1. The structure of healthcare delivery is broken because competition is based on erroneous beliefs rather than quality. 2. Measuring quality through mandatory reporting is the most important step in reforming healthcare, and quality is measured through HCC scores, 5-star ratings, meaningful use of technology, care coordination and utilization, and patient experience. 3. Adopting electronic medical records like NextGen allows healthcare organizations to compete on quality by engaging patients through patient portals, coordinating care, and utilizing technology to improve workflows and documentation.

1. COMPETING FOR QUALITY
Edith A. Jones-Poland, M.D.
Associate Medical Director - Clinical Quality and Workflow Management

3. “…the structure of health care
delivery is broken because
competition is broken”

4. ERRONEOUS BELIEFS
1. Patients will always want more medical care
2. Improving quality means higher costs
3.Technology is driving cost increases
4. Quality cannot be measured in a meaningful way
5. Universal health care is the only solution
6. Empowering consumers is the only solution

5. MEASURING QUALITY
“Mandatory measurement and reporting of
results is possibly the single most important
step in reforming the health care system.”

7. HOW IS OUR QUALITY
MEASURED?
HCC
5 STAR
Meaningful Use
Coordination of Care/Utilization
Patient Experience

8. DOHC: COMPETING FOR QUALITY
HCC
5 STAR
NextGen and ENTERPRISE charting
Patient Portal and the engaged patient
Coordination of care through connection……

9. THE MEDICAL
RECORDS
BELONGTO
THE PATIENT….
Electronic medical records

10. NEXTGEN

11. NEXTGEN

12. NEXTGEN
4 Key Components
EPM
EHR
ICS
NextMD Portal

13. NEXTGEN
“Help! NextGen is BROKEN!”
“Dear Dr. _____, there is a
better way of using NextGen.”

14. NEXTGEN UTILIZATION:THE BASICS
Workflow is uniform between
providers and locations*
Workflow should move through
the patient’s chart
Workflow should move through
the staff member’s InBox

15. HAVE WE GOT WHAT ITTAKES?
Leadership from management
Highly trained staff
Engaged providers

16. BENEFITS OF A WELLTRAINED STAFF
Provider satisfaction
Staff pride and retention
Patient satisfaction
Resiliency in times of trial

17. PATIENT PORTAL
Enrollment
Utilization
Support

18. UNDERSTANDINGTHE PORTAL
Training for directors, managers and especially front line saff.
Re-assuring providers that the Portal is a means to engage
patients and a functionality of the NextGen system, not unlike
Goldfax.
Patient portal enrollment and utilization is necessary for short
term and long term goals.

19. PROVIDERS

20. ADVANTAGES OFTHE PORTAL
Reduced phone call volume
Reduced cost for postage
More accurate documentation, the patient’s actual words are in
the written record. No staff interpretation.
“Bulk email” option - improved population health outreach
Simplified workflow for staff, they can manage the message in the
portal and import when contact has been complete.

21. TAKE AWAY
The new competition is QUALITY.
NextGen is our platform for the new model of health care
delivery.
We need strong leadership to perform in this new market.
We need to plan ahead for the emerging markets and have created
a culture comfortable with change.
We need to show empathy to providers as they let go of old ideas.