Healthcare Leadership and Innovation

EHR transition for rural, Critical Access

  • 1.  EHR transition for rural, Critical Access

    Posted 10-17-2019 20:01
    I am a second-year graduate student working on my Masters of Science in Health Information Management. I'm in the development phase of a research proposal/project and would love to generate some discussion here from those with experience in rural health, specifically, Critical Access. I would love to discuss your experience with switching to a new EHR, specifically from one that was not "semantically compatible" with larger facilities to which you sent your patients with chronic conditions for more specialized care. I'm thinking explicitly about those who decided to piggyback off a larger healthcare facility's EHR contract.

    Any discussion generated here will help me to narrow and focus my research topic, so please feel free to reach out with any and all experiences. Thanks for your time and I hope to hear from many of you!

    Candace Abraham
    Health Information Technician
    Graduate Student @ CSS

  • 2.  RE: EHR transition for rural, Critical Access

    Posted 10-18-2019 08:56
    Fascinating topic!  I have a lot of experience implementing EHRs from a PMO perspective, but nothing really in critical access hospitals.  Good luck!

    Lynette Czarkowski
    Chief Operating Officer and Exeuctive Consultant

  • 3.  RE: EHR transition for rural, Critical Access

    Posted 12-02-2019 14:08
    Hi Candace,

    I live in rural MN and work for CentraCare. There are a lot of facilities, including critical access hospitals, in the area who piggyback off our EHR contract. We call them "affiliates". I am not sure where you want the discussion to go but I can tell you that one of the challenges is that we can see the affiliate records in our EHR so it is imperative that our policies clearly state that these records do NOT belong to us and we cannot release them.

    Lauren Reyes
    Manager, Health Information Management - Carris
    CentraCare Health

  • 4.  RE: EHR transition for rural, Critical Access

    Posted 12-03-2019 04:13

    Some of the issues I've seen stemmed from the affiliates not utilizing the EHR appropriately. For example, not performing workflows through to completion and adding unnecessary work to work queues, etc. It's tough to follow-up with them and enforce the correct use of the system. This is compounded every time there's an upgrade.

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