VALUE OF QUALITY LAB-EHR INTEROPERABILITY IN TODAY S DYNAMIC IT LANDSCAPE
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1 VALUE OF QUALITY LAB-EHR INTEROPERABILITY IN TODAY S DYNAMIC IT LANDSCAPE Keith C. Drake, Ph.D., Program Executive, J. Michael Hyman, M.T.(ASCP), Director, Vendor Business Solutions Teresa C. Brannum, Manager, Vendor Implementation Team March 2013
2 Quality Lab-EHR Interoperability Health IT Challenges faced by Providers Lab EHR Interoperability what it really means to you Health IT Quality Solutions foundation of quality interoperability for providers Best Practices checklist of what to look for in EHR-Lab relationship Delivering Quality Solutions for Physicians 2
3 Dynamic IT Landscape Providers faced with increasing IT challenges: Meaningful Use Stages 1, 2, 3, ICD-9 and ICD-10, LOINC, SNOMED Other IT regulatory challenges Result: Providers increasingly demand more from their IT Vendors: Integrated, seamless, and painless solutions Quality solutions they can rely on to provide better quality health care services Increasing demands on Providers to meet IT challenges 3
4 Provider Challenges Navigating a broad and growing scope of IT offerings: Selecting from wide array of EHR solutions Selecting from wide array of laboratory solutions Finding Interoperable IT Vendors Understanding government regulations Meeting certification agency requirements... all while providing excellent clinical care 4
5 Black Book 2013 EHR Survey Top must haves for EHR users beyond basic functionality: 1. 84% Vendor Viability 2. 83% Provider Data Integration and Network Data Sharing 3. 78% Demonstrable Return on Investment and Clinical Improvements 4. 75% Adoption of Mobile Devices (e.g., tablets) 5. 66% HIE Support, Connectivity / Interoperability 6. 65% Perfected interfaces with Lab, Pharmacy, Radiology, Rehabilitation, Post Acute Care The message is clear: you want interoperability from IT Vendors 5
6 Interoperability Current Perspective Not merely streamlined flow of data between EHR and Lab Order submitted and Results returned (data interoperability) But also how your IT Vendors work together: Streamlined implementation process Robust (and documented) support process Active dialog between EHR Vendor and Lab to enable planning for future quality interoperability (vendor interoperability) Is there a true partnership between your preferred EHR and Lab? 6
7 Interactive Advanced Beneficiary Notice Enhances provider-patient encounters prior to placing lab orders by supporting the need for dynamic, realtime Advance Beneficiary Notice (ABN) processing Allows EHR users to notify patients when certain tests may be denied by Medicare Generation of an ABN notice in realtime provides clinical benefits: Reduces volume of unauthorized lab work Adds value to the provider-patient encounter and reduces overhead 7
8 Enhanced Reports Enhanced Reports augment test results with images and other graphical elements Many EHRs enable the receipt of Enhanced Reports from commercial labs More robust test result information enables more meaningful provider-patient encounters Richer diagnostic information enhances patient experience 8
9 Health IT Quality Solutions by Certifies EHR solutions as Silver, Gold, or Platinum based on the quality of their interoperability with commercial labs Certified Quality Solutions: meet or exceed advanced industry standards for lab orders and results provide a streamlined interoperability solution with Quality Solutions certification demonstrates an EHR Vendor s commitment to quality and leadership within the health IT industry 9
10 Health IT Quality Solutions by EHR solutions certified by ensure quality interoperability Advanced Data Systems DocAssistant Comtron Medgen EHR CureMD CyFluent Data Strategies Mdsuite Drchrono E*Healthline Phoenix Intivia InSync EMR ipatientcare EMR MDLAND iclinic System Medical Transcription Billing EMR NCG Medical Perfect Care EHRLite OneTouch EMR Tecnex Systems TransMed Network Client Software VIP Medicine SmartClinic Vitera Intergy EHR WEBeDoctor Physician Office Aprima PRM CompuGroup Medical Labdaq eclinicalworks Emdeon Clinician HealthFusion MediTouch EHR isalus Healthcare OfficeEMR Labsoft Lightning Meditab IMS Office Ally EHR Orchard Software Copia & Harvest Stratus EMR Our inaugural list of Platinum Vendors will be announced soon. Visit QuestDiagnostics.com/QualitySolutions for full Program information 10
11 Putting it together Quality Lab-EHR Interoperability provides you with: Confidence in your selection of an EHR Reduced internal implementation costs and minimized support issues Streamlined and higher quality Quest Diagnostics / EHR Vendor interoperability Confidence in Meaningful Use compliance and other regulatory requirements Meets your top Black Book must have: 84% -- Vendor Viability 11
12 Ask your commercial lab Do you interface to my preferred EHR solution? Is that interface Results Only, or does it also include the ability to send Orders and Billing information? Are you ready to help meet my requirements for Meaningful Use Stage 2? Do you have a dedicated business manager to oversee the relationship between your Lab and my EHR Vendor? 12
13 Ask your EHR vendor Is your EHR certified for Meaningful Use Stage 1? What is your schedule for MU2 certification? Does your EHR provide advanced functionality such as: automated MLCP checking producing an Advanced Beneficiary Notice, ability to parse LOINC codes from result message, and store and make them available within the EHR integrated patient scheduling with Labs patient service centers Only 10% of EHR solutions eligible for the HITQS certification meet all four of these capabilities Does your EHR implement robust Ask at Order Entry (AOE) questions to enhance the quality of the result? Can your EHR accept Enhanced PDF Reports to include images and other graphical elements from the lab? Is there any special or unique functionality you provide with specific commercial or hospital laboratories? What is the typical interface implementation time for my lab(s)? Is your EHR a Quality Solution certified by Health IT Quality Solutions Program? 13
14 Recommended best practices to ensure quality Lab-EHR interoperability Use the Interoperability Checklist Focus on the EHR Quality Solutions certified by our Program Use the current list of Quality Solutions as a resources, available at: QuestDiagnostics.com/QualitySolutions Focus on IT vendors with strategic partnerships with one another 14
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