Slide Presentation from the AHRQ 2007 Annual Conference

Rural Physician EHR Adoption: a report from the trenches

1. Rural Physician EHR Adoption: a report from the trenches
2. Goals for Today
3. In the beginning.....
4. Map of California Rural Medical Service Studies
5. Proximity
6. Status of IT in the Region - 2005
7. Before... no infrastructure to facilitate information technology, quality or disease management
8. Image of an Address Book Page
9. Image: Files on A Desk
10. Image of a Desk With Sorted Files On Top of It
11. Image of a Man in White Lab Coat Holding Files
12. Image of a Woman in a White Lab Coat Looking Through Large Stack of Files
13. Image of a Woman in a White Lab Coat Searching For a File in Large Stack of Files
14. Tehachapi Hospital
15. 98.7% outward migration for inpatient care
16. What did it take to get "us" to do this?
17. Inertia
18. I'm not a magician Spock, just an old country doctor
19. Key Informant Interviews
20. Perceptions of the ability to "Remove ALL Barriers"
21. Breaking down the Barriers
22. Dollar Cost Issues
23. Time Cost Issues
24. Personal Skill Set Inequality Issues
25. Challenges with Vendors
26. It's a lot of work!!!
27. Interfacing
28. Vocabulary Test
29. CCR
30. Granular?
31. Domain?
32. Photo: Employee of the Month
33. Real-a-noia
34. Issues of Culture Change
35. Changing the Culture
36. Workflow Analysis
37. So... Where are we today?
38. Before... no infrastructure to facilitate information technology, quality or disease management (continued)
39. Building infrastructure to address the quality chasm in Rural Communities
40. Scope of our Project
41. What I'd like you to know
42. Need for custom solutions
43. Additional Challenges
44. What results in physician buy-in
45. Who's Your Buddy?!!