Physician Utilization:Driving Acceptance & Adoption

Janice ClarkIT Product Manager - Physician Computing

Sentara HealthcareNorfolk, Virginia

June 28, 2005

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Discussion Topics

• Who We Are

• Our Journey

• Where We Are Today

• Future Direction

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Hospitals & FacilitiesSentara Norfolk General Hospital

Sentara Leigh HospitalSentara Bayside Hospital

Sentara Virginia Beach General HospitalSentara CarePlex Hospital

Sentara Williamsburg Community Hospital

Long-term CareNursing Centers: Ches., Norfolk, Hampton, Va. Beach, Portsmouth, Currituck, and Windermere

Assisted Living: Norfolk, Va. Beach, Ches.

EnterprisesHome Health, Hospice, DME, Medical Transport,

Personnel Services

Care Delivery

Medical GroupsSentara Medical Group

Williamsburg Community Medical Group

Sentara Healthcare

Sentara Health Foundation Division of Community Health

Optima

Mental Health Management

Sentara Family Care

Health Management

Strategy & Planning

Marketing & Communication

Information Technology

Human Resources

Finance

Decision Support

Compliance

Strategy & Support

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Require-ments gathering ForPhysicianComputing

1995 4Q 20042Q 20042Q 2003 3Q 2004

Physician Computing Journey…

Phase I – CareVISION Pilot

1998 1999 2002 1Q 2003 2Q 2005

Phase II – CareVISION general roll-out to community physicians

Implement Facility – Based Physician Support Model

Business @ The Speed Thought

Implement Dedicated Physician Support Desk

1993

Launch of SPIN – Basic Medical Record

MDoffice – Physician Portal

AGFA Web100 Digital Imaging (PACS)

SPIN WebIntranet

WI-FI Network completed/ Pocket PC’s delivered to Physicians

Labs / PVLsED ReportsHealth PlanReferralsClaimsEligibility

Physician Web Scheduler

MGMT Reports &Carbon Copies

New Signing Module & Print Capabilities

Application

Enhancements

Support Milestones

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Microsoft Case Study

“. . .SpinWeb will provide the patient’s medical records online for any medical team with proper authorization. . . “

- Bill Gates Microsoft

Chairman March 1999

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Key Milestones

Sentara Intranet1998

Physician Portal/ Internet 2002

Single Sign-on MDoffice2004

Modem to Modem1995

E-Care e-Care

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Dedicated Physician Support

Support Model • Facility-Based vs Application

• Support in Hospitals & Practices

• Dedicated Physician Support Desk

• Physician Advocates

Growth of Physician Support Calls with Dedicated Support Desk

2002 2003 2004 2005

● Increased Acceptance & Adoption• Targeted

Support for Physicians

Support Environment• Internet Access thru Physician Portal

• Hand-Held Access to Patient Records

• Dedicated Wireless Network for Physicians

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Sentara’s Value Proposition

Ongoing Training &Education

Enhanced Coordination with Physicians

IncreasedAdoption of ITSolutions

Sentara ITInfrastructure

IntegratedClinicalSolutions

PhysicianPortal

Facility BasedPhysician Support

Direction of Physician Computing

Infrastructure

RESULTIncreased Adoption by Physicians and Their Office Staff Yields More Time for Patient

Care, Enhances the Quality of Care, and Reduces Errors

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Transformation of Healthcare Enabled by Technology

Agfa Web1000 (PACS)CareVISION – Secured Message CenterLabs, including micro & APHealth Plan - Referrals, Claims, Member EligibilityHand-Held Access

eCare – EMR / CPOEClinical Data RepositoryContinuity of Care RecordInteroperability for Community Physicianse-prescribingPatient e-Visits

Basic Medical RecordElectronic SigningOp Notes Health & PhysicalsED Reports

Ac

Phase 1:Access

Phase 1:Access

Phase 3: All-Pervasive

Physician Computing

Phase 3: All-Pervasive

Physician Computing

Phase 2:Enterprise Integration

Physician Portal

Phase 2:Enterprise Integration

Physician Portal

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