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MEDITECH and meaningful use with content management

MEDITECH and meaningful use with content management



How CIOs with MEDITECH are putting meaningful use within reach: Its not just about scanning documents, it's about managing content

How CIOs with MEDITECH are putting meaningful use within reach: Its not just about scanning documents, it's about managing content



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  • This whole “meaningful use” conversation is bringing some things to light – March 23 rd article by HITN. #1 point - 1. Information, not data (unstructured vs. structured content) It might not be spelled out in the criteria, but the holes ECM can plug are now being brought to light. While EHRs hold data, that's not the same as holding information, Buchanan notes. Data needs to be converted into relevant information to be of practical use. However, there's also the possibility that EHRs can get overloaded with information. The goal, Buchanan says, is technology that organizes data in a way that assists healthcare providers most efficiently and effectively in making clinical decisions. This includes EHRs capable of providing alerts and alarms about patient conditions, given to caregivers in real time.

MEDITECH and meaningful use with content management MEDITECH and meaningful use with content management Presentation Transcript

  • How CIOs with MEDITECH are Putting Meaningful Use within Reach Its NOT just about Scanning Documents, it's about Managing Content
  • Overview
    • Introduction
    • Exactly what is missing from patient records, even with MEDITECH in place
    • How to create a complete EHR that gives physicians a secure one-stop shop in MEDITECH
    • Why paper and disconnected systems aren’t just a problem in clinical areas
  • Meaningful Use
  • Is Meaningful Use missing something meaningful?
    • Five features missing from most EHRs
      • Information, not data
      • Comprehensive health history
      • Information tailored for various users
      • Tracking the transition of care
      • Patient-side management of information
  • Information, not data
    • Taming the unstructured content:
      • Paper
      • Faxes
      • Images
      • Forms
      • Photos
  • Meaningful Use/ARRA Dollars
    • When do Medicare and Medicaid incentives begin?
      • Initial funding begins in 2011 for both organizations and providers
      • Organizations are encouraged to prepare early
    • Provisions in the American Recovery and Reinvestment Act (ARRA) outline incentive payments for Medicare- and Medicaid-eligible providers that become meaningful users of electronic health records (EHRs)
    • To become meaningful users and receive incentive payments providers must:
      • Implement certified EHR technology
      • Exchange information
      • Report on measures using EHR technology
  • Emerging Trend
    • Many hospitals are creating an enterprise content management (ECM) strategy to help manage this unstructured content
    • AND connect it to the MEDITECH system they currently have in place
  • EMR Adoption
  • Getting to Meaningful Use Source: HIMSS Analytics TM Database N = 5,170/5,172 2011 2013 2015
  • Electronic Health Record Strategy
  • Electronic Health Record
  • Content Sources Health Level Seven Enterprise Content Management Strategy Email Web Pages Enterprise Applications Paper Documents & Files Fax Electronic Documents Forms Reports Mail Graphics, Video, & Audio Blueprints & Photos XML & Meta Data Print Output
    • Enterprise Content Management (ECM) is the strategies, methods and tools used to capture, manage, store, preserve, and deliver content and documents related to organizational processes
    • ECM tools and strategies allow the management of an organization's unstructured information, wherever that information exists
    Enterprise Content Management Source: AIIM (the community that provides education, research, and best practices to help organizations find, control, and optimize their information.)
  • Enterprise Content Management Source: AIIM (the community that provides education, research, and best practices to help organizations find, control, and optimize their information.)
  • ECM: Infrastructure to Support EMR/EHR Strategy
    • Support an EMR strategy leveraging the ECM system’s breadth of integration tools
    • ECM platform needs to be able to later integrate the already digitized content
    • ECM system needs to go beyond the standard scan and retrieve functionality to capture disparate content types
  • Healthcare Organization Challenges
  • Pre-Services – Challenges/Best Practices
  • “ Paperless Registration”
  • Pre-Service Content Management
    • Patient Identification
      • Driver’s License
      • Digital Photo
    • Payer Verification
      • Insurance Cards
    • Required Forms
      • HIPAA Privacy Notices
      • Important Notice from Medicare
      • Consent Forms
  • Registration Benefits Utilizing ECM
  • Time of Service – Challenges/Best Practices
  • “ Paperless Record”
  • Time of Service Content Management
    • Cardiology
      • ECG Results
      • Cardiac monitors
    • Radiology
      • PACS/DICOM Integration
      • Technician Worksheet
    • Ophthalmology
      • Retinal Scans
      • Cataract Surgeries
    • Electronic Medical Record
      • Hospital Based
      • Physician Based
      • Ambulatory Surgery
  • ECM: Bridge to the EMR/EHR Enterprise Content Management solutions are being used by healthcare organizations as a bridge technology to EMR implementations Though an organization may be in the early stages of a multi-year EMR rollout, it is possible to begin the digitization of medical records much earlier and make those digitized records available to providers in a patient care setting
  • ECM: Integrate “Silos” of Information Cardiology Device Results Lab/Pathology Results PACS/ DICOM Images
  • Document retrieval from PCI or EMR
    • Image manipulation options available in the viewer
    • Thumbnail views of the pages displayed
    • Printing, saving, mailing and viewing capabilities tied to user security level
  • ECM Patient Portal Solutions
    • Provides Patients with comprehensive access to their records
    • Access includes:
      • Demographic data
        • verification
        • update access
      • Registration activity
        • scheduling requests
        • pre-registration
        • clinical results
  • ECM Patient Portal Benefits
    • Additional branding opportunities for healthcare organizations
    • Tighter communication and information sharing with patients
    • Better coordination of care with the increased patient participation
    • Improved Insurance and demographics data integrity
  • ECM Physician Portal Solutions
    • Access to clinical data by patient (context)
    • On demand graphing capabilities for user selected values
    • Dynamic screen displays, maximizes viewable real estate
  • ECM Physician Portal Solutions
    • Orders oriented views available
    • Allow data retrieval based upon what had been ordered and show the associated results
    • Account number & medical record number based data access
  • ECM supports “Meaningful Use”
    • ECM functionality completes your EMR
    • ECM Physician Portal solutions ease the adoption of “required technology” for your physicians
    • ECM Patient Portal solutions provide patients and their families with a method to become an active participant in their care
  • Discharge/Post Service – Challenges/Best Practices
  • Medical Record Strategies
  • ECM Solutions
    • Deficiency Management:
      • Enables analysts to create deficiencies for all physicians in a single phase
      • Physicians can connect with chart remotely
      • Rapidly identify missing documents preventing a chart from reaching completion
    • Release of Information:
      • Electronic review of complete record prior to release
      • Authorization documentation attached and tracked with request
      • Process ROI Requests for patient charts in one location
  • “ Paperless Billing”
  • Discharge/Post Service Content Management
    • Coding Workflow
      • Remote Coding
      • Audit Review
    • EDI Claims Processing
    • EOB Imaging/Processing
      • Payment Posting
      • Billing System Integration
    • Automated Secondary Billing
    • Denials Management Workflow
  • ROLE-BASED dashboards
  • MULTIPLE audit types Medicare : QIO (Quality Improvement Organization) CERT (Comprehensive Error Rate Test) RAC (Recovery Audit Contractor) ZPIC (Zone Program Integrity Contractors) MAC (Medicare Administrative Contractors) PSC (Program Safeguard Contractor) OIG (Office of Inspector General Audits) Medicaid: MIP (Medicaid Integrity Program) MFCU (Medicaid Fraud Control Unit) RAC (Recovery Audit Contractor) Ancillary Audits: Independent Medical Review Organizations
  • ECM Revenue Cycle Solution Benefits
  • Enterprise Content Management Strategy
  • Payroll and Personnel
  • ECM Workflow and Electronic Forms Management
  • Accounts Payable
  • ECM Accounts Payable Solutions
    • Launch searches from Meditech screens
    • Retrieve documents (e.g. invoice)
    • Attach comments and use workflow to process “the paper”
  • ECM Accounts Payable Solutions
    • Link documents that apply across the organization
    • Checks to invoices to vendors to receipt documents
    • Have complete and immediate access to all related information
  • Enterprise Integration Benefits
    • Timeliness of care delivery
    • Legibility and accuracy of medical records and billing
    • Medical intelligence (evidence-based medicine)
    • Cost savings (labor cost savings and improved accuracy due to the reduction of manual reentry of data)
    • Reduces the required interaction between disparate healthcare personnel, departments and facilities, saving time and expense
  • Revenue Cycle and Clinical System Integration
    • Effective ECM strategies will depend on clinical and financial content integration
    • Benefits achieved:
      • Improved coding
      • Lower days in AR
      • Lower rates of claim denials
      • Reduced length of stay
      • Cost and information efficiencies
      • Improved reporting
  • Maximizing Interoperability
    • The following characteristics of Enterprise Integration must be present in order to maximize interoperability:
    • Link patient records from various sources and among institutions
    • Ensure the privacy and security of patient information as required by HIPAA
    • Be built on an open and scalable platform
    • Be accessible from remote locations
    • Assist clinicians with collecting relevant information;
    • Support payer-specific information
    • Support quality assurance activities
    • Support image storage and multimedia such as PACS systems; and
    • Interface with financial systems
  • What are MEDITECH Customers Saying?
    • Bayonne Medical Center CIO, Dimitri Cruz:
    •  “ In many instances, MEDITECH is the right technology to handle our data,” said Dimitri Cruz, CIO of Bayonne Medical Center in Bayonne, New Jersey. “But the push to meet ‘meaningful use’ forced us to realize that it’s not enough – we needed ECM.
    •   The technology is critical in today’s healthcare environment. It brings together data and paper-based content to not only create a more complete patient record, but also to help us work smarter in administrative departments.
    • By going with an ECM solution, we’re getting more out of our current system and meeting the federal government’s standards – and all for a third of the cost of upgrading MEDITECH.”
  • For more information http://www.Hyland.com/Healthcare http://blog.Hyland.com