Rural Virginia E-health Collaborative (RVEC) Rappahannock General Hospital Kilmarnock, VA Michael Matthews, Project Director Rural Virginia E-health Collaborative
Overview • • • The Applicant The Project The Process The Results The Lessons Rural Virginia E-health Collaborative
The Community • • RGH: 76 beds 60, 000 residents MUA / HMSA Aging Health indicators Poverty rate Retirement community Medical staff Rural Virginia E-health Collaborative
The Project Goals Focus Efficiency Quality Safety E-prescribing Disease registry CCR Rural Virginia E-health Collaborative
The Process Rural Virginia E-health Collaborative
Structure Rural Virginia E-health Collaborative
Timeline Planning Meeting #1 RVEC begins Oct 04 Dec 04 Stakeholder phone surveys Jan 05 Planning Meeting #2 Mar 05 Physician survey Med staff retreat. Rural Virginia E-health Collaborative Hosp IT assessment Apr 05 Interim Planning Report Implementation application
Pre-Implementation • Communication • Partnership engagement • RHIO development in Richmond • E-prescribing review Rural Virginia E-health Collaborative
Planning Meeting #1: Revised Priorities 1. E-prescribing – – – Pharmacy connectivity Physician buy-in Internet Demographic data capture Medication history Support (pre- / post) 2. E-results – – Physician buy-in Hospital results Internet Support (pre- / post) 3. E-referrals Rural Virginia E-health Collaborative RHIO
Medical Staff Retreat Rural Virginia E-health Collaborative
Physician Survey • Internet – High speed – Dial-up • • PCs in office Elec test results EMR E-mail – Within practice – With colleagues – With patients 71% 29% 71% 18% 4% 39% 36% 18% Rural Virginia E-health Collaborative
Physician Survey • Prescriptions • Tertiary hospitals • Referrals (SCPs and PCPs) • Test results from RGH • Chronic disease mgmt. Rural Virginia E-health Collaborative
Physician Survey • Costs • Lack of other resources in practices • Difficult to choose vendor • Lack of IT, computers in office • Practice disruption Rural Virginia E-health Collaborative
Planning Meeting #2 • Confirm priorities – E-prescribing – E-results – E-referrals • Implementation grant • Confirm RHIO partnership – Med. Virginia / Wellogic • E-RX market review • Measures of success Rural Virginia E-health Collaborative
Med. Virginia Organizational Purpose - Collaboration in HIT - Clinical data exchange - Practice automation Rural Virginia E-health Collaborative Vision: “…the most electronically integrated medical community in the U. S. ”
RVEC Priorities E- results E-referrals Rural Virginia E-health Collaborative
RVEC Priorities E- chart E-prescribing Rural Virginia E-health Collaborative Confidential and Proprietary - Copyright © 2004 Method Factory Inc. d/b/a Wellogic All Rights Reserved,
New Practice Options: “Stepping Stones” to HIT Adoption ü HIE - view only ü HIE w/ PM interface ü Integrated transcriptions ü Integrated e-RX ü Integrated electronic chart ð HIE feed to other EMR Rural Virginia E-health Collaborative
Measures of Success • Project Level • By technology (e-RX, eresults, e-referrals) – Structure – Process – Outcome • UVA Health Evaluation Sciences Rural Virginia E-health Collaborative
Next Steps • E-RX review • Medication history data capture pilot • Final planning report • Implementation funding Rural Virginia E-health Collaborative
The Lessons…So Far • • Leverage relationships Leverage partnerships Leverage technology “Hit the ground running” – Early findings • Listen – Compelling business case for physicians Rural Virginia E-health Collaborative
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