Horizon Homecare. Giving You the Power to Drive Clinical and Financial Success

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1 Horizon Homecare Giving You the Power to Drive Clinical and Financial Success

2 Manage Care from All Angles Your homecare agency is under constant pressure from competition, reimbursement challenges and stringent documentation requirements. Home health agencies must meet criteria for a range of current regulations: Medicare s Prospective Payment System (PPS) Medicaid and commercial insurance plans Outcome and Assessment Information Set (OASIS ) data collection Outcome-based quality improvement (OBQI) Outcome-based quality management (OBQM) The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Add to that the need to be prepared to manage in a pay-forperformance environment, and it s no wonder homecare agencies are searching for answers. McKesson s Horizon Homecare solution is the answer. The system ensures the financial and clinical success of your agency. Horizon Homecare provides: An industry-standard library of more than 90 outcome-driven pathways An option to create a library of agency-standard terms for populating verbal orders, physician s orders and interdisciplinary communications The First DataBank formulary for drug interactions, education and side-effect information Access at the point of care for policy and procedure information, intervention-specific teaching guidelines and the ICD-9 database On-screen patient education materials for a variety of conditions, diseases, treatments and drug product recommendations The future success of your agency will depend on your ability to access critical information, share information between the field and office, and integrate your clinical and financial data.

3 VNA of Chittenden & Grand Isle Counties Horizon Homecare has enabled us to serve our patients better by providing up-to-date and accurate information. Through integration with Advanced Clinicals, patient and billing information is accessed and processed remotely in the patients homes much quicker and with a higher level of accuracy. The clinicians now have direct access to the patient information, as opposed to having to come to the office to review several-day-old paperwork. Because of this ability, our staff can make better decisions based on the latest information available to them. Everyone Wins With Horizon Homecare Clinicians document care in real time with laptops, phones and PDAs Schedulers maximize productivity when scheduling team members Arsi Namdar IS Director VNA of Chittenden & Grand Isle Counties Colchester, Vt. Financial managers integrate clinical and financial data Homecare executives make better informed operational decisions Physicians improve their homecare patient monitoring Patients actively participate in their care through the care planning process and the use of telemonitoring technologies

4 Managing Clinical Costs and Resources Horizon Homecare supports your agency s efforts to provide quality care in the most cost-effective manner. With Horizon Homecare, your agency can execute these significant cost-management steps: Coordinating Care Teams The very nature of homecare care delivered in the home setting limits the opportunities for face-to-face collaboration and coordination of the patient s care. Horizon Homecare helps overcome this constraint by coordinating patient care. Communication tools can be shared by all disciplines within the agency Physicians can use the Internet to participate in the patient care process Collect cost information at the visit level Analyze costs across categories for service, discipline, employee, patient, admission, diagnosis and business unit Provide expert reporting capabilities, including consolidated reporting on patients receiving services across multiple business lines or services Apply health plan authorizations at the admission, plan and service level Track costs associated with third parties such as nursing homes, physicians, DME providers and pharmacies Automate and integrate personnel scheduling with point-of-care and telephony Eliminate unauthorized home visits through built-in alerts Order and track supplies online

5 Complying with Regulations Horizon Homecare offers an immediate, stable solution for meeting the billing requirements of Medicare s prospective payment system (PPS). Medicare and other payors get the clinical information they require along with billing information so you receive your payments faster. Warnings or errors indicate if a downcode or upcode is expected based on the episode data, including the management of the Medicare Therapy Threshold The system accommodates flexible payment methodologies, multiple service prices (tiered pricing) and varied billing rates Historical billing information is easy to retrieve, view and print Bills can be processed daily, weekly, monthly or as needed Pay-for-Performance Capabilities New pay-for-performance requirements mean that homecare agencies cannot exist as isolated entities. When you seek referral partnerships with other healthcare providers, Horizon Homecare will demonstrate your capabilities to your referral sources. Flexible and customizable intake process makes taking a referral easy Point-of-care tools improve decision-making and strengthen outcomes, including lowering hospitalization rates Integrated telemonitoring session results optimize the value of the data through trending and risk stratification, improving the quality of care Telephony enables clinicians to quickly review and verify results of aide visits Internet connection allows physicians to view results and manage care planning anywhere, anytime Electronic visit documentation assures regulatory compliance for the entire care team VNA of Boston Throughout the process of sales, implementation and ongoing support, we have experienced a collaborative relationship with McKesson at all levels of the organization. Good relationships are not only measured in lowest cost solutions, but in true value to your operation. McKesson executives have been consistently involved in the relationship and have gone to great lengths to ensure that our experiences have been positive ones. We consider McKesson to be our strategic partner as we move forward. Ken McNulty CFO VNA of Boston Charlestown, Mass.

6 Support and Services Horizon Homecare Infocenter Selected as a Top Ten Web Support Site by the Association of Support Professionals, Horizon Homecare InfoCenter offers direct Internet access to information. You can view your agency s account profile, read McKesson support bulletins and download system updates. Education Services McKesson s education curriculum provides training for all aspects of Horizon Homecare from beginning education to advanced system use. Coursework is available in a variety of formats, including classroom sessions, customized on-site training, and self-directed and instructor-led Web-based training. McKesson has the expertise and resources to support your agency now and in the future. We employ more than 200 professionals who focus solely on meeting the needs of homecare agencies. You can count on us to be there for you. Support McKesson has achieved Support Center Practices (SCP) Certification, which is an annual determination of a company s customer support effectiveness. We offer direct response and immediate access to a support representative, without having to wait in a call queue. Support is available 24 hours a day via telephone or the Internet. Technical Services McKesson s technical consulting and services team will perform technical and hardware-related tasks, including remote database administration, software upgrades, hardware staging and operating system upgrades. Consulting Services McKesson s highly trained consultants provide expertise on business planning, regulatory compliance, information technology, system implementation and project management.

7 McKesson Homecare Information Solutions at a Glance Homecare Horizon Homecare offers homecare organizations a consolidated clinical and financial database to integrate the functions for intake, office clinical, personnel scheduling, point of care, billing, and payment processing and reporting. It addresses all regulatory and compliance requirements, including PPS and HIPAA. The core product allows agencies to streamline their operating standards and tailor the system to mirror their existing business structures. Horizon Homecare automates staff scheduling by matching patients with the most appropriate resources. The system provides electronic commerce functionality, such as electronic media claims and remittance advice, including the ANSI X and 835 transactions. The clinical components of Horizon Homecare are part of McKesson s Horizon Clinicals comprehensive suite of integrated solutions for physicians and clinicians in virtually every care setting, including hospital, ambulatory, homecare, hospice, pharmacy, laboratory and emergency care. Hospice Selected 2005 Best in KLAS for hospice solutions by KLAS Enterprises, Inc., Horizon Hospice fully supports the needs of hospice providers, from certifying terminal illnesses to performing the last bereavement activity. The system maintains individual records and eliminates duplicate data entry. It provides hospice Notice of Election and hospice-specific guidelines and assessments, and stamps care events with the date and reason. Horizon Hospice enables documentation of interdisciplinary team conference discussions, discoveries and follow-up activity. It allows hospice providers to track personnel, including volunteers and per diem clinicians from associated facilities. Horizon Hospice generates per diem charges based on patient events and allows hospice providers to track and report care-related costs, including those from third parties. Additional Horizon Homecare Modules Horizon Homecare Advanced Clinicals Makes patient chart information accessible to all approved users via a laptop computer, so you can automate and standardize clinical processes in the field and in the office. Horizon Homecare Clinical Assistant Provides hand-held access to a patient s chart, so you can extend clinical automation to home health aides. Horizon Homecare Insight Offers tools to analyze clinical data details and financial indicators. You can evaluate OASIS information for OBQI and OBQM reporting and assess the effect of PPS on your agency. Horizon Homecare Telephony Enables field staff to document visit information via telephone to Horizon Homecare in a standardized format. Horizon Homecare Supply Link Streamlines ordering and tracking of supplies by exchanging information between Horizon Homecare and McKesson s medical-surgical supply division. Horizon Homecare Web Chart Provides patient information to physicians through a secure Internet portal. Physicians can complete patient orders, view patient information recorded by field clinicians and document care plan oversight time. McKesson Telehealth Advisor TM Transmits disease management programs between the office and the patient s home. Over 10,000 dialogues on 45 topics are available to improve patient self-maintenance and outcomes. Results are integrated with Horizon Homecare and Horizon Hospice.

8 ABOUT McKESSON McKesson Corporation (NYSE: MCK) is a Fortune 16 healthcare services and information technology company dedicated to helping its customers deliver high-quality healthcare by reducing costs, streamlining processes, and improving the quality and safety of patient care. Over the course of its 170-year history, McKesson has grown to provide pharmaceutical and medical-surgical supply management across the spectrum of care; healthcare information technology for hospitals, homecare and payors; hospital and retail pharmacy automation; and services for manufacturers and payors designed to improve outcomes for patients. McKesson Provider Technologies 5995 Windward Parkway Alpharetta, GA Copyright , 2006 McKesson Corporation and/or one of its subsidiaries. All rights reserved. Horizon Clinicals, Horizon Homecare, Horizon Homecare Clinical Assistant, Horizon Homecare InfoCenter, Horizon Homecare Insight, Horizon Homecare Telephony, Horizon Homecare Supply Link, Horizon Homecare Web Chart, Horizon Hospice and McKesson Telehealth Advisor are trademarks of McKesson Information Solutions LLC. Microsoft is a registered trademark of Microsoft Corporation. All other product or company names mentioned may be trademarks or registered trademarks of their respective companies. Portions of Horizon Homecare Telephony are licensed by Sandata Technologies, Inc. under U.S. Pat. Nos. 5,255,183, 5,646,839 and 5,963,912. HZN300-06/06

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