Ambulatory EMR Implementation at Texas Children s Hospital. GE Healthcare User Summit September 23, 2004

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Ambulatory EMR Implementation at Texas Children s Hospital. GE Healthcare User Summit September 23, 2004"

Transcription

1 Ambulatory EMR Implementation at Texas Children s Hospital GE Healthcare User Summit September 23,

2 About TCH Texas Children s Hospital (TCH) is the largest pediatric hospital in the U.S., with licensing for 715 beds. TCH is affiliated with Baylor College of Medicine and serves as its primary pediatric training site. The medical staff consists of 1,600+ primarycare, specialist and sub-specialist physicians, as well as dentists. TCH covers more than 40 pediatric medical and surgical subspecialty areas. More than 1 million patients have been cared for since the hospital opened in West Tower Inpatient Care 2

3 Clinical Care Center - Outpatient Clinical Care Center Texas Children s Clinical Care Center is a 17-story, 810,000-square-foot outpatient facility housing approximately 55 ambulatory clinics. The Center is designed to incorporate clinical information systems from family waiting areas to exam rooms. The Center includes 8 operating rooms, 25 postanesthesia care unit beds, and a dedicated child-life preoperative teaching room. The Texas Children s Cancer Center has grown to include 25 areas for outpatient chemotherapy, 12 exam rooms, a satellite pharmacy, activity areas and centralized team stations. 3

4 TCH IDS 2004 Q2 Statistics Inpatient Admissions 21,727 Total Patient Days 202,653 Surgeries 20,491 Transplant Cases 37 Emergency Center Visits 80,374 DI/Radiology Exams 144,925 Lab Tests 1,453,926 Med. Doses 2,410,983 Respiratory Care RX 813,968 Outpatient Visits 638,194 TCPA (owned practices) Patient Encounters 938,586 Health Center Patient Encounters 60,260 Home Health Visits 25,002 TCH IDS Employees: 6,000 TCH EMR Distinctives Broad access to patients medical records across clinics, units, buildings, and different metropolitan regions Deep access to patient information from many disciplines & specialties, and to custom documentation tools Coordination and management of implementation by information services, operations, medical records, and medical staff 4

5 TCH 2004 Q2 EMR Vital Signs 4+ years of implementation began in October clinics live on one database 300+ physician users 3,000+ user accounts 300,000+ unique patient charts 3,000,000++ chart documents Ambulatory Clinics Adolescent Medicine Allergy & Immunology Autism Spectrum Disorder Blue Bird Neurology Bone Marrow Transplant Brachial Plexus Bridges Program Child Protective Health Clinic for Attention Problems Critical Care Craniofacial Dental Dermatology Developmental Pediatrics Eating Disorders Feeding Disorders Fetal Surgery Center Fracture Gastroenterology/Nutrition General Medicine General Pediatrics - Academic Genetics/Metabolic Gynecology Hand Surgery Infectious Disease Neonatal Follow-up Neonatology Graduate Neurofibromatosis Neurosurgery Ophthalmology Orthodontics Orthopedics/Scoliosis Pain Clinic Pediatric Surgery Physical Medicine Plastic Surgery Prader Willi Pulmonary Medicine Psychiatry/Psychopharmacology Rheumatology Renal Skeletal Dysplasia Retrovirology Rett Center/Epilepsy Sleep Disorders Spasticity Clinic Spina Bifida Sports Medicine Super Kids Mobile Clinic Texas Children s Cancer Center Urology 5

6 Health Centers Clear Lake Health Center Sugar Land Health Center Cy Fair Health Center Woodlands Health Center Memorial Health Center Ancillary Services Audiology Ostomy/Wound Care Child Life Physical Therapy Dietitians Pulmonary Diagnostic Lab EC Child Abuse Phresis Learning Support Center Respiratory Therapy Neurophysiology Social Services Nutrition Support Speech Language & Learning Occupational Therapy Wellness Center EMR Environment 6

7 7

8 8

9 9

10 Clinic Implementation Team EMR Systems Analyst EMR Systems Educator Clinic staff physician Clinic nurse Resident/Fellow Clinic Manager Clinic Assistant Director Medical Record Assistant Director Ancillary staff: clinical assistant, respiratory therapist, social worker, et al 10

11 Pre-Implementation Assessment Prior to any implementation activities, a clinic readiness and needs assessment is completed The Clinic Chief, providers and clinic staff are interviewed to understand: Clinic characteristics & operating data Clinic processes Decision-making processes Potential issues A confidential White Paper is prepared for review by the Clinic Chief and the EMR Executive Steering Team Pre-Implementation Assessment Resources and Technology Skill level Medical Staff Support Staff Potential Issues Staff Implementation Expectations Expectations Potential Issues 11

12 Pre-Implementation Assessment Analysis/Summary of Findings Summary of Findings Overall Risk Level (Minimal, Moderate, High) Opportunities Implementation Recommendations What must be done for this clinic to ensure its success with the EMR? Example 1: Forms-based Real-time Transcription Pediatric Ophthalmology High throughput clinic Maintain or increase productivity New workflow was developed Tested with time-trials MD views custom encounter form in EMR MD dictates note with micro-cassette recorder Staff performs structured data entry into EMR while listening to micro-cassette MD reviews, edits and signs note in EMR 12

13 Example 2: Continuity of Care for Surgical Clinics Phase 1 EMR use for dictation of inpatient operative reports New work types for inpatient transcription Electronically edit/sign documents remotely Print copy for inpatient paper medical record Access to op reports via EMR enables Decreased transcription turn-around time Decreased time to send letters to referring MD Decreased time to submit claims to payors Example 3: Mental Health Providers HIPAA & state law compliance for PHI and psychotherapy notes Restricted document types in EMR Shared medication, problem and allergies lists for patient safety New document model supports Appropriate access for coordination of care Elimination of shadow records Chart access surveillance 13

14 Other Examples: Custom Clinical Development Inpatient & Outpatient Transcription H&Ps, Consult notes, Op notes, D/C summary Electronic Data Interfaces Inbound: Anatomic Pathology, Diagnostic Imaging, Lab Information System, Physical & Occupational therapy Outbound: City-State Immunization Registry Special Studies EEGs, EMGs, Sleep Studies 12-week Implementation Start-up activities Interview clinic staff; observe physician work processes; train to view & print; analyze workflows; determine data for pre-load; assess hardware requirements Week 1 Kick-off meetings Week 2 Identify flowsheets, custom problem & med lists Week 3 Identify needs for letters and handouts Week 4 Workflow for intake, vital signs and check-out Week 5 Workflow for Rx refills and phone notes Week 6 Workflow for office visits Week 7 Workflow for nursing visits Week 8 Workflow for office procedures Week 9 Workflow for letter and handouts Week 10 Workflow for downtime procedures Week 11 End user training Week 12 Go-Live 14

15 Operational Efficiency End paper chase with on-line access to clinic chart, relevant hospital documentation, reports, etc. Access critical inpatient & outpatient patient information in a timely manner Respond quickly to patient requests for information Respond quickly to request for services: refills, etc Specialists complete documentation and complete outside referring MD letter in timely manner Medical Record Department 25% reduction in medical record retrieval positions Redefinition of job descriptions and responsibilities Further changes as EMR reliance increases 15

16 Quality of Care Increase accuracy and legibility of documentation and prescriptions Prevent drug allergy and drug-drug interactions Improved adherence to evidence-based practice Improved reliability of chronic and preventive care Asthma action plans Diabetes care plans Health maintenance guidelines Improved coordination of care across specialties Combined many separate record locations Eliminated roadblocks to information sharing Simultaneous access across clinics Access in seconds vs minutes/hours Billing Compliance Billing Improved compliance with HHS E&M criteria for CPT coding of office visits More appropriate coding and billing for ambulatory services such as chemo infusion, post-operative care Billhold Reduction More efficient coding and claims submission Standardized documentation within clinics Access time reduced, coding speed increased Impact $1.9 million reduction attributable to EMR in 1 year $96,778 cost of capital return on reduction 16

17 EMR User Experience Survey For TCH Providers Representing 25 clinics using Logician in 2003 Q1 305 surveys administered 126 received completed 41% response rate 73% Good to excellent overall satisfaction For TCH Clinic Support Staff 145 surveys administered 142 received completed 98% response rate 94% Good to excellent overall satisfaction Question & Answer 17

SCHEDULING GUIDE. April 15, 2016. FOR CHANGES TO THE SCHEDULING DIRECTORY, PLEASE EMAIL gainer@musc.edu.

SCHEDULING GUIDE. April 15, 2016. FOR CHANGES TO THE SCHEDULING DIRECTORY, PLEASE EMAIL gainer@musc.edu. SCHEDULING GUIDE April 15, 2016 FOR CHANGES TO THE SCHEDULING DIRECTORY, PLEASE EMAIL gainer@musc.edu. Service Telephone Fax Adolescent Medicine 876-0444 876-1493 Allergy & Immunology 876-8282 876-8181

More information

EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value

EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value Research White Paper EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value Provided by: EHR, Practice Management & Billing In One www.omnimd.com Before evaluating the benefits of EHRs, one

More information

DRAFT. Select VHA ENTERPRISE STANDARD TITLE:??

DRAFT. Select VHA ENTERPRISE STANDARD TITLE:?? Select VHA ENTERPRISE STANDARD TITLE:?? Choose from: ACUPUNCTURE CONSULT ACUPUNCTURE NOTE ADDENDUM ADDICTION PSYCHIATRY ADDICTION SEVERITY INDEX NOTE ADDICTION PSYCHIATRY ADMINISTRATIVE NOTE ADDICTION

More information

Elenco dei periodici elettronici in Ovid Full text

Elenco dei periodici elettronici in Ovid Full text Academic Medicine Addictive Disorders & Their Treatment Advances in Anatomic Pathology Age & Ageing AIDS AIDS Patient Care & Stds AJN, American Journal of Nursing Alzheimer Disease & Associated Disorders

More information

(A) Information needed to identify and classify the hospital, include the following: (b) The hospital number assigned by the department;

(A) Information needed to identify and classify the hospital, include the following: (b) The hospital number assigned by the department; 3701-59-05 Hospital registration and reporting requirements. Every hospital, public or private, shall, by the first of March of each year, register with and report to the department of health the following

More information

Compare your plan options

Compare your plan options SMALL BUSINESS GROUP 2015 Compare your plan options Plans for businesses with 1 50 employees 1 SMALL BUSINESS GROUP Value, choice, and quality the Group Health difference Your job is running a business.

More information

A Benefits Realization Management Strategy for EMR Implementation

A Benefits Realization Management Strategy for EMR Implementation A Benefits Realization Management Strategy for EMR Implementation E-Health Conference June 3, 2015 Toronto Convention Center Tammy DeGiovanni, Director Ambulatory Care Dr. Jim King, Physician and CMIO

More information

Compare your plan options

Compare your plan options SMALL BUSINESS GROUP Compare your plan options 2014 plans for businesses with 1 50 employees I SMALL BUSINESS GROUP Group Health plans offer value, choice, and more A well-run business takes a lot of time,

More information

Carelink CaroMont Provider Directory

Carelink CaroMont Provider Directory Carelink CaroMont Product Service Area: Cleveland, Lincoln, and Gaston Counties November 2013 Carelink from Coventry benefit plans are underwritten and administered by Coventry Health Care of the Carolinas,

More information

Physician Practice Acquisitions

Physician Practice Acquisitions Trend Watch: Physician Practice Acquisitions Tracking Which Physician Practices Hospitals are Acquiring Introduction Are hospitals actively acquiring physician practices? If so, which specialties? In this

More information

Preauthorization Requirements * (as of January 1, 2016)

Preauthorization Requirements * (as of January 1, 2016) OFFICE VISITS Primary Care Office Visits Primary Care Home Visits Specialist Office Visits No Specialist Home Visits PREVENTIVE CARE Well Child Visits and Immunizations Adult Annual Physical Examinations

More information

North Division Telephone Directory

North Division Telephone Directory MONTEFIORE MEDICAL CENTER NORTH DIVISION 600 E. 233 RD STREET BRONX, NEW YORK 10466 North Division Telephone Directory (When calling internally, use all five digits of the extension. When calling from

More information

Reference Guide. Adele Hall (816) 234-3270. South (913) 696-8180. East (816) 478-5200. Northland (816) 413-2518

Reference Guide. Adele Hall (816) 234-3270. South (913) 696-8180. East (816) 478-5200. Northland (816) 413-2518 Reference Guide Make A Referral Visit www.childrensmercy.org/providers and select a specialty. For assistance with referrals, call the Contact Center at Consults, ransport and Admissions Call 1 (800) GO

More information

OUTPATIENT HEALTH RECORD FORMAT. 2. Consent to Minor Surgical or Invasive Procedure. 3. Consent for Disclosure of Information

OUTPATIENT HEALTH RECORD FORMAT. 2. Consent to Minor Surgical or Invasive Procedure. 3. Consent for Disclosure of Information OUTPATIENT HEALTH RECORD FORMAT The Health Record is arranged in reverse chronological order from the current date to the date of admission. SIDE I: Administrative Section 1. Refusal of Treatment 2. Consent

More information

HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices HIPAA Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This Notice

More information

EMR Implementation Readiness Assessment and Patient Satisfaction

EMR Implementation Readiness Assessment and Patient Satisfaction EMR Implementation Readiness Assessment and Patient Satisfaction Kasey Parker, Evaluation Lead and Report Writer Catherine Campbell, Human Factors Lead Anne-Marie Parent, Change Management Lead Dr. Jim

More information

MedStar Ambulatory Care EHR Dawn Richmond IS Ambulatory EHR Manager

MedStar Ambulatory Care EHR Dawn Richmond IS Ambulatory EHR Manager MedStar Ambulatory Care EHR Dawn Richmond IS Ambulatory EHR Manager TOPICS MedStar Overview Ambulatory EHR Implementation Mission/Goals Strategy Scope Governance / organizational structure Timeline/Status

More information

Coventry Health and Life Insurance Company PPO Schedule of Benefits

Coventry Health and Life Insurance Company PPO Schedule of Benefits State(s) of Issue: Oklahoma PPO Plan: OI08C30050 30 Coventry Health and Life Insurance Company PPO Schedule of Benefits Covered Services Contract Year Deductible For All Eligible Expenses (unless otherwise

More information

elearning 5.7 Curriculum Guide >> Knowledge Base Module (KBM) 8.1

elearning 5.7 Curriculum Guide >> Knowledge Base Module (KBM) 8.1 elearning 5.7 Curriculum Guide >> Knowledge Base Module (KBM) 8.1 Although we have exercised great care in creating this publication, The NextGen Learning Center assumes no responsibility for errors or

More information

Telehealth/Telemedicine evolution - Driven by Technology or Need?

Telehealth/Telemedicine evolution - Driven by Technology or Need? Telehealth/Telemedicine evolution - Driven by Technology or Need? Yadin David, Ed.D., P.E., C.C.E., FAIMBE Biomedical Engineering Consultants, LLC Assistant Professor, University of Texas School of Public

More information

SUPPLEMENTAL MATERIAL

SUPPLEMENTAL MATERIAL SUPPLEMENTAL MATERIAL Supplemental Methods Online Information Search detailed description A highly inclusive first pass strategy for identifying possible programs was undertaken. A search for telemedicine

More information

Interdisciplinary Admission Assessment and

Interdisciplinary Admission Assessment and 06/20/14 - Effective Definitions Policy Licensed Independent Practioner (LIP): Any individual permitted by law and UTMB to provide care and services without direction or supervision within the scope of

More information

Schedule of Benefits. Plan Information Participating Provider Non-Participating Provider

Schedule of Benefits. Plan Information Participating Provider Non-Participating Provider Schedule of Benefits UPMC Consumer Advantage HSA PPO - Premium Network Primary Care Provider: 10% after Deductible Specialist: 10% after Deductible Deductible: $1,950 / $3,900 Rx: 10% after Deductible

More information

Hard-Wiring Your ACO the California Way

Hard-Wiring Your ACO the California Way Hard-Wiring Your ACO the California Way How much integration is enough? Keith Wilson, MD Talbert Medical Group Eleven Centers Orange County Anaheim Fountain Valley Huntington Beach Santa Ana Tustin Ambulatory

More information

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review Special Topics in Vendor- Specific Systems Unit 4 EHR Functionality EHR functionality Results Review Outline Computerized Provider Order Entry (CPOE) Documentation Billing Messaging 2 Results Review Laboratory

More information

January 5 (Summer) March 15 (Fall) September 5 (Spring)

January 5 (Summer) March 15 (Fall) September 5 (Spring) Thank you for your interest in the with the Child and Adolescent Life Program at Duke Children s Hospital. Our internship program is offered three times a year: January April; May August; September December.

More information

Taxonomy Code Mapping Professional Providers

Taxonomy Code Mapping Professional Providers Mapping Professional s Adult Care Nurse Adult Psychiatric Mental Health Nursing 363LA2200X 364SP0809X Adult Health Practice Nursing s Clinical Nurse Specialist Adult Psychiatric/Mental Health Allergy and

More information

Practice Readiness Assessment

Practice Readiness Assessment Practice Demographics Practice Name: Tax ID Number: Practice Address: REC Implementation Agent: Practice Telephone Number: Practice Fax Number: Lead Physician: Project Primary Contact: Lead Physician Email

More information

Taxonomy Code Mapping Professional Providers

Taxonomy Code Mapping Professional Providers Professional s Adult Care Nurse Adult Psychiatric Mental Health Nursing 363LA2200X 364SP0809X Adult Health Nursing s Clinical Nurse Specialist Adult Psychiatric/Mental Health Allergy and Immunology 207K00000X

More information

WEST VIRGINIA UNIVERSITY HOSPITALS, INC. ORGANIZATIONAL MANUAL

WEST VIRGINIA UNIVERSITY HOSPITALS, INC. ORGANIZATIONAL MANUAL WEST VIRGINIA UNIVERSITY HOSPITALS, INC. ORGANIZATIONAL MANUAL June 1999 Revised: June 2000 July 2001 December 2002 August 2003 February 2007 June 2007 April 2008 June 2008 June 2009 September 2009 November

More information

UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION

UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION Richard Rosenthal, MD Associate Chief of Staff Ambulatory Services Associate Professor of Medicine Department of Medicine Endocrinology Agenda About UAB

More information

METROWEST MEDICAL CENTER

METROWEST MEDICAL CENTER (508) 650-7000 Framingham Union METROWEST MEDICAL CENTER 115 Lincoln Street (508) 383-1000 24-hour Emergency Department Care Community Healthcare Provider This healthcare network encompasses the entirety

More information

MGMA PROVIDER COMPENSATION 2015

MGMA PROVIDER COMPENSATION 2015 Physicians Allergy/Immunology 203 86 Anesthesiology 2,146 120 Anesthesiology: Pain Management 127 59 Cardiology: Electrophysiology 327 126 Cardiology: Invasive 424 148 Cardiology: Invasive-Interventional

More information

Schedule of Benefits HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS MEMBER COST SHARING

Schedule of Benefits HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS MEMBER COST SHARING Schedule of s HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS ID: MD0000003378_ X Please Note: In this plan, Members have access to network benefits only from the providers in the Harvard Pilgrim-Lahey

More information

Healthcare services requiring prior authorisation

Healthcare services requiring prior authorisation Annex 2 Healthcare requiring prior authorisation This list does not include organ transplants and does also not apply to long-term care and the primary purpose of which is to support people in need of

More information

Moses Telephone Directory

Moses Telephone Directory MONTEFIORE MEDICAL CENTER THE HENRY AND LUCY MOSES DIVISION 111 EAST 210TH STREET BRONX, NEW YORK 10467 Moses Telephone Directory (When calling from the outside use 920 before extension) NUMBER TIE-LINE

More information

Occasions of service may comprise individual consultation and/or treatment or may be provided to groups of patients. (See points 5 and 6 below.

Occasions of service may comprise individual consultation and/or treatment or may be provided to groups of patients. (See points 5 and 6 below. ATTACHMENT 1 DEFINITIONS AND COUNTING RULES FOR COMPLETION OF THE HA215B FORM The item numbers below correspond to the numbers on the HA215B form. A sample of the form can be found at the end of this attachment.

More information

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK. This table reflects Medicare Specialty Codes as of April 1, 2003.

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK. This table reflects Medicare Specialty Codes as of April 1, 2003. CMS SPECIALTY CODE CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK This table reflects Medicare Specialty Codes as of April 1, 2003. This table reflects Healthcare Provider Taxonomy Codes (HPTC)

More information

University of Michigan Group: 007005187-0000, 0001 Comprehensive Major Medical (CMM) Benefits-at-a-Glance

University of Michigan Group: 007005187-0000, 0001 Comprehensive Major Medical (CMM) Benefits-at-a-Glance University of Michigan Group: 007005187-0000, 0001 Comprehensive Major Medical (CMM) Benefits-at-a-Glance This is intended as an easy-to-read summary and provides only a general overview of your benefits.

More information

EMR UPDATE ON TIME AND ON BUDGET CLINICAL TRANSFORMATION IMPLEMENTATION PLAN

EMR UPDATE ON TIME AND ON BUDGET CLINICAL TRANSFORMATION IMPLEMENTATION PLAN EMR UPDATE ON TIME AND ON BUDGET CLINICAL TRANSFORMATION IMPLEMENTATION PLAN Testing and Build Stability View Only Scanning Interfaces Training Innovative Technology EMR UPDATE COMMUNICATION PLAN Essential

More information

Specific Standards of Accreditation for Residency Programs in Pediatric Hematology/Oncology

Specific Standards of Accreditation for Residency Programs in Pediatric Hematology/Oncology Specific Standards of Accreditation for Residency Programs in Pediatric Hematology/Oncology INTRODUCTION 2009 A university wishing to have an accredited program in Pediatric Hematology/Oncology must also

More information

The Hospital For Sick Children TELEMEDICINE

The Hospital For Sick Children TELEMEDICINE The Hospital For Sick Children Telemedicine Services Clinical Consultations Telemedicine Services Education Sessions Telemedicine Services Administrative / Research Key Professionals Dr. Fraser Golding,

More information

!"#$%$&!"'()*+,-".-,/ &01*+("12"31+4156"$,+0"!*7("819".5(<(/4*<("&,5( :(()";(,-40"&,5( !"#$%$&!",/)"'()*+,5(

!#$%$&!'()*+,-.-,/ &01*+(1231+4156$,+0!*7(819.5(<(/4*<(&,5( :(();(,-40&,5( !#$%$&!,/)'()*+,5( submitted anytime during the year to your institution HR/Benefits Office, and the tobacco premium will be waived beginning the first of the month following submission of the form. Important: A member is

More information

MeSH Tree Structures - 2015

MeSH Tree Structures - 2015 MeSH Tree Structures - 2015 H2 - HEALTH OCCUPATIONS SON ITAPUCOC HTLAHE - 2H H2 Acupuncture H2.04 Allied H2.10 Audiology H2.10.150 Medical Laboratory Science H2.10.450 J1.897. Occupational Therapy H2.10.500

More information

Standards for the Content of the Electronic Health Record 15

Standards for the Content of the Electronic Health Record 15 Standards for the Content of the Electronic Health Record 15 Appendix A Administrative Patient Data Elements That Should Be Added Multiple names/ids US citizenship Information related to custody of child

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

Lesser of $200 or 20% (surgery) $10 per visit. $35 $100/trip $50/trip $75/trip $50/trip

Lesser of $200 or 20% (surgery) $10 per visit. $35 $100/trip $50/trip $75/trip $50/trip HOSPITAL SERVICES Hospital Inpatient : Paid in full, Non-network: Hospital charges subject to 10% of billed charges up to coinsurance maximum. Non-participating provider charges subject to Basic Medical

More information

North Shore LIJ Health System, Inc. Facility Name

North Shore LIJ Health System, Inc. Facility Name North Shore LIJ Health System, Inc. Facility Name POLICY TITLE: The Medical Record POLICY #: 200.10 Approval Date: 2/14/13 Effective Date: Prepared by: Elizabeth Lotito, HIM Project Manager ADMINISTRATIVE

More information

Blue Cross Premier Bronze Extra

Blue Cross Premier Bronze Extra An individual PPO health plan from Blue Cross Blue Shield of Michigan. You will have a broad choice of doctors and hospitals within Blue Cross Blue Shield of Michigan s unsurpassed statewide PPO network

More information

Benefit Summary - A, G, C, E, Y, J and M

Benefit Summary - A, G, C, E, Y, J and M Benefit Summary - A, G, C, E, Y, J and M Benefit Year: Calendar Year Payment for Services Deductible Individual $600 $1,200 Family (Embedded*) $1,200 $2,400 Coinsurance (the percentage amount the Covered

More information

State of Bahrain Ministry of Health Salmaniya Medical Complex

State of Bahrain Ministry of Health Salmaniya Medical Complex State of Bahrain Ministry of Health Salmaniya Medical Complex A Handbook January 2001 Appendix Purpose. 3 Introduction. 4 Specialties available at S.M.C. 5 Outpatient Policies and Procedures Source of

More information

2009 Cost Center Setup Cross Reference Exhibit 3, 4, 11, 19, 20, 30, 31A, and 46. Exh 4, S-3. 30 & 31A Line

2009 Cost Center Setup Cross Reference Exhibit 3, 4, 11, 19, 20, 30, 31A, and 46. Exh 4, S-3. 30 & 31A Line Setup Cross Reference General Service Assignments (95) (38) Standard 001-026, 029-030, 033, 040-047, 095 (57)Variable 027-028, 031-032, 034-039, 048-094 (Program Capabilities 200) 1 0100 Old Capital Related

More information

Implementation of a decisionsupport. for safer drug therapy

Implementation of a decisionsupport. for safer drug therapy Implementation of a decisionsupport system (SafeRx) for safer drug therapy Background Background Background Background Background Background Background Background Computerized physician order entry - CPOE

More information

HCIM ICD-10 Training Online Course Catalog August 2015

HCIM ICD-10 Training Online Course Catalog August 2015 HCIM ICD-10 Training Online Course Catalog August 2015 Course/Content Duration Quiz Duration CME Credits Assessments: Assessment: Provider - Baseline - E/M Emergency Department 45 5/1/2015 Assessment:

More information

NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST STATEMENT OF PURPOSE

NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST STATEMENT OF PURPOSE NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST STATEMENT OF PURPOSE Legal status of the Trust University Hospitals NHS Trust (NUH) came into being on 1st April 2006 and assumed responsibility for the services

More information

REQUEST FOR MEMBERSHIP AND CLINICAL PRIVILEGES

REQUEST FOR MEMBERSHIP AND CLINICAL PRIVILEGES REQUEST FOR MEMBERSHIP AND CLINICAL PRIVILEGES *Applicant Printed Name: *Denotes required fields (Last) (First) (M.I) (Degree) Maiden Name (Alias): (Last) (First) *DOB: *SSN Sex: Male Female *Applicant

More information

RECORD ELECTRONIC HEALTH (EHR) PATIENT SYSTEM CARE WORKFLOW MANAGEMENT AN INNOVATIVE AND

RECORD ELECTRONIC HEALTH (EHR) PATIENT SYSTEM CARE WORKFLOW MANAGEMENT AN INNOVATIVE AND AN INNOVATIVE INTERNET-BASED ELECTRONIC HEALTH RECORD (EHR) AND PATIENT CARE WORKFLOW MANAGEMENT SYSTEM 717 Ponce De Leon Boulevard, Suite 301 Coral Gables, Florida 33134 Phone: 305.648.0028 Fax: 305.675.2208

More information

Training requirements and initial residency period for selected residency programs

Training requirements and initial residency period for selected residency programs A P P E N D I XC Training requirements and initial residency period for selected residency programs A P P E N D I X C Training requirements and initial residency period for selected residency programs

More information

DATA SET CHANGE CONTROL PROCEDURE. Changes to Treatment Function codes in the NHS Data Dictionary. These comprise:

DATA SET CHANGE CONTROL PROCEDURE. Changes to Treatment Function codes in the NHS Data Dictionary. These comprise: DSC Notice: 20/2005 Date of Issue: December 2005 Sponsor: NHS Health & Social Care Information Centre Subject: Data Standards: New Treatment Functions for therapy services and anticoagulant service Implementation

More information

OVERVIEW OF YOUR BENEFITS

OVERVIEW OF YOUR BENEFITS OVERVIEW OF YOUR BENEFITS IMPORTANT PHONE NUMBERS Member Services Department (646) 473-9200 For answers to questions about your benefits or to be referred to another Benefit Fund Department. Program for

More information

Please return the entire completed application and materials via the United States Postal System to:

Please return the entire completed application and materials via the United States Postal System to: Thank you for your interest in the Practicum Student Program with the Child and Adolescent Life Department at Duke Children s Hospital. Our practicum program is offered three times per year: Spring; Summer;

More information

StaffingForce direct and interim staffing services are available throughout the U.S. and in 45 other countries on six continents.

StaffingForce direct and interim staffing services are available throughout the U.S. and in 45 other countries on six continents. StaffingForce Healthcare Solutions Our search, recruitment and staffing services are specifically designed to reduce your cost per hire while expediting the time it takes to fill your direct and interim

More information

Health Choice Essential Gold Standard Gold Off Exchange Plan Network: Health Choice Essential Type of Coverage: HMO

Health Choice Essential Gold Standard Gold Off Exchange Plan Network: Health Choice Essential Type of Coverage: HMO Subscriber ID: [XXXXXXX] Health Choice Essential Gold Standard Gold Off Exchange Plan Network: Health Choice Essential Type of Coverage: HMO EOC Effective Date: [XX/XX/XXXX] Subscriber: [Subscriber Name]

More information

Mississippi Medicaid Enrollment Application (Ordering/Referring/Prescribing Provider)

Mississippi Medicaid Enrollment Application (Ordering/Referring/Prescribing Provider) This application is for the sole purpose of ordering/referring/prescribing items and services for MS Medicaid beneficiaries. This type of enrollment does not allow MS Medicaid to reimburse the applicant/provider

More information

Site view of VA San Diego Healthcare System Campus Map

Site view of VA San Diego Healthcare System Campus Map Site view of VA San Diego Healthcare System Campus Map Vicinity view of VA San Diego Healthcare System Campus Map Access Clinic / Pulmonary Clinic / CPAP Main Building Third Floor (3) Alcohol Drug Treatment

More information

Cigna Supported Service Types for Eligibility and Benefit Inquiries

Cigna Supported Service Types for Eligibility and Benefit Inquiries This document lists the service type codes that can be submitted to Cigna on an eligibility and benefit inquiry transaction. If a service type code not included on this list is submitted, Cigna's general

More information

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 $19.2B $17.2B Provider Incentives $2B HIT (HHS/ONC) Medicare & Medicaid Incentives

More information

Dr. Peters has declared no conflicts of interest related to the content of his presentation.

Dr. Peters has declared no conflicts of interest related to the content of his presentation. Dr. Peters has declared no conflicts of interest related to the content of his presentation. Steve G. Peters MD NAMDRC 2013 No financial conflicts No off-label usages If specific vendors are named, will

More information

CareFirst BlueChoice, Inc.

CareFirst BlueChoice, Inc. CareFirst BlueChoice, Inc. [840 First Street, NE] [Washington, DC 20065] [(202) 479-8000] An independent licensee of the BlueCross and Blue Shield Association ATTACHMENT [C] IN-NETWORK SCHEDULE OF BENEFITS

More information

KanCare Managed Care Organization Network Access as of July 31, 2015

KanCare Managed Care Organization Network Access as of July 31, 2015 Provider Type Amerigroup Kansas, Inc. Providers/ Locations % Covered (Urban & Semi-Urban) Average Distance to Provider (Urban/ Semiurban) % Covered (Rural/ Frontier) Average Distance to Provider (Rural/Frontier)

More information

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK This document walks the CMS Medicare specialty codes to the taxonomy codes currently maintained by the Washington Publishing Company as mandated

More information

Specialists, Ancillary, Hospital, and Behavioral Health Providers Provider Relations Representatives

Specialists, Ancillary, Hospital, and Behavioral Health Providers Provider Relations Representatives Specialists,, Hospital, and s Relations Representatives Catherine Ball Fax: (210) 358-6199 Phone: (210) 358-6184 Email: cball@cfhp.com Facilities Anesthesiology Home 78114 Archway Recovery Centers Developmental

More information

Evolving UM SOM Clinical Practice as the Healthcare Environment Changes

Evolving UM SOM Clinical Practice as the Healthcare Environment Changes Evolving UM SOM Clinical Practice as the Healthcare Environment Changes Introduction to the UM SOM Medical Service Plan This section will cover the following elements: 1. FPI creation, organization, and

More information

ForwardHealth-Required Taxonomy Codes

ForwardHealth-Required Taxonomy Codes ForwardHealth-Required s Provider Type Ambulance Air Ambulance 3416A0800X Air Transport Ambulance Land Ambulance 3416L0300X Land Transport Federally Qualified Health Ambulance Water Ambulance 3416S0300X

More information

CENTRAL MICHIGAN UNIVERSITY - Premier Plan (PPO1) 007000285-0002 0004 Effective Date: July 1, 2015 Benefits-at-a-Glance

CENTRAL MICHIGAN UNIVERSITY - Premier Plan (PPO1) 007000285-0002 0004 Effective Date: July 1, 2015 Benefits-at-a-Glance CENTRAL MICHIGAN UNIVERSITY - Premier Plan (PPO1) 007000285-0002 0004 Effective Date: July 1, 2015 Benefits-at-a-Glance This is intended as an easy-to-read summary and provides only a general overview

More information

The MITRE Corporation Plan Benefit Summary Effective Date: 1/1/2015 Administered by Kaiser Permanente PLAN FEATURES You Pay and/or Maximums

The MITRE Corporation Plan Benefit Summary Effective Date: 1/1/2015 Administered by Kaiser Permanente PLAN FEATURES You Pay and/or Maximums Benefit Type Plan Year Type Calendar Year Annual Medical Out of (for certain services) Employee Employee + 1 Family Annual Prescription Drug Out of Employee Employee + 1 Family The MITRE Corporation Plan

More information

Documentation Guidelines for Physicians Interventional Pain Services

Documentation Guidelines for Physicians Interventional Pain Services Documentation Guidelines for Physicians Interventional Pain Services Pamela Gibson, CPC Assistant Director, VMG Coding Anesthesia and Surgical Divisions 343.8791 1 General Principles of Medical Record

More information

Clinical Trial Center

Clinical Trial Center Clinical Trial Center QUALITY The mission of the Clinical Trial Center (CTC) is to facilitate the timely execution of quality clinical trials with information, resources and expertise in order to foster

More information

Covered Benefits. Covered. Must meet current federal and state guidelines. Abortions. Covered. Allergy Testing. Covered. Audiology. Covered.

Covered Benefits. Covered. Must meet current federal and state guidelines. Abortions. Covered. Allergy Testing. Covered. Audiology. Covered. Covered Benefits Services Abortions Allergy Testing Audiology Birth Control Services Blood & Blood Plasma Bone Mass Measurement (bone density) Case Management Chemotherapy Chiropractor Services (manipulation/subluxation)

More information

Attachment A UPMC PRACTICE SOLUTIONS - MEDCHART & MEDLINK PRACTICE ASSESSMENT www.medchart.info.com 1-866-648-8483

Attachment A UPMC PRACTICE SOLUTIONS - MEDCHART & MEDLINK PRACTICE ASSESSMENT www.medchart.info.com 1-866-648-8483 Practice Name: Specialty: Main Contact Office Phone: Office Manager Name: Main Contact Office Fax: Office Manager e-mail: Office Manager cell: Number of Providers: Physician Name: Credentials: Specialty:

More information

Survey PRACTICE AND COMPENSATION EXPECTATIONS FOR PHYSICIAN ASSISTANTS. 800.780.3500 mdainc.com

Survey PRACTICE AND COMPENSATION EXPECTATIONS FOR PHYSICIAN ASSISTANTS. 800.780.3500 mdainc.com Survey PRACTICE AND COMPENSATION EXPECTATIONS FOR PHYSICIAN ASSISTANTS 800.780.3500 mdainc.com Overview OBJECTIVE The objective of this survey was to collect and quantify practice and compensation expectations

More information

Northern Colorado Companies. The Power of Innovative Integration

Northern Colorado Companies. The Power of Innovative Integration Northern Colorado Companies The Power of Innovative Integration July 22, 2014 Agenda Introductions and Expectations Overview of Kaiser Permanente Northern Colorado Network Overview Integrated Medical Delivery

More information

Summary of PNM Resources Health Care Benefits Active Employees 2011

Summary of PNM Resources Health Care Benefits Active Employees 2011 of PNM Resources Health Care Benefits Active Employees 2011 The following charts show deductibles, limits, benefit levels and amounts for the PNM Resources medical, dental and vision programs. For more

More information

Group Hospitalization and Medical Services, Inc.

Group Hospitalization and Medical Services, Inc. Group Hospitalization and Medical, Inc. doing business as CareFirst BlueCross BlueShield [840 First Street, NE] [Washington, DC 20065] [202-479-8000] An independent licensee of the Blue Cross and Blue

More information

Iowa Wellness Plan Benefits Coverage List

Iowa Wellness Plan Benefits Coverage List Iowa Wellness Plan Benefits Coverage List Service Category Covered Duration, Scope, exclusions, and Limitations Excluded Coding 1. Ambulatory Services Primary Care Illness/injury Physician Services Should

More information

REPORT TO THE 2015 LEGISLATURE. Report on Findings from the Hawai i Physician Workforce Assessment Project

REPORT TO THE 2015 LEGISLATURE. Report on Findings from the Hawai i Physician Workforce Assessment Project REPORT TO THE 2015 LEGISLATURE Report on Findings from the Hawai i Physician Workforce Assessment Project Act 18, SSLH 2009 (Section 5), as amended by Act 186, SLH 2012 January 2015 Hawai i Physician Workforce

More information

Highlights of your Health Care Coverage

Highlights of your Health Care Coverage MEDICAL COST SHARE OPTIONS Individual Deductible PCY (Family deductible 2X Individual) Coinsurance (Member's percentage of costs after deductible based on allowable charges) Individual Out of Pocket Maximum

More information

Domain 3: Assessment, System Selection and Implementation. Module 3A: Purpose, Adoption and Use of Health Information Systems

Domain 3: Assessment, System Selection and Implementation. Module 3A: Purpose, Adoption and Use of Health Information Systems 1 Health Information Management Systems Technology and Analysis Domain 3: Assessment, System Selection and Implementation Module 3A: Purpose, Adoption and Use of Health Information Systems Lecture #2:

More information

Hawaii Benchmarks Benefits under the Affordable Care Act (ACA)

Hawaii Benchmarks Benefits under the Affordable Care Act (ACA) Hawaii Benchmarks Benefits under the Affordable Care Act (ACA) 10/2012 Coverage for Newborn and Foster Children Coverage Outside the Provider Network Adult Routine Physical Exams Well-Baby and Well-Child

More information

UNIVERSITY OF KANSAS Office of Institutional Research and Planning

UNIVERSITY OF KANSAS Office of Institutional Research and Planning 1/14 TABLE 1-211 Program U/ Agency Clinical Laboratory Sciences (Medical Laboratory Scientist) Clinical Laboratory Sciences (Diagnostic Molecular Scientist) Cytotechnology Diagnostic Cardiac Sonography

More information

APPENDIX C Description of CHIP Benefits

APPENDIX C Description of CHIP Benefits Inpatient General Acute and Inpatient Rehabilitation Hospital Unlimited. Includes: Hospital-provided physician services Semi-private room and board (or private if medically necessary as certified by attending)

More information

Schedule of Benefits Summary. Health Plan. Out-of-network Provider

Schedule of Benefits Summary. Health Plan. Out-of-network Provider Schedule of Benefits Summary University Name: University of Nebraska - Student Plan Health Plan : 2014/2015 Academic Year (see attached) Payment for Services Covered Services are reimbursed based on the

More information

Developing a Telemedicine Business Strategy

Developing a Telemedicine Business Strategy Developing a Telemedicine Business Strategy Amber Humphrey, MBA Assistant Director, Vanderbilt Telemedicine Healthcare Financial Management Association March 22, 2016 Discussion Roadmap Defining Telehealth

More information

GIC Medicare Enrolled Retirees

GIC Medicare Enrolled Retirees GIC Medicare Enrolled Retirees HMO Summary of Benefits Chart This chart provides a summary of key services offered by your HNE plan. Consult your Member Handbook for a full description of your plan s benefits

More information

VACAVILLE MEDICAL CENTER. Staff Navigator

VACAVILLE MEDICAL CENTER. Staff Navigator VACAVILLE MEDICAL CENTER Staff Navigator VACAVILLE MEDICAL CENTER Hospital VACAVILLE MEDICAL CENTER - Hospital Department Floor Bldg Pg Administration - HIMS 4 H 9 Admitting 1 H 6 Bed Repair B H 5 Cafeteria

More information

UnitedHealthcare Insurance Company of the River Valley Attachment D - Schedule of Benefits

UnitedHealthcare Insurance Company of the River Valley Attachment D - Schedule of Benefits UnitedHealthcare Insurance Company of the River Valley Attachment D - Schedule of Benefits Please refer to your Provider Directory for listings of Participating Physicians, Hospitals, and other Providers.

More information

Serving Physician Information Needs: A Model for the Transition to an Electronic Medical Record

Serving Physician Information Needs: A Model for the Transition to an Electronic Medical Record Serving Physician Information Needs: A Model for the Transition to an Electronic Medical Record Diane M. Carr, Janine Dimitrakakis The requirements of a rapidly changing, competitive marketplace have amplified

More information

Health Care Services Overview. Pennsylvania Department of Corrections

Health Care Services Overview. Pennsylvania Department of Corrections Health Care Services Overview Pennsylvania Department of Corrections Richard S. Ellers Director Bureau of Health Care Services Pennsylvania Department of Corrections rellers@pa.gov 717-728-5311 27 State

More information

August 13, 2014. Dear Administrator Tavenner:

August 13, 2014. Dear Administrator Tavenner: Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 445 G 200 Independence Avenue, SW Washington, DC

More information

Mona Osman MD, MPH, MBA

Mona Osman MD, MPH, MBA Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare

More information