stakeholder	Clinical	Provide Clinical Requirements
NM	Stakeholder	Medical	Provide Medical Requirements
EH	Stakeholder	Utilization Review	Provide Utilization Review Requirements
MM	Stakeholder	Compliance	Compliance Awareness and Feedback
MR	Stakeholder	Business Intel	Data Lake/Field Requirements
RP	Engineer	Development	Engineer Feedback and Development
RF	Stakeholders	Executive Director	Executive Director Feedback
GM/ED's	Stakeholder	Leadership / Operations	Facility Adoption and Roll out

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Exploring EMR Capabilities

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Layout Visual: Employee Home Screen/Single Sign On

Key Features:

Employee Homepage for Zinnia EMR System
Adaptable widgets for customization
Initial glimpse into layout and functionality
Tailored to individual preferences and workflow needs

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Client Based Portal Interface

The Patient-Portal Landing Page, distinct from the employee homepage, is an upgraded version of the current KIPU system, featuring tailored functionalities for patients.

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Portal Interface: Patient Snapshot

Key Features:

Enhanced Compliance
Real-Time Communication
Integration with Client Charts
Triggering System Integration
User - Friendly Interface
Risk Mitigation

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Biometric Tracking Technology

Key Features:

Enhancement of Client Interface
Real-time Location Tracking
Staff Communication and Coordination
Automated Attendance and Consent Logging
Increased Compliance Metrics
Increased patient accountability

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Key Features:

One-click electronic rounds
Integrated patient data
Customizable templates
Real-time team communication
Secure access controls
Mobile compatibility

Facility Name: Singer Island �Employee Name: John Doe �Date/Time: 1/12/2024 9:00AM EST�

Rounds Function Mockup

ROUNDS

Bed/Room

Group

Safety

Medication

Signature Acknowledgment

_______________

J. Doe

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Internal Messaging System

Key Features:

HIPAA Compliance
ASAM Standards Integration
Real-Time Communication
Integration with Client Charts
Triggering System Integration
User-Friendly Interface

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Extended KIPU Form Treatment Plan

Key Features:

Back-end schema for initial patient journey in EMR system
Field recognition to reduce
Time-based and compliance-driven triggers
Electronic signatures
Integration with compliance-associated applications (JC, State Standards, Provider Standards, ASAM, etc.)
Co-Pilot/Notes Generator Connectivity

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Integrated Treatment Pathway

Zinnia Health: Patient Treatment Plan

A tiered strategy for uninterrupted patient care management

Patient Information

Patient Name: [Full name]
Date of Birth: [DOB]
Patient ID/Case Number: [ID Number]
Admission Date: [Admission Date]

Level of Care: Detox

Medical Stabilization
Initial Psychiatric Evaluation
Counseling and Support
Treatment Goals
Progress Notes

Level of Care: Residential

Therapeutic Interventions
Medical and Psychiatric Oversight
Life Skills and Rehabilitation
Treatment Goals
Progress Notes

(Continue for PHP, IOP, and Outpatient levels)

Review and Signatures

Assessor's Signature
Supervisor's Review
Patient's Acknowledgment

Additional Notes/Comments Section:

Key Features:

Treatment plan is central to patient care at Zinnia.
All staff contribute for consistent care.
Scaffolded format ensures alignment with goals.
Enhances teamwork and adapts to patient needs.

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ZinLink
ZinCare
ZStream
FLORA: Full-spectrum Logistical Organization for Record Accessibility
BLOOM: Balanced Logistical Organization of Medical Records
HEAL: Health Electronic Access and Log
SYNCARE: Synchronized Care Electronic Record
MEDSYNC: Medical Synchronization System for Electronic Records
ECHO: Electronic Chart for Health Organization
CARELOG: Clinical Automation Record and Electronic Log
CARL: Centralized Automated Records Library

We believe that each of these names encapsulates the essence of our EMR system and resonates with our commitment to excellence in patient care and record management. �

Proposed Names: Next Gen EMR Platform

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Outline and map product and process design elements.
Determine priority features for development.
Ensure alignment on feature scope and gather initial stakeholder feedback.
Create prototypes to visualize concepts.
Keep stakeholders informed of progress.
Continuously refine prototypes in accordance with agreed scope.

Next Steps

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