Convert with Confidence: Barriers and Benefits of the EHR Switch
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Is your current electronic health record not working the way you want it to? Switching to a new system can be difficult without the right partner with the knowledge and support to help.
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Convert with Confidence: Barriers and Benefits of the EHR Switch
- 1. Convert with Confidence Barriers and Benefits of the EHR Switch Chad Turner Director Sales, Group Sales This event is live as of June 10th, 2015
- 2. 2 78%of office-based physicians adopted an EHR as of 2013 Source: Information Week 50%of ambulatory practices with an EMR are looking to replace Source: KLAS
- 3. 3 45%said patient care was worse since implementing an EHR Source: Medical Economics 65%of physicians said their EHR systems resulted in financial losses for their practice Source: Medical Economics
- 4. What drives the decision to switch?
- 5. EHRs that slow providers down EHRs unable to keep pace with change Poor return on investment 1 2 3
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- 9. Be aware of ongoing costs beyond the initial purchase of an EHR 9 SOURCE: Neil S. Fleming, Steven D. Culler, Russell McCorkle, Edmund R. Becker and David J. Ballard, The Financial And Nonfinancial Costs Of Implementing Electronic Health Records In Primary Care Practices, Health Affairs, 30, no.3 (2011):481-489 For an average 5 physician practice: $32,409 Implementation per physician costs an estimated $32,409 through the first 60 days after launch. $17,100 Maintenance expense per physician per year amounts to $17,100.
- 10. Document management What is the total cost of ownership? 10 Implementation Ongoing license fee Hardware investment eRx Performance insight Maintenance costs Ongoing training Lab interfaces Regular upgrades Regular upgrades Regular upgrades Ongoing training Ongoing training Maintenance costs Maintenance costs Regular upgrades
- 11. What are the biggest barriers to switching?
- 12. Implementation 1 60% of EHR implementations take more than 6 months
- 13. What do you do with your legacy data? 13 2
- 14. Capex required for initial software license and hardware upgrades 14 3 40%of practices find that costs are 31% higher than the vendor estimated
- 15. Fear of getting locked-in to another bad EHR 15 4 10-15% drop in provider productivity
- 16. Planning for your EHR switch can be expensive and time consuming 16 Raise capital for new software Find and hire a consultant to assist with data conversion Assess your hardware. Will it be sufficient for a new software system? Develop an implementation plan that could span as much as 6 months, with trainings, installations, etc.
- 17. 17
- 18. The Cloud-based Service 18 Performance&visibility HIGH HIGH Connection to Outcomes Software ASP SaaS Cloud- Based Service The Cloud
- 19. athenahealth’s award-winning services can help you thrive through change 19“2014 Best in KLAS Awards: Software & Services,” January, 2015. © 2015 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com #1 Practice Management System (1-10, 11-75 physicians) #2 Practice Management System (over 75 physicians) #2 EHR (over 75 physicians) #1 Ambulatory #2 Overall Physician Practice Vendor 2014 Best in KLAS • 73,000+ providers on athenaNet® • Clients ranging from 1 to 5,000+ providers • 50 states and 112 medical specialties • $14 billion in client collections per year • 300k physicians on Epocrates • Entry into the Inpatient Space – Jan, 2015
- 20. What you can expect that no one else can deliver: 20 Immediate Results: We implement and start seeing results within 6 months. Self-funding investment: No upfront costs ensure immediate benefit with no risk Seamless updates: without costly upgrades Partnership: Perpetual monitoring, sharing and implementation of best practices
- 21. 2121
- 22. 22 72,314 Providers on our network 195,900+ Active interfaces $4.8 billion Collections posted per quarter 69 million Patient records 1.2 billion Data transactions processed annually
- 23. 195,900+ interfaces (with more than 2,000 new interfaces created monthly) Connections to more than 41,000 pharmacies and 2,000 labs and imaging centers
- 24. 24 6% increase in collections 8% decrease in no show rate 95.6% Meaningful Use attestation rate 32% reduction in days in accounts receivable 98% provider adoption rate
- 25. We navigate regulatory change so you don’t have to Meaningful Use Stage 2 attestation % of HCPs avoiding PQRS penalties in 2015 NATIONAL AVERAGE 33% ATHENAHEALTH CLIENTS 98.2% NATIONAL AVERAGE 60% ATHENAHEALTH CLIENTS 93.6%
- 26. athenaClinicals rated #1 in usability by KLAS 26 “Is Ambulatory EMR Usability Improving?,” June, 2015. © 2015 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com Usability: Productivity Vs. Effecctiveness 3.0 4.0 5.0 6.0 7.0 8.0 9.0 9.0 8.0 7.0 6.0 5.0 4.0 3.0 AVERAGE AVERAGE MORE EFFECTIVE THAN PRODUCTIVE LESS EFFECTIVE AND PRODUCTIVE EFFECTIVEAND PRODUCTIVE MORE PRODUCTIVE THAN EFFECTIVE Physician Productivity How well can a typical physician accomplish what they need to in a day? PhysicianEffectiveness HowwelldoestheEMRhelpphysiciansdotheirjobsbetter? NextGen Cerner Epic Greenway athenahealth eClinicalsWork s GE Healthcare Allscripts TouchWorks Allscripts SAC – preliminary, unconfirmed data
- 27. KLAS in 2015 rated athenahealth as a leader in interoperability Scored as easiest vendor to connect to Recognized as the best-value connection for improving patient care 27 “Interoperability 2015: Are we lifting together?," page 4, September 2015. © 2015 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com
- 29. athenahealth offers a proven strategy for making the switch 29 Low start-up cost • Low implementation fee • No servers to maintain or upgrade— and no maintenance fees • We succeed only when you do
- 30. athenahealth offers a proven strategy for making the switch 30 Smooth Implementation • Partnership approach involving: project management and coaching, on-demand online training, patented self-service tools • Proven implementation methodology designed specifically for your practice • 98% provider adoption rate
- 31. athenahealth offers a proven strategy for making the switch 31 Expert Transfer of Data • Hundreds of successful conversions from conventional software providers • Flexible data transfer options to suit your needs • A dedicated conversion specialist to guide your selection of clinical data for import
- 32. Critical questions to ask when considering a long-term EHR strategy Does the EHR have a proven track record with programs like MU, PQRS, and ICD-10? Does the EHR provide a sufficient ROI? What is the total cost of ownership? Does the EHR help you measure and improve productivity? How will the vendor partner with you to preserve the integrity of your legacy data? ✔ ✔ ✔ ✔
- 34. Thank You
Editor's Notes
- It’s no surprise that many practices are already looking to switch their EHR By 2013, nearly 80% of all office-based physicians were using an EHR; yet over two-thirds of doctors today would not recommend their EHR to a colleague. More than half believe their EHR has a negative impact on costs, efficiency or productivity.
- Meaningful Use drove widespread adoption of EHRs; many of which are unable to satisfy providers' long-term needs. While the industry grew massively and adoption rates rose to new highs, EHR improvements and satisfaction rates have not grown proportionately. something got lost in this massive growth. The fundamental issue is that EHRs were not originally designed with the physician in mind, and that they often feel slowed down & distracted from patient care. Most EHRs have become a digital dumping ground for the collection of massive amounts of structured data. The original thought was that having all this data available would be good for medicine, and what we’re finding is that the opposite is true. There is an overwhelming sentiment amongst physicians of dissatisfaction with EHRs. Even so, many providers seem to have “run aground” in using their EHR. Many of which are unable to satisfy providers' long-term needs and most EHRs have made physicians’ lives worse. Although various studies have shown that some EHR best practices can help improve communication among care teams and cut costs, physician response has been consistently negative when related to the ways an EHR affects a medical practice. Massive stirring in the market, vendors, and with such a huge shift a lot of physicians are not happy and not yet seen the benefit Many felt there is not real way to help patients, just a dumping ground for paper medical records, no good workflow of physicians said their EHR A survey of almost 1,000 physicians shed a light on EHRs’ negative impact resulted in financial losses for their practice
- Three main complaints of our clients that are coming to us about why they are switching their EMR
- Don’t get into medicine to work with computers and an EHR, got into medicine to help Moment totally focused on
- But this is what is the reality of the situation. Drawing from the New England Journal of Medicine. Is healthcare technology supposed to add complexities to your day? Were filling out forms and looking up code numbers the reasons why you got into this? One study estimated that doctors spend 168.4 million hours on administrative tasks per year while the average time spent with a patient during the exam is eight minutes. The average U.S. doctor spends 16.6 percent of his or her working hours on non-patient-related paperwork, time that might otherwise be spent caring for patients. And the more time doctors spend on such bureaucratic tasks, the unhappier they are about having chosen medicine as a career. Do you have the information you need to make good decisions? Are inefficient technologies in the best interest of patients? Of course not!
- It can feel like trying to run your practice is like walking a tightrope, trying to balance all this change while you keep getting handed more to juggle, more things that can upset your balance – this illustrates why physicians can’t do it yourself anymore. As we have seen with many programs in the past such as ANSI, MU and ICD-10 all experiencing delays, change is inevitable. There is a lot coming at providers and juggling it all can make the providers life difficult. You need a good partner that is willing to take on some of this burden and help you navigate this landscape and manage change.
- As you begin to asses your desire and maybe need to switch your EMR, you have to discover what your return on investment is or has been. It’s no secret that EMRs aren’t cheap and the overall cost can be a lot higher than originally expected. In our experience within the industry, it is often that we see a solution sold as a piece of software but then everything that’s required to make that piece of software work and to connect with your product care community adds up over the course of time. There’s unseen costs and ongoing maintenance to keep the code base, the formulary to stay up to date with regularly requirements. The Catch-22 is that if you can’t afford the bill you also can’t get paid. So you’re stuck shelling out more and more money just to get paid with the programs your original tool is supposed to help with. For the average 5 physician practice, just getting onto an EMR can cost upward of $32,000 and then the maintenance expenses on top of that over $17,000 and not seeing the return on investment for practices who have chosen an EMR that functions only at a basic level can be beyond frustrating.
- There’s a lot that goes into the total cost of ownership in and EMR. It’s not just a monetary investment it’s a time investment and time is so precious to a physician and a practice that taking so much time to managing upgrades or updates or even connecting the practice to a lab is really no realistic or practical.
- So with all that in mind, what are the biggest barriers stopping people from switching? Why aren’t practices switching more?
- Expectations that were set from the purchase of the original EMR. The average EMR takes about 6 months to implement.
- With all the data providers have spent a lot of time working on moving data from paper to digital and then all the upkeep done within the original EHR. Bring the value of that data over. Industry wide problem with data portability and data mobility, a lot of factors that go into switching legacy data
- Upfront costs Keep the EHR going, the upkeep costs, many EHR companies layer charges upon the practice that weren’t before told to the practice or included in the up-front contract.
- Fear of making another bad decision and getting locked into another bad EHR. What if you’re stuck in a new EHR that is just as bad of and investment or experience as the first solution. Unable to be the tool that you need. Incredible sacrifice for a practice or practice managers.
- So with all that in mind, what do you need to do when looking for an new EHR?
- Leaf swoosh
- We’re already the largest network of its kind, and the more we grow the better it gets And it has been incredibly successful with 72K providers using our services, 70M patient records, etc. Largest network of our kind
- This model has helped us to connect to our clients outcomes. On average we help
- Meaningful Use drove widespread adoption of EHRs Stage 1 the bar was very low but stage 2 bar was higher and was harder for our clients to attest and right out of the gate we were able to solve this problem for our clients ahead of the curb Network intelligence and experience rest of the industry was really struggling We apply our Software/Knowledge/Services approach to MU Take much of the MU burden off of providers – for example we do all of the attestation work on behalf of our clients Our approach works… we have a proven track record of success
- Our EHR is rated the most useable for practices – most connected Software usability is so important in EHR but how usable is that EHR great
- Now that you know a bit more about us, how are you going to actually make the switch and confidently. We have a proven implementation process that helps providers makes the switch the minimal headaches.
- ----- Meeting Notes (12/2/15 12:17) ----- results slide 98% adoption rate on cloud slide add in the final slide after cloud slide
- Value base reimbursement in place of first one, relative to performance around MU, ICD-10 what was the clients experience transitioning to ICD-10