Developing the shared care model in LTPACJuly 11th, 2013 by
My last post discussed the successful demonstration of three-way LTC ePrescribing using standard NCPDP messages. That occurred at the AHIMA LTPAC HIT Summit. However, that demonstration was simply a fortuitous occurrence; my reason for attending the conference was to deliver a presentation on LTC physicians using EHRs in nursing homes.
I was deeply appreciative that the LTPAC Program Committee recognized this was an important issue. When I attended this meeting for the first time in 2012, there were no presentations or conversations about the role of the attending physician in LTPAC HIT. Everyone simply assumed the physicians documented in the nursing facility’s EMR, or had an EHR in their office and sent copies of their encounters via an HIE. There was no strategy that acknowledged the need for physicians using a Certified EHR and simultaneously sharing CPOE with the facility.
My presentation at the LTPAC Summit was the first public opportunity we had to begin fully articulating the concept of shared cared that Dr. Bill Russell and I briefly presented at AMDA’s March 2013 Annual convention. That’s an area Bill has worked on diligently as an ONC consultant and as AMDA’s HIT Subcommittee co-chair.
An invitation to write an article on that subject for Today’s Geriatric Medicine reinforced my belief that this is a topic of widespread interest. That article appears in the magazine’s July/August edition under the title Using EHRs in Nursing Homes: Avoiding Unnecessary Pain.
It’s my hope that these presentations and articles trigger a larger discussion among industry leaders. There is a pressing need to begin developing a standard approach for implementing/linking EHRs and EMRs in LTC. That is the only way everyone (facility, physician, pharmacy) can succeed under the PPACA’s Payment Reform initiatives.