The document summarizes a consulting project examining the feasibility of implementing an electronic health record (EHR) system at Greensboro Ophthalmology. It discusses the background and incentives of EHR legislation, pros and cons of EHR implementation, market analysis, research methods used in the project, change management implications, and recommends the Practice Fusion EHR vendor. Key factors in the recommendation include Practice Fusion's ease of use, low total cost of ownership, ability to meet meaningful use criteria, and strong customer service.
QualiTest offers a holistic testing approach which provides an end-to-end test at a fraction of the cost compared to current market approaches.
QualiTest understands the challenges and risks involved in ICD-10 transformation across the healthcare spectrum: providers, payers, clearinghouses, and vendors. As the world’s second-largest independent pure play QA and testing solution partner, QualiTest provides comprehensive end-to-end services for ICD-10 testing to all entities in the healthcare industry.
http://www.qualitestgroup.com
Join athenahealth maven Dr. Tidwell as he explores issues surrounding independent practices who wish to remain so and what steps physicians can take to thrive on their own, with just a little help from an EMR.
Software Advice BuyerView: Electronic Health Records Report 2014Software Advice
Software Advice talks regularly to medical practices considering a new EHR purchase. We analyzed those interactions to uncover the most common pain points and reasons for purchasing new software.
QualiTest offers a holistic testing approach which provides an end-to-end test at a fraction of the cost compared to current market approaches.
QualiTest understands the challenges and risks involved in ICD-10 transformation across the healthcare spectrum: providers, payers, clearinghouses, and vendors. As the world’s second-largest independent pure play QA and testing solution partner, QualiTest provides comprehensive end-to-end services for ICD-10 testing to all entities in the healthcare industry.
http://www.qualitestgroup.com
Join athenahealth maven Dr. Tidwell as he explores issues surrounding independent practices who wish to remain so and what steps physicians can take to thrive on their own, with just a little help from an EMR.
Software Advice BuyerView: Electronic Health Records Report 2014Software Advice
Software Advice talks regularly to medical practices considering a new EHR purchase. We analyzed those interactions to uncover the most common pain points and reasons for purchasing new software.
We will explore how to better optimize your EMR for enhanced workflow management and clinic efficiencies. You will also hear how a HealthCheck audit significantly helped a team perform their clinical and back office duties more efficiently, which ultimately increased the clinic revenue.
Benefits of an EMR HealthCheck:
• Update outdated clinical content and workflows
• Improve efficiency and optimize the use of your system
• Reduce A/R
• Streamline the billing processes
• Reduce workarounds outside of your system
Why should a health plan invest in integrated solutions when providers have more to gain? How to remove the risks of moving forward without an industry standard? Safe harbor investment? Is an all-payer/all-provider solution even possible today? How do I justify an investment in workflow automation and backend system integration? This is a webinar on extension of the successful conversation on claims attachments raised at WEDI National 2016. Three healthcare vendors came together to discuss how to overcome key challenges by leveraging current investments in a multi-vendor model.
Image Core lab (ICL) is a premier Imaging service provider exclusively focused on providing high quality specialized imaging service in Bangalore committed to assist Sponsor companies and CRO’s with their imaging requirements as they discover/develop new drug therapies.
Software Advice speaks with hundreds of dental professionals searching for dentistry software solutions. We wanted to find out what drives practices to purchase these systems and why, so we recently analyzed data from 368 interactions with prospective dental software buyers.
Edifecs- How to ensure RAPS and EDPS submissions equal revenue successEdifecs Inc
The RAPS to EDPS transition for Medicare Advantage plans (MAOs) has now taken on a role of greater importance. CMS has called for an acceleration of the transition with payment determinations in 2017 split 75/25 between RAPS and EDPS.
In this webinar viewers will learn the following:
The RAPS to EDPS transition challenges facing MAOs (some not so obvious)
The cost of the status quo. What you lose by attempting to address encounter submission with a “legacy” approach
How one plan is solving the submission/reconciliation puzzle and experiencing revenue success
What a revenue success checklist for MAOs would contain and how to get started
2012 to 2013 Australian Hospital Digital Scanning Surveysquareearth
Results undertaken from the Australian hospital digital scanning survey undertaken in 2014, for 2012-13 data. Report undertaken by SquareEarth, a healthcare consultancy firm.
Treat EDPS as a Risk Adjustment program…not an IT function. This Episource presentation walks you through the 3 phases of EDPS, and key aspects to keep in mind to run a successful risk adjustment program.
What Implication Will Reimbursement Cuts For 2013 Have on Radiology Collectio...Medical Billers and Coders
Radiology collections, which have been far from being impressive in the recent years, may further go down amidst a host of issues likely to surface throughout 2013. Significant of those issues is the reimbursement cuts, which is supposed to lead to a reduction of almost 19% in the collections of radiology practices.
We will explore how to better optimize your EMR for enhanced workflow management and clinic efficiencies. You will also hear how a HealthCheck audit significantly helped a team perform their clinical and back office duties more efficiently, which ultimately increased the clinic revenue.
Benefits of an EMR HealthCheck:
• Update outdated clinical content and workflows
• Improve efficiency and optimize the use of your system
• Reduce A/R
• Streamline the billing processes
• Reduce workarounds outside of your system
Why should a health plan invest in integrated solutions when providers have more to gain? How to remove the risks of moving forward without an industry standard? Safe harbor investment? Is an all-payer/all-provider solution even possible today? How do I justify an investment in workflow automation and backend system integration? This is a webinar on extension of the successful conversation on claims attachments raised at WEDI National 2016. Three healthcare vendors came together to discuss how to overcome key challenges by leveraging current investments in a multi-vendor model.
Image Core lab (ICL) is a premier Imaging service provider exclusively focused on providing high quality specialized imaging service in Bangalore committed to assist Sponsor companies and CRO’s with their imaging requirements as they discover/develop new drug therapies.
Software Advice speaks with hundreds of dental professionals searching for dentistry software solutions. We wanted to find out what drives practices to purchase these systems and why, so we recently analyzed data from 368 interactions with prospective dental software buyers.
Edifecs- How to ensure RAPS and EDPS submissions equal revenue successEdifecs Inc
The RAPS to EDPS transition for Medicare Advantage plans (MAOs) has now taken on a role of greater importance. CMS has called for an acceleration of the transition with payment determinations in 2017 split 75/25 between RAPS and EDPS.
In this webinar viewers will learn the following:
The RAPS to EDPS transition challenges facing MAOs (some not so obvious)
The cost of the status quo. What you lose by attempting to address encounter submission with a “legacy” approach
How one plan is solving the submission/reconciliation puzzle and experiencing revenue success
What a revenue success checklist for MAOs would contain and how to get started
2012 to 2013 Australian Hospital Digital Scanning Surveysquareearth
Results undertaken from the Australian hospital digital scanning survey undertaken in 2014, for 2012-13 data. Report undertaken by SquareEarth, a healthcare consultancy firm.
Treat EDPS as a Risk Adjustment program…not an IT function. This Episource presentation walks you through the 3 phases of EDPS, and key aspects to keep in mind to run a successful risk adjustment program.
What Implication Will Reimbursement Cuts For 2013 Have on Radiology Collectio...Medical Billers and Coders
Radiology collections, which have been far from being impressive in the recent years, may further go down amidst a host of issues likely to surface throughout 2013. Significant of those issues is the reimbursement cuts, which is supposed to lead to a reduction of almost 19% in the collections of radiology practices.
HMIS, the flagship of the Tamil Nadu Health System Project was implemented in a phased manner, started as Pilot (during the year 2008), followed by Phase- I (during the year 2009), Phase-II (during the year 2010) and finally Phase III (2011).
Health Management Information System “HMIS” is a judicious combination of Information
Technology (IT) and Management Systems, to deliver improved evidence based health care to the public at large. Health Management Information System also provides information based support for the implementation of cutting-edge reforms by the Tami Nadu Health Systems Project. Apart from Primary Health Centers and Secondary Care Hospitals, this project is envisaged to include all the Tertiary Care Hospitals including the Medical Colleges.
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Experience guide to or implementation and compliance 2015Edifecs Inc
Ready to kick-off a compliance project? Don’t miss this webinar; leverage our experience to accelerate your compliance programs. Understand the certification options. Gain insight to assist your organization maintain compliance after project completion. Understand how certification and partner communication can protect your organization.
10-Year Orthopedics and Spine Forecast: Factors Impacting DemandWellbe
What’s in store for the next 10 years of orthopedics and spine service lines?
Kristi Crowe, Associate Vice President and Orthopedic service line leader at Sg2 will review future demand for orthopedics and spine services nationally, key factors impacting this demand, and opportunities to build your access channels and differentiate your orthopedics and spine services to capture growth.
About the Speaker:
As a member of Sg2’s Center for Strategic Planning, Kristi Crowe leads Sg2’s intelligence and analytics in orthopedics and works with leadership teams to improve growth and performance across the care continuum. She also leads the development of orthopedics service line–oriented publications and educational offerings and speaks nationally at a variety of physician and health care leadership conferences.
With 18 years of clinical, management, and consulting health care experience, Kristi brings a variety of strategic skills to Sg2, which have included physician alignment strategies, volume growth initiatives, and performance enhancement for orthopedic services.
Before joining Sg2, Kristi worked in orthopedic service line consulting for Accelero Health Partners, a fully owned subsidiary of Zimmer. While at Accelero, Kristi established and executed strategic plans for the musculoskeletal service line and led the organization’s internal spine and outcomes development initiatives. Working as the liaison between hospital administration and physicians, Kristi facilitated completion of higher level physician engagement strategies such as comanagement agreements. Earlier in her career, Kristi worked as a physical therapist in inpatient, outpatient and management positions.
She graduated summa cum laude with bachelor’s and master’s degrees in physical therapy from the University of North Dakota.
She is a member of the Healthcare Financial Management Association and American Society for Quality, and maintains her Colorado license to practice physical therapy.
Product overview of Hosted Claims Manager and Denials IQ presented by HealthCo Information Systems and GE's EDI team. Discover how these two EDI product innovations can improve your reimbursement processes and get your paid faster.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
1. UNCG MBA Capstone
Consulting Project
Examining the Feasibility of an
EHR Implementation at
Greensboro Ophthalmology
Consultants:
Ted Deligianis
Vandana Taneja
David Kutas
2. Today’s Agenda
What Who
Project Scope Vandana
Background of Legislation Ted
EHR Pros and Cons David
Market Analysis Ted
Research Methods Vandana
Change Management Vandana
Recommendation David
3. – EHR: Electronic Health Record
– EMR: Electronic Medical
Record
– PHS: Public Health Service
– ARRA: The American Recovery
& Reinvestment Act
– eRx: Electronic Prescribing
– ASP: Application Service
Provider
– HITECH: The Health
Information Technology for
Economic and Clinical Health
Act (HITECH) Act
Alphabet Soup
Introduction
4. Project Scope
– Evaluation of Government Incentives
∙ Timeline of implementation schedule
∙ Carrot and Stick (incentives turning into disincentives)
∙ Government Legislation
– EHR industry analysis
– Market Analysis
∙ North America market
∙ Live EHR implementation (clinic visits)
∙ EHR Vendors
– Pros and cons of EHR implementation at Greensboro Ophthalmology
∙ Examination of Feasibility
∙ Change Management and implications
– Cost-Benefit analysis for Greensboro Ophthalmology
∙ Potential costs of not implementing EHR
– Recommendation : Chosen Vendor
– Rationale behind Decision
5. ARRA Legislation
Background and Legislation
Table 1: Estimated Impact of Medicare (In Billions)
Fiscal
Year
Low Scenario High Scenario
Hospitals Professionals Hospitals Professionals
2011 $0.2 $0.2 $0.5 $0.6
2012 $0.9 $1.0 $2.1 $2.3
2013 $1.1 $0.9 $2.2 $2.0
2014 $1.2 $0.6 $1.9 $1.3
2015 $0.5 ($0.1) $1.8 $0.7
2016 $0.6 ($0.6) $1.2 $0.1
2017 $0.3 ($1.3) $0.5 ($0.5)`
2018 ($0.2) ($1.6) - ($0.8)
2019 ($0.1) ($1.6) - ($0.8)
TOTAL $4.6 ($2.5) $10.1 $5.0
Adapted From: (CMMS, 2009, p. 44562)
– $787 billion spent Government
under ARRA as Government
Expenditure and Tax Cuts
– $28.5 billion allocated to
HITECH
– Medicare money as incentive
payments
– Government offers “carrot”
until 2015
6. Meaningful Use
Background and Legislation
Stages of Meaningful Use Criteria by Payment Year
First Year of Payment
Payment Year
2011 2012 2013 2014 2015
2011 Stage 1 Stage 1 Stage 2 Stage 2 TBD
2012 Stage 1 Stage 1 Stage 2 TBD
2013 Stage 1 TBD
2014 TBD
Adapted from: (CMMS, 2009, p. 11)
7. HITECH implications for providers
Background and Legislation
•75% of Medicare
reimbursements or
$44,000 as aggregate
benefits
•$216,000 – 5 Years
•$415,042 – 8 Years
MaximumEHRincentiveforHITECH
Calendar
Year
FirstCYforwhichtheEPReceivesanIncentivePayment
2011 2012 2013 2014
2015and
subsequentyears
2011 $18,000 --- --- --- ---
2012 $12,000 $18,000 --- --- ---
2013 $8,000 $12,000 $15,000 --- ---
2014 $4,000 $8,000 $12,000 $12,000 ---
2015 $2,000 $4,000 $8,000 $8,000 $0
2016 --- $2,000 $4,000 $4,000 $0
TOTAL $44,000 $44,000 $39,000 $24,000 $0
Adaptedfrom:(DepartmentofHealthandHumanServices,2010)
8. EHR Pros and Cons
Pros
Increased Efficiency
Cost Efficiency
Process Efficiency
Cons
Increased Costs
Decreased Efficiency
9. – Global market
projected to be worth
$19.7 billion in 2013
– North America market
to grow 9.7%
Market Analysis
10. – Research Objective
∙ Study the process and implementation of EHR
systems
– Research Methods
∙ Client Visits
∙ Site Visits
∙ Vendor Demonstrations
Research Plan
11. – Site Visits
∙ UNC Chapel Hill Eye Clinic
∙ The Moses Cone Health System
∙ Piedmont Retina Specialists
– Vendor demonstrations
– Client Visits
Research Methods
13. – Crucial aspect of change management
– 3 entities: Main practitioner (change leader), clinic
administrator and project manager
– Conviction of change leader
Change Management
Emphasis on Peopleware
14. ₋ Organizational change
₋ Pressure of developing new skills
₋ Fear of job loss
₋ Frequency of changes
Change Management
Resistance to Change
15. – Multifaceted implementation plan
– Potential barriers: financial, physician and workflow
– Assessment of preparedness
– Clinic wide survey
Change Management
Greensboro Ophthalmology
16. ₋ Reinforce goals of organization & consensus
₋ Establish need to implement EHR
₋ Assure support in pre & post stages
₋ Instill confidence in team
Change Management
Greensboro Ophthalmology
17. Recommended Vendor: Practice Fusion
₋ Key Features:
∙ Free for basic service
∙ Includes Practice
Management
∙ E-prescribe function
automates ERx
∙ Award-winning
Security
∙ Customer-oriented
∙ Easy to use
21. Practice Fusion: Greensboro Ophthalmology
Total Cost of Ownership
₋Free Basic Functions:
∙Practice management
∙Charting
∙E-Prescribing
∙Connectivity
∙Customer Service
∙Training
₋Additional Costs:
∙Kareo-Billing Option
∙Service Level Agreement
22. Practice Fusion: Greensboro Ophthalmology
Compliance with Meaningful use
-Practice Fusion is certified to
satisfy all 20 standards
∙15 mandatory
∙10 additional from which the
firm elects 5
,
23. Practice Fusion: Greensboro Ophthalmology
Privacy and Security
₋ Data centers equipped with bank-level
technology, DEM, armed guards,
biometrics, etc
₋ Meets HIPAA requirements
₋ Meets Meaningful Use criteria
₋ Well-defined user roles/ access levels
₋ Greensboro can do live audits
₋ Sharing information with local hospitals
₋ Stage 2 of Meaningful Use
24. Practice Fusion: Greensboro Ophthalmology
Customer Service
₋ Satisfying and educational
₋ Beginning, intermediate, and advanced
training sessions
₋ Courteous, helpful, and willing to
follow-up
₋ The Practice Fusion EHR recently won
#1 EHR for customer service in 2011
25. – Fiscal Year of the Federal Government closes
in September
– Increased Organizational Knowledge
– Market Competition
– Change Management
– Changing Legislation
Rationale
26. – Dr. Sara Stoneburner (Greensboro Ophthalmology)
– Mr. Gary Parker (Greensboro Ophthalmology)
– Dr. Eric Ford (Bryan School at UNCG)
– Dr. Maurice Landers (UNC Chapel Hill Eye Clinic)
– Dr. Bruce Swords (Moses Cone Health System)
– Dr. Jason Sanders (Piedmont Retina Specialists)
– Mr. Jason Bohrer (Bryan School at UNCG)
– MBA Department at the Bryan School of Business and
Economics
Thank you
Editor's Notes
Explain how carrot turns into a stick starting 2016
Explain the 3 entities to be associated with the change management.