WELCOME TO: MED USA MIKESIAPERAS CEO

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Abel Lang
8 years ago
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1 WELCOME TO: MED USA MIKESIAPERAS CEO

2 HOW WE GOT HERE

3 HISTORY In 1991 Med USA developed a very basic Integrated EHR. Only a couple of doctors used it and it became very clear it was going to stay that way for a long time. We focused on what we did best, Practice Management Software and Services EHR companies starting developing only EHR s The Health Care Industry was not ready

4 SUPPLY DEMAND

5 HISTORY In 2005 Med USA formed a relationship with an EHR company to develop a complete solution. Good product but sales were not as predicted. Expenses were higher than Revenues. Limited amount of doctor s offices starting buying EHR s. Some with stories of success, but more with stories of failure. Technology Companies were ahead of the Demand

6 EHR GOLD RUSH 2009

7 HISTORY From 2001 to 2009 Med USA developed interfaces for any client requested EHR. In 2009 the Government Stimulus Package started what I like to call the GGN or EHRGR Stimulus Funds, PE money, large companies buying EHR and PMS companies. EHR companies buying billing companies. Companies selling companies. Government Funded EHR projects.

8 TRUSTED ADVISOR BRIDGING THE KNOWLEDGE GAP

9 HISTORY As a result of this increased customer focus on EHR, Med USA decided to form an independent EHR Advisory group. AC Group is an integral partner in this strategy to educate Physicians and provider groups on the Reality of EHR s

10 SPEAKERS Mark Anderson CEO, AC Group Member of Med USA EHR Advisory Board Mary Carbaugh Member Relations Clinical Coordinator UHIN

11 Mark Anderson, FHIMSS, CPHIMSS Healthcare IT Futurist CEO of AC Group National Speaker on EHR > 800 sessions since 2001 Semi annual report on vendor product functionality and company viability 36+ Years In Healthcare IT CIO Position at Three Multi Facility Regional IDN s Installed over $1B in technologies since 1972 Provided EHR information to over 25,000 Physicians Over 400 EHR Search and Selection Projects and 12 community HIE projects. Former CIO of a 2,300+ physician (500+ Practices) IPA

12 AC Group, Inc. AC Group is one of the leading companies, specializing in the evaluation, selection, and ranking of vendors in the PMS/EHR healthcare marketplace. Twice per year, AC Group publishes a detailed report on vendor PMS/EHR functional, usability, and company viability. This evaluation decision tool has been used by more than 25,000 physicians since Additionally, AC Group has conducted more than 400 PMS/EHR searches, selections, and contract negotiations for small physician offices to large IPA since 2003

13 Why is this session important In 2009, the healthcare industry saw an explosion in interest in the ambulatory EHR marketplace Partially driven by quality indicators, HITECH, ARRA, P4P, and a relaxing in the Stark law that prohibited hospitals from funding community EHR initiatives. What does this mean for the average physician?

14 Topics Will the EHR affect your revenue stream? What is the government s involvement in EHRs? Why do so many EHR projects Fail? Why 87% of EHR selections include a replacement of current billing applications? How are hospitals leveraging EHR projects to increase the share of technology solutions? How the EHR vendors are rated and why many will not survive? Can you really believe what the vendor tells you? Who can you turn to for trusted advice?

15 The Problem Today Referral tracking is paper based Patient s must register each time they see a new Physician Patients must provide each provider duplicate information: Social History, Medical History, Family History What Medications are you on? Physicians do not have adequate and timely information about the patient What the community needs is a new way of connecting and sharing timely patient information.

16 Vision Technology is simply a catalyst that will empower providers to drive meaningful changes in care. People love progress but hate change

18 EHR Information Overload

21 Connecting Physicians Delivers the Connected Community Hospitals Ancillary Departments Employers Physicians Patient Clinical Data & Physician Portal Homecare Providers Physician Office Solutions Retail Pharmacy Patients Broad Community Connectivity Payers & PBMs Providers are best positioned to lead the way to a connected care community

22 Current View of the Medical Office

23 What the Vendors are selling

24 What Physicians Want

26 Three Steps to the ARRA Incentives Step 1: Adopt Certified EHR Standards and Certification Criteria as published in IFR (to become law on Feb. 12, 2010) Step 2: Achieve Meaningful Use Objectives Meaningful Use Objectives for Stage 1 as proposed in NPRM Step 3: Apply for Incentive Payment Payment policies proposed in NPRM

27 $17.2 B to Physicians and Hospitals In order to qualify for the incentive payments, both physicians and hospitals have to prove three things: 1. Use of a certified EHR product with eprescribing capability that meets current HHS standards. 2. Connectivity to other providers to improve access to the full view of a patient s health history. 3. Ability to report on their use of the technology to HHS.

28 3 Requirements Certified EHR product with erx Certification Process has not begun CCHIT is the closest, but HHS has not made official yet Connected to other providers All providers must be on the same EHR, or The Community will require a Health Information Exchange (HIE) to exchange patient data between dispersed EHR Products. Report data to HHS Meaningful use has not been finalized yet Reporting has not been finalized yet Guidelines should be published by May 1, 2010.

30 Physicians Medicare Incentive Impact Start Total ,000 12,000 8,000 4,000 2,000 0 $44, ,000 12,000 8,000 4,000 2,000 $44, ,000 12,000 8,000 4,000 $39, ,000 8,000 4,000 $24,000 Must accept Medicare and must have at lease $15,000 in total Medicare allowable charges per Year

31 Physicians Medicaid Incentive Impact Start Total ,000 10,000 10,000 10,000 8,750 $63, ,000 10,000 10,000 10,000 8,750 $63, ,000 10,000 10,000 10,000 $55, ,000 10,000 10,000 $45,000

33 Estimated EHR Penetration in Physician Offices Source: AC Group Annual Survey, February 2009

34 Why are Practices not using what they purchased?

35 So why are physicians not embracing EHR? 43% have some type of EHR in their Practice, but less than 7% fully use the product EHRs cost too much EHRs will slow me down EHRs have failed in other communities EHRs make me change the way I practice Medicine EHRs make me change the way I interact with my patients EHRs = less patients EHRs make the provider a data entry clerk

36 EHRs cost to much

37 CCHIT Certified EHR Vendors Certification is good for 2 years but!!!!! As of March 1, 2010, only 13 EHR product s have been 2011 CCHIT Certification

38 Small % of EHR Products are Certified for HITECH

39 Source of Practice Clinical Data 70% of Specialist data comes from PCP and Patient

Connecting the Providers Security and Access Control Enterprise Master Patient Index Patient Event Information Patient Demographics, Social & Family,

40 Connecting the Providers Security and Access Control Enterprise Master Patient Index Patient Event Information Patient Demographics, Social & Family, Clinical Information Medication Details, Laboratory Results, Insurance Details Provider to Provider Connectivity Provider to Provider Connectivity Practice Partner

41 Pharmacy Community HIE Patient Health Care Insurer Laboratory Radiology Access Consent Security and Access Control Enterprise Master Patient Index Patient Event Information Patient Demographics, Social & Family, Clinical Information Medication Details, Laboratory Results, Insurance Details Hospital Scanned Documents Specialist Transcription Providers

42 Utah s Clinical Health Information Exchange

43 Long standing trusted community resource Coalition Not-For-Profit (501 C 3) Covers the entire state Uses community created state standards for data exchange Based on National Standards

44 Statewide collaboration between medical entities in Utah Allows authorized personnel access to: o Labs o Medication History o X-Rays o Referrals o Allergies o Discharge summaries

45 Unique Data Storage Data exchange between Healthcare Systems Virtual Health Record Basic clinical messaging system

46 UHIN Security: EHNAC Accredited UHIN Privacy: Meets all Federal and State Laws and Regulations

47 Data sources Connected in Moab: AMH Allen Memorial Hospital Data sources Connected in Cache Valley and Box Elder county as of May 10 th : Bear River Valley Hospital Brigham City Community Hospital Logan Regional Hospital University of Utah HCA UofU IHC BCCH BRVH LRH

50 How to Succeed Locate a Trusted Advisor Do your research on usability Partner with local IPAs and MSOs Partner with Hospitals Partner with local HIEs Partner with State RECs Don t buy Technology Don t try to make a decision on your own Don t always believe what the vendors tell you

51 Government? EHR Vendors? Internet Blogs? EHR Consultants? Magazine Articles? Local Billing Companies? Other Providers? Trusted Advisor

52 Who do you Trust? Sample of 3,215 Physicians

53 Three way interaction MedUSA EHR Vendor Practice

54 Which EHR vendor is right for you? Depends on your needs ARRA and HITECH enabled PM and EHR or EHR connected to your current PM Connect to community HIE ASP, SaaS, or Purchase Local Support vs Big Company Depends on your specialty PCP, Peds, and Internal Med need more Health Maintenance Specialist need specialty templates and guidelines Depends on your practice size 1 provider or 100 providers Multi Tax IDs or just one

55 Top EHR vendors Functionality, Company Viability, Implementation, Training, Client Base, End-User Satisfaction, Pricing, and Contracting

56 Top EHR vendors for Small Practices Functionality, Company Viability, Implementation, Training, Client Base, End-User Satisfaction, Pricing, and Contracting

57 Take Home Message EHRs Can Improve Patient Service and Provide Financial Benefits. Physicians need help Physicians need a trusted advisor EHR Implementation is a Bet the Practice Proposition That Requires Adequate Resources and Investments to Achieve Success. Don t try to implement an EHR on your own!

58 For More Information For more information about Med USA s Trusted Advisor Services please contact: Med USA clientrelations@medusabill.com Web Site:

Impact of the Healthcare IT Stimulus Package. Session 2 of 4. Presented by. Mark R. Anderson, FHIMSS, CPHIMS CEO, AC Group, Inc.

Impact of the Healthcare IT Stimulus Package. Session 2 of 4. Presented by. Mark R. Anderson, FHIMSS, CPHIMS CEO, AC Group, Inc. Welcomes you to Part II of a four part Webinar series on the healthcare IT marketplace, the reasons why EMR/EHR products have failed, how the Healthcare Stimulus package will effect you, and what you need