Billie Kennedy-Hutchinson, CHCIO, CPHIMS

Transcription

1 Together...Making Healthcare Better Changing Your EHR, An Evolutionary Tale January 18, 2013 Billie Kennedy-Hutchinson, CHCIO, CPHIMS

2 Things our lawyers make us say! SAIC is a FORTUNE 500 scientific, engineering, and technology applications company Approximately $11 billion in annual revenues for fiscal year 2011 Acquired Vitalize Consulting solutions August 2011 Acquired maxit Healthcare August 2012 maxit/vitalize An SAIC company Provide Management Consulting/Implementation Service Deployments 2

3 Agenda Topics discussed today will include: Critical questions to be asked when considering your long term electronic strategy Is it time to replace your EHR? Replace v/s Optimize ROI and Total Cost of Ownership considerations Discussion 3

4 Evolution refers to change or transformation over time. Since change is always happening, shouldn t we always be preparing for it? 4

5 The Impetus for Rethinking ARRA meaningful use, compliance requirements and reimbursement reductions are forcing many providers already using an AEHR solution to reconsider their systems and rethink their long term electronic strategy. 5

6 Challenges Ahead 6

7 Challenges Ahead! 7

8 Critical Questions to Consider Will the AEHR achieve the requirements of federal meaningful use measures? Will it secure incentives and avoid penalties? Is the vendor responsive with upgrades and code changes to evolve and support future healthcare reform, what we know and the unknown? What is my clinical and financial total cost of ownership (TCO) and ROI? Can I be confident that I will not need to buy a new EHR in the next 5 years because the vendor or solution has become obsolete? 8

9 Is it time to replace my EHR? *KLAS has reported that some EHRs are being replaced due to fears that the EHR will not meet the standards required for healthcare reform Other reasons site include: Missing functionality Provider dissatisfaction Difficulty to integrate with other solutions Vendor Support issues Expense Technical sustainability Lack of specialty content Need to consolidate from many disparate vendors to one unified vendor 9 *KLAS Report March 2010

10 Replace v/s Optimize Are the issues due to your practice s technical capabilities? Can they be resolved in a straightforward, cost effective manner? How is your relationship with your vendor? Is your solution reliable? Do you get support when you need it? Can they help as a trusted advisor for improvements? Is your EHR nimble and viable for the long haul? Can you support it from within your practice or are you dependant on your vendor or consulting resources? Can you meet meaningful use with your current EHR and / or avoid future penalties? Can you afford a new EHR? Are their penalties with your vendor for early contract termination? 10

11 Replace v/s Optimize 11

12 Consider Optimization if Your current EHR is not negatively impacting quality of care and productivity Your current vendor relationship is in tact and positive, you have a trusted relationship You can overcome any technical / infrastructure challenges Your current vendor can demonstrate they are in it for the long haul with success cases of meaningful use attainment by their customers You are prepared to address issues that the practice is at least partially responsible for 12

13 Value Realization. ROI & TCO Implementation costs Hardware investment Ongoing license fee or subscription fees, maintenance fees Ongoing training for staff and providers Upgrades (software and hardware) Integration (software, medical devices, HIE) Paperless - document management and elimination Reporting and Business Analytics 13

14 Value Realization. ROI & TCO Models to Consider: In-house hosted software ASP- vendor hosted solution Web-based service SaaS (software as a service) Subscription based Health system affiliate sponsored solution 14

15 Helpful Resources HIMSS website Local HIMSS chapters Vendor websites and conferences CMS website ONC website Local REC Consulting firms- trusted advisors Your own network of colleagues Affiliate health systems Community college and universities 15

16 Bridget Blakemore Director of Administrative Operations Virginia Physicians for Women 23 providers, 6 locations Greenway PrimeSUITE users since 2006 Greenway Medical Technologies, Inc. All rights reserved. Confidential and proprietary. Not for distribution except to authorized persons. 16

17 Questions? To learn more about replacing your EHR/EMR: Download our EHR replacement white paper: Billie Kennedy-Hutchinson Join upcoming webinars: