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Spring 2011

                                                   CPS


                                                   CT Physicians’ Services
                                                   Newsletter

Inside This Issue:                A Word From...
                                  Bryan Graven - Executive Director
Understanding Allscripts
Stimulus Set For Meaningful Use
                     P. 2      Frustration with disappointing customer
                               service presents itself in many forms: be-
Tips for Making Your Workplace ing on hold indefinitely to reach someone
Better For You!
                     P. 2
                               on a customer service line, having to re-
                               peat the problem to multiple support
Accountable Care Organizations agents after every call transfer, or discov-
                     P.3       ering you may be better off trying to figure out the problem yourself than go through the challenges
High Level Overview of
                               of working with a stubborn or inexperienced support agent. I can think of many other situations
Implementing EHR Systems       like this and I am sure we can all relate to being frustrated with the customer service process at one
                     P. 3      time or another.

Smart Security For Your           As a service-driven organization, the number one goal at CPS is to produce an efficient customer
Smartphone           P.4
                                  service model and deliver great customer service to the medical community. CPS is looking to trans-
Understanding and Avoiding        form the medical community with the adoption of EHR’s and other technologies, it is our staff’s
Computer Viruses    P.6           goal and responsibility to help our customers make it through this difficult transition.

Trivia , Games, Fun P. 9-10       You can pick up a plethora of customer service books and articles telling you to do specific things,
                                  but in general, keys to our success have been great communication, regimented process, responding
Employee News, Recipes
                   P. 11          quickly, getting the issue fixed right the first time, and putting in quality control measures to en-
                                  sure the issue does not come back again. Having a highly skilled staff is always important, what
                                  makes the CPS professionals stand out is their devotion and service-oriented attitude.

                                                Although we have a solid operation that I am proud of, we are never satisfied with
ICD-10 Readiness                                the status quo. We continue to evolve our support abilities to better serve our cus-
Bob Volz - Application Specialist               tomers. Whether it is through team training exercises or implementing a new support
                                                technology to better service your issue, we are always focused on improving. We un-
With the upgrade of all of our Centricity prac- derstand that the technology we support is essential to running an efficient medical
tices to version 3.6 we have met all of the     practice and delivering superior patient care, so we are here to listen to you.
readiness standards as we move closer to the
use of ICD-10 coding.                           If you have any suggestions or feedback (good or not as good as you would like) on
                                                the customer service we deliver, please e-mail me at Bgraven@cpsmdit.com. Listen-
Did you know that in Centricity version 3.6,    ing to our customers and reacting to your feedback is essential to improving the CPS
Diagnosis code constants have been en-          customer service process.
hanced to accommodate ICD-10 codes? Diag-       Report and Referrals Plus programs have been enhanced to allow the posting of ICD-10 codes.
nosis codes have been increased to allow a 7    Based on practice setup, these programs will prompt users to enter an ICD-9 or ICD-10 code
character alphanumeric code and a flag to       based on the date of service of the transaction and the insurance’s ability to accept ICD– 10
define the code as an ICD-10 value. Charge      codes.
Posting, Transaction Edit, Error Correct/                                                                     Continued on page 7
CT Physicians’ Services



                       Understanding Allscripts Stimulus Set for Meaningful Use
                       Leah Sands - Application Systems Analyst
  The Allscripts v11.2 upgrade process is underway for several of our supported practices, and CPS is working hard at
  making sure the transition is as smooth as possible. Not only is this upgrade important from the clinical and techni-
  cal standpoints, but it is also significant to understand how it relates to CMS requirements and Meaningful Use.

  Meaningful Use is the incorporation of technology to enhance overall
  health care by improving the quality, safety, and efficiency; involving
  patients and families in their care; improving the coordination of care;
  and improving the overall health of the population.

  The details of Meaningful Use and EHR incentive programs can be quite
  detailed and complex as it relates to the changes that must take place
  within a practice. Allscripts provides a Stimulus Set to make it easier
  for its clients to achieve the Meaningful Use requirements through 6
  main categories:

           CCD to PHR & Reminders - ability to send Continuity of Care Documents to Patient Health
           Records, as well as remind patients of appointments or tests
           Stimulus Reporting Portal – ability to generate and organize data needed for Meaningful Use reporting
           Basic Clinical Quality Reporting – ability to calculate and report on Meaningful Use objectives
           and performance
           Immunization Registries Submission – records and transmits immunization date to registries
           Syndromic Surveillance Submission – promotes proper health assessments within communities
           eReferrals – exchange of clinical and demographic data throughout the medical community

                                                                                  Continued on page 7


  Tips for Making Your Workspace Better for YOU!
  Gabby Washburn - Procurement Specialist
                                             As we all know, technology is constantly evolving. However,
                                             unless we are employed in a “techie-related” job, who has the time
                                             to get educated in the ever changing 1-2-3’s and A-B-C’s of technol-
                                             ogy? Technology affects all of us on a daily basis, so a basic under-
                                             standing of how to help make our workspaces function better is
                                             really all we need. And the good news is…drum roll, please…these
                                             basics won’t change and are easy!
                                             Here are a few “tricks of the trade” from experts in the field of In-
                                             formation Technology on what NOT to do in and around your
                                             workspace:

                                            1. Do NOT plug your PC into the wall without surge protection; DO
                                                   request a surge protector if you do not currently have one
         2. Do NOT open every attachment you receive; DO make sure it comes from a reliable source
         3. Do NOT have food or drinks near your PC and/or keyboard; DO keep a tidy workspace
         4. Do NOT adhere magnets to your PC/monitor
         5. Do NOT let your PC/monitor get too dirty; DO make sure you use the correct cleaning products as
             certain cleaning solvents can damage your machine

                                                                  Continued on page 5
Page 2
CT Physicians’ Services



Accountable Care Organizations
Cindy Denno - Application Systems Analyst

With the passing of           quality of medical             years. As lawmakers search for ways to reduce the
the Patient Protection        care.                          national deficit, Medicare is a prime target. ACOs
and Affordable Care           So what is an Ac-
                                                             would make providers jointly accountable for the
Act (PPACA), many             countable Care Or-
                                                             health of their patients, giving them strong incentives
changes are expected          ganization? An ACO is
to start taking place in                                     to cooperate and save money by avoiding unneces-
                              a local network of doc-
our healthcare sys-                                          sary tests and procedures. In Medicare’s traditional
                              tors and hospitals that
tem. Accountable Care                                        fee-for-service payment system, (Continued on page
Organizations (ACOs)          shares responsibility
                                                             7)
are expected to play a        for providing care to
large role in the new         patients. In the new
law as primary care           law, an ACO would
doctors, specialists,         agree to manage all of
hospitals, other pro-
                              the health care needs
viders, and health
plans will have to            of a minimum of 5,000
come together to con-         Medicare beneficiaries
trol costs and improve        for a minimum of three


A High Level Overview of
Implementing Successful E.H.R.                                     tails assessing the staff and technology needed to carry out the
                                                                   EHR implementation.
Systems
Sebastian Motta - CPS Project Manager                              Step 1 Planning
                                                                   The planning step involves gathering (and possibly hiring)
As the reality of implementing an electronic health record         staff members who will participate in setting up the EHR sys-
(EHR) gets closer for many practices, staff is ramping up. They    tem. Planning also involves identifying the needs of the users
wonder, what impact will this have on day-to-day practice op-      and casting a general vision of how the system will be used in
erations? Some health care professionals tapped as project lead-   the medical office. Although this step may seem less intense
ers are already planning the steps necessary to implement an       or time consuming than other steps, shortcuts or ineffective
EHR. They’ve realized that an EHR roll-out will take time in-      planning can have consequences that aren’t easy to fix later in
vestment of the entire practice to coordinate and engineer the     the time line.
entire system.
                                                                   Step 2 Identifying an EHR vendor
The EHR of choice must be a benefit rather than a burden to the    Finding an electronic health record (EHR) vendor that will
medical office. A best practices article published in the Ameri-   work with you, providing both clinical application and techni-
can Medical Informatics Association Annual Symposium Pro-          cal support, is essential. These services are a cornerstone of a
ceedings in 2008 indicates only about 50% of EHR implementa-       very successful CPS business model. Shopping around for
tions are successful. Although these statistics have improved,     the right company to match your needs is an investment for
averting failure requires the proper alignment of people, proc-    the long-term success of the EHR implementation. Keep in
esses and technology.                                              mind the information in the EHR system is too valuable for
                                                                   medical practices to jeopardize with a company that lacks
To achieve an effective EHR implementation, adoption can be        experience.
organized into three phases, each of which has three steps.
                                                                   Step 3 Installation
Phase I: Organizational Phase                                      Whichever EHR & Implementation Management company is
The initial phase of an EHR roll-out charts the course. This en-                         Continued on page 8

    Page 3
CT Physicians’ Services



Smart Security for Your Smartphone
Tim Ouellette - Network Engineer
We have all seen the headlines: “99% of Android phones leak personal information” or
“IPhone is a bigger security risk than you think.” It makes you wonder if smartphones are
such a smart choice. Although these headlines can be scary, the truth is simple: if you follow
some basic security guidelines and use your smartphone as an informed user you will be
much less at risk. We neglect to take simple steps in securing our personal information.
Sometimes we perceive convenience (no matter how small it may be) as being more impor-
tant than our own security and that is almost never the smart approach. The easier we make
it for a thief, the more likely we are to become a target. By following some very basic tips we
can make ourselves a harder target and chances are an attacker will simply move on to an
easier one. Bottom line: don’t be the easy target. The following tips will help you achieve that
goal:

Keep your software up to date
Make sure the downloaded applications you use are up to date and uninstall any unused applications. If you download an app
and never use it again it is more than likely because it was no good, poorly written, or you just lost interest; delete it. It is just
another unknown variable in your ability to secure information. Most phones will tell you when updates are available for spe-
cific applications you have installed; download them. There is almost always security holes fixed within newer releases of soft-
ware.

Make sure your phone’s operating system is up to date. Again, newer versions of software imply fixed security holes. Not all
vendors offer updates on the same schedule so check with your provider if you cannot seem to find any updates. Below are
few links which show you how to check your phones software version and update it.

                         Upgrade an Android OS (http://www.ehow.com/how_6855334_update-android-os.html)
                         Upgrade an IPhone OS (http://www.ehow.com/how_8152306_upgrade-iphone-using-itunes.html)
                         Upgrade a Blackberry (http://www.ehow.com/how_5641041_upgrade-blackberry-os.html)

Manage your wireless connections
Avoid connecting to unsecured wireless networks such as hotspots or hotel networks. They can be convenient, but hot spots
are exactly that (“hot” spots). It is a hacker’s dream to have a plethora of people connecting to an open network every day.
Avoid these places when possible and you will avoid a popular place for attackers. If you find yourself in need of free Internet,
try and use a laptop (of course this assumes you have some security measures in place there as well) vs. your phone. Your lap-
top has a much better set of security features and is probably a lot easier to browse the Internet than via your phone.
If you are not using your Wi-Fi or Bluetooth connection, you should disable it. It can be easily re-enabled as needed. By leaving
your Wi-Fi on all day you may be inadvertently connecting to unsecured or suspect networks and not even know it. You will
also significantly increase your battery life (see, not all security tasks are so inconvenient).

Use a full-featured security app
There are a variety of security applications available to help protect your phone. A good application will protect you from vi-
ruses, scan applications for malicious code or vulnerabilities, and provide you with remote security capabilities. Remote secu-
rity capabilities can include the ability to remotely wipe personal data from a lost phone, locate your phone using its GPS, or
remotely lock the phone so it cannot be accessed. Here are a few examples (they can also be downloaded from your app store
or market):                                                                        Continued on Page 5


    Page 4
CT Physicians’ Services




Smart Security for Your Smartphone
continued from page 4
                         Lookout (for Android, Windows, and Blackberry) (https://
                         www.mylookout.com)
                         MobileMe (for IPhones) (http://www.apple.com/mobileme/)

Lock your phone when not in use
Pretty much all smartphones or mobile devices offer a locking feature which allows you to lock your phone while you are not
using it. The features may vary, requiring a PIN number, password, or some sort of pattern to be entered into the phone be-
fore you can use it. Granted, it will take a few extra seconds when you pick up your phone to make a call, but it is a small price
to pay for knowing not just anyone can pick up your phone and start browsing through your life. Additionally, some phones
offer an auto-locking feature that forces your phone to lock after a preset period of nonuse. This is a nice feature to enable.

Do not store passwords on your device
This means not allowing automatic login for applications and or websites. This may mean you will need to take a few extra
seconds to login each time you use an app or site. However, it also means that if someone gets access to your phone they do
not also receive access to all your accounts immediately.

Keep phone clean of unneeded information
Your phone does not need to be a diary of your life. Remove old e-mail, text messages, and calendar items that you no longer
need (chances are you have them synced or stored on your PC already). The less information an attacker has access to the
better.

Be careful of what applications you use
Only download applications from reputable sources or applications that have good reviews. Do not forget that anyone with a
little knowledge and time can write apps for your phone. Even though someone may not have malicious intent, they may mis-
takenly provide you with an unsecured application that puts you at risk.

Do not leave your phone laying around
Pretty self explanatory, but again do not be the easy target. Leaving your phone on a restaurant table while you use the rest-
room will certainly catch the eye of a thief!



              Tips for Making Your Workspace Better for YOU!
              Continued from page 2
                       6.        Do NOT keep using your PC if you suspect there is a problem; assume the
                                     problem will NOT go away on its own and contact your customer
                                     support department for help at customersupport@cpsmdit.com

                                        Simple and easy, yet effective! Incorporating these into your daily
                                        interactions with your PC will create a happier and healthier computer.

                                        …And, we all know a happy PC helps makes for a happy employee!


 Page 5
CT Physicians’ Services



                                     Understanding and Avoiding Computer Viruses
                                     Nate Sebastiao - Network Engineer


                                     What exactly is a computer vi-        disk.                                of funny images, greeting cards,
                                     rus?                                  How does it spread?                  or audio and
                                                                                                                video files that are sent to you, or
                                     Computer viruses are small soft-     Viruses spread easily by attaching are available online for you to
                                     ware programs designed to spread itself within e-mail messages or          “view.” Viruses
                                     from one computer to another and instant messaging messages. That Also spread by downloading
                                     to interfere with a computer’s op-   is why it is essential that you never programs from the Internet. They
                                     eration.                             open e-mail attachments               can be hidden within software (a
Once a virus has been                                                     unless you are 100% sure you          Trojan horse) or other files and
detected within your computer, it    How does this affect you?            know who it is from and you are programs you might download.
is very important to address it to                                        expecting to receive                  Malicious infections will only
prevent further infection, data      A virus might corrupt or delete data that e-mail.                          appear after the infected file has
loss, and damage.                    on your computer, use your e-mail                                          been downloaded to your com-
                                     program to                           How to discover a virus?              puter.
                                     spread itself to other computers, or
                                     even erase everything on your hard Viruses can be hidden attachments



Tips For Fabulous Container Gardens
Mari Skarp - Executive and Technology Assistant

Container Gardens are wonderful for small garden areas, such as patios to
punch up the color when perennials fade, as a focal point in a formal garden
or sitting area, or flocking an entry.

1. First start with an interesting container—just about anything will do—
from an ornate garden urn to an old rusty bucket, or even an old shoe. Try to
choose a container that fits the space. If you’re flocking the entry to a barn,
you’ll want something casual, like a whisky barrel. If you’re making a state-
ment in a formal boxwood garden, you’ll want something regal and elegant
that will draw the eye toward a focal point.                                                                    Container Gardening can utilize
                                                                                                                any kind of container, as long as

2. Next choose plants with complementary colors and textures. Try to pick                                       it has proper drainage, even an
                                                                                                                old pair of shoes!
plants that have three distinct characteristics when doing a basic container or
window box: (1) tall and spiky, (2) flowing and draping, and (3) bulky and
colorful.

3. Pick plants that like similar conditions like lighting and watering. If
your area is shady, you might pick begonias, shade grasses, coleous and im-
patiens. If the conditions are all day sun, pick plants such as petunias, miscan-
thius, vibernum and potato vines. You’ll have more choice in terms of bloom-
ing plants for sunny spots, but you can use a lot of texture in shady spots.
                                               Continued on page 8



  Page 6
CT Physicians’ Services



Understanding Allscripts Stimulus Set for Meaningful Use
(Continued from page 2)

Each of these categories will help clients reach the core objectives and menu
objectives that are required Meaningful Use reporting.

It is important to remember that the practices may or may not be involved in
every aspect of the Allscripts Stimulus Set since some providers are exempt if
certain measures do not apply.

And this is just the beginning! Stage 2 and Stage 3 of the new health care re-
quirements will be soon to follow in the coming years, so hold onto your hats
and get ready to live and breathe the new wave of healthcare!


                                                                        Accountable Care Organizations
                                                                        (Continued from page 3)

                                                                        doctors and hospitals generally are paid more when
                                                                        they give patients more tests and do more proce-
                                                                        dures. That drives up costs, experts say. ACOs
                                                                        wouldn’t do away with fee for service but would cre-
                                                                        ate savings incentives by offering bonuses when pro-
                                                                        viders keep costs down and meet specific quality
                                                                        benchmarks, focusing on prevention and carefully
                                                                        managing patients with chronic diseases.

                                                                        ACOs will be under pressure to provide high quality
                                                                        care because if they don't meet standards, they won’t
                                                                        get to share in any savings. If an ACO is not able to
                                                                        save money, it would be stuck with the costs of in-
   ICD-10 Readiness                                                     vestments made to improve care and also may have
                                                                        to pay a penalty if they don't meet performance and
   Continued from page 1
                                                                        savings benchmarks.

   A new audit log is available to report on changes made to Diag-      Hospitals, primary care providers and other physi-
   nosis Code Constants. GE plans to release Centricity Version         cians are in charge of an ACO. However, primary care
   4.0 in the Fall of this year. This will be considered a major re-    doctors who are part of an ACO would be required to
   lease which will continue to make our practices HIPAA 5010           tell their patients. And although physicians will likely
   and ICD-10 compliant. CPS will continue to keep you posted on        want to refer patients to hospitals and specialists
   our readiness and enhancements expected with the 4.0 re-             within the ACO network, patients would still be free
   lease.                                                               to see doctors of their choice outside the network
                                                                        without paying more.
   A reminder that the National GE Group Management confer-
   ence is scheduled to be held in Burlington VT on September           The formal ACO initiative is proposed to launch in
   19th through 21st. This conference provides an excellent op-         January 2012, but ACOs have already began to form,
   portunity to interact with other users, learn how others are using   not just for Medicare beneficiaries, but also for pri-
   the application, and get a better understanding of current func-     vate insurance patients as well. Some of the largest
   tionality as well as enhancements being considered for future
                                                                        health insurers in the country, including Humana,
   releases.
                                                                        United Healthcare and Cigna, already have an-
                                                                        nounced plans to form their own ACOs for the private
                                                                        market.

    Page 7
CT Physicians’ Services



A High Level Overview of                            Understanding and Avoiding Computer Viruses
Implementing Successful                             (continued from page 6 )

E.H.R. Systems                                      To help avoid viruses, it is   2. Perform Microsoft up-       6. Be sure to back up cru-
Continued from page 3                               essential that you keep your   dates manually monthly (or     cial data files often,
                                                    computer operating system      turn on automatic updating)    in the event of a hard drive
                                                    and anti-malware software      *                              failure.
chosen, they should handle the installation of      updated, stay informed         3. Have a standard anti-       REMEMBER: Once a
the hardware and software, as well as ensuring      about recent threats a good    virus software installed and   virus has been detected
the integrity and security of a network that is     place                          updated daily*                 within your computer, it is
accessible 24/7. CPS prides itself on being at      to start is http://            4. Never open any e-mail       very important To address it
the head of the class with regards these imple-     isc.sans.org/ , and follow a   attachment from anyone         (if you’re unsure how to fix
mentation and support services.                     few basic rules when you       you do not know                it contact a certified techni-
                                                    surf the Internet,             5. Exercise caution when       cian) to prevent further
Phase II: Construction Phase                        download files, and open       opening attachments,           infection, data loss, and
                                                    attachments.                   even from people you may       damage. Definitely do not
The construction phase begins with a heavy
                                                                                   know                           ignore it.
emphasis on learning the software and the           Basic rules to follow:         (the sender may be unaware
ramp up to launch the system. During this           1. Use an Internet firewall*   that it contains a             * CPS handles these responsibilities
phase, the focus should be on the system build                                     virus)                         automatically for you on
to meet the needs of the practice and a consid-
erable amount of testing to ensure everything
works.
                                                   Tips For Fabulous Container Gardens
                                                   (continued from page 6)
Step 1 Customization
EMR software alone will not be enough to           4. Fill the bottom of the container with drainage, especially if
meet the needs of medical staff. Optimization      the container has no holes. You can fill the bottom of a container
of the EHR software means creating tem-            with broken shards of clay pots, scrap stone—anything that will
plates, hammering out protocols, and commu-
                                   nicating
                                                   allow water to run off under the soil. Fill the container about 1/3
                                   with doc-       full of the drainage material. Then fill with a potting soil. Always
                                   tors and        replace the soil with new potting soil when redoing a container,
                                   staff to en-    since many plants become root-bound in a container. They will
                                   sure that the
                                   system pro-     also drain the old soil of nutrients, so it’s best to always replace
                                   vides the       with new soil.
right information in the desired way.
                                                   5. Start from the center of the container and work your way out.
Step 2 Testing
The system must be tested and tested again.        Work your way around the container and try to create balance
Remember, anything that can go wrong will          on all sides, planting the same plants across from each other, not
go wrong on a long enough time line. Fixing        side by side. If the container will only be seen from one to three
what is fixable and being prepared for what
                                                   sides, start with the back of the container and put the tallest
isn’t will improve the user experience. Re-
member a rigorous testing plan with different      plants in back. Work your way to the front using the lowest
levels of smoke testing will ensure optimal        plants in front and draping plants on the sides.
success for the project Go Live.
                                                   6. Want more robust blooms? Pot with Miracle Grow potting
Step 3 Conversion
As part of most EHR implementations, all           soil. It’s easy to work with and already contains fertilizer. If a
paper medical records (or electronic records       container needs more color, supplement with a bloom booster
from another EHR system) will need to be           fertilizer throughout the season. You can also pinch off the spent
                    Continued on page 9
                                                   blooms, to encourage new growth.

                                                   These tips will help you create fabulous, long lasting containers.
   Page 8
CT Physicians’ Services


A High Level Overview of Implementing                                 Step 3 Maintenance and support
Successful E.H.R. Systems                                             Ongoing technical maintenance will be necessary to
Continued from page 8                                                 keep the EHR system healthy. Over time, how the
                                                                      practice uses EHRs may shift or change dramatically.
entered or converted into the system. This step may involve           It’s important that support, both by internal staff and
temporary hires or workflow enhancements for existing staff.          the outside vendor, is ready to help when a problem
Typically conversion resources are part of the project team           arises. CPS covers all of this for our clients by
whose primary goal is patient chart conversions.                      providing level 1 & 2 EHR support.

                                                                      Overall, an EHR implementation may initially seem
Phase III: Operational Phase
                                                                      like a daunting task. Following these general steps and
The operational phase includes not only the launch of the system      choosing the right vendor (like CPS) to meet your
but also the ongoing support provided to staff and users. This        needs will dramatically assist medical offices avoid the
phase never actually ends as training, maintenance and support        common pitfalls that have contributed to EHR failure
will continue as needed.                                              in the past.

Step 1 Launch
A successful launch of the EHR system is contingent upon the
effort that went into the first two phases. Getting the system live
may take more than flipping a switch, so be prepared to contact
your EHR management vendor for assistance. CPS fields
several calls daily on EHR support and maintenance requests.

Step 2 Staff Training
Integration of the EHR system into the day-to-day procedures of
the office involves training. There are many methodologies for
training, but we believe a hands on approach is best to get
providers and staff up to speed. Having users well trained on
using the system is a crucial component to the success of the
EHR implementation.


  FUN                       Can you match these celebrities with the occupation they had before becoming famous?


 Trivia!
                             Stephen King                 A. Carpenter
                             Danny Devito                 B. Clerk in the gift shop at Museum of Modern Art in New York City
     Lee Seidman             Garth Brooks                 C. Ditch digger
Sr. Manager, Technical       Kathy Bates                  D. Customer Service Representative at Blockbuster
       Support               Adam Brody                   E. Salesman in shoe store
                             Elvis Costello               F. Professional football player
                             Simon Cowell                 G. Computer programmer
                             Hugh Jackman                 H. Mail clerk at EMI Music Publishing
                             Johnny Depp                  I. Ballpoint pen salesman
                             Marlon Brando                J. Hair stylist
                             Dean Cain                    K. Clown for kids’ parties
                             Harrison Ford                L. Flight attendant
                             Kate Winslet                 M. Sandwich maker in a deli
                             Evangeline Lilly             N. Hostess at Hooters
                             Amy Adams                    O. Janitor

                                         Answers on page 10!

    Page 9
CT Physicians’ Services



Technology Word Find!                                     GOOD LUCK!
Mari Skarp

D   R   A     O   B   Y   E   K   L   T   I   E   E   S   D   ALLSCRIPTS
M   T   I     P   A   D   W   Q   E   F   C   Q   T   S   I   CABLE
                                                              CENTRICITY
O   T   E     E   N   Y   J   R   I   R   U   P   N   S   C   CITRIX
U   T   L     N   C   A   M   W   U   K   I   L   Q   E   T   DELL
S   Y   T     A   R   I   C   O   A   R   H   L   U   L   A   DICTATION
E   A   B     T   N   E   S   S   C   Y   P   E   V   E   T   ETHERNET
H   L   I     A   E   E   H   S   G   I   T   D   Y   R   I   IPAD
E   E   L     E   R   C   L   T   T   A   T   Y   E   I   O
                                                              KEYBOARD                            Did you know…
                                                              MONITOR
B   M   Z     G   O   L   H   Z   E   N   S   R   B   W   N   MOUSE                               Most Common Computer Problems:
X   U   Z     H   A   C   E   N   T   R   I   C   I   T   Y   RESOURCE
M   L   D     Q   G   E   H   S   O   T   N   R   N   X   P   SCAN                                26% PSU and power issues
                                                              TECHNOLOGY                          23% Bad gear and user negligence
E   I   T     N   G   A   B   U   A   L   E   S   Y   W   C                                       13% Heatsink related
                                                              TERMINAL                            15% Assembly and moving
B   F   Q     A   I   S   L   U   N   U   O   J   X   B   X   WIFI                                10% Lightning strike and static
I   I   S     C   M   Z   V   B   B   B   J   G   H   Y   C   WIRELESS                            3% Computer cruelty
R   N   M     O   N   I   T   O   R   D   X   Z   Y   L   X   WYSE                                6% USB related
                                                                                                  2% Overclocking



                                                  Random Geekiness -Gabby Washburn

   I'm not anti-social; I'm just not user friendly.                   The beginning of the programmer's wisdom is understanding

   My software never has bugs. It just develops random                the difference between getting program to run and having a

    features.                                                                        runnable program.

   Roses are #FF0000, Violets are                                                         Cannot find REALITY.SYS. Universe halted.

    #0000FF, All my base belongs to                                                        Computers make very fast, very accurate

    you.                                                                             mistakes.

   I would love to change the world,                                                      How many programmers does it take to

    but they won't give me the source                                                change a light bulb? - None. It's a hardware

    code.                                                                            problem.

   I'm sorry, our software is perfect.                                                    Computer: A device designed to speed and

    The problem must be you.                                                         automate errors.

   Computers can never replace human                                                      The truth is out there... anybody got the

    stupidity.                                                                       URL?

   Programming today is a race be-                                                        Bugs come in through open Windows.

    tween software engineers striving to build bigger and

    better idiot-proof programs, and the Universe trying to      FUN Trivia Answers!
                                                                 Harrison Ford A, Kathy Bates B, Marlon Brando C, Adam Brandy D, Garth Brooks E,
    produce bigger and better idiots. So far, the Universe       Dean Cain F, Elvis Costello G, Simon Cowell H, Johnny Depp I, Danny Devito J,
                                                                 Hugh Jackman K, Evangeline Lilly L, Kate Winslet M, Amy Adams N, Stephen King
    is winning.                                                  O.

    Page 10
CT Physicians’ Services



CPS Welcomes Two New Employees!
                                     Leah Sands comes to CPS as a
                                     Application Systems Analyst.     Leah has 10 years of experi-
                                     Originally born and raised in    ence in healthcare including       ticularly soccer and softball,
                                     the Detroit area, the auto       medical administration, op-        and teaching her boys to play
                                     industry runs in her blood       erations/management, and IT        sports as well. She enjoys
                                     and the Great Lakes are one      support in various types of        photography, writing poetry,
                                     of her favorite places to        facilities. She completed a        and doing anything
                                     be. However, she and her         Bachelor’s in Nursing in 2004,     crafty. Leah absolutely hates
                                     partner had a dream to get       medical transcription certifi-     hot weather, so don’t be
                                     married and have a family, so    cation in 2005, and an MBA in      frightened if you see her casu-
                                     western Massachusetts is         2010. It was always her career     ally standing underneath the
                                     where she has called home        goal to eventually work in         A/C vents this summer.
                                     since 2006. Leah has two         healthcare IT, she is very ex-     “I look forward to working with
                                     beautiful boys, ages 2-1/2 and   cited to have joined CPS!          and getting to know everyone!”
         Leah Sands                  4.                               Leah loves playing sports, par-

                                                                       Wayne Blecha also comes to the healthcare informatics
Buffalo Chicken                                                        CPS as an Application Sys-        side with reporting & build-
Dip Recipe                                                             tems Analyst, and has over        ing healthcare data ware-
Nate Sebastiao
                                                                       15 years in the healthcare  houses. Over the past 3 years,
Ingredients:                                                           industry with experience on he served as a Healthcare
2- Boneless Chicken Breasts                                            both the payer and practice       Business Analyst for Ingenix,
cooked and chopped in small
                                                                       side. His previous experi-        where he used his talents to
pieces
                                                                       ence includes working on          build data warehouses for
1- 8oz Bottle Blue Cheese                                              multiple PM systems, bill-        Fortune 500 Companies. In
Dressing
                                                                       ing/coding, and system ad-        his free time, Wayne enjoys
1- 8oz Block of Cream Cheese                                           ministration. Wayne also          spending time with his wife &
1/4 Cup Franks Hot Sauce                                               has extensive experience on       2 kids in Berlin, CT.
                                            Wayne Blecha
8 oz Shredded Mozzerella Cheese                   Honey Dew Melon Margarita
Directions:                                       Mari Skarp

Melt Cream Cheese on stove over low heat.         Ingredients:
                                                  1 Honey dew melon
Add chicken, dressing, hot sauce and 4 oz
cheese.                                           3/4 cup white tequila
                                                  1/3 cup fresh lime juice
Mix well.
                                                                                2 1/2 tablespoons sugar
Pour into 8x8” baking dish and
                                                                                Directions:
top with remaining cheese.
                                                                                Remove and discard rind and seeds from melon and cut
Bake at 350 degrees for 20-25                                                   fruit into 1/2 inch cubes to measure 3 1/2 cups. Freeze
minutes, serve warm.                                                            melon cubes in a sealable bag at least 3 hours and up to 1
Enjoy!                                                                          week. Puree frozen honeydew in a blender with remain-
                                                                                ing ingredients until smooth. Pour drink into stemmed
                                                                                glasses, salt optional . Serves 4.
CPS RECIPE CORNER!
    Page 11

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Cps Newsletter 06 03 2011

  • 1. Spring 2011 CPS CT Physicians’ Services Newsletter Inside This Issue: A Word From... Bryan Graven - Executive Director Understanding Allscripts Stimulus Set For Meaningful Use P. 2 Frustration with disappointing customer service presents itself in many forms: be- Tips for Making Your Workplace ing on hold indefinitely to reach someone Better For You! P. 2 on a customer service line, having to re- peat the problem to multiple support Accountable Care Organizations agents after every call transfer, or discov- P.3 ering you may be better off trying to figure out the problem yourself than go through the challenges High Level Overview of of working with a stubborn or inexperienced support agent. I can think of many other situations Implementing EHR Systems like this and I am sure we can all relate to being frustrated with the customer service process at one P. 3 time or another. Smart Security For Your As a service-driven organization, the number one goal at CPS is to produce an efficient customer Smartphone P.4 service model and deliver great customer service to the medical community. CPS is looking to trans- Understanding and Avoiding form the medical community with the adoption of EHR’s and other technologies, it is our staff’s Computer Viruses P.6 goal and responsibility to help our customers make it through this difficult transition. Trivia , Games, Fun P. 9-10 You can pick up a plethora of customer service books and articles telling you to do specific things, but in general, keys to our success have been great communication, regimented process, responding Employee News, Recipes P. 11 quickly, getting the issue fixed right the first time, and putting in quality control measures to en- sure the issue does not come back again. Having a highly skilled staff is always important, what makes the CPS professionals stand out is their devotion and service-oriented attitude. Although we have a solid operation that I am proud of, we are never satisfied with ICD-10 Readiness the status quo. We continue to evolve our support abilities to better serve our cus- Bob Volz - Application Specialist tomers. Whether it is through team training exercises or implementing a new support technology to better service your issue, we are always focused on improving. We un- With the upgrade of all of our Centricity prac- derstand that the technology we support is essential to running an efficient medical tices to version 3.6 we have met all of the practice and delivering superior patient care, so we are here to listen to you. readiness standards as we move closer to the use of ICD-10 coding. If you have any suggestions or feedback (good or not as good as you would like) on the customer service we deliver, please e-mail me at Bgraven@cpsmdit.com. Listen- Did you know that in Centricity version 3.6, ing to our customers and reacting to your feedback is essential to improving the CPS Diagnosis code constants have been en- customer service process. hanced to accommodate ICD-10 codes? Diag- Report and Referrals Plus programs have been enhanced to allow the posting of ICD-10 codes. nosis codes have been increased to allow a 7 Based on practice setup, these programs will prompt users to enter an ICD-9 or ICD-10 code character alphanumeric code and a flag to based on the date of service of the transaction and the insurance’s ability to accept ICD– 10 define the code as an ICD-10 value. Charge codes. Posting, Transaction Edit, Error Correct/ Continued on page 7
  • 2. CT Physicians’ Services Understanding Allscripts Stimulus Set for Meaningful Use Leah Sands - Application Systems Analyst The Allscripts v11.2 upgrade process is underway for several of our supported practices, and CPS is working hard at making sure the transition is as smooth as possible. Not only is this upgrade important from the clinical and techni- cal standpoints, but it is also significant to understand how it relates to CMS requirements and Meaningful Use. Meaningful Use is the incorporation of technology to enhance overall health care by improving the quality, safety, and efficiency; involving patients and families in their care; improving the coordination of care; and improving the overall health of the population. The details of Meaningful Use and EHR incentive programs can be quite detailed and complex as it relates to the changes that must take place within a practice. Allscripts provides a Stimulus Set to make it easier for its clients to achieve the Meaningful Use requirements through 6 main categories: CCD to PHR & Reminders - ability to send Continuity of Care Documents to Patient Health Records, as well as remind patients of appointments or tests Stimulus Reporting Portal – ability to generate and organize data needed for Meaningful Use reporting Basic Clinical Quality Reporting – ability to calculate and report on Meaningful Use objectives and performance Immunization Registries Submission – records and transmits immunization date to registries Syndromic Surveillance Submission – promotes proper health assessments within communities eReferrals – exchange of clinical and demographic data throughout the medical community Continued on page 7 Tips for Making Your Workspace Better for YOU! Gabby Washburn - Procurement Specialist As we all know, technology is constantly evolving. However, unless we are employed in a “techie-related” job, who has the time to get educated in the ever changing 1-2-3’s and A-B-C’s of technol- ogy? Technology affects all of us on a daily basis, so a basic under- standing of how to help make our workspaces function better is really all we need. And the good news is…drum roll, please…these basics won’t change and are easy! Here are a few “tricks of the trade” from experts in the field of In- formation Technology on what NOT to do in and around your workspace: 1. Do NOT plug your PC into the wall without surge protection; DO request a surge protector if you do not currently have one 2. Do NOT open every attachment you receive; DO make sure it comes from a reliable source 3. Do NOT have food or drinks near your PC and/or keyboard; DO keep a tidy workspace 4. Do NOT adhere magnets to your PC/monitor 5. Do NOT let your PC/monitor get too dirty; DO make sure you use the correct cleaning products as certain cleaning solvents can damage your machine Continued on page 5 Page 2
  • 3. CT Physicians’ Services Accountable Care Organizations Cindy Denno - Application Systems Analyst With the passing of quality of medical years. As lawmakers search for ways to reduce the the Patient Protection care. national deficit, Medicare is a prime target. ACOs and Affordable Care So what is an Ac- would make providers jointly accountable for the Act (PPACA), many countable Care Or- health of their patients, giving them strong incentives changes are expected ganization? An ACO is to start taking place in to cooperate and save money by avoiding unneces- a local network of doc- our healthcare sys- sary tests and procedures. In Medicare’s traditional tors and hospitals that tem. Accountable Care fee-for-service payment system, (Continued on page Organizations (ACOs) shares responsibility 7) are expected to play a for providing care to large role in the new patients. In the new law as primary care law, an ACO would doctors, specialists, agree to manage all of hospitals, other pro- the health care needs viders, and health plans will have to of a minimum of 5,000 come together to con- Medicare beneficiaries trol costs and improve for a minimum of three A High Level Overview of Implementing Successful E.H.R. tails assessing the staff and technology needed to carry out the EHR implementation. Systems Sebastian Motta - CPS Project Manager Step 1 Planning The planning step involves gathering (and possibly hiring) As the reality of implementing an electronic health record staff members who will participate in setting up the EHR sys- (EHR) gets closer for many practices, staff is ramping up. They tem. Planning also involves identifying the needs of the users wonder, what impact will this have on day-to-day practice op- and casting a general vision of how the system will be used in erations? Some health care professionals tapped as project lead- the medical office. Although this step may seem less intense ers are already planning the steps necessary to implement an or time consuming than other steps, shortcuts or ineffective EHR. They’ve realized that an EHR roll-out will take time in- planning can have consequences that aren’t easy to fix later in vestment of the entire practice to coordinate and engineer the the time line. entire system. Step 2 Identifying an EHR vendor The EHR of choice must be a benefit rather than a burden to the Finding an electronic health record (EHR) vendor that will medical office. A best practices article published in the Ameri- work with you, providing both clinical application and techni- can Medical Informatics Association Annual Symposium Pro- cal support, is essential. These services are a cornerstone of a ceedings in 2008 indicates only about 50% of EHR implementa- very successful CPS business model. Shopping around for tions are successful. Although these statistics have improved, the right company to match your needs is an investment for averting failure requires the proper alignment of people, proc- the long-term success of the EHR implementation. Keep in esses and technology. mind the information in the EHR system is too valuable for medical practices to jeopardize with a company that lacks To achieve an effective EHR implementation, adoption can be experience. organized into three phases, each of which has three steps. Step 3 Installation Phase I: Organizational Phase Whichever EHR & Implementation Management company is The initial phase of an EHR roll-out charts the course. This en- Continued on page 8 Page 3
  • 4. CT Physicians’ Services Smart Security for Your Smartphone Tim Ouellette - Network Engineer We have all seen the headlines: “99% of Android phones leak personal information” or “IPhone is a bigger security risk than you think.” It makes you wonder if smartphones are such a smart choice. Although these headlines can be scary, the truth is simple: if you follow some basic security guidelines and use your smartphone as an informed user you will be much less at risk. We neglect to take simple steps in securing our personal information. Sometimes we perceive convenience (no matter how small it may be) as being more impor- tant than our own security and that is almost never the smart approach. The easier we make it for a thief, the more likely we are to become a target. By following some very basic tips we can make ourselves a harder target and chances are an attacker will simply move on to an easier one. Bottom line: don’t be the easy target. The following tips will help you achieve that goal: Keep your software up to date Make sure the downloaded applications you use are up to date and uninstall any unused applications. If you download an app and never use it again it is more than likely because it was no good, poorly written, or you just lost interest; delete it. It is just another unknown variable in your ability to secure information. Most phones will tell you when updates are available for spe- cific applications you have installed; download them. There is almost always security holes fixed within newer releases of soft- ware. Make sure your phone’s operating system is up to date. Again, newer versions of software imply fixed security holes. Not all vendors offer updates on the same schedule so check with your provider if you cannot seem to find any updates. Below are few links which show you how to check your phones software version and update it. Upgrade an Android OS (http://www.ehow.com/how_6855334_update-android-os.html) Upgrade an IPhone OS (http://www.ehow.com/how_8152306_upgrade-iphone-using-itunes.html) Upgrade a Blackberry (http://www.ehow.com/how_5641041_upgrade-blackberry-os.html) Manage your wireless connections Avoid connecting to unsecured wireless networks such as hotspots or hotel networks. They can be convenient, but hot spots are exactly that (“hot” spots). It is a hacker’s dream to have a plethora of people connecting to an open network every day. Avoid these places when possible and you will avoid a popular place for attackers. If you find yourself in need of free Internet, try and use a laptop (of course this assumes you have some security measures in place there as well) vs. your phone. Your lap- top has a much better set of security features and is probably a lot easier to browse the Internet than via your phone. If you are not using your Wi-Fi or Bluetooth connection, you should disable it. It can be easily re-enabled as needed. By leaving your Wi-Fi on all day you may be inadvertently connecting to unsecured or suspect networks and not even know it. You will also significantly increase your battery life (see, not all security tasks are so inconvenient). Use a full-featured security app There are a variety of security applications available to help protect your phone. A good application will protect you from vi- ruses, scan applications for malicious code or vulnerabilities, and provide you with remote security capabilities. Remote secu- rity capabilities can include the ability to remotely wipe personal data from a lost phone, locate your phone using its GPS, or remotely lock the phone so it cannot be accessed. Here are a few examples (they can also be downloaded from your app store or market): Continued on Page 5 Page 4
  • 5. CT Physicians’ Services Smart Security for Your Smartphone continued from page 4 Lookout (for Android, Windows, and Blackberry) (https:// www.mylookout.com) MobileMe (for IPhones) (http://www.apple.com/mobileme/) Lock your phone when not in use Pretty much all smartphones or mobile devices offer a locking feature which allows you to lock your phone while you are not using it. The features may vary, requiring a PIN number, password, or some sort of pattern to be entered into the phone be- fore you can use it. Granted, it will take a few extra seconds when you pick up your phone to make a call, but it is a small price to pay for knowing not just anyone can pick up your phone and start browsing through your life. Additionally, some phones offer an auto-locking feature that forces your phone to lock after a preset period of nonuse. This is a nice feature to enable. Do not store passwords on your device This means not allowing automatic login for applications and or websites. This may mean you will need to take a few extra seconds to login each time you use an app or site. However, it also means that if someone gets access to your phone they do not also receive access to all your accounts immediately. Keep phone clean of unneeded information Your phone does not need to be a diary of your life. Remove old e-mail, text messages, and calendar items that you no longer need (chances are you have them synced or stored on your PC already). The less information an attacker has access to the better. Be careful of what applications you use Only download applications from reputable sources or applications that have good reviews. Do not forget that anyone with a little knowledge and time can write apps for your phone. Even though someone may not have malicious intent, they may mis- takenly provide you with an unsecured application that puts you at risk. Do not leave your phone laying around Pretty self explanatory, but again do not be the easy target. Leaving your phone on a restaurant table while you use the rest- room will certainly catch the eye of a thief! Tips for Making Your Workspace Better for YOU! Continued from page 2 6. Do NOT keep using your PC if you suspect there is a problem; assume the problem will NOT go away on its own and contact your customer support department for help at customersupport@cpsmdit.com Simple and easy, yet effective! Incorporating these into your daily interactions with your PC will create a happier and healthier computer. …And, we all know a happy PC helps makes for a happy employee! Page 5
  • 6. CT Physicians’ Services Understanding and Avoiding Computer Viruses Nate Sebastiao - Network Engineer What exactly is a computer vi- disk. of funny images, greeting cards, rus? How does it spread? or audio and video files that are sent to you, or Computer viruses are small soft- Viruses spread easily by attaching are available online for you to ware programs designed to spread itself within e-mail messages or “view.” Viruses from one computer to another and instant messaging messages. That Also spread by downloading to interfere with a computer’s op- is why it is essential that you never programs from the Internet. They eration. open e-mail attachments can be hidden within software (a Once a virus has been unless you are 100% sure you Trojan horse) or other files and detected within your computer, it How does this affect you? know who it is from and you are programs you might download. is very important to address it to expecting to receive Malicious infections will only prevent further infection, data A virus might corrupt or delete data that e-mail. appear after the infected file has loss, and damage. on your computer, use your e-mail been downloaded to your com- program to How to discover a virus? puter. spread itself to other computers, or even erase everything on your hard Viruses can be hidden attachments Tips For Fabulous Container Gardens Mari Skarp - Executive and Technology Assistant Container Gardens are wonderful for small garden areas, such as patios to punch up the color when perennials fade, as a focal point in a formal garden or sitting area, or flocking an entry. 1. First start with an interesting container—just about anything will do— from an ornate garden urn to an old rusty bucket, or even an old shoe. Try to choose a container that fits the space. If you’re flocking the entry to a barn, you’ll want something casual, like a whisky barrel. If you’re making a state- ment in a formal boxwood garden, you’ll want something regal and elegant that will draw the eye toward a focal point. Container Gardening can utilize any kind of container, as long as 2. Next choose plants with complementary colors and textures. Try to pick it has proper drainage, even an old pair of shoes! plants that have three distinct characteristics when doing a basic container or window box: (1) tall and spiky, (2) flowing and draping, and (3) bulky and colorful. 3. Pick plants that like similar conditions like lighting and watering. If your area is shady, you might pick begonias, shade grasses, coleous and im- patiens. If the conditions are all day sun, pick plants such as petunias, miscan- thius, vibernum and potato vines. You’ll have more choice in terms of bloom- ing plants for sunny spots, but you can use a lot of texture in shady spots. Continued on page 8 Page 6
  • 7. CT Physicians’ Services Understanding Allscripts Stimulus Set for Meaningful Use (Continued from page 2) Each of these categories will help clients reach the core objectives and menu objectives that are required Meaningful Use reporting. It is important to remember that the practices may or may not be involved in every aspect of the Allscripts Stimulus Set since some providers are exempt if certain measures do not apply. And this is just the beginning! Stage 2 and Stage 3 of the new health care re- quirements will be soon to follow in the coming years, so hold onto your hats and get ready to live and breathe the new wave of healthcare! Accountable Care Organizations (Continued from page 3) doctors and hospitals generally are paid more when they give patients more tests and do more proce- dures. That drives up costs, experts say. ACOs wouldn’t do away with fee for service but would cre- ate savings incentives by offering bonuses when pro- viders keep costs down and meet specific quality benchmarks, focusing on prevention and carefully managing patients with chronic diseases. ACOs will be under pressure to provide high quality care because if they don't meet standards, they won’t get to share in any savings. If an ACO is not able to save money, it would be stuck with the costs of in- ICD-10 Readiness vestments made to improve care and also may have to pay a penalty if they don't meet performance and Continued from page 1 savings benchmarks. A new audit log is available to report on changes made to Diag- Hospitals, primary care providers and other physi- nosis Code Constants. GE plans to release Centricity Version cians are in charge of an ACO. However, primary care 4.0 in the Fall of this year. This will be considered a major re- doctors who are part of an ACO would be required to lease which will continue to make our practices HIPAA 5010 tell their patients. And although physicians will likely and ICD-10 compliant. CPS will continue to keep you posted on want to refer patients to hospitals and specialists our readiness and enhancements expected with the 4.0 re- within the ACO network, patients would still be free lease. to see doctors of their choice outside the network without paying more. A reminder that the National GE Group Management confer- ence is scheduled to be held in Burlington VT on September The formal ACO initiative is proposed to launch in 19th through 21st. This conference provides an excellent op- January 2012, but ACOs have already began to form, portunity to interact with other users, learn how others are using not just for Medicare beneficiaries, but also for pri- the application, and get a better understanding of current func- vate insurance patients as well. Some of the largest tionality as well as enhancements being considered for future health insurers in the country, including Humana, releases. United Healthcare and Cigna, already have an- nounced plans to form their own ACOs for the private market. Page 7
  • 8. CT Physicians’ Services A High Level Overview of Understanding and Avoiding Computer Viruses Implementing Successful (continued from page 6 ) E.H.R. Systems To help avoid viruses, it is 2. Perform Microsoft up- 6. Be sure to back up cru- Continued from page 3 essential that you keep your dates manually monthly (or cial data files often, computer operating system turn on automatic updating) in the event of a hard drive and anti-malware software * failure. chosen, they should handle the installation of updated, stay informed 3. Have a standard anti- REMEMBER: Once a the hardware and software, as well as ensuring about recent threats a good virus software installed and virus has been detected the integrity and security of a network that is place updated daily* within your computer, it is accessible 24/7. CPS prides itself on being at to start is http:// 4. Never open any e-mail very important To address it the head of the class with regards these imple- isc.sans.org/ , and follow a attachment from anyone (if you’re unsure how to fix mentation and support services. few basic rules when you you do not know it contact a certified techni- surf the Internet, 5. Exercise caution when cian) to prevent further Phase II: Construction Phase download files, and open opening attachments, infection, data loss, and attachments. even from people you may damage. Definitely do not The construction phase begins with a heavy know ignore it. emphasis on learning the software and the Basic rules to follow: (the sender may be unaware ramp up to launch the system. During this 1. Use an Internet firewall* that it contains a * CPS handles these responsibilities phase, the focus should be on the system build virus) automatically for you on to meet the needs of the practice and a consid- erable amount of testing to ensure everything works. Tips For Fabulous Container Gardens (continued from page 6) Step 1 Customization EMR software alone will not be enough to 4. Fill the bottom of the container with drainage, especially if meet the needs of medical staff. Optimization the container has no holes. You can fill the bottom of a container of the EHR software means creating tem- with broken shards of clay pots, scrap stone—anything that will plates, hammering out protocols, and commu- nicating allow water to run off under the soil. Fill the container about 1/3 with doc- full of the drainage material. Then fill with a potting soil. Always tors and replace the soil with new potting soil when redoing a container, staff to en- since many plants become root-bound in a container. They will sure that the system pro- also drain the old soil of nutrients, so it’s best to always replace vides the with new soil. right information in the desired way. 5. Start from the center of the container and work your way out. Step 2 Testing The system must be tested and tested again. Work your way around the container and try to create balance Remember, anything that can go wrong will on all sides, planting the same plants across from each other, not go wrong on a long enough time line. Fixing side by side. If the container will only be seen from one to three what is fixable and being prepared for what sides, start with the back of the container and put the tallest isn’t will improve the user experience. Re- member a rigorous testing plan with different plants in back. Work your way to the front using the lowest levels of smoke testing will ensure optimal plants in front and draping plants on the sides. success for the project Go Live. 6. Want more robust blooms? Pot with Miracle Grow potting Step 3 Conversion As part of most EHR implementations, all soil. It’s easy to work with and already contains fertilizer. If a paper medical records (or electronic records container needs more color, supplement with a bloom booster from another EHR system) will need to be fertilizer throughout the season. You can also pinch off the spent Continued on page 9 blooms, to encourage new growth. These tips will help you create fabulous, long lasting containers. Page 8
  • 9. CT Physicians’ Services A High Level Overview of Implementing Step 3 Maintenance and support Successful E.H.R. Systems Ongoing technical maintenance will be necessary to Continued from page 8 keep the EHR system healthy. Over time, how the practice uses EHRs may shift or change dramatically. entered or converted into the system. This step may involve It’s important that support, both by internal staff and temporary hires or workflow enhancements for existing staff. the outside vendor, is ready to help when a problem Typically conversion resources are part of the project team arises. CPS covers all of this for our clients by whose primary goal is patient chart conversions. providing level 1 & 2 EHR support. Overall, an EHR implementation may initially seem Phase III: Operational Phase like a daunting task. Following these general steps and The operational phase includes not only the launch of the system choosing the right vendor (like CPS) to meet your but also the ongoing support provided to staff and users. This needs will dramatically assist medical offices avoid the phase never actually ends as training, maintenance and support common pitfalls that have contributed to EHR failure will continue as needed. in the past. Step 1 Launch A successful launch of the EHR system is contingent upon the effort that went into the first two phases. Getting the system live may take more than flipping a switch, so be prepared to contact your EHR management vendor for assistance. CPS fields several calls daily on EHR support and maintenance requests. Step 2 Staff Training Integration of the EHR system into the day-to-day procedures of the office involves training. There are many methodologies for training, but we believe a hands on approach is best to get providers and staff up to speed. Having users well trained on using the system is a crucial component to the success of the EHR implementation. FUN Can you match these celebrities with the occupation they had before becoming famous? Trivia! Stephen King A. Carpenter Danny Devito B. Clerk in the gift shop at Museum of Modern Art in New York City Lee Seidman Garth Brooks C. Ditch digger Sr. Manager, Technical Kathy Bates D. Customer Service Representative at Blockbuster Support Adam Brody E. Salesman in shoe store Elvis Costello F. Professional football player Simon Cowell G. Computer programmer Hugh Jackman H. Mail clerk at EMI Music Publishing Johnny Depp I. Ballpoint pen salesman Marlon Brando J. Hair stylist Dean Cain K. Clown for kids’ parties Harrison Ford L. Flight attendant Kate Winslet M. Sandwich maker in a deli Evangeline Lilly N. Hostess at Hooters Amy Adams O. Janitor Answers on page 10! Page 9
  • 10. CT Physicians’ Services Technology Word Find! GOOD LUCK! Mari Skarp D R A O B Y E K L T I E E S D ALLSCRIPTS M T I P A D W Q E F C Q T S I CABLE CENTRICITY O T E E N Y J R I R U P N S C CITRIX U T L N C A M W U K I L Q E T DELL S Y T A R I C O A R H L U L A DICTATION E A B T N E S S C Y P E V E T ETHERNET H L I A E E H S G I T D Y R I IPAD E E L E R C L T T A T Y E I O KEYBOARD Did you know… MONITOR B M Z G O L H Z E N S R B W N MOUSE Most Common Computer Problems: X U Z H A C E N T R I C I T Y RESOURCE M L D Q G E H S O T N R N X P SCAN 26% PSU and power issues TECHNOLOGY 23% Bad gear and user negligence E I T N G A B U A L E S Y W C 13% Heatsink related TERMINAL 15% Assembly and moving B F Q A I S L U N U O J X B X WIFI 10% Lightning strike and static I I S C M Z V B B B J G H Y C WIRELESS 3% Computer cruelty R N M O N I T O R D X Z Y L X WYSE 6% USB related 2% Overclocking Random Geekiness -Gabby Washburn  I'm not anti-social; I'm just not user friendly.  The beginning of the programmer's wisdom is understanding  My software never has bugs. It just develops random the difference between getting program to run and having a features. runnable program.  Roses are #FF0000, Violets are  Cannot find REALITY.SYS. Universe halted. #0000FF, All my base belongs to  Computers make very fast, very accurate you. mistakes.  I would love to change the world,  How many programmers does it take to but they won't give me the source change a light bulb? - None. It's a hardware code. problem.  I'm sorry, our software is perfect.  Computer: A device designed to speed and The problem must be you. automate errors.  Computers can never replace human  The truth is out there... anybody got the stupidity. URL?  Programming today is a race be-  Bugs come in through open Windows. tween software engineers striving to build bigger and better idiot-proof programs, and the Universe trying to FUN Trivia Answers! Harrison Ford A, Kathy Bates B, Marlon Brando C, Adam Brandy D, Garth Brooks E, produce bigger and better idiots. So far, the Universe Dean Cain F, Elvis Costello G, Simon Cowell H, Johnny Depp I, Danny Devito J, Hugh Jackman K, Evangeline Lilly L, Kate Winslet M, Amy Adams N, Stephen King is winning. O. Page 10
  • 11. CT Physicians’ Services CPS Welcomes Two New Employees! Leah Sands comes to CPS as a Application Systems Analyst. Leah has 10 years of experi- Originally born and raised in ence in healthcare including ticularly soccer and softball, the Detroit area, the auto medical administration, op- and teaching her boys to play industry runs in her blood erations/management, and IT sports as well. She enjoys and the Great Lakes are one support in various types of photography, writing poetry, of her favorite places to facilities. She completed a and doing anything be. However, she and her Bachelor’s in Nursing in 2004, crafty. Leah absolutely hates partner had a dream to get medical transcription certifi- hot weather, so don’t be married and have a family, so cation in 2005, and an MBA in frightened if you see her casu- western Massachusetts is 2010. It was always her career ally standing underneath the where she has called home goal to eventually work in A/C vents this summer. since 2006. Leah has two healthcare IT, she is very ex- “I look forward to working with beautiful boys, ages 2-1/2 and cited to have joined CPS! and getting to know everyone!” Leah Sands 4. Leah loves playing sports, par- Wayne Blecha also comes to the healthcare informatics Buffalo Chicken CPS as an Application Sys- side with reporting & build- Dip Recipe tems Analyst, and has over ing healthcare data ware- Nate Sebastiao 15 years in the healthcare houses. Over the past 3 years, Ingredients: industry with experience on he served as a Healthcare 2- Boneless Chicken Breasts both the payer and practice Business Analyst for Ingenix, cooked and chopped in small side. His previous experi- where he used his talents to pieces ence includes working on build data warehouses for 1- 8oz Bottle Blue Cheese multiple PM systems, bill- Fortune 500 Companies. In Dressing ing/coding, and system ad- his free time, Wayne enjoys 1- 8oz Block of Cream Cheese ministration. Wayne also spending time with his wife & 1/4 Cup Franks Hot Sauce has extensive experience on 2 kids in Berlin, CT. Wayne Blecha 8 oz Shredded Mozzerella Cheese Honey Dew Melon Margarita Directions: Mari Skarp Melt Cream Cheese on stove over low heat. Ingredients: 1 Honey dew melon Add chicken, dressing, hot sauce and 4 oz cheese. 3/4 cup white tequila 1/3 cup fresh lime juice Mix well. 2 1/2 tablespoons sugar Pour into 8x8” baking dish and Directions: top with remaining cheese. Remove and discard rind and seeds from melon and cut Bake at 350 degrees for 20-25 fruit into 1/2 inch cubes to measure 3 1/2 cups. Freeze minutes, serve warm. melon cubes in a sealable bag at least 3 hours and up to 1 Enjoy! week. Puree frozen honeydew in a blender with remain- ing ingredients until smooth. Pour drink into stemmed glasses, salt optional . Serves 4. CPS RECIPE CORNER! Page 11