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PAGE 1 KAREO | @GoKareo; #KareoTipPAGE 1 KAREO | CONFIDENTIAL
Finding ROI in Your EHR
PAGE 2 KAREO | @GoKareo; #KareoTip
Our Schedule for Today…
1 Introduction & Welcome Laurie & Joe
2 Finding ROI in Your EHR
3 Discover Kareo’s Role
4 Answer Questions
PAGE 3 KAREO | @GoKareo; #KareoTip
Your Hosts Today…
Laurie Morgan
Senior Consultant & Partner,
Capko & Morgan
Joe Capko
Senior Consultant & Partner,
Capko & Morgan
PAGE 4 KAREO | @GoKareo; #KareoTip
Participate via Social
Facebook.com/GoKareo
Twitter.com/GoKareo
http://kareo.ly/kareogroup
We’ll be live tweeting during today’s webinar!
How to participate:
1. Follow @GoKareo on Twitter
2. Follow @LeaChatham on Twitter
3. Search for #KareoTip
4. Join the conversation using #KareoTip
PAGE 5 KAREO | @GoKareo; #KareoTip
Laurie Morgan
 Practice management and healthcare
consultant
 Focus on revenue growth, operational
excellence and start-up strategy
 Author of Management Rx e-book
series: Get the Best From Your Medical
Billing Service and Patient Flow
Mistakes Smart Practice Manager
Make – and How to Avoid Them
 Laurie has an MBA from Stanford
University
lmorgan@capko.com
info@capko.com
www.capko.com
PAGE 6 KAREO | @GoKareo; #KareoTip
Joe Capko
 Specializes in strategic planning, business
development, qualitative/quantitative
studies, and statistical analysis
 Conducted patient satisfaction and
community needs assessments for all
sizes
 Over ten years experience with statistical
research
 Fielded public opinion polls for Public
Research Institute and PC World Magazine
 BA in Political Science and Urban Planning
joe@capko.com
info@capko.com
www.capko.com
PAGE 7 KAREO | @GoKareo; #KareoTip
Our Schedule for Today…
1 Introduction & Welcome Laurie
2 Finding ROI in Your EHR
3 Discover Kareo’s Role
4 Answer Questions
PAGE 8 KAREO | @GoKareo; #KareoTip
Why Did You Get an EHR?
 “The government said we had to”
 “We were afraid of penalties”
 “We wanted the Meaningful Use money”
 “All our peers were doing it”
PAGE 9 KAREO | @GoKareo; #KareoTip
The Right Thing for the Wrong Reasons
 Think positive: even
vegetables can taste good!
 Odds are:
– Your EHR already delivers a
positive return
– Higher ROI is a few simple steps
away
© raphotography - Fotolia.com
PAGE 10 KAREO | @GoKareo; #KareoTip
ROI=Return on Investment
 Costs are easy to spot
 Revenue/expense reduction can be less
obvious
– Offset costs
– Billing and coding consistency
– Marketing and analysis tools
– New revenue generating opportunities
– Physician convenience; efficient access and
teamwork
– Error reduction
PAGE 11 KAREO | @GoKareo; #KareoTip
Hidden Costs of Paper Charts
 ROI assessments often underestimate
paper chart costs
– Space (medical records, fax, inventory)
– Supplies
– Risks of errors, damage, destruction
– Staff (records management, transcription,
prescriptions, slower patient flow)
– Inconvenient access – delayed care
PAGE 12 KAREO | @GoKareo; #KareoTip
Less Paper, More Profit
 Repurpose your medical records area
– Conference room
– Physician office space (convert existing offices
to exam rooms?)
– Clinical research
– Workflow: phlebotomy, vaccinations, sub-waiting
 Redeploy staff, or downsize through
attrition
PAGE 13 KAREO | @GoKareo; #KareoTip
Billing and Reimbursement
 Better coding  up-coding
 But better documentation avoids
denials, enables appeals
 Integration saves billing time, reduces
missed charges
– If you don’t have an integrated system, start
shopping
PAGE 14 KAREO | @GoKareo; #KareoTip
Segment Your Patients for Marketing
 Preventive care
 Follow-up care
 Elective services
 Possibly even payer negotiations
 Many of these activities contribute to MU
PAGE 15 KAREO | @GoKareo; #KareoTip
Start With Standard Reports
PAGE 16 KAREO | @GoKareo; #KareoTip
Explore Custom Reporting
PAGE 17 KAREO | @GoKareo; #KareoTip
New Revenue Sources, New Rules
 Group visits – use EHR to pull,
poll population
 Care coordination
 PCMH
 Value-based payments
PAGE 18 KAREO | @GoKareo; #KareoTip
Growth of FFS-Alternative Programs
Program Started Current Participation
ACOs 2012 600+*
PCMH 2008 27,000+ clinicians**
~7,000 practice sites
~10% of PC practices
Other alternative
payment models
HHS Announcement:
January 2015
20 hospitals and health
plans already set 75%
alternative payment
target***
Source:
*Leavitt Partners/Becker’s Hospital Review
**NCQA
***Advisory Board Company (Daily Briefing)
PAGE 19 KAREO | @GoKareo; #KareoTip
Insist On Quality
 Get the training you need for
reporting
 Add a module like Crystal Reports
if necessary
 Make sure templates are up to
date – structured data is key to
reporting
PAGE 20 KAREO | @GoKareo; #KareoTip
Internal Communication and Efficiency
 Tasking and instant messaging
 Tablet systems, portals allow patients
to enter their own data
 Patient forms (population health,
school forms)
PAGE 21 KAREO | @GoKareo; #KareoTip
Tasking and Instant Messaging
 Physicians can communicate with staff
without leaving room
– Request supplies, order labs
 Billing, scheduling questions can be
answered in real-time
 In some cases, messages can be
attached to patient
 Pitfall: tasking in lieu of immediate
handling
PAGE 22 KAREO | @GoKareo; #KareoTip
“Within primary care practices, valid
patient entered family health history
data can be obtained electronically at
higher rates than a standard of care that
depends on provider-entered data.”
 Murray, MF, Giovanni, MA, et al – J Gen Internal Med, Dec
2013
PAGE 23 KAREO | @GoKareo; #KareoTip
Portals: What if Some Patients Refuse?
PAGE 24 KAREO | @GoKareo; #KareoTip
Portals: Get ROI from Willing Adopters
 Every patient that uses it increases your ROI
– Scheduling
– Labs and prescription updates
– Entering own data
– Communication (marketing)
– Online payments
PAGE 25 KAREO | @GoKareo; #KareoTip
More Under-tapped Features
 Fax server
 Integration with Dragon or
scribe service
 Measure workflow efficiency
 Automate patient forms (e.g.,
school forms)
PAGE 26 KAREO | @GoKareo; #KareoTip
Build Your Career Skills
 Create a super-user team
 Join local user groups for your
vendor
 Brainstorm with other practice
managers in your specialty
PAGE 27 KAREO | @GoKareo; #KareoTip
Time for a Switch?
 Look to the cloud
 Insist on integration – even if using two
vendors
 Consider reporting, portal quality,
other tools
 Plan for post-adoption (re)training
PAGE 28 KAREO | @GoKareo; #KareoTip
Our Schedule for Today…
1 Introduction & Welcome Laurie
2 Finding ROI in Your EHR
3 Discover Kareo’s Role
4 Answer Questions
PAGE 29 KAREO | @GoKareo; #KareoTip
Discover Kareo’s Role
Cloud-based
Insurance & Patient Billing
Scheduling & Practice Management
Electronic Health Records
Medical Billing Services
Education, Training, & Support
Ranked #1 by Black Book 2 Years
25,000 Providers Nationwide
PAGE 30 KAREO | @GoKareo; #KareoTip
Discover Kareo’s Role
• Kareo EHR
• Over 150 templates
• Create custom
templates
• eRX and eLabs
• Built for mobile
• Training,
implementation,
and ongoing
support
PAGE 31 KAREO | @GoKareo; #KareoTip
Discover Kareo’s Role
• Kareo Practice
Management
• Simple workflow
• Updated Medicare
Fee Schedule
• Claim tracking
• Patient collections
• ICD-10 ready
PAGE 32 KAREO | @GoKareo; #KareoTip
Discover Kareo’s Role
• Kareo PM
• Kareo Billing
Services
• Kareo Virtual Office
• Kareo Partners
• Online appt.
scheduling
• Text reminders
• Recalls
• Reputation
Management
• Specialty EHRs
PAGE 33 KAREO | @GoKareo; #KareoTip
Discover Kareo’s Role
PAGE 34 KAREO | @GoKareo; #KareoTip
Our Schedule for Today…
1 Introduction & Welcome Laurie
2 Finding ROI in Your EHR
3 Discover Kareo’s Role
4 Answer Questions
PAGE 35 KAREO | @GoKareo; #KareoTip
How to Participate Today…
Type your questions
888.775.2736 x1
sales@kareo.com
-- Questions After the Webinar --
PAGE 36 KAREO | @GoKareo; #KareoTip

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Finding the ROI in Your EHR

  • 1. PAGE 1 KAREO | @GoKareo; #KareoTipPAGE 1 KAREO | CONFIDENTIAL Finding ROI in Your EHR
  • 2. PAGE 2 KAREO | @GoKareo; #KareoTip Our Schedule for Today… 1 Introduction & Welcome Laurie & Joe 2 Finding ROI in Your EHR 3 Discover Kareo’s Role 4 Answer Questions
  • 3. PAGE 3 KAREO | @GoKareo; #KareoTip Your Hosts Today… Laurie Morgan Senior Consultant & Partner, Capko & Morgan Joe Capko Senior Consultant & Partner, Capko & Morgan
  • 4. PAGE 4 KAREO | @GoKareo; #KareoTip Participate via Social Facebook.com/GoKareo Twitter.com/GoKareo http://kareo.ly/kareogroup We’ll be live tweeting during today’s webinar! How to participate: 1. Follow @GoKareo on Twitter 2. Follow @LeaChatham on Twitter 3. Search for #KareoTip 4. Join the conversation using #KareoTip
  • 5. PAGE 5 KAREO | @GoKareo; #KareoTip Laurie Morgan  Practice management and healthcare consultant  Focus on revenue growth, operational excellence and start-up strategy  Author of Management Rx e-book series: Get the Best From Your Medical Billing Service and Patient Flow Mistakes Smart Practice Manager Make – and How to Avoid Them  Laurie has an MBA from Stanford University lmorgan@capko.com info@capko.com www.capko.com
  • 6. PAGE 6 KAREO | @GoKareo; #KareoTip Joe Capko  Specializes in strategic planning, business development, qualitative/quantitative studies, and statistical analysis  Conducted patient satisfaction and community needs assessments for all sizes  Over ten years experience with statistical research  Fielded public opinion polls for Public Research Institute and PC World Magazine  BA in Political Science and Urban Planning joe@capko.com info@capko.com www.capko.com
  • 7. PAGE 7 KAREO | @GoKareo; #KareoTip Our Schedule for Today… 1 Introduction & Welcome Laurie 2 Finding ROI in Your EHR 3 Discover Kareo’s Role 4 Answer Questions
  • 8. PAGE 8 KAREO | @GoKareo; #KareoTip Why Did You Get an EHR?  “The government said we had to”  “We were afraid of penalties”  “We wanted the Meaningful Use money”  “All our peers were doing it”
  • 9. PAGE 9 KAREO | @GoKareo; #KareoTip The Right Thing for the Wrong Reasons  Think positive: even vegetables can taste good!  Odds are: – Your EHR already delivers a positive return – Higher ROI is a few simple steps away © raphotography - Fotolia.com
  • 10. PAGE 10 KAREO | @GoKareo; #KareoTip ROI=Return on Investment  Costs are easy to spot  Revenue/expense reduction can be less obvious – Offset costs – Billing and coding consistency – Marketing and analysis tools – New revenue generating opportunities – Physician convenience; efficient access and teamwork – Error reduction
  • 11. PAGE 11 KAREO | @GoKareo; #KareoTip Hidden Costs of Paper Charts  ROI assessments often underestimate paper chart costs – Space (medical records, fax, inventory) – Supplies – Risks of errors, damage, destruction – Staff (records management, transcription, prescriptions, slower patient flow) – Inconvenient access – delayed care
  • 12. PAGE 12 KAREO | @GoKareo; #KareoTip Less Paper, More Profit  Repurpose your medical records area – Conference room – Physician office space (convert existing offices to exam rooms?) – Clinical research – Workflow: phlebotomy, vaccinations, sub-waiting  Redeploy staff, or downsize through attrition
  • 13. PAGE 13 KAREO | @GoKareo; #KareoTip Billing and Reimbursement  Better coding  up-coding  But better documentation avoids denials, enables appeals  Integration saves billing time, reduces missed charges – If you don’t have an integrated system, start shopping
  • 14. PAGE 14 KAREO | @GoKareo; #KareoTip Segment Your Patients for Marketing  Preventive care  Follow-up care  Elective services  Possibly even payer negotiations  Many of these activities contribute to MU
  • 15. PAGE 15 KAREO | @GoKareo; #KareoTip Start With Standard Reports
  • 16. PAGE 16 KAREO | @GoKareo; #KareoTip Explore Custom Reporting
  • 17. PAGE 17 KAREO | @GoKareo; #KareoTip New Revenue Sources, New Rules  Group visits – use EHR to pull, poll population  Care coordination  PCMH  Value-based payments
  • 18. PAGE 18 KAREO | @GoKareo; #KareoTip Growth of FFS-Alternative Programs Program Started Current Participation ACOs 2012 600+* PCMH 2008 27,000+ clinicians** ~7,000 practice sites ~10% of PC practices Other alternative payment models HHS Announcement: January 2015 20 hospitals and health plans already set 75% alternative payment target*** Source: *Leavitt Partners/Becker’s Hospital Review **NCQA ***Advisory Board Company (Daily Briefing)
  • 19. PAGE 19 KAREO | @GoKareo; #KareoTip Insist On Quality  Get the training you need for reporting  Add a module like Crystal Reports if necessary  Make sure templates are up to date – structured data is key to reporting
  • 20. PAGE 20 KAREO | @GoKareo; #KareoTip Internal Communication and Efficiency  Tasking and instant messaging  Tablet systems, portals allow patients to enter their own data  Patient forms (population health, school forms)
  • 21. PAGE 21 KAREO | @GoKareo; #KareoTip Tasking and Instant Messaging  Physicians can communicate with staff without leaving room – Request supplies, order labs  Billing, scheduling questions can be answered in real-time  In some cases, messages can be attached to patient  Pitfall: tasking in lieu of immediate handling
  • 22. PAGE 22 KAREO | @GoKareo; #KareoTip “Within primary care practices, valid patient entered family health history data can be obtained electronically at higher rates than a standard of care that depends on provider-entered data.”  Murray, MF, Giovanni, MA, et al – J Gen Internal Med, Dec 2013
  • 23. PAGE 23 KAREO | @GoKareo; #KareoTip Portals: What if Some Patients Refuse?
  • 24. PAGE 24 KAREO | @GoKareo; #KareoTip Portals: Get ROI from Willing Adopters  Every patient that uses it increases your ROI – Scheduling – Labs and prescription updates – Entering own data – Communication (marketing) – Online payments
  • 25. PAGE 25 KAREO | @GoKareo; #KareoTip More Under-tapped Features  Fax server  Integration with Dragon or scribe service  Measure workflow efficiency  Automate patient forms (e.g., school forms)
  • 26. PAGE 26 KAREO | @GoKareo; #KareoTip Build Your Career Skills  Create a super-user team  Join local user groups for your vendor  Brainstorm with other practice managers in your specialty
  • 27. PAGE 27 KAREO | @GoKareo; #KareoTip Time for a Switch?  Look to the cloud  Insist on integration – even if using two vendors  Consider reporting, portal quality, other tools  Plan for post-adoption (re)training
  • 28. PAGE 28 KAREO | @GoKareo; #KareoTip Our Schedule for Today… 1 Introduction & Welcome Laurie 2 Finding ROI in Your EHR 3 Discover Kareo’s Role 4 Answer Questions
  • 29. PAGE 29 KAREO | @GoKareo; #KareoTip Discover Kareo’s Role Cloud-based Insurance & Patient Billing Scheduling & Practice Management Electronic Health Records Medical Billing Services Education, Training, & Support Ranked #1 by Black Book 2 Years 25,000 Providers Nationwide
  • 30. PAGE 30 KAREO | @GoKareo; #KareoTip Discover Kareo’s Role • Kareo EHR • Over 150 templates • Create custom templates • eRX and eLabs • Built for mobile • Training, implementation, and ongoing support
  • 31. PAGE 31 KAREO | @GoKareo; #KareoTip Discover Kareo’s Role • Kareo Practice Management • Simple workflow • Updated Medicare Fee Schedule • Claim tracking • Patient collections • ICD-10 ready
  • 32. PAGE 32 KAREO | @GoKareo; #KareoTip Discover Kareo’s Role • Kareo PM • Kareo Billing Services • Kareo Virtual Office • Kareo Partners • Online appt. scheduling • Text reminders • Recalls • Reputation Management • Specialty EHRs
  • 33. PAGE 33 KAREO | @GoKareo; #KareoTip Discover Kareo’s Role
  • 34. PAGE 34 KAREO | @GoKareo; #KareoTip Our Schedule for Today… 1 Introduction & Welcome Laurie 2 Finding ROI in Your EHR 3 Discover Kareo’s Role 4 Answer Questions
  • 35. PAGE 35 KAREO | @GoKareo; #KareoTip How to Participate Today… Type your questions 888.775.2736 x1 sales@kareo.com -- Questions After the Webinar --
  • 36. PAGE 36 KAREO | @GoKareo; #KareoTip