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Accelerate your paperless strategy
The document discusses Nuance Healthcare's solutions for accelerating a paperless strategy in healthcare. It describes the increasing pressures on healthcare providers from measures like productivity, clinical documentation turnaround time, coding, and quality reporting. Nuance helps drive better outcomes by reinventing clinical documentation through solutions that capture, improve, and communicate patient information to support goals like complete documentation, clinician productivity, accurate reimbursement, and regulatory compliance.
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Accelerate your paperless strategy
- 1. Accelerate your PaperlessStrategy Frederik Brabant CMIO, EMEA Solutions Director Nuance Healthcare September 23rd 2014 © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 1
- 2. 7-year old girl’sdrawing published in JAMA, June 20, 2012, Vol 307, No. 23, Thomas G. Murphy, MD © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 2 http://jama.jamanetwork.com/article.aspx?articleid=1187932
- 3. The Pressures are Rising on Healthcare Providers © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 3
- 4. Productivity © 2002-2013Nuance Communications, Inc. All rights reserved. Page 4 What does this mean for the Clinician? Severity of illness Medical necessity Clinical Document Turn Around Outcome measures Friends & Family Test Patient satisfaction Core measures NHS Patient Safety Thermometers
- 5. Audits Procurement Clinical Document Turn Around CQC Compliance Paperless ROI © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 5 NHS CIO Coding What does this mean for the CIO? CQUIN
- 6. © 2002-2013 NuanceCommunications, Inc. All rights reserved. Page 6 6 CONFIDENTIAL | © 2002-2011 Nuance Communications, Inc. All rights reserved. HEALTHCARE SOLUTIONS
- 7. How Nuance Healthcare Helps Drive Better Outcomes by Reinventing Clinical Documentation © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 7
- 8. Re-imagine the ClinicalDocumentation Process CAPTURE IMPROVE COMMUNICATE OUTCOMES © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 8 EHR £ Patient care Financial integrity Compliance
- 9. Re-imagine the ClinicalDocumentation Experience CAPTURE IMPROVE COMMUNICATE OUTCOMES • Complete/accurate documentation • Reduced note bloat • Improved decision support • Higher patient satisfaction • Free up admin resources • Increased clinician productivity up to 30% • Improved coding © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 9 EHR On a PC MFP At a dictation station RIS/PACS In EHR MT-editing In EHR self-editing On the go £ CLU Patient care Financial integrity Compliance • Clinical Doc Turn Around Time • EHR adoption • Documentation integrity • Medical necessity • Less note cloning
- 10. Re-imagine the ClinicalDocumentation Experience CAPTURE IMPROVE COMMUNICATE OUTCOMES • Complete/accurate documentation • Improved care decisions • Reduced medical errors • More accurate reimbursement • Budget performance • CCG negotiations • Cost Reduction © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 10 Guaranteed CDI EHR On a PC MFP At a dictation station RIS/PACS In EHR MT-editing In EHR self-editing On the go CLU Flag quality reporting omissions Automated, clinically appropriate CDI clarifications Results SNOMED CT® Extract and code clinical facts £ Patient care Financial integrity Compliance • Clinical Doc Turn Around Time • EHR adoption • Medical Necessity • Reduced Audit Risk
- 11. Re-imagine the ClinicalDocumentation Experience CAPTURE IMPROVE COMMUNICATE OUTCOMES • Improved critical test results process • Universal access to images/reports • Structured follow-up recommendations • More accurate reimbursement • Budget performance • CCG negotiations • Cost Reduction © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 11 In EHR self-editing On a PC On the go MFP At a dictation station RIS/PACS In EHR MT-editing Guaranteed CDI EHR CLU Flag quality reporting omissions Automated, clinically appropriate CDI clarifications Results SNOMED CT® Extract and code clinical facts Quality reporting & performance analytics Coding Image sharing Critical Test results Compliance £ Patient care Financial integrity Compliance • Clinical Doc Turn Around Time • Coding • Mortality Ratings • Quality reporting • Reduced audit risk
- 12. 70% of allchange management programs fail. © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 12 McKinsey, 2007
- 13. Essential Criteria forEHR Implementation © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 13 1. Right Leadership 2. Right Culture 3. Physician engagement 4. Training and handholding 5. Resources Healthcare IT News survey, Aug. 2010.
- 14. Questions ? Dr.Frederik Brabant, MD © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 14 Dr_Brabant Frederik.Brabant@nuance.com
- 15. © 2002-2013 NuanceCommunications, Inc. All rights reserved. Page 15
- 16. Nuance Natural LanguageFramework – The engine that drives Intelligent Systems © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 16 “ Anything with George Clooney on tonight?” “ Yes, I’ve found three shows, one of which is starting in just a few minutes.”
- 17. Nuance Natural LanguageFramework – The engine that drives Intelligent Systems © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 17 “ What is the red blood cell count for patient John Adams ?” The latest red blood cell count from John Adams is 5,5 million from lab test on July 5th 2013” “
- 18. Nuance Healthcare ata Glance NA, EMEA, and APAC: Customers and partners © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 18 (approximate) in FY ‘13 Healthcare division revenue of all UK Hospitals at more than 10,000 healthcare institutions WW integrating Nuance’s On-Demand Speech on WW basis in 2013 Healthcare Informatics
- 19. EHR P AR T N E R S H I P S RIS / PACS © 2002-2013 Nuance Communications, Inc. All rights reserved. Page 19
Editor's Notes
- #3 AND…. what does this mean for the patient? No one can say it better than this 7-year-old artist. This is a picture that Dr. Thomas Murphy submitted to JAMA that he received from his young patient. The artist (click) is on the examining table. Her older sister is seated nearby in a chair (click), reading a magazine, as is her mother (click), cradling her baby sister. And (click) guess who this is? – yep… that’s the doctor staring at the computer (click), his back to the patient—and everyone else. When he saw the drawing, the physician wrote this caption: “The economic stimulus bill has directed $20 billion to health care information technology, largely funding electronic medical record incentives. I wonder how much this technology will really cost?” The relationship between physicians and patients is at the core of healing. This begins with hearing and understanding. Let’s reimagine healthcare — where physicians can get back to the art of medicine. Key Messages - Drawing submitted to JAMA 7 year old girl drew picture as experience going to Dr. Mom and Sister watching, Dr. back of room, head down typing on computer Economic stimulas $20B funding EHRs…how much will it really cost? Get back to the Art of Medicine Re-imagine ….Documentation is at the center
- #5 And physicians are in the very eye of the storm. They are being asked to change the way they practice. To use EHRs in ways they never have before. To document many more things in much more detail to ensure that clinical documentation: Reflects whether a patient was admitted with a high risk condition or infection or acquired it at the hospital Provides specific details required for Meaningful Use quality scoring and attestation reporting Support medical necessity with appropriate diagnoses and treatment reasons The information they must capture in clinical documentation to support these major trends and initiatives can be overwhelming. And physicians are on the go and looking to either use their own mobile devices (which may challenge information security systems). In essence, they demand easier access to document care. Key Messages Key documentation right from the start Physicians in eye of storm Being asked to change the way they practice…interaction with patient Need better ways to get things done
- #6 With the overall change in accountable care and reimbursement, the goal is to keep people out of the hospital. Revenue cycle maximization, ensuring billing is timely and accurate with the transition to ICD-10 and cash management are top priorities. The heavy reporting requirements for Meaningful Use, Audits, Reimbursement and Readmission Penalties and the 2 Midnight rule creates even more stress on the organization’s financial viability.
- #7 Plus, as we transition to electronic health records we need to ensure we communicate the complete patient story and not get caught up in just checking the boxes Structured data and physician narrative is necessary for the best care So while everyone works hard to adapt to the new structure They still need to make the existing system more and more efficient Reduce costs And continue to improve the quality of care
- #17 Presenter Notes — Nuance voice and natural language solutions are built on top of the richest and most powerful voice in natural language framework available. — This technology framework combines all the powerful elements that are required to create meaningful, natural conversations. — Interpreting a broad range of human input—including voice, text, video, and voice biometrics—we can use sophisticated techniques to derive the user’s meaning or desired outcome. — Our reasoning capability has the ability to create natural conversational turns, combine information and evidence to make decisions, and even answer complex questions. — This framework has the ability to communicate back to the user with speech, text, or graphics. — By leveraging this powerful framework, it is possible to answer the question illustrated on the slide in a meaningful, concise, and accurate way.
- #18 Presenter Notes — Nuance voice and natural language solutions are built on top of the richest and most powerful voice in natural language framework available. — This technology framework combines all the powerful elements that are required to create meaningful, natural conversations. — Interpreting a broad range of human input—including voice, text, video, and voice biometrics—we can use sophisticated techniques to derive the user’s meaning or desired outcome. — Our reasoning capability has the ability to create natural conversational turns, combine information and evidence to make decisions, and even answer complex questions. — This framework has the ability to communicate back to the user with speech, text, or graphics. — By leveraging this powerful framework, it is possible to answer the question illustrated on the slide in a meaningful, concise, and accurate way.
- #19 Healthcare Division: ~$700M in FY 12 Customers & partners in 30+ countries NA, EMEA & APAC 450,000 clinician users at more than 10,000 healthcare institutions 57% all US Hospitals 1,500+ Radiology Reporting sites 250,000+ Dragon Medical Users 100,000+ eScription Users eScription 3+ billion lines annually 500+ CDI Customers 600+ Coding Platform Customers Over 300+ HIT vendors integrating Nuance’s On-Demand Speech and CLU on WW basis Supports all major mobile and web platforms Supports 26+ languages #20 in 2012 Healthcare Informatics HCI 100 >>Each of these metrics brings credibility to our story, depending on the audience they may focus in on certain areas. The number of clinicians, the huge ecosystem of healthcare IT vendors working around us and the global presence lends a lot of credibility and strength to our story Nuance Healthcare is the market leader in creating clinical understanding solutions that drive smart, efficient decisions across healthcare. Nuance provides solutions and services that improve the entire clinical documentation process — from the capture of the complete patient record to clinical documentation improvement, coding, compliance and appropriate reimbursement. More than 500,000 physicians and 10,000 healthcare organisations worldwide leverage Nuance’s award-winning, voice-enabled clinical documentation and analytics solutions to support the physician in any clinical workflow and on any device.
- #20 And our partnerships with EHR companies make the capture process even more beneficial because it’s integrated into the new workflow Which improves clinical adoption and reduces the time to go-live Nuance has deep and established relationships with: EHRs - Epic, Cerner, Allscripts, MEDITECH, McKesson, Siemens RIS / PACS – Philips, GE, McKesson, Fuji, Agfa, Siemens Our R&D departments work together to ensure integration and adoption of these solutions