Share these talks and lectures with your colleagues
Invite colleaguesAn implementation guide to improve accuracy and efficiency for outpatient referrals using EHR functionality
Abstract
Mayo Clinic adopted one electronic health record (EHR) across all 70 locations in five different states in 2017 and 18. A post-implementation review addressed concerns, and new workflows, processes and functionalities were adjusted. A common issue raised by multiple departments related to difficulty in accessing the right referral orders. Referrals between departments at Mayo Clinic are orders driven; scheduling is dependent on accurate ordering. Mayo Clinic’s vast size and number of specialties resulted in a very large catalogue of referral orders mapping to appointment types specific to each specialty. Providers found ordering in the new system time-consuming and looking for specific orders tedious. Often, wrong orders were selected, resulting in scheduling errors, reordering, rescheduling and staff and patient dissatisfaction. To solve this problem, an innovative functionality, EZ Panels, was created, which uses a panel-within-panel approach to group orders by speciality, displaying a much shorter list to providers. This functionality improved ordering capabilities, making it easier for providers to access the correct orders and make referrals accurately and efficiently. All 70 practices built and implemented EZ Panels in less than one year. Our fast-paced build and implementation approach can be modified and used by any healthcare system experiencing similar issues.
The full article is available to subscribers to the journal.
Author's Biography
Archana S. Shinde is a senior health systems engineer in the Department of Management Engineering & Internal Consulting at Mayo Clinic. She has a Bachelor of Dental Surgery from Goa Dental College and Hospital, in India, and a Master of Healthcare Administration from the University of Minnesota, USA. She has 16 years of healthcare exposure with experience in systems engineering, consulting, process improvement, change management and Epic EHR–RCM implementation. She has worked on several large implementation projects that have involved thousands of employees across multiple sites at Mayo Clinic. She is an instructor of healthcare systems engineering, awarded in recognition of her scholarly activities for Mayo Clinic, and has a Prosci Change Management Practitioner certification.
Suzanne Nelson MS, is a senior health systems engineer in the Department of Management Engineering and Internal Consulting (ME&IC) at Mayo Clinic. She has 22 years of experience in healthcare. She has supported revenue cycle and clinical workflow design and system requirement efforts, as well as IT implementations and upgrades. She has successfully co-led the Rochester change management efforts for the largest single-system go-live transition in the history of Mayo Clinic for more than 26,000 employees. Suzanne holds a bachelor’s of business administration and management as well as a master’s of science in project management. She is certified in EpicCare Ambulatory and CPHIMS and is a certified Prosci change management practitioner.
Shannon M. Counselman , MBA, has been with Mayo Clinic for 12 years and is a director of orders services in Electronic Health Record Administrative Services. Most of her years at Mayo Clinic have been spent on the electronic health record implementation teams for scheduling and outpatient orders systems. Shannon has a bachelor of science degree in industrial engineering from University of Wisconsin-Madison and a master of business administration degree from Augsburg University. She has assisted with project planning, functional requirement identification, workflow design and communication between end users and systems developers for both scheduling and outpatient orders.
Brian A. Crum , MD, is a neurologist at Mayo Clinic, Rochester, and has been active in clinical practice for 20 years. He completed his medical education at Oregon Health Sciences University and residency and fellowship at Mayo Clinic. He specialises in neuromuscular diseases (mainly myasthenia gravis and amyotrophic lateral sclerosis) and works in the electromyography laboratory. He is involved in clinical research and trainee and continuing medical education and is Associate Professor at Mayo Clinic College of Medicine. He has been the Medical Director of the Enterprise (all Mayo Clinic) Office of Access Management for 10 years; this office is intimately involved in outpatient access for patient appointments from intake of appointment requests, scheduling and communication and education of patients about appointments, as well as governing the operations, tools and analytics around outpatient scheduling and access. He serves as a leader on multiple institutional oversight committees.
William C. Mundell , MD, is a physician consultant at Mayo Clinic, Rochester. He completed his medical education from the University of Minnesota and an Internal Medicine residency in Kalamazoo, Michigan. Dr Mundell has had practice and leadership roles in both community and academic settings. He has led numerous practice improvement projects, including the redesign of both the inpatient and outpatient environments, facilities design projects and implementation of electronic medical record systems. These efforts have focused on improving the delivery of patient care. He is board certified in Internal Medicine and Clinical Informatics and holds the position of Assistant Professor of Medicine in the College of Medicine, Mayo Clinic.
Citation
Shinde, Archana S., Nelson, Suzanne, Counselman, Shannon M., Crum, Brian A. and Mundell, William C. (2022, June 1). An implementation guide to improve accuracy and efficiency for outpatient referrals using EHR functionality. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 6, Issue 4. https://doi.org/10.69554/KUFM9404.Publications LLP