During HIMSS16, Cerner Ambulatory executive Kim Hlobik, spoke with leaders from Dignity Health, Banner Health and Memorial Hospital at Gulfport on the status of their respective Cerner solution implementations and future roadmaps in both acute and ambulatory venues.
Dr. Shez Partovi
Chief Health Information Officer, Dignity Health
Dr. William Holland
Chief Medical Information Officer, Banner Health
Dr. David Northington
Chief Medical Information Officer, Memorial Hospital of Gulfport
Share the great things you’re doing in the ambulatory space.
Dr. Partovi (Dignity Health): We guide the entire deployment of Cerner’s electronic health record (EHR) with three principles in mind: safety, quality and user experience. Dignity is currently migrating all solutions on our inpatient platform completely to Cerner solutions, and have just a few hospitals remaining to complete the migration. In addition, all Dignity Ambulatory practices are moving to PowerChart Ambulatory.
Our model is one patient, one record, one team. By using that model, we are bringing it all together. We believe to enable population health we need a single platform and we’ve selected Cerner to be that single, unifying platform that allows us to move health forward.
Dr. Holland (Banner Health): As a hospital-focused organization originally, Banner worked closely with Cerner to make improvements using the applications in our hospitals.
Over time we started to see ourselves develop as an integrated care delivery system and start to manage the risk of populations. We’re actually one of the most successful pioneer ACOs in the country and we wanted to start extending that great infrastructure we built on the Cerner side into the ambulatory space.
It was very successful and in fact, as of late February, another 200 sites are live, so we’re about halfway through our medical group in just a little over six months.
Dr. Northington (Memorial Hospital of Gulfport): Gulfport has been a Cerner client since June 2014. We chose to go live with a big bang implementation approach, and migrated a 450-bed hospital, mental health community and about 90 clinics in one day. This was done thanks to a strong commitment to the one patient, one record philosophy.
We wanted to stop having blinders on while in the record and see what everyone else was doing for their patients. The notes are coming across instantly at the time of service and notes are being completed. As a patient moves through our system, we can see all of the providers and what’s going on with the patient, which has been the biggest success. We had a great go-live and we continue to evolve our EHR.
Kim: At Cerner, we are lucky to have clients like this that challenge us and continue to move things to the next level. As we work with these clients, they don’t see implementation as a one-time event; they have really shown us what it looks like to put procedures, processes and people in place to continually improve.
What is it like to form a strong relationship with Cerner and how do you take physicians from the ambulatory space on that journey of continuous improvement?
Dr. Partovi (Dignity Health): When we began our ambulatory roll-out, we had a single physician view. I credit the relationship with Cerner and knowing our options for deploying the specialty views, or workflows. We went on to roll out the 45 specialty workflows for all physicians across the entire enterprise.
Dr. Holland (Banner Health): Due to the success we’ve seen inside the hospital through our relationship with Cerner, we wanted to implement outside the hospital quickly, so the work we’ve done traditionally in the hospital space is really driving to support that clinical improvement machinery to help support that across the continuum. Knowing how we typically implement things, it would be a very long timeframe, and that really wasn’t a model that worked for us. We also wanted to get things right, the first time.
The only way that something like that happens is if you get two teams to really come together and work well to drive that kind of work. I’ll tell you, out of all the implementations we’ve done with clinical information technology solutions in the ambulatory space, that first one, which only had four months of planning and build, was the most successful one we’ve had hands down.
Dr. Northington (Memorial Hospital of Gulfport): Our collaboration with Cerner is the most important thing we’ve done. It’s a true alliance. With Cerner, what we’re looking for is evolution. It’s not what we’re buying today, it’s what we’re evolving into in the next decade. Cerner is the partner for that.
There are a lot of things our clients are doing to lead the way in health care. What are you most excited about in the upcoming year?
Dr. Partovi (Dignity Health): One of the things we’re excited about is using our interoperability platform. We’re using Cerner’s HIE and we’re connecting to more exchanges, to CommonWell, as well as to other platforms throughout the U.S. In fact, we’re using that interoperability platform as a way of migrating off our old EHRs.
It’s actually become a strategy for exchanging information outside the enterprise, but as we look at migrating off legacy systems, we’re actually turning inward and using that as a way of pulling data from our legacy systems.
Dr. Holland (Banner Health): At Banner, we are getting the foundational pieces in place. We’re finishing ambulatory this year, I think that will be huge for us.
Actually, in two weeks we go live with a population health registry tool and then in June, we go live with an enterprise care management system.
We are looking forward to having the foundation in place, so we can layer those population health tools on top of it.
Dr. Northington (Memorial Hospital of Gulfport): We’re talking about efficiency in 2016. I’ve gone to the medical staff and said this is the year for medical efficiency for the doctors. Let’s get them home on time and get their work completed.
We have collaborated with Cerner on a nine-step program and we’re looking at reducing clicks. I’m going to the outpatient clinics and we’re trying to get rid of 35, 45, 65 clicks. That means time, that means going home, that means patient satisfaction, which also means physician satisfaction.
Kim: We are excited to be a part of your journeys moving forward, as you can hear they’re doing a lot of great things. It really challenges us to take the solution and processes to the next level.