Electronic Health Records (EHR) - A Look at the Industry and Its Future, A CVG Second Thursday Event, 4/11/13
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Electronic Health Records (EHR) - A Look at the Industry and Its Future, A CVG Second Thursday Event, 4/11/13 Presentation Transcript

  • 1. CVG Upcoming Events Boardroom Series Second Thursday 7:30 AM – 9:00 AM 4:30 PM – 7:00 PM April 12 May 9 M&A: Tax Considerations Financial Services Glastonbury Stamford April 17 June 13Employment and Immigration Issues BioTech/Pharma Hartford Hartford May 1 July 11 Crowdfunding Stamford Funding New Haven April 8 Investment by Strategics New Haven
  • 2. Welcome Marketing at the Speed of LightPaul E. KnagChair, Health Law GroupMurtha Cullina LLP, Attorneys at Law
  • 3. Three Minute Pitches Matthew Meier Jolinda Lambert David Engelhardt Yann Beaullan
  • 4. Electronic Health Records Marketing at the Speed of Light A Look at the Industry and Its Future Panelists Daniel J. BarchiModerator SVP and CIO Yale New Haven Health System, Yale School of MedicineDave MenardPartner Ludwig “Lud” JohnsonMurtha Cullina LLP Vice President, Information ServicesAttorneys at Law Middlesex Hospital Edward "Ted" M. Kennedy, Jr. Attorney, co-founder and President Marwood Group
  • 5. Electronic Health Records: A Look At The Industry And Its Future Ted Kennedy, Jr. Crossroads Venture Group April 11, 2013 New York • Washington, D.C. • London© Marwood Group Advisory, LLC 2013 Tel. 212 • 532 • 3651Unauthorized reproduction or distribution of this copyrighted work is prohibited www.marwoodgroup.com
  • 6. General Themes for Presentation  Healthcare Information Technology (HCIT) Industry Update  Drivers and Barriers to EHR Adoption – Regulatory and Market Dynamics  Regulatory Issues on the Horizon – Meaningful Use Stage 3 Criteria and Others  HCIT Investment Opportunities – Near and Long Term  Select HCIT Transactions – Understanding the Theories and Assumptions Behind the Investment© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 7. Marwood Group Introduction  Founded in 2000, the Marwood Group is a leading healthcare-focused advisory and financial services firm with offices in New York City, Washington, D.C. and London – Professional staff of more than 100 employees including staff of former legislators, regulators and healthcare operators – Nationally recognized provider of research and advisory services to institutional investors and corporations  Provides in-depth healthcare focused research to mutual funds and other investment managers  Completed over 600 advisory engagements for financial sponsors and healthcare companies  Marwood provides advisory services across seven different practice areas: Integrated Analysis Provides Holistic Market Perspective Private Clinical & Federal State Provider Market Financial Payor Compliance Analysis Analysis Research Analysis Analysis Research Diligence ● Legislative ● Legislative ● Reimbursement ● Decision making ● Competitive ● Identify areas of ● Valuation outlook process mapping landscape risk for fraud and ● Regulatory ● Regulatory ● Financial ● Purchasing analysis abuse ● Coverage outlook modeling and ● Medicare ● Medicaid dynamics ● Process ● Assess provider projections reimbursement reimbursement ● Medical policy ● Product selection benchmarking performance review ● Pro forma ● Medicare ● Medicaid coverage criteria through review of ● Market sizing analysis coverage ● Clinical ● Product clinical regulatory surveys ● Workers differentiation differentiation ● FDA regulation compensation© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited 7
  • 8. Broad Healthcare Sector Expertise Marwood has advised clients in over 85 sub-sectors across healthcare services and products Rehabilitation Managed Care Health IT Pharmaceuticals/Biotechnology ● Inpatient Rehab Facilities ● Commercial Health Plans ● E-Claims Disability Processing ● Biologics (IRFs) ● Medicare Advantage ● Medicaid Management ● Branded/Generic Drugs ● Outpatient Rehab ● Specialty Benefit Managers Information Systems ● Nuclear Pharmacy ● Physical Therapy ● Special Needs Plans ● Pharmacy Benefits Administration ● Pharmaceutical Compounding ● Occupational Therapy ● Disease Management ● Teleradiology ● Specialty Pharmacy Post Acute Care Behavioral Health Care Hospitals Diagnostics ● Adult Day Care ● At-Risk Youth ● Acute Care Hospitals ● In Vitro Diagnostic Multivariate ● Home Health ● Care Management ● Long Term Care Hospitals (LTCHs) Index Assays (IVDMIA) ● Hospice ● Autism ● Specialty Surgical Hospitals ● Clinical Laboratory Improvement ● Long Term Care Pharmacy ● MR/DD ● Psychiatric Hospitals Amendments Labs (CLIA) ● Skilled Nursing Facilities (SNFs) ● Residential Treatment Centers ● Hospital Outsourced Services ● Assisted Living Facilities (ALFs) Ancillary Care Durable Medical Equipment Other Medical Products ● Enteral Therapy ● Diabetic Testing Supplies ● Medical Supply Distribution ● Implantable Devices ● Infusion Therapy ● Power/Complex Wheelchairs ● Group Purchasing (GPOs) ● Single Use Devices (SUDs) ● Inhalation Therapy ● Diabetic Footwear ● Revenue Cycle Management ● Physician Preference Items ● Home Oxygen ● Workers’ Compensation ● Capital Equipment ● Clinical Staffing ● Other Surgical Instrumentation Physician/Medical Laboratory/Radiology/Dialysis ● Transportation Services ● Medical/Surgical Supplies ● Hospitalists ● Contract Manufacturing ● Anesthesiology Groups ● Clinical Labs ● Pharmacy Benefit Managers ● Durable Medical Equipment ● Dental Groups ● Dialysis Clinics ● MSAs/HSAs ● Blood Monitoring ● Dermatology/Dermapathology ● Diagnostic Imaging (MRI, CT, PET) ● Program Integrity ● Contact Lenses ● Emergency Medicine ● Pathology Labs ● Health & Wellness ● Cosmetic Laser Surgery ● Ambulatory Surgery (ASCs) ● Radiation Therapy (IGRT, IMRT) ● Intraoperative Neuromonitoring ● Negative Pressure Wound Therapy ● Pain Management ● Sleep Centers/CPAP ● Prison healthcare ● Leg compression Pumps & Sleeves ● Wound Care ● Urine Drug Testing ● Patient Satisfaction ● Orthotics & Prosthetics ● Medical Education ● Precision Guidewire Healthcare Services Healthcare Products© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 9. State of HCIT Industry: Tremendous Growth  Healthcare providers continue to adopt EHR technology, driving tremendous growth in the HCIT industry – VC HCIT investment has increased significantly, rising to more than $765 million in 2011, according to the National Venture Capital Association  Much of the growth has been driven by Government programs (CMS Meaningful Use) and various market dynamics – CMS reports that 80% of hospitals and 70% of professionals eligible for the Meaningful Use program have registered – As of February 2013, $12.69 billion in Meaningful Use incentive payments has been allocated HCIT Industry Revenue & Market Capitalization Basic EHR Adoption Rate Among Providers $7.82 $26.9 40% $7.01 $6.23 $21.7 $22.4 35% $5.46 $18.4 $17.0 $4.69 30% Office- $3.99 Based 25% Provider Hospital 20% 15% 10% 2008 2009 2010 2011 $ in B $ in B Marwood selected publicly traded company HCIT index, Source: CapIQ Source: The Office of the National Coordinator for Health Information Technology© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 10. Publicly Traded HCIT Revenue Growth & EBITA Multiples Remain Strong With EBITDA Margins Above 25% Revenue Cycle Management EBITDA Multiples Versus Growth 35% AH 30% ATHN 25% 2012 Revenue Growth 20% QSII 15% EM CERN CPSI 10% MDAS MDRX 5% 0% 8.0x 10.0x 12.0x 14.0x 16.0x 18.0x 20.0x 2012 EBITDA Multiple Stock % of Diluted Diluted Enterprise Value as a M ultiple of EBITDA Long-Term Price 5 2 -W k Equity Ent. Revenue EBITDA M argin 2 0 1 2 E Grow th EPS C om pany N am e Tick er 6 /2 4 /1 1 High Value Value 2011E 2012E 2011E 2012E 2011E Revenue EBITDA Grow th Revenue Cycle Management Accretive Health AH $24.54 80.1% $2,572 $2,416 2.87x 2.18x 29.4x 18.5x 9.8% 32.0% 58.8% 34.0% athenahealth ATHN 41.01 81.1% 1,483 1,376 4.43x 3.49x 20.9x 15.6x 21.2% 26.8% 33.4% 35.0% EMR / Diversified Provider HCIT Quality Systems QSII 82.49 90.1% 2,420 2,302 5.68x 4.74x 16.8x 13.6x 33.8% 19.7% 23.1% 18.3% Comp Prog. & Sys. CPSI 58.98 89.4% 648 631 3.63x 3.23x 15.4x 13.2x 23.6% 12.2% 16.3% 16.6% Allscripts MDRX 18.75 81.1% 3,699 4,058 2.82x 2.55x 12.4x 10.4x 22.7% 10.4% 19.4% 19.9% Cerner CERN 115.97 92.1% 10,260 9,517 4.58x 4.07x 14.0x 11.6x 32.6% 12.5% 20.6% 18.2% Diversified MedAssets MDAS 13.18 52.6% 815 1,738 2.91x 2.66x 9.3x 8.1x 31.2% 9.5% 15.2% 24.1% Emdeon EM 13.40 79.6% 1,572 2,419 2.35x 2.12x 8.5x 7.8x 27.8% 10.7% 8.5% 14.3% M ean 3 .6 6 x 3 .1 3 x 1 5 .8 x 1 2 .4 x 2 5 .3 % 1 6 .7 % 2 4 .4 % 2 2 .5 % M edian 3 .2 7 x 2 .9 5 x 1 4 .7 x 1 2 .4 x 2 5 .7 % 1 2 .3 % 2 0 .0 % 1 9 .1 %© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 11. Drivers For EHR Adoption: Regulatory & Market Regulatory Drivers  Medicare incentives include up to $44,000 per year per qualified physician over 5 years Financial Incentives  Medicare incentives for hospitals are based on discharges over a 4 year timeframe  Physician penalties are dependent on the total number of physicians that adopt EHRs as of 2018 – Physicians who do not comply will be cut between 3-5% by 2019 through adjustments to Financial Penalties the physician fee schedule (PFS)  Medicare penalties for hospitals include an increasing market basket reduction starting at -0.25% in 2015 going as high as -0.75% market basket reduction if not compliant by 2017 Market Drivers  As ACOs come into formation, participating providers will need to adopt ACOs sophisticated HCIT platforms based off EHR data in order to drive savings and enhanced care  As large health systems continue to acquire smaller physician practices, such Acquisitions practices are able to utilize the larger systems EHR platforms – One of the reasons why physician practices agree to be acquired in the first place  EHRs are a essential tool required to drive operational efficiency, including Efficiency & Quality maximization of reimbursement, and clinical quality© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 12. Barriers To EHR Adoption Barriers To EHR Adoption  While the Meaningful Use program provides financial incentives to providers, payments are made in increments over a 5 year period, leaving much of the costs associated with converting paper records the responsibility of the physician practice Up front – Companies such as EClinicalWorks, a EHR practice management company, hosts clients EHRs for a fee Cost reducing up-front costs of computerizing provider EHRs  Purchasing and licensing of software remains a big issue for smaller practices, as systems typically cost can be $30,000 or more per doctor EHR  Even after hospitals implement an EHR system, it often takes considerable time for both “Learning clinicians and administrators to learn how to use the new software Curve” – Physician productivity can drop by 30% as physicians learn how to use the new systems  Lack of new technology acceptance, especially for older physicians and physicians Physician practicing in rural areas Acceptance – It is estimated that over 25% of the physician workforce is 60 or older – National Bureau of Economic Research suggests that EHR adoption can be more costly in rural areas  The ability for healthcare providers to exchange EHR information across different Connectivity healthcare systems and settings of care remains limited  Currently EHR product offerings remain fragmented, including sub-sectors and health Product system specific products, fueling connectivity issues Offering – Specialized EHR products range from clinical laboratories to wound care-focused products – In addition, large hospital systems continue to design system-specific specialized platforms© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 13. What’s Hot In Healthcare IT: Regulatory Concerns and Potential Opportunities For HCIT Providers Achieve ICD-10 Readiness 45% Achieve Stage 1 Meaningful-Use Criteria 29% Adopt/Upgrade Financial & Clinical Systems For 26% ACO or Medical Home Readiness Developing Data Warehouses 24% Electronic Health Records 24% Data Privacy & Security 22% Clinical Communications Infrastructure/Links 21% to Physicians Enabling Patient Access To Selected Data Via 21% The Internet Adopt/Extend Ambulatory Clinical IT Systems 16% Regulatory Issues Near Term Opportunities Consolidating All IT Functions Using Common 15% Long Term Opportunities Applications 0% 10% 20% 30% 40% 50% Ranked by % of respondents, based on 110 responses (Source: Modern Healthcare, March 4, 2013)© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 14. Regulatory Issues On The Horizon: Meaningful Use Criteria Stage 3 Definition  “Meaningful Use” is a series of functional benchmarks which need to be met in order to be compliant under the Health Information Technology for Economic and Clinical Health (HITECH) Act Meaningful Use Criteria By Stage Regulation Stage Description Implementation Criteria Examples Finalized Basic HIT structure Recode demographics, vital signs, smoking status and 1 2010 2011 and foundation medication list Focus on information Planned Generate patient lists for quality improvements, send 2 exchange quality of 2012 Implementation in reminders to patients on follow-up care, provide care 2014 electronic clinical summary for each office visit Promote further Proposed: Identify possible medication allergies, provide improvements in Possibly decision support regarding medication requirements and 3 Possibly in 2016 quality, safety and mid-2014 diagnostic testing, electronically submit information to efficiency other entities, such as HIEs or ACOs* * Stage 3 criteria examples are based off proposed criteria from the Health IT Policy Committee which have not been finalized in regulation  Key “Meaningful Use” questions for providers: – What new criteria/requirements will Stage 3 mandate? – Will the implementation of Stage 3 be delayed, similar to Stage 2 delays? – Will Congress, specifically House Republican members, continue to support the program?  Recent studies suggest that EHRs may not be as successful in reducing costs, such as reducing unnecessary diagnostic tests, as previously predicted© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 15. Other Regulatory Issues On The Horizon Issue Description  HHS continues to release additional privacy and security regulations, including Privacy & limitations on the disclosure of personal health information (PHI) Security  Increased privacy safeguards may inhibit innovative HCIT companies’ ability to (HIPPA analyze EHR data Compliance) – On January 17, 2013, HHS issued additional rules adding numerous new privacy and security requirements  HHS continues to investigate EHRs’ role in enabling hospitals to “upcode” for EHRs: A greater reimbursement Tool For – Examples include “cloning” medical records and upcoding the intensity of care in order Upcoding? to inflate provider reimbursement  On September 24, 2012, HHS sent a letter to 4 major hospital associations voicing the agencys concern such practices  While the FDA has largely refrained from enforcing its regulatory authority over FDA medical software, regulators continue to investigate the agency’s jurisdiction Regulation over EHRs  Under ACA, all devices registered by the FDA are subject to the device tax, ACA Device which recently went into effect earlier this year Tax – It remains unclear how many EHR companies are registered with the FDA – Potential for device tax repeal, although would need $29B in offsets© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 16. HCIT Opportunities  Marwood has identified the following near and long term opportunities though our own proprietary industry surveys focused on the HCIT space Near term Opportunities Long Term Opportunities Outsourcing day-to-day services: Advanced data analytics in order to drive operational efficiency: Registration/ Data Center Server Data Analytics To Eligibility Management Streamlined Drive Outcomes Reporting/Data /Clinical Support Analytics Technology Claims Coding, Disaster Including ICD-10 Recovery/Back-up Transition Processes Advanced Cloud Integration Technology Management Collections/ Data Warehouse Bill Scrubbing/ Development/ Quality Assurance Maintenance While there was little directly related to HCIT in healthcare reform (ACA), advanced Travel And Expense EHR System data analytics will play a critical role in Reimbursement Implementation delivering higher quality and lower cost care.© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 17. Select HCIT Transactions: Different Approaches To Enhance Communication Between Payors & Providers  A wide range of strategies have been used to enable providers and payors across the healthcare spectrum to communicate with each other, including: – Healthcare Information Exchanges (HIEs) – Advanced data analytics and care management platforms – Merging of payor and provider Revenue Cycle Management (RCM) companies Year Acquisition Strategy Size ($mm)  At the time, many thought that HIEs were going to be an essential part of the information flow solution, reflected in the acquisition purchase price (10x revenue) Aetna 2010 Medicity $500  Even in 2013, the amount of information actually flowing through HIEs remains limited, leaving some in the market to question the value of HIEs  InforMed combines both provider claims and EMR, essentially Conifer 2012 InforMed creating their own self made version of a HIE - (Tenet) – The acquisition supports hospital trends in providing care management Gateway  Places both provider (Gateway EDI) and payor (TriZetto) RCM TriZetto 2011 - EDI business lines under one corporate umbrella  Emdeon is already entrenched in both provider and payor Blackstone 2011 Emdeon $3,000 markets© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 18. Other Acquisitions Of Note: Continued Focus On Advanced Data Analytics And IT Infrastructure  Recent M&A activity reflects a change in priorities of healthcare executives from “day-to-day” IT to more advanced data analytics and IT infrastructures Year Acquisition Strategy Size ($mm)  Provides United’s healthcare services arm (Optum Health) with a position in the growing health data mining market United 2013 Humedica – The acquisition follows Optum’s partnership with Mayo Clinic, known as - Optum Labs, a research center that will mine clinical and claims data in order to enhance the quality of care  Enables Athena to further penetrate the physician market, selling its cloud-based network technology to Epocrates’s strong network of physician customers 2013 Epocrates $293 – Epocrates is primarily know for its point of care mobile applications Athena  Largest acquisition in Athena’s corporate history representing a 22% Health premium over Epocrates closing stock price  Expands Athena’s cloud-based services strategy Healthcare 2012 Data  Expands population-based cost and quality data analysis and $5.8 Services reporting capabilities, essential as value-based payment models are implemented© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited
  • 19. Marwood Group Contact Information For additional information, please contact: New York, NY Ian Adler 733 Third Avenue 11th Floor Senior Managing Director of Healthcare New York, NY 10017 iadler@marwoodgroup.com (212) 532-3651 Washington, DC 1025 Connecticut Ave, N.W. 6th Floor Washington, D.C., 20036© Marwood Group Advisory, LLC 2013Unauthorized reproduction or distribution of this copyrighted work is prohibited 19
  • 20. Healthcare IT Market User Perspective Lud Johnson, CIO Middlesex Health System April 11, 2013
  • 21. Middlesex Health System• Health System - most parts of the continuum• About the 12 largest Hospital in CT• Highly Automated o Most Wired Hospital 2012 o HIMSS Analytics Automation top 10% of Country• Meaningful Recipient• ACO Participant• Actively hooking up the continuum• IT Operating cost $9.4 Million: 2012• Capital cost $5 million: 2012
  • 22. Healthcare IT Market• Growing much faster than economy• Fueled by: o Healthcare Transformation o Government Stimulus• Complexity of need• Technology rapid advancements• Growing demand• Need to achieve great quality• Solve the National Economic Fiscal Crisis
  • 23. Healthcare is in Transformation Current State Future State• Fee for service • Population mgmt.• Volume matters • Appropriate vol.• Care is local • Care is everywhere• Third party payors • Patient involvement• Quality unknown • Quality discernible• Disconnected • Seamless providers• information sharing• Independent providers • Consolidation Independent Clinical Device • Smart Connected Devices
  • 24. Opportunities1. Health management2. Connecting the providers3. Intelligent diagnostic support4. Engaging the patient5. Point of service devices6. Work process improvement tools7. Clinical Intelligence (Pop. mgmt)8. Mobile computing9. IT Services and Resources10.Smart Clinical Devices
  • 25. Healthcare and EMR Adoption Daniel J. Barchi, SVP & CIO Yale New Haven Health System Yale School of Medicine
  • 26. Yale-New Haven Health System
  • 27. Yale School of Medicine
  • 28. Current State of Healthcare Technology
  • 29. National EMR Use
  • 30. • Institute of Medicine (1999)• Preventable medical errors • 44,000 deaths annually• Motor vehicle accidents 43,468• Breast cancer 42,297• AIDS 16,516
  • 31. Isordil –Prevents angina attacks Plendil –Calcium channel blocker
  • 32. National Electronic Medical Records Initiative
  • 33. January 8, 2009
  • 34. National Electronic Medical Records Initiative Aspirational
  • 35. May 25, 1961
  • 36. April 12, 1961 May 5, 1961
  • 37. January 8, 2009
  • 38. 2008 EMR UseHospitals Physician Practices1.5% had fully implemented 4% had fully functioning EMRscomprehensive EMRs in all in their officeunits
  • 39. American Recovery and Reinvestment Act • $19 B Incentive Grant • $44 K for physicians • $8 M baseline for hospitals • Meaningful use on an EMR • Stage I • Stage II • Stage III
  • 40. Federal Stimulus Program Year of FY2011 FY2012 FY2013 FY2014 FY2015 FY2016 FY2017Adoption 2011 100% 75% 50% 25% 2012 100% 75% 50% 25% 2013 100% 75% 50% 25% 2014 75% 50% 25% 2015 50% 25% 75% of 75% of 75% of percentage percentage annual None increase increase increase reduced by reduced by reduced by 33.3% 66.63% 100%
  • 41. Stimulus Funding Year 1 $2.88 M Year 2 $2.16 M Year 3 $1.44 M Year 4 $0.72 M Total $7.21 MBed Days 171,569 Discharges 32,281Medicare Days 73,862 Charity Care 4.94%
  • 42. Imaging EDSpecialty Practice Pharmacy OR Lab Inpatient Care
  • 43. Imaging EDSpecialty Practice Pharmacy OR Lab Inpatient Care
  • 44. 714TSG Application Interface Chart 592 68 Quantum Med 586 685 MAK 710 Siemens Eclipsys Pyxis IDS 75 OmniCell Siemens 1 of 2 Pharmacy Wellsoft 140 Soarian EMPI Carousel Pillbox Siemens SSI Antrim MisysLab 1 of 2 1 of 2 Pharmacy 2 of 2 EDIS 1040 1030 Financial 1 of 3 1 or 2 2 or 2 65 560 CoPath 1077 750 755 VA HEDIS 130. 131 RMHIS DB 580 132, 133 680 Medical 161 230 262 Credit 134, 135 VA Dept Novius 136, 137 180, 181 162 Card 235 183, 184 Health Radiology PerSeHBO-CDM 875 LabCorp 138, 139 136 672 1038 Payment B2b Optma 141, 142 185, 186 2of3 186 1045 95, 126, 265 596 187, 189 660, 662 600 154, 220 677 222 674, 676 Sovera FACS 266, 862 1075 682, 666 678 HBO 839 730 2 of 2 Sovera 263, 556, 558, 927 1025 147, 201 1078 HIM 704 1025 1105 1026 668, 670 REV3 761 PFS 562, 564, 568, 620, 814 677 2 of 3 1094 570, 572, 1027 530 920 975 2 of 2 760 25 582, 594, 596, 127, 170 164 762 702 583, 597,604 185, 221 MedQuest PaWS Wellsoft 765 CTVision 915 695, 866 840 SunTrust EDIS Transcription Sovera 1026 1110 HIM 1090 159,263, 153 Datis 810 1 of 3 1091 189,604, 858 1050 PACS 960 1093 682,1000, 812 838 639 1095 1027 510, 515, 180 (IMPAX) 3M 955 1105 520 660 GE Coding 225 184 35 ORIS Common 20 837 120, 121, 123 125, 135, 219, 223, 245, 760, Master Tool Kit Financial Siemens 594, 676, 765, 1029, 1039, 1093, 1095 223 Sybase 124, 125, 126 127, 128 90 95 826 Support Invision 780, 805, 808, 814, 816, 830, 837, 842, 844, 849, 856, 858, 860, 862, 864 Integration Atlas 121, 132, 130, 260 Labworks 825 866, 900, 907, 915, 927, 935, 955, 962, 970, 976, 992, 1000, 1005 Financial Engine 145,146,147 515, 562 1091 556, 128, 139 540 218 148,149 150 Services 870, 795, MEMS 860 152,153,154, 265, 582 LabPort 219 Rosebud 155,158,159 820, 770, 965 GE Centricity 830 160 CPSI 266 Internet 848, 776 777 572 1 of 2 971 Cardiology 120, 131,145 138, 90 Lab Web 157 Automated 181, 200, 510, 260 Outreach Sites 206 Various Clients Mailing 558, 612 662, & Web Service 158, 220 780, 1090,1075 Soarian 1028 212 100 641, 970 1039 35, 133 221 CarePort 152 MDAssociatesRestricted 792, 800, 2 of 2 850, 1015 215 148, 520, 856 CPSI 1020 962 222 WebSite 886, 890 564, 624 149 2 of 2 Sovera 612, 620 670 842 102 183 GE Cardiology 779 FACS 207, 210 976 624, 639 MUSE BPI.net 712 1 of 2 PFS Paitent Keeper Various 778 101 156 240 641 Pharmacy 151 205 735 1 of 2 1035 876 Datasets 843 390 OneSource Softmed Pyxis 217 SCA 925 930 2 of 2 McKesson Power 674 Coro-metics 2 of 2 SSI 155 GE 695 716 Hyperion 55 864 Horizon Scribe 808 Fetal Mon. 2 of 3 CentricityProfessional 880 Softwise 950 Lawson 632 Anthem 175 (Pathways) 137, 935 1078 Research 1070 eMPI Helper 995 640 597, 762 200 Trendstar 625 250 201 Internal Dynamedix softmed 187 134 846 394 622 1036 HEDISProfessional Audit 626 50 Genesys 708 1 of 2 1029 568 124,849 Billing 882 188 628 410 160 150 CASB-FS 785 KRONOS 402 Xtend 1005 Intergual Eclipsys 693 PaWS 844 689 142 2 of 2 EMPI Misys HQM LBS 583 IMPAC PerSe 873 CCL&PA 790 2 of 2 OneStaff CASB 616, 618 245 1 of 3 Vision 146 610 1 of 2 500 eDischarge 816 992 Teletracking NCHS 865 Medicare OASIS 415 Harford 377 Power b2b Vision Digisonic 170 123 GroupWise 400 SHPS 630Planning Vision Campus 638 643 642 668 878 997 505& Budget 2 or 2 PR Dept 397 Various 375 Delta Dential Medicaid 405 Quantum 141 666 Dublin Family 399 Websites 379 Billing Practice PerSe Sovera HIM Trendstar SSI Health Stream 380 3 of 3 3 of 3 2 of 2 3 of 3 Lawson Computrition Anthem 374 650 MS4 223 805 2 0f 2 Dietary Total Updated: December 1, 2006 Wachovia 401 Decision Support 387 396 Centricity Interfaces not on diagram: NC AVAYA NC CRMH 720 722 Rauland Borg - Nurse Call 900 907 RescueNet 103, 105, 110, 195, 196, 525, 550, 584, Interfaces: 509TOTAL Number of Interfaces: 509 636, 687, 692, 700, 1041, 1112 Sanitas 725
  • 45. Integrated EMR Benefits
  • 46. ACO Diabetes Program - Dashboard
  • 47. Thank you Daniel BarchiDaniel.Barchi@Yale.edu (o) 203.688.1881 (m) 203.506.7309
  • 48. THANK YOU CVG SPONSORS B Round A RoundVenture Capital Sponsors Professional Service Firms
  • 49. CVG Upcoming Events Boardroom Series Second Thursday 7:30 AM – 9:00 AM 4:30 PM – 7:00 PM April 12 May 9 M&A: Tax Considerations Financial Services Glastonbury Stamford April 17 June 13Employment and Immigration Issues BioTech/Pharma Hartford Hartford May 1 July 11 Crowdfunding Stamford Funding New Haven April 8 Investment by Strategics New Haven
  • 50. CVG 2013 CalendarOffering 60 Events All Second Thursday events are free for members.