您的组织已经投资并实施了EHR系统. 现在，你的投资到底为你带来了什么? 在当前的医疗环境下, 组织不能花时间, 努力, or money on programs or systems that do not provide a competitive advantage or improve performance. 在向电子病历过渡的过程中满足了法规和立法要求, organizations of all sizes also have a tremendous opportunity to maximize their IT investments and improve provider performance through metric-driven optimization.

Metric-driven (or data-driven) optimization is the deliberate process of mining an organization’s EHR database for performance measures and using this information to drive continuous performance improvement throughout the organization. 最终, executing well-designed strategies to integrate EHR-captured data helps organizations identify and reduce practice variability, 实现激励目标, 最大限度地提高绩效工资奖, 在组织内部和组织之间协调病人护理, 其他好处.

This article presents metric-driven optimization as an effective strategy for continuous improvement in areas such as practice efficiency, 提供者和患者满意度, 和数据质量. It also discusses some of the challenges and opportunities that organizations face following EHR implementation.

所面临的挑战

一个指标驱动的方法需要成功的EHR实施和采用, coupled with a well-crafted plan for capturing and using data to enhance organization-wide processes and performance. 然而，尽管出发点是好的，但近四分之三的电子病历实施失败. 这种失败通常是由于不清晰的愿景, 不切实际的期望, 技术上的改变却没有行为上的改变.

的机会

致力于数据驱动优化的组织定位于推动有意义的变革, 实现质量目标, 并促进持续的绩效改进. 然而, these benefits require an intentional strategy to usher organizations from EHR implementation through performance optimization, 说明每一步和中间的挑战. 这种策略需要针对组织，并考虑关键的组成部分, 包括制定定义明确的系统采用和数据利用指导原则.

一个令人信服的案例

一个已实现的EHR并不保证返回. 组织s that fail to properly integrate and leverage EHR capabilities can quickly find themselves trapped in a post-implementation purgatory, paralyzed by disenchanted users and underwhelming provider performance – leaving these organizations with more questions than answers. 采用指标驱动的方法进行优化, 然而, provides organizations with the ability to diagnose and correct problems by 测量 and evaluating performance across specific metrics.

A properly integrated and fully utilized system can establish the foundation for significant and sustained organizational improvements, 特别是在实践效率方面, 提供者和患者满意度, 和数据质量.

• 练习效率 – Fully utilizing an EHR system in a manner that optimizes provider and clinical support staff efficiency and productivity leads to greater adoption and, 最终, 帮助验证组织的IT投资. In practices where the number of patient visits each day is not reflective of demand or desired provider capacity, 提供者可能会面临限制或延长他们在护理点的时间的问题. 有无数的变量会影响供应商的生产力. 然而, 当特定于ehr的缺陷威胁到生产力时, 提高系统效率, 提供适当的培训和资讯科技支援, and ensuring optimal leverage of system automation and nursing activities can boost provider capacity. 组织s that are able to increase provider capacity by an additional two patient visits per day (averaging $120 per visit in reimbursement) have the potential to increase revenue by more than $52,每个供应商每年有1000美元. 在一个有70个全职供应商的组织中, 这一微小的容量增长价值超过3美元.500万美元的额外收入.
• 供应商的满意度 -使用者对电子病历的不满与日俱增. The implementation of technological systems that frustrate or impede provider performance only contributes to the 11.在高级临床云顶集团rt电子游戏中，5%的提供者流失率. ¹ 失去和更换一个供应商至少需要250美元,000, 但实际成本往往超过100万美元. ² 减少不满, 至少部分如此, 通过实施技术和流程，提高供应商的性能，提高留存率. Increasing retention by just four providers equates to a $1 million to $4 million savings in costs associated with provider loss and replacement.
• 病人满意度 -由于公众可以获得大量的信息和性能数据, 患者正迅速演变为精明的医疗保健消费者. 在他们选择的医疗保健方案中，为什么患者会选择和/或与提供者呆在一起? 通过及时改善护理点交互, 准确的, and actionable data and providing patients with the ability to access meaningful health information outside the clinical environment enhances the patient experience and contributes to a competitive advantage. 病人的满意不仅能提高忠诚度，还能转化为更大的补偿.
• 数据质量 —要求医疗保健组织通过文档证明其有效性, 测量, 和报告结果. 另外, 性能数据正变得越来越全面和复杂, extending beyond statistics traditionally drawn from practice management systems to include more provider-specific quality and care data captured in the EHR. 既然结果衡量标准直接与财务激励和报销率挂钩, 数据质量尤为重要, 使准确和可操作的信息成为组织的宝贵资产. 很简单, having access to and insight into objective practice performance data increases opportunities to hit performance targets and achieve quality goals, 以及在整个组织中促进持续的绩效改进.

完美的合作

组织如何管理EHR集成和利用数据来优化性能, 以及它在这个过程中向谁寻求支持, 在决定组织的成功中起关键作用.

平衡临床, 金融, 操作, 技术上的考虑是一项极其复杂的任务. ECG understands the challenges associated with implementing or replacing EHR systems and provides expertise in utilizing technology to drive sustained change.

Partnering with ECG helps organizations comfortably navigate the complexities of IT integration while providing a clear path toward continued quality and performance improvement.