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The EMR/EHR and Health IT
Landscape
Where do EMRs fit in your
customers’ technology priority list?
Speaker: Shahid N. Shah
• 10+ years of sales and marketing
experience in health IT
• 20+ years of software engineering and
multi-site healthcare system deployment
experience
• 12+ years of healthcare IT and medical
devices experience (blog at
http://healthcareguy.com)
• 15+ years of technology management
experience (government, non-profit,
commercial)
• 10+ years as architect, engineer, and
implementation manager on various EMR
and EHR initiatives (commercial and nonprofit)
www.netspective.com

Author of Chapter 13,
“You’re the CIO of your Own
2
Office”
Agenda
What you’ll get out of today’s presentation

• Where do EMRs / EHRs fit and why?
• What are the most important considerations
for customers?
– What are their top problems?

• How to approach customers with marketing
messages that matter.
– How to cut through sales clutter.

• Rapid fire Q&A
www.netspective.com

3
Commonly Used Acronyms
AHRQ

Agency for Healthcare Research and Quality

HIE

Health Information Exchange

CDISC

HIT

CCHIT

Clinical Data Interchange Standards Consortium
Certification Commission for Healthcare
Information Technology

CDS

Clinical Decision Support

HIPAA

Health Information Technology (Health IT)
Healthcare Information Management Systems
Society
Health Insurance Portability and Accountability
Act

CIO

Chief Information Officer

HL7

CISO

Chief Information Security Officer

JCAHO

Health Level 7
Joint Commission on Accreditation of Healthcare
Organizations

CMS

Centers for Medicare and Medicaid Services

MU

Meaningful Use

CONNECT

NHIN gateway

NHIN

CPRS

Computerized Patient Record System

ONC

EHR

Electronic Health Record

ONCHIT

Nationwide Health Information Network
Office of the National Coordinator (preferred
abbreviation for ONCHIT)
Office of the National Coordinator for Health
Information Technology

EMR

Electronic Medical Record

PQRI

Physican Quality Reporting Initiative

FHA

Federal Health Architecture

SNOMED

HHS

Department of Health & Human Services

VistA

Systematized Nomenclature of Medicine
Veterans Health Information Systems and
Technology Architecture

www.netspective.com

HIMSS

4
Setting the stage
EMRs and EHRs are nothing new and expectations for return on investment is high

EMR / EHR
Experience and
Expectations

Current EMR /
EHR Adoption
www.netspective.com

5
The current vision of health
reform, reducing costs, and
improving quality are
impossible without a national
health network and connected
IT systems
www.netspective.com

6
What are the big unsolved problems?
These are problems that insurers talk about but are not important to your customers

Cost per patient per
procedure / treatment
going up but without
ability to explain why

Cost for same
procedure / treatment
plan highly variable
across localities

Unable to compare
treatment
effectiveness across
patients

Variability in fees and
treatments and lack of
data sharing promotes
fraud

Lack of data sharing
and visibility of entire
patient record causes
medical errors

Lack of data sharing
prevents evidencebased care to drive
policy

www.netspective.com

7
The Federal Government
believes collecting healthcare
data is so important that
“Meaningful Use” of health IT is
a national $20 billion priority
www.netspective.com

8
Your customers don’t care
about you and they don’t
care about the same things
that the government and
insurance companies care
about.
www.netspective.com

9
PBU: Payer vs. Benefiter vs. User
When selling, make sure you understand your audience before making the case

User

Benefiter

Payer

www.netspective.com

10

10
Meaningful Use (MU)
You need to help map the Government’s priorities to your customers’ priorities

“Enable significant and measurable improvements in population health
through a transformed delivery system.”

2011

•
•
•
•
•

2013

2015

Improving quality, safety, and efficiency as well as reducing health disparities.
Engage patients and families in their health care.
Improve care coordination.
Improve population and public health.
Ensure adequate privacy and security protections for health information.
www.netspective.com

11
Meaningful Use (MU) Roadmap
Your customers are scared and they want to know that you’ll help them through it all

www.netspective.com

Source: PriceWaterhouseCoopers

12
Your customers’ business concerns
The government cares about data, but the physician cares about income

www.netspective.com

13
Cost for MU goes beyond EHR
Your customer will know that they won’t get fully reimbursed for their purchases

www.netspective.com

14
Hospitals are pushing your customers
Many of the technology priorities are being set upstream or downstream

www.netspective.com

Source: The Advisory Board

15
Technology that will hit your clients

Source: Gartner; “Hype Cycle for Healthcare Provider Applications and Systems, 2010”

www.netspective.com

16
Your customers’ IT teams’ concerns
You need to be talking about the same things your customers are worried about

•
•
•
•
•
•
•
•
•
•

EHR Adoption & Meaningful Use
HIPAA 5010
ICD-10
PHI Security
Wireless Networking/Mobile Healthcare
Clinical Decision Support
E-Prescribing
Electronic Medication Administration
Disaster Recovery/Business Continuity
Tie – Document Imaging/Management and
Telehealth
www.netspective.com

17
General do’s and dont’s for selling
• Don’t assume that your
customers are not buying
because they are technically
challenged or simply technophobes (they’re neither, they’re
just busy saving lives)
• Don’t try to sell a complex,
full-featured, product or
solution; do sell tools that have
the capability of interoperating
with other solutions.
• Don’t assume that the
decision makers are within the
clinic; it’s more likely that a
consultant will be significantly
influencing the decision.

www.netspective.com

18
Best approach for targeting clients
If you pick the right customers to go after, you’ll get a better close rate

Geography

EMR, PM
purchase status

Level of pain
being felt

Patient panel
size

Patient
demographic
mix

Clinical care
vision

Business model
vision

Decision-maker
(docs or
consultants?)

Hospital IT
influence (a
little or lot?)

www.netspective.com

19
Thank you

Rapid-fire Q&A

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The EMR/EHR Landscape: Where Do They Fit and How to Approach Customers

  • 1. The EMR/EHR and Health IT Landscape Where do EMRs fit in your customers’ technology priority list?
  • 2. Speaker: Shahid N. Shah • 10+ years of sales and marketing experience in health IT • 20+ years of software engineering and multi-site healthcare system deployment experience • 12+ years of healthcare IT and medical devices experience (blog at http://healthcareguy.com) • 15+ years of technology management experience (government, non-profit, commercial) • 10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and nonprofit) www.netspective.com Author of Chapter 13, “You’re the CIO of your Own 2 Office”
  • 3. Agenda What you’ll get out of today’s presentation • Where do EMRs / EHRs fit and why? • What are the most important considerations for customers? – What are their top problems? • How to approach customers with marketing messages that matter. – How to cut through sales clutter. • Rapid fire Q&A www.netspective.com 3
  • 4. Commonly Used Acronyms AHRQ Agency for Healthcare Research and Quality HIE Health Information Exchange CDISC HIT CCHIT Clinical Data Interchange Standards Consortium Certification Commission for Healthcare Information Technology CDS Clinical Decision Support HIPAA Health Information Technology (Health IT) Healthcare Information Management Systems Society Health Insurance Portability and Accountability Act CIO Chief Information Officer HL7 CISO Chief Information Security Officer JCAHO Health Level 7 Joint Commission on Accreditation of Healthcare Organizations CMS Centers for Medicare and Medicaid Services MU Meaningful Use CONNECT NHIN gateway NHIN CPRS Computerized Patient Record System ONC EHR Electronic Health Record ONCHIT Nationwide Health Information Network Office of the National Coordinator (preferred abbreviation for ONCHIT) Office of the National Coordinator for Health Information Technology EMR Electronic Medical Record PQRI Physican Quality Reporting Initiative FHA Federal Health Architecture SNOMED HHS Department of Health & Human Services VistA Systematized Nomenclature of Medicine Veterans Health Information Systems and Technology Architecture www.netspective.com HIMSS 4
  • 5. Setting the stage EMRs and EHRs are nothing new and expectations for return on investment is high EMR / EHR Experience and Expectations Current EMR / EHR Adoption www.netspective.com 5
  • 6. The current vision of health reform, reducing costs, and improving quality are impossible without a national health network and connected IT systems www.netspective.com 6
  • 7. What are the big unsolved problems? These are problems that insurers talk about but are not important to your customers Cost per patient per procedure / treatment going up but without ability to explain why Cost for same procedure / treatment plan highly variable across localities Unable to compare treatment effectiveness across patients Variability in fees and treatments and lack of data sharing promotes fraud Lack of data sharing and visibility of entire patient record causes medical errors Lack of data sharing prevents evidencebased care to drive policy www.netspective.com 7
  • 8. The Federal Government believes collecting healthcare data is so important that “Meaningful Use” of health IT is a national $20 billion priority www.netspective.com 8
  • 9. Your customers don’t care about you and they don’t care about the same things that the government and insurance companies care about. www.netspective.com 9
  • 10. PBU: Payer vs. Benefiter vs. User When selling, make sure you understand your audience before making the case User Benefiter Payer www.netspective.com 10 10
  • 11. Meaningful Use (MU) You need to help map the Government’s priorities to your customers’ priorities “Enable significant and measurable improvements in population health through a transformed delivery system.” 2011 • • • • • 2013 2015 Improving quality, safety, and efficiency as well as reducing health disparities. Engage patients and families in their health care. Improve care coordination. Improve population and public health. Ensure adequate privacy and security protections for health information. www.netspective.com 11
  • 12. Meaningful Use (MU) Roadmap Your customers are scared and they want to know that you’ll help them through it all www.netspective.com Source: PriceWaterhouseCoopers 12
  • 13. Your customers’ business concerns The government cares about data, but the physician cares about income www.netspective.com 13
  • 14. Cost for MU goes beyond EHR Your customer will know that they won’t get fully reimbursed for their purchases www.netspective.com 14
  • 15. Hospitals are pushing your customers Many of the technology priorities are being set upstream or downstream www.netspective.com Source: The Advisory Board 15
  • 16. Technology that will hit your clients Source: Gartner; “Hype Cycle for Healthcare Provider Applications and Systems, 2010” www.netspective.com 16
  • 17. Your customers’ IT teams’ concerns You need to be talking about the same things your customers are worried about • • • • • • • • • • EHR Adoption & Meaningful Use HIPAA 5010 ICD-10 PHI Security Wireless Networking/Mobile Healthcare Clinical Decision Support E-Prescribing Electronic Medication Administration Disaster Recovery/Business Continuity Tie – Document Imaging/Management and Telehealth www.netspective.com 17
  • 18. General do’s and dont’s for selling • Don’t assume that your customers are not buying because they are technically challenged or simply technophobes (they’re neither, they’re just busy saving lives) • Don’t try to sell a complex, full-featured, product or solution; do sell tools that have the capability of interoperating with other solutions. • Don’t assume that the decision makers are within the clinic; it’s more likely that a consultant will be significantly influencing the decision. www.netspective.com 18
  • 19. Best approach for targeting clients If you pick the right customers to go after, you’ll get a better close rate Geography EMR, PM purchase status Level of pain being felt Patient panel size Patient demographic mix Clinical care vision Business model vision Decision-maker (docs or consultants?) Hospital IT influence (a little or lot?) www.netspective.com 19