Radiology Business Management Association Technology Task Force. Sample Request for Proposal

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1 Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic Health Records Technology certified to meet Meaningful Use requirements for Radiologists 1. Company Background and History Provide general company information, and also provide specific answers to the following questions: 1.1 Who owns your company? If your company is publicly traded, who are the major investors? 1.2 Has your company been subject to a buyout or has it purchased another company at any time? If yes, please provide details. 1.3 List the corporate officers and their titles. 1.4 Describe your company s primary business and your largest customer base (e.g. hospitals, multi-specialty groups, primary care physicians, specific medical specialists such as radiologists.) 1.5 Please provide corporate summary financial information for the past three years. 1.6 Please discuss your corporate mission and strategy with respect to ongoing EHR certifications and product development. 2. Products 2.1 What products does your company provide that are certified by the Office of the National Coordinator - Authorized Testing and Certification Body (ONC-ATCB), in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services (HHS)? 2.2 Describe the type of certified products your company provides (e.g. non-specialty specific Electronic Health Record, specialty specific Electronic Health Record, Radiology Information System, Picture Archiving and Communications System, Sample Request for Proposal Meaningful Use Technology 1

2 Hospital Information System, etc.). Also provide the name of the product(s) that have been certified, and the certification number(s). 2.3 Are your certified products certified as complete EHRs or EHR modules? 2.4 If you do not have a certified, complete EHR, does your company have an alliance with other companies to provide complete EHR solutions for radiologists? Please elaborate. 2.5 Are your products able to work with both the Medicare and Medicaid EHR incentive programs? 2.6 List each criterion that has been met which supports HHS s meaningful use objectives and measures. (Please complete the attached checklist beginning on page 4 of this RFP) 2.7 For which clinical quality measures ( CQMs ) have you certified? (Please complete the attached checklist beginning on page 4 of this RFP) 2.8 For which of the following settings are your company s products designed? Hospital-affiliated radiologists who practice only in a hospital setting and who do not own an imaging center. Is your certified product a discrete technology purchased/licensed by radiologists, or is it an Ambulatory module within a hospital information system? If a discrete technology, describe how your certified product gathers the data from the hospital(s) necessary for MU reporting by hospital-based radiologists. If an Ambulatory module within a hospital information system, describe how your certified product provides the data necessary for MU reporting by hospital-based radiologists. Name any specific and/or preferred systems within the hospital information systems environment with which your certified product interacts Radiologists based solely at one or more Freestanding Imaging Centers. Is your certified product a RIS or a PACS? A hybrid group which is both hospital-affiliated and either provides services at or owns a freestanding imaging center? Sample Request for Proposal Meaningful Use Technology 2

3 2.9 If hospital-based radiologists use your certified product, are they required to use any other specific technology, products or services? (For example, a hospital s Radiology Information System, PACS, or the billing/practice management function within a hospital information system)? 2.10 Please describe your software interoperability and interface capabilities Please describe your organization s approach to and experience with interfaces with other systems Are there systems with which you have particular success creating interfaces? Are there systems with which you have had particular difficulty creating interfaces? Have you had success interfacing with other 3rd party integrated EMRs? If so, please list Is your product available as: Software as a Service ( cloud-based )? Remote Hosted? On-site server? 3. Pricing 3.1 Describe your pricing model, including all options. 3.2 What will your product cost an individual radiologist? Provide information including up-front licensing, training, support, costs for data capture and reporting, any costs incurred by Stage 2 and Stage 3 requirements, and any other costs. Are there any volume discounts? Will there be any ongoing annual cost after the initial investment? 3.3 Describe any staffing or monitoring requirements. 3.4 Does your company guarantee that your product will meet all certifications and other requirements such that radiologists using your product can expect to qualify for full EHR incentive payments, presuming the appropriate data is gathered and submitted by the October 1 st, 2012 deadline? Sample Request for Proposal Meaningful Use Technology 3

4 4 Customer Information 4.1 How many radiologists currently use your certified products? 4.2 Provide names of clients who have successfully implemented your certified products. Please identify which if any have secured payments under the EHR Incentive Program. 5 Expectations 5.1 What resources would you anticipate adding to your company to accommodate our business? 5.2 What resources do you envision this radiology group would need to add to accommodate the use and maintenance of your products? 5.3 What training do you provide to the radiologists and their staff prior to go live? 5.4 What continuing training is available to the radiologists as their practice evolves, e.g. new members/staff, changes in the EHR incentive program? 5.5 What timeframe would you anticipate from date of contract signing to go live with your company? Explain. 5.6 What are the two biggest challenges your company faces as a provider of certified EHR products? 5.7 What do you envision will be the biggest challenge to your company in bringing your system live with this radiology group? 6 Other 6.1 What differentiates your certified product from those of your competitors? 6.2 Do you visit your customers and/or their facilities during the contract period? Sample Request for Proposal Meaningful Use Technology 4

5 Meaningful Use Checklist Please complete a separate checklist for each certified product Product Name: Certification Number: Core Set Criteria 1. Use CPOE for medication orders 2. Implement drug drug and drug allergy interaction checks 3. Generate and transmit permissible prescriptions electronically (erx) 4. Record demographics 5. Maintain an up to date problem list of current and active diagnoses 6. Maintain active medication list 7. Maintain active medication allergy list 8. Record and chart changes in vital signs: height, weight, blood pressure, calculate and display BM, plot and display growth charts for children 2 20 years, including BMI 9. Record smoking status for patients 13 years old or older 10. Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule 11. Report ambulatory clinical quality measures to CMS or the States 12. Provide patients with an electronic copy of their health information 13. Provide clinical summaries for patients for each office visit 14. Capability to exchange key clinical information 15. Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities AVAILABLE IN PROCESS NOT AVAILABLE Menu Set Criteria 1. Implement drug formulary checks 2. Incorporate clinical lab test results into certified EHR technology as structured data 3. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach Sample Request for Proposal Meaningful Use Technology 5

6 4. Send reminders to patients per patient preference for preventive/ follow up care 5. Provide patients with timely electronic access to their health information 6. Use certified EHR technology to identify patient specific education resources and provide those resources to the patient if appropriate 7. Perform medication reconciliation if patient is received from another setting or provider of care 8. Provide summary of care record for each transition of care or referral 9. Capability to submit electronic data to immunization registries or Immunization Information Systems and actual submission in accordance with applicable law and practice 10. Capability to submit electronic syndromic surveillance data to public health agencies and actual submission in accordance with applicable law and practice Clinical Quality Measures Core Set 1. Hypertension: Blood Pressure Measurement 2. Preventive Care and Screening Measure Pair: a) Tobacco Use Assessment, b) Tobacco Cessation Intervention 3. Adult Weight Screening and Follow up Alternate Core Set 1. Weight Assessment and Counseling for Children and Adolescents 2. Preventive Care and Screening: Influenza Immunization for Patients 50 years old or older 3. Childhood Immunization Status Additional Set 1. Diabetes: Hemoglobin A1c Poor Control 2. Diabetes: Low Density Lipoprotein (LDL) Management and Control 3. Diabetes: Blood Pressure Management 4. Heart Failure (HF): Angiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 5. Coronary Artery Disease (CAD): Beta Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) 6. Pneumonia Vaccination Status for Older Adults 7. Breast Cancer Screening 8. Colorectal Cancer Screening Sample Request for Proposal Meaningful Use Technology 6

7 9. Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD 10. Heart Failure (HF): Beta Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 11. Anti depressant medication management: (a) Effective Acute Phase Treatment, (b)effective Continuation Phase Treatment 12. Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation 13. Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy 14. Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 15. Asthma Pharmacologic Therapy 16. Asthma Assessment 17. Appropriate Testing for Children with Pharyngitis 18. Oncology Breast Cancer: Hormonal Therapy for Stage IC IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer 19. Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients 20. Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients 21. Smoking and Tobacco Use Cessation, Medical Assistance: a) Advising Smokers and Tobacco Users to Quit, b) Discussing Smoking and Tobacco Use Cessation Medications, c) Discussing Smoking and Tobacco Use Cessation Strategies 22. Diabetes: Eye Exam 23. Diabetes: Urine Screening 24. Diabetes: Foot Exam 25. Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL Cholesterol 26. Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation 27. Ischemic Vascular Disease (IVD): Blood Pressure Management 28. Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 29. Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a) Initiation, b) Engagement 30. Prenatal Care: Screening for Human Immunodeficiency Virus (HIV) Sample Request for Proposal Meaningful Use Technology 7

8 31. Prenatal Care: Anti D Immune Globulin 32. Controlling High Blood Pressure 33. Cervical Cancer Screening 34. Chlamydia Screening for Women 35. Use of Appropriate Medications for Asthma 36. Low Back Pain: Use of Imaging Studies 37. Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control 38. Diabetes: Hemoglobin A1c Control (<8.0%) Sample Request for Proposal Meaningful Use Technology 8

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