OKLAHOMA’S EXPERIENCE AND

[Pages:52]INTEGRATING QUITLINE E-REFERRALS INTO EXISTING ELECTRONIC HEALTH RECORDS:

OKLAHOMA'S EXPERIENCE AND CHALLENGES

2015 NAQC Conference 2015 The Future of Quitlines

Joy L Leuthard, MS, LSWA, Mgr., Health Improvement Initiatives, OHA

Eric Finley, MPH, Tobacco Treatment Systems Coordinator, OHA

Jesse Anderson, Director, Ancillary Services - Health Systems

Chickasaw Nation Medical Center

An Initiative of the Oklahoma Hospital Association

Objectives

? Identify differences among diverse healthcare systems & EHRs

? Greater understanding of system integration from the clinical informatics perspective

? Increase understanding of the benefits and challenges of integrating e-Referrals into EHRs

? Discuss the need for national EHR and e-Referral standards to facilitate widespread integration of clinical tobacco treatment: - e-Referrals and existing EHRs - the need for new EHR systems to include this as a standard.

Partnerships & Collaboration

? Oklahoma State Health Department - Office of the Tribal Liaison - Center for the Advancement of Wellness

? Oklahoma Tobacco Research Center - Oklahoma Tobacco Helpline

? University of Oklahoma - College of Public Health ? Oklahoma Tobacco Settlement Endowment Trust

Hospitals Helping Patients Quit

? Sustainable system changes embedded in hospital

o Clinical process ? evidence-based o EHRs? treatment, including e-Referral to Helpline

? Comprehensive system changes ? tobacco-free culture:

o Policy driven o Tobacco-free properties o Patient treatment

- inpatient - outpatient - family centered o Employee treatment

Hospitals Helping Patients Quit

Initiative of the Oklahoma Hospital Association Launched in 2009, serving OHA hospital members Funding ? Okla. Tobacco Settlement Endowment Trust

(MSA $$)

INTEGRIS Health ? first system-wide implementation - fax referrals ? October 2010 - 10 hospitals / 20+ clinics

Hospitals Helping Patients Quit

37 hospitals engaged / 2 health systems ? Integris / Mercy First tribal implementation ?

- Chickasaw Nation Medical Center 13 hospitals in process for implementation 2015-2016

- includes one other tribal and one IHS hospital Began with Helpline fax referrals / moving to e-Referrals

Oklahoma Provider Helpline Referrals

? All HHPQ proactive Helpline provider referrals ? Oct 2010 ? June 2015 ? 11,327

? Overall acceptance rate ? 38% ? Hospitals and their affiliated clinics accounted for 49% of all

provider fax/e-Referrals in June 2015 ? E-Referrals began in November 2014 ? Chickasaw Nation ? Total e-Referrals ? mid-Nov 2014 ? June 2015 ? 1,008 ? Acceptance rate ? 26.4%

Helpline e-Referrals

Three hospitals / systems implementing bi-directional e-Referrals - three different EHR's 2013 - 2015:

- Chickasaw Nation Medical Center - RPMS

- first Oklahoma bi-directional e-Referral system!

- Mercy - Epic

- first Oklahoma multi-hospital and clinic system implementing bi-directional e-Referral system.

- Duncan Regional Hospital - Meditech

- single regional rural hospital - clinic sites in Duncan

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