Physician's Track

The InSight Physician’s Track is designed to provide physicians the most current information on clinical products and to demonstrate how to integrate these products into clinical practice.

InSight is applying for CME credit on all Physician’s Track Sessions. Further information will be available pending CME approval.

CPOE - It's Just One Piece of the Puzzle

Thursday, September 10, 1:30 p.m.
Dupont Hospital had been live with CPOE since 5/07 in a voluntary, staged roll-out approach. In 2008, a strategy was developed on move towards universal adoption by February 2009. Striving for safety, quality and efficiency, the Leadership of Dupont Hospital and the Medical Executive Committee looked towards the Birthplace. The Birthplace is comprised of four departments: Labor & Delivery, Post Partum, Newborn Nursery and Neonatal Intensive Care (NICU). A decision was made to bring this section of the hospital universal in November 2008. Utilizing Lean Methodologies, the group set out to process map the steps in the pre-delivery phase as well as the anticipated future state process. Process time for an order to reach the patient decreased by 49%.
Speaker: Matthew Sprunger, MD, Dupont Hospital

Physician Solution Update: Horizon Clinicals

Thursday, September 10, 3:00 p.m.
This session provides an update on Horizon Clinicals Physician's products including an update on McKesson's physician vision and strategy and a high-level overview of coming enhancements of importance to physicians
Speaker: Andrei Gonzales, McKesson

Preparing for CPOE: Steps to maximize physician adoption (Paragon)

Thursday, September 10, 3:00 p.m.
This session will present recommendations for organizations committed to deploying CPOE. Preparatory recommendations will cover organizational preparations, resource identification and system configuration in order to maximize CPOE adoption.
Session Objectives:

• The audience will understand the preparatory steps for CPOE implementation.
• The audience will understand techniques to foster physician adoption of CPOE.
• The audience will understand configuration recommendations for Paragon® applications in order to optimize CPOE deployment.

Speaker: Cupid Gascon, McKesson

HAC Clinical Alerts - How do they work?

Thursday, September 10, 3:00 p.m.
Horizon Ambulatory Care application has the ability to create clinical alerts to help providers manage the ambulatory care given to patients. Methodist has worked with several physicians to identify, design and implement clinical alerts that are used in the physician offices for common diagnoses, immunizations, procedures and other purposes. In this session, users will learn how to create alerts, identify alerts that make the largest impact for the providers and overall success for clinical alerts. Learn how to develop comprehensive clinical alerts in HAC., identify at least three common alerts that apply to most practices, and understand the decision making process, team members needed, support and time it takes to create clinical alerts effectively.
Speaker: Dr. David Trachtenbarg, Methodist Medical Center

Impact of CPOE Deployment Using HEC-HEO Integration On Surviving Sepsis In A High-Volume Community ED

Friday, September, 11, 8:15 a.m.
Implementation of CPOE using HEC-HEO integration resulted in measurable improvement in outcomes for ED patients admitted with sepsis-related diagnoses. Evidence-based order content developed by the Institute for Healthcare Improvement and Surviving Sepsis Campaign collaboration was migrated into ED-based CPOE using HEO. Risk-adjusted clinical indices were evaluated before, during and after this implementation.    

Results included:   

• Septic Shock: 17% Reduction in Mortality Rate Index. 
• Sepsis: 10% Reduction in Adjusted Length of Stay Hospital Index. 
• Reduction in Cost per Case Hospital Index for diagnoses of Sepsis (4%) and Septic Shock (8%) with a total savings $328K (Jul - Sep 08). 
• 14% Decline in ratio of observed to expected deaths (O:E) for all patients with sepsis-related discharge diagnoses, i.e., sixteen additional lives saved (annualized and extrapolated HSMR data).

Speaker: Jonathan Morris, MD, FACEP, MBA

How to Optimize Your Horizon Physician Portal with Horizon mobile Physician Portal

Friday, September 11, 9:30 a.m.
This session will discuss how customers can leverage their already existing Horizon Physician Portal by extending it to mobile phones that physicians already use, including the iPhone and Blackberry devices.

Session Objectives:

• Discuss and learn the benefits of extending Horizon Physician Portal to internet capable handsets
• Discuss and learn ease of deployment of Horizon mobile Physician Portal
• Learn why the time is right for this technology

Speaker: Keith Scott, McKesson

Medication Reconciliation: Hand-Off Transitions for Safer Care

Friday, September 11, 11:00 a.m.
This session will detail the process of medication reconciliation for providers in the acute care setting. Learn how Peninsula Regional Medical Center successfully redesigned their medication reconciliation process along with a new automated solution to drive compliance and safer care transitions.
Speaker: Dr. Chris Snyder, Peninsula

HEO Roundtable Panel

Friday, September 11, 2:00 p.m.
This panel will consist of physicians champions from organizations live with HEO. Each panelist will start with a brief overview of HEO adoption, strategies to engage physicians and drive use, lessons learned and key strategies for success at their respective site. The remainder of session will then be an open forum question & answer period. This is forum is “back by popular demand.”
Speaker: Dr. Michael Zia-Decatur, Dr. Chris Snyder-Peninsula, Dr. Jon Morris-WellStar, Dr, Matt Sprunger-Dupont

HAC is Installed in the Practices, Now How Can it be Optimized?

Friday, September 11, 2:00 p.m.
In this session, audience members will learn features and time saving tips when using Horizon Ambulatory Care.   Speakers will show ways they have optimize HAC to make it more efficient for the physician offices. Learn how to modify the application to improve workflow and increase the providers productivity.

Automation of Anesthesia Care Delivery - Balancing Quality Qare and Revenue Maximization

Friday, September 11, 2:00 p.m.
A majority of hospital revenues, 40-60%, come from Surgical Services. Many positive steps have been taken to automate processes related to the surgical environment:  patient management, clinical documentation, and resource planning. Yet, automation of documentation within anesthesia care remains under utilized. The value of integrating anesthesia care into the surgical environment plays a key role in managing patient safety, OR utilization, and revenue maximization. Anesthesia practitioners manage 98% of drug delivery within the OR, and 60-70% of inpatients pass through the care of an anesthesia practitioner. Anesthesia holds a unique position within the health system; they have the ability to help improve patient outcomes and reimbursement .
Speaker: Deborah Lange-Kuitse PhD, McKesson

Key Success Factors for Quality and Efficient  ED Physician Charting

Friday, September 11, 3:15 p.m.
To comply with core measures, meet compliance and produce a good legal electronic medical record you must be  able to navigate and understand the branching logic of Horizon Emergency Care and how it can work for your  instituion. This session will discuss ways to use the branching logic, chose chief complaints that work best  for the clinician and processes to make the flow of electronic record efficient. Discussion will focus on making the documentation work for the clinician. It will identify some flow processes that may need to be evaluated  in your current institutions.

Horizon Expert Notes: Completing the Physician Workflow in a Paperless Record

Friday, September 11, 3:15 p.m.
This panel session will provide a roundtable format for discussion specific to the deployment of inpatient physician documentation. Learn from early adopters how to successfully prepare your organization to “close the loop” on physician workflow.
Speaker: Dr. Steve Arendt Eisenhower and McKesson; Dr. Michael Zia, Decatur; Dr. Andrei Gonzales McKesson , Eisenhower Medical Center, Decatur Memorial Hospital and Mckesson

To Modify or not to Modify in HEO: Implementation Odyssey

Saturday, September 12, 10:00 a.m.
How to navigate the known pitfalls of implementing HEO Modify while promoting its usefulness to both Pharmacy and Nursing. This session will assist participants contemplating making the trip down Modify road by providing a detailed look at the challenges encountered and the team resolutions reached with implementation at our facility.
Speaker: Beatrice Villegas, St. Lukes's Episcopal Hospital

HAC Reporting Strategies and Challenges

Saturday, September 12, 11:15 p.m.
Reporting is required to prove your organization is doing a good job. Missing data, consistent data entry by clinicians, standards that are impossible for any EMR to automate and choosing the best reporting system are all major challenges. 

This session will discuss:

• options for developing an ambulatory reporting strategy for your organization
• reporting challenges
• what has worked and
• options to improve reporting in the future. 

Audience members will also learn new plans on PQRI reporting within HAC.
Speaker: Dr. David Trachtenbarg, Methodist Medical Center