GETTING THE MOST OUT OF YOUR BUSINESS

Transcription

1 GETTING THE MOST OUT OF YOUR BUSINESS Keith White Chief Operations Officer, IT Director Oshawa Clinic Group

2 AGENDA Better Business with your EMR You are running a business Faxing Business Opportunities Workflow

3 BIOGRAPHY Keith White Chief Operations Officer MBA Technology focus Cisco CCNA PACS Administrator Working in the Canadian Health Care industry - private sector 20 years Operations, Information Technology Stakeholder relationship development Identifying Strategic Opportunities EMR Implementations

4 WHAT WE DO OSHAWA CLINIC (1948) Provide primary care to more than 500,000 patients 130 doctors, 55 family physicians, 65 specialists > 375 fulltime staff Four main facilities closely located Three walk in centre's (average 700 patients per day) Surgery, Sleep, Hearing Aid and Foot Care Centre, Physiotherapy, Three diagnostic imagining departments (> 100,000 studies per year)

5 EMR MARKET The next generation of health care professionals will expect and demand that their own medical facility have a state-of-the-art information system Expanding your clinic? Little chance of attracting physicians without an EMR system in place

6 BETTER BUSINESS WITH AN EMR How can you improve your business using an EMR system? Many delisted services are billable to patients According to the CMA physicians could be missing between $12,000 and $20,000 annually in uninsured billing Physician overhead in Canada ranges from 45 60% of physician income OCG Below Average overhead

7 EMR BENEFITS EMR Systems will drastically improve your business Automated reminders (Diabetic encounters) Performance bonuses Automated patient encounter forms Billing accuracy can increase income average 2 6% Streamline workflow and reduce overhead Clinical Decision Support (CDS) tools that assist physicians EMR based, auto populated forms and stamps

8 EMR BENEFITS Again, you are running a business What are your priorities? Increasing quality of care? Increasing productivity? Improving workflow and efficiencies?

9 I have diabetes and high blood pressure, and also had heart surgery seven years ago, The patient portal has made it much easier keep track of all my test results over time, which means I have the information I need to better manage my health

10 If a 25 person organization manually faxes 30 two-page documents daily, it s squandering 1,000 man hours a year. That equates to one employee spending six months each year printing documents and feeding fax machines. (Sagemcom, 2008)

11 FAX CASE STUDY Previously 3-5 physicians per fax number (50 fax lines) Analog workflow problems Time Fax preparation Time Faxing Time Scanning Filing Errors, EMR integration Going Digital

12 FAXING COSTS Phone Line $50 Paper (Box 5000) $50 Fax Machine (Leased) $60 Cost per page $0.02 Labour ($20/hour) Average of 40 faxes $100 (5000 pages) $10/day/person In and Out per Physician

13 FAXING TODAY 170 Digital fax numbers Through 12 phone lines In the last year savings for paper alone reached nearly 1,000,000 pages At 0.01 cents per page = $10,000 PSC 400,000 average of 6 minutes per fax? 40,000 hours spent faxing

14 EMR BENEFITS FROM DIGITAL FAXING No scanning, directly into chart Work with vendors integration Interfaces with hospitals and reports DI reports, images Paper, toner, efficiency through access real estate (floor space - files)

15 EMR NEXT STEPS YOU HAVE MADE A BIG INVESTMENT Optimize and use what you have Work with you vendor and extend functionality TRAINING take it to the next level Vendors continually enhance their products, as Canada evolves beyond provincial certifications this process with accelerate EMR systems are becoming ubiquitous and technology is maturing Competition for new clients and retaining existing clients will intensify The best products will differentiate themselves through enhanced usability, design and functionality The advanced features will be key differentiators

16 BUSINESS OPPORTUNITIES EMR suite advertising opportunities (Screen Savers) Interactive Screens Free Wi-Fi Cost per patient? Pennies!! TV, Advertising Parking revenue opportunities

17 BUSINESS OPPORTUNITIES STAKEHOLDER RELATIONSHIPS Physicians Hospitals, Clinics, Multidisciplinary Hospitals Physicians, services, tenants! Complimentary services Walk in clinics, pharmacy, physiotherapy

18 BUSINESS OPPORTUNITIES BUSINESS INTELLIGENCE OBSERVATIONAL STUDIES All about data, New treatments How are they treating Type II Diabetes Who are the patients what other variables do they have they quality VERY EFFICIENTLY manage patients Not possible with PAPER

19 BUSINESS OPPORTUNITIES RESEARCH AND PHARMA CLINICAL STUDIES Designed to change the way you provide care Different prescriptions YOU ARE THE RESEARCHER Follow the patient Is it going to be an administrative barrier? Custom Forms

20 IMPROVING YOUR WORKFLOW

21 WORKFLOW Workflow efficiency Changes/improvements, even small ones can really optimize quality of service and reduce costs Urgent Care workflow optimization, reduce wait times, improve quality (talk later show video) FAXING compliment your EMR system Business video Building? Renovating? Revisit your workflow

22 TRADITIONAL WORKFLOW

23 EMR WORKFLOW

24 FLEXIBLE CARE WORKFLOW

25 DUAL ACCESS - WORKFLOW

26 PATIENT INVOLVEMENT ios and Android Apps Kiosk Check-in Patient forms and tools reducing physician engagement Stamps and custom forms Engage your patient Health Portals,

27 THE TOTAL PACKAGE What is meaningful use? Billing, Scheduling, Messaging and Data Mobility extend access to your clinical practice where you need it Patient Access improve your workflow through automated check in for patients

28 CONCLUSIONS Properly implemented and integrated EMR systems replace paper records and become a single purpose software solutions with multifunctioning, multipurpose, health care delivery. The efficiency of EMR systems improve the operational effectiveness of the organization and improve the quality of patient care After a year of EMR use faxing was seen as the single most beneficial improvement to workflow for the organization. Extend the use of your EMR system

29 QUESTIONS?

30

31 EMR SYSTEMS Tools for physicians to improve health outcomes for patients and make it easier to follow the patient Provide solutions to many stakeholders in the health system, including hospitals, pharmacies and extended health care providers Bring about other opportunities such as digital faxing, report integration from lab results, diagnostic imaging results, hospital report integration and even research opportunities

32 RESEARCH Government motivation for EMR implementations Health care spending in Canada was expected to reach $200 billion in 2011 (CIHI, 2010) EMR systems are a technology shift that improves efficiencies (CMA, 2010) Patient workflow improves with a one chart per patient system (MD Services, 2010) New technologies such as EMR systems improve fragmented care delivery (OECD, 2010)

33 RECOMMENDATIONS Pre project evaluation Know your total cost of ownership Having a mentor pays off On-Site training is key Be aware of changes in business processes