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Case Study

                                     Advanzed Health Care
At a Glance
                                     Implements EHR System to Improve
Organization
                                     Patient Care and Boost Revenue
Advanzed Health Care, PLC            Advanzed Health Care, PLC, struck     IT implementation. “The ability to
Arlington, Va.                       the perfect balance between           instantly access critical patient
– Internal medicine practice         enhancing revenue and improving       information and improve patient
– 2 physicians                       patient outcomes when it              compliance with prescribed
                                     implemented an electronic health      therapies really sold us on the
– 3.5 full-time employees            record (EHR) system in 2001.          need for an EHR solution.”
– Active patient population          Since then, the practice has
  of 3,000, with 40% of patients     increased the use of preventive       Advanzed Health Care selected
  on Medicare                        care treatments for chronically ill   McKesson’s Practice Partner® EHR
                                     patients, boosted productivity, and   system, a fully integrated EHR,
Solution Spotlight                   raised annual revenue by $40,000      medical billing and appointment
                                     per physician — all without the       scheduling software. (Practice
– Practice Partner                   need for additional support staff.    Partner version 9.2 from McKesson
                                                                           is a CCHIT CertifiedSM product
Critical Issues                      Challenge                             for CCHIT Ambulatory EHR 2006
– Improving the quality of           In 2000 Advanzed Health Care          and 2007.)
  patient care                       searched for ways to improve its
                                     quality of care and operational       According to Dr. Amedeo, the
– Increasing productivity                                                  Practice Partner system was easy
                                     efficiencies. The practice was
                                     aware that a large percentage         to implement, with no impact
Results                              of its patients was not receiving     on patient volume during
– Increased average daily visits     the care necessary to manage          implementation. Throughout
  by 10%                             such chronic conditions as diabetes   the first three months, the lead
                                     and hypertension. Closing this        physician focused on training staff
– Increased annual revenue by                                              and customizing the system to meet
  $40,000 without additional staff   gap in care seemed challenging
                                     because the practice had only         the practice’s needs. Since Advanzed
– Made measurable improve-           two physicians and limited            Healthcare decided to build its
  ments in patient care:             support staff.                        EHR database gradually, existing
   – Coronary heart disease                                                patients’ medical information was
     patients on a lipid-lowering    Answer                                entered into the system at the time
     prescription increased from                                           of their visit, with staff scanning and
                                     Advanzed Health Care decided          uploading key paper documentation
     58% to 95%                      to implement an EHR system to         into their medical records later.
   – Hypertensive patients with      improve care quality and boost        New patients were immediately
     a well-controlled blood         productivity. “The financial          given a medical record.
     pressure increased from         benefits were important, but
     45% to 84%                      our primary objective for             Results
   – Diabetes patients under-        integrating an EHR was to
                                     improve the quality of care           Advanzed Health Care made
     going the microalbumin/                                               productivity gains across its business
     creatinine test to evaluate     we provide to our patients,”
                                     explains Dr. R. Michael Amedeo,       with the Practice Partner integrated
     kidney function increased                                             EHR system, which automates all the
     from 4% to 85%                  the physician leading the

   – Male patients more than
     40 years old on antiplatelet
     medication rose to more
     than 60%
Case Study


“The ability to instantly access   clinical functions of the practice.                       patient outcomes. Customizable
                                   Staff members now focus on core                           health maintenance templates
critical patient information       tasks rather than tracking and                            automatically alert doctors of
and improve patient                managing paper charts. Physicians                         overdue lab tests and medications
                                   spend more time with patients                             for patients with particular
compliance with prescribed         and have instant access to patient                        conditions. Practice Partner progress
                                   information, ensuring that they                           note templates contain patient-
therapies really sold us on        make informed clinical-care                               specific reminders on overdue
the need for an EHR solution.”     decisions.                                                health maintenance items, providing
                                                                                             a convenient reminder during the
                                   The integrated EHR solution                               visit. Reminders also appear when
                                   saves Advanzed Health Care                                staff members open a patient’s
R. Michael Amedeo, M.D.            administrative time with reduced                          chart, providing a prompt to
Advanzed Health Care               keystrokes for task completion,                           complete recommended therapies
                                   improved document management,                             when the patient visits the office.
                                   and more effective scheduling and
                                   billing. The Practice Partner system                      Dr. Amedeo states Advanzed Health
                                   interfaces electronically with                            Care tracks and manages patients
                                   Advanzed’s clinical reference                             better and has improved care since
                                   laboratory. As a result, new lab                          implementing the Practice Partner
                                   results are electronically posted to                      system. For example, the percentage
                                   a patient’s medical record. Staff                         of diabetes patients who underwent
                                   members no longer have to file                            the microalbumin/creatinine test to
                                   paper lab reports. Instead, they                          evaluate kidney function increased
                                   scan information not received in                          from 4% to 85%.
                                   electronic format directly into the
                                   patient’s medical record. Since                           “Making these quality improve-
                                   Advanzed Health Care physicians                           ments has not come at the expense
                                   can access the Practice Partner EHR                       of productivity. In fact, we have
                                   system from the local hospital, it is                     enjoyed a boost in productivity
                                   easier to make rounds on patients                         since the implementation of the
                                   because physicians can review and                         EHR system,” says Dr. Amedeo.
                                   update their records electronically.                      “We have been able to see more
                                                                                             patients and increase annual
                                   The Practice Partner solution                             revenue by an estimated $40,000
                                   has given physicians at Advanzed                          per physician without the need
                                   Health Care the power to improve                          for additional office staff.”




                                   Copyright © 2007 McKesson Corporation and/or one of its subsidiaries. All rights reserved. Practice Partner is a
McKesson Provider Technologies
                                   registered trademark of Physician Microsystems, Inc., a wholly owned subsidiary of McKesson Information
5995 Windward Parkway              Solutions LLC. CCHIT Certified is a service mark of the Certification Commission for Healthcare Information
Alpharetta, GA 30005               Technology. All other product or company names mentioned may be trademarks, service marks or registered
                                   trademarks of their respective companies. PRT271-08/07

http://www.mckesson.com
1.800.981.8601

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Improve Patient Care and Boost Revenue with an EHR System

  • 1. Case Study Advanzed Health Care At a Glance Implements EHR System to Improve Organization Patient Care and Boost Revenue Advanzed Health Care, PLC Advanzed Health Care, PLC, struck IT implementation. “The ability to Arlington, Va. the perfect balance between instantly access critical patient – Internal medicine practice enhancing revenue and improving information and improve patient – 2 physicians patient outcomes when it compliance with prescribed implemented an electronic health therapies really sold us on the – 3.5 full-time employees record (EHR) system in 2001. need for an EHR solution.” – Active patient population Since then, the practice has of 3,000, with 40% of patients increased the use of preventive Advanzed Health Care selected on Medicare care treatments for chronically ill McKesson’s Practice Partner® EHR patients, boosted productivity, and system, a fully integrated EHR, Solution Spotlight raised annual revenue by $40,000 medical billing and appointment per physician — all without the scheduling software. (Practice – Practice Partner need for additional support staff. Partner version 9.2 from McKesson is a CCHIT CertifiedSM product Critical Issues Challenge for CCHIT Ambulatory EHR 2006 – Improving the quality of In 2000 Advanzed Health Care and 2007.) patient care searched for ways to improve its quality of care and operational According to Dr. Amedeo, the – Increasing productivity Practice Partner system was easy efficiencies. The practice was aware that a large percentage to implement, with no impact Results of its patients was not receiving on patient volume during – Increased average daily visits the care necessary to manage implementation. Throughout by 10% such chronic conditions as diabetes the first three months, the lead and hypertension. Closing this physician focused on training staff – Increased annual revenue by and customizing the system to meet $40,000 without additional staff gap in care seemed challenging because the practice had only the practice’s needs. Since Advanzed – Made measurable improve- two physicians and limited Healthcare decided to build its ments in patient care: support staff. EHR database gradually, existing – Coronary heart disease patients’ medical information was patients on a lipid-lowering Answer entered into the system at the time prescription increased from of their visit, with staff scanning and Advanzed Health Care decided uploading key paper documentation 58% to 95% to implement an EHR system to into their medical records later. – Hypertensive patients with improve care quality and boost New patients were immediately a well-controlled blood productivity. “The financial given a medical record. pressure increased from benefits were important, but 45% to 84% our primary objective for Results – Diabetes patients under- integrating an EHR was to improve the quality of care Advanzed Health Care made going the microalbumin/ productivity gains across its business creatinine test to evaluate we provide to our patients,” explains Dr. R. Michael Amedeo, with the Practice Partner integrated kidney function increased EHR system, which automates all the from 4% to 85% the physician leading the – Male patients more than 40 years old on antiplatelet medication rose to more than 60%
  • 2. Case Study “The ability to instantly access clinical functions of the practice. patient outcomes. Customizable Staff members now focus on core health maintenance templates critical patient information tasks rather than tracking and automatically alert doctors of and improve patient managing paper charts. Physicians overdue lab tests and medications spend more time with patients for patients with particular compliance with prescribed and have instant access to patient conditions. Practice Partner progress information, ensuring that they note templates contain patient- therapies really sold us on make informed clinical-care specific reminders on overdue the need for an EHR solution.” decisions. health maintenance items, providing a convenient reminder during the The integrated EHR solution visit. Reminders also appear when saves Advanzed Health Care staff members open a patient’s R. Michael Amedeo, M.D. administrative time with reduced chart, providing a prompt to Advanzed Health Care keystrokes for task completion, complete recommended therapies improved document management, when the patient visits the office. and more effective scheduling and billing. The Practice Partner system Dr. Amedeo states Advanzed Health interfaces electronically with Care tracks and manages patients Advanzed’s clinical reference better and has improved care since laboratory. As a result, new lab implementing the Practice Partner results are electronically posted to system. For example, the percentage a patient’s medical record. Staff of diabetes patients who underwent members no longer have to file the microalbumin/creatinine test to paper lab reports. Instead, they evaluate kidney function increased scan information not received in from 4% to 85%. electronic format directly into the patient’s medical record. Since “Making these quality improve- Advanzed Health Care physicians ments has not come at the expense can access the Practice Partner EHR of productivity. In fact, we have system from the local hospital, it is enjoyed a boost in productivity easier to make rounds on patients since the implementation of the because physicians can review and EHR system,” says Dr. Amedeo. update their records electronically. “We have been able to see more patients and increase annual The Practice Partner solution revenue by an estimated $40,000 has given physicians at Advanzed per physician without the need Health Care the power to improve for additional office staff.” Copyright © 2007 McKesson Corporation and/or one of its subsidiaries. All rights reserved. Practice Partner is a McKesson Provider Technologies registered trademark of Physician Microsystems, Inc., a wholly owned subsidiary of McKesson Information 5995 Windward Parkway Solutions LLC. CCHIT Certified is a service mark of the Certification Commission for Healthcare Information Alpharetta, GA 30005 Technology. All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. PRT271-08/07 http://www.mckesson.com 1.800.981.8601