VHA Southeastern Conference 102209 Kirsh


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VHA Southeastern Conference 102209 Kirsh

  1. 2. EMR Compliance -Meaningful Use Panel Discussion Discuss challenges of Meaningful Use compliance and ways hospitals might comply and be eligible for stimulus funding
  2. 3. The future requires out of the box thinkers <ul><li>Information processing continues to become faster and cheaper. </li></ul><ul><li>Information exchange between professionals will be the norm (nationally and internationally) </li></ul><ul><li>Connectivity between people will expand exponentially </li></ul><ul><li>Banks will predominate healthcare via financial tools and clinical applications </li></ul><ul><li>Employer groups will promote Banking Institutions involvement in health care cost control, information technology and exchange </li></ul><ul><li>Communities will become the engines to promote health </li></ul>
  3. 4. We have an app for that….
  4. 5. Getting squeezed?
  5. 6. Kluge “ A clumsy or inelegant – yet surprisingly effective-- solution to a problem” Gary Marcus“ “ an ill-assorted collection of poorly matching parts, forming a distressing whole…which works” Jackson Granholm
  6. 7. Adopting and accepting new process “ Doing more with less” If you don’t have adoption, what’s the meaning of meaningful use?
  7. 8. Dynamic environment, limited resources, regulatory uncertainty... meeting “meaningful use” ? <ul><li>“ … meaningful use involves implementing EHRs to enhance health care quality, safety and affordability and to foster better patient engagement, increase security, advance care coordination and generally improve the health of the entire population.” </li></ul><ul><li>Will only one integrated technology platform, one data exchange engine, one data warehouse meet the current paradigm shift in health information technology and exchange? </li></ul>
  8. 9. “ Meaningful use” Challenges <ul><li>Variability (data, populations, clinical services) </li></ul><ul><li>Flexibility (regulatory compliance, state/federal rules, third party payors needs, patients requirements) </li></ul><ul><li>Personal preferences (CEO, CMO, CFO, Risk Manager, Clinical Pharmacist, Physicians, Materials Management, Nursing, Janitorial services, House Keeping, Bed Control, Registration etc.) </li></ul><ul><li>Different financial requirements (in patient/outpatient costs, reimbursements, charges, purchasing, denials, appeals etc.) </li></ul><ul><li>Trends (clinical errors, high risk/low risk procedures, readmissions, utilization, quality measures etc.) </li></ul>
  9. 10. Significant pressure to make the right decision <ul><li>“ The increased use of health information technology is a key focus of our reform efforts because it will help to improve the safety and quality of health care generally while also cutting waste out of the system,” HHS Secretary Sebelius. </li></ul><ul><li>“ Broad use of health information technology has the potential to improve health care quality, prevent medical errors, and increase the efficiency of care provision ,” Dr. David Blumenthal, National Coordinator for Health Information Technology. </li></ul>
  10. 11. A real balancing act
  11. 12. How does Sentry obtain & integrate data to provide meaningful information?
  12. 13. Data elements consistent in hospital’s information silos which run in different software environments Materials Management Patient Demographics Medical Record Number Third Party Payor Location of Service ICD-9/CPT-4/DRG Provider Information Lawson Data Elements
  13. 14. Data Engine DATANEX (powered by proprietary pattern recognition software) ADT, 837, 835, Billing, Collection Charge Master Information Pharmacy Financial & Utilization Information In/Out Patient Clinical Utilization Physician Information, ICD9, CPT etc . Self Building Longitudinal Patient & Physician information Key Information Dash Board & “ Alert” engines Rules, Laws, Regulations, Comparison data Materials Management (medical devises) Sentry Data Systems Current Structure
  14. 15. Security, Interoperability, codification, etc. Longitudinal Patient & Physician Data DataNex Cloud Computing Platform DataNex allows complete data exchange Hospitals Care Management The Medical Home Decision Support sys. Payers PBMs, Retail Pharmacies Diagnostic Centers Reference Labs Patients, Employer Groups Ancillary Service Providers Banking/Financial Institutions
  15. 16. Sentry Data Systems Key Values <ul><li>1. A non intrusive Web based addition that integrates with any technology platform 2. Operates in a cloud computing environment coupled with propriety aggregation engines to allow rapid development and implementation, both retrospectively and prospectively, of unique applications empowering the management team to make critical decision within a financial quarter. </li></ul><ul><li>3. Software flexibility to aggregate and link all financial and healthcare data into individual longitudinal patient and physician records which then can be reassembled with focused applications on medication utilization/purchases, charge Master entries, quality initiatives, clinical/ financial protocols, third party contracting and risk management without a tether to a technical team. </li></ul><ul><li>4. Sentry’s platform will import divergent elements, store, aggregate, integrate vendors and export data to generate information to effect financial and quality drivers, which if altered,  improves a institution’s bottom line. </li></ul>
  16. 17. “ Meaningful use ” promotes linkage of divergent data sets to manipulate and re-compile information into transaction sets that, if applied, will have financial and clinical impact
  17. 18. To meet “meaningful use” one needs to build technology systems like Legos (integrated & connected) <ul><li>Consider options for health information technology that fits within the organization’s financial limitations and operational structure to assist in capturing data and converting it to information to meet evolving “meaningful use” requirements. </li></ul><ul><li>Examine technology systems that build upon each other and allow seamless integration for exchange and flexibility in capturing data to allow variations in software applications required to meet the dynamic definition of “meaningful use.” </li></ul>
  18. 19. Thinking about “meaningful use”… requires thinking out of the box
  19. 20. About Sentry <ul><li>Sentry offers healthcare business intelligence technology solutions that address a variety of operational, workflow, compliance, and financial challenges found within hospitals and pharmacies. These products include the hospital pharmacy management application Sentinel RCM™ (Revenue Cycle Manager), pharmacy transaction processing platform Sentrex™, and the healthcare business intelligence application HealthBIT™ (Business Intelligence Technology). These products run on Sentry's healthcare cloud computing platform, Datanex™, which is available to independent software developers and other healthcare entities. </li></ul><ul><li>Headquartered in Deerfield Beach, FL, Sentry Data Systems, Inc. currently serves clients in over 25 states and its systems process millions of healthcare transactions per day </li></ul>William D. Kirsh, DO, MPH Chief Medical Officer [email_address] Dawn DeAngelo, PharmD, Regional Vice President [email_address] 800-411-4566 x 2431 October 22, 2009