The information presented in this Webinar is current as of date of live airing April 12, 2012. Presented by Kevin Tolin Scheper Vice President, Professional Services
Now is the time to switch Meaningful Use pulse check Even more change is coming Traditional software EHRs can do more harm than good Cloud-based EHR: a model for success What is the Cloud? Meaningful data and insights can drive performance Cloud-based software isn t enough Implementation can be rapid and rewarding Question & Answer
$8,500 $8,500 $8,500 $8,500 $21,250 Yr 6
123,921 52% (64,439) 33,595 27% 1. CDC/NCHS, 2011, National Ambulatory Medical Care Survey
Implementation per physician costs an estimated $32,409 through the first 60 days after launch. Maintenance expense per physician per year amounts to $17,100. SOURCE: Neil S. Fleming, Steven D. Culler, Russell McCorkle, Edmund R. Becker and David J. Ballard, The Financial And Nonfinancial Costs Of Implementing Electronic Health Records In Primary Care Practices, Health Affairs, 30, no.3 (2011):481-489
8 1. Halladay JR, et. al; Cost to Primary Care Practices of Responding to Payer Requests for Quality and Performance Data. Ann Fam Med; 2009.
1. Did you successfully attest for Stage 1 Meaningful Use with the help of your EHR? 2. Did you struggle just to hit 90 days of Meaningful Use in the first year? 3. Does your EHR provide real-time reporting that allows you to assess staff and provider performance against Meaningful Use measures? 4. Does your EHR provide Meaningful Use support and training as part of the regular pricing without additional fees? 5. Does your EHR provide the required interfaces for free and without interruption? 6. Will your vendor charge for a Meaningful Use Stage 2 upgrade? 7. Does you EHR vendor guarantee Meaningful Use money? What guarantee can they actually make?
Low Upfront cost High Connection to outcomes High Performance visibility Low Upfront Cost Moderate Connection to outcomes High Performance visibility Moderate Upfront cost Moderate Connection to outcomes Low Performance visibility High Upfront cost Low Connection to outcomes Low Performance visibility
Software Knowledge Work athenaclinicals received Complete EHR certification for MU on 10/1/2010 Since Oct 2010, all athenahealth clients have been using a Stage 1 MU certified EHR Any software changes to support MU are pushed to all clients immediately Centrally monitor the performance of every provider within your practice to tell them if they are ahead or behind in meeting MU criteria Identify insights based on high and low performers nationwide and roll out to network Coaching on Meaningful Use program performance with intervention for poor performers Management of registration and attestation with CMS Incentive payment tracking and processing
athenahealth Client Performance: 5/27/2011: 28% 7/11/2011: athenahealth made Race & Ethnicity a required field 7/24/2011: 61% 8/13/2011: 89% 9/24/2011: 99%
MAY 1, 2011 1. Implement one clinical decision support tool 2. Report ambulatory clinical quality measures 3. Use CPOE for medication orders 4. Maintain active medication list 5. Maintain active medication allergy list 6. Record vital signs 7. Record demographics 8. Provide clinical summaries 100% 100% 93.0% 88.2% 82.1% 68.2% 28.3% 6.4%
December 31, 2011 1. Implement one clinical decision support tool 2. Report ambulatory clinical quality measures 3. Use CPOE for medication orders 4. Maintain active medication list 5. Maintain active medication allergy list 6. Record vital signs 7. Record demographics 8. Provide clinical summaries 100% 100% 99.6% 99.2% 98.7% 97.7% 99.9% 96.1%
Mindshare % Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press 16
Provider Satisfaction Peak of Inflated Expectations Plateau of Acceptance Slope of Enlightenment Technology Trigger Trough of Disillusionment Time While strong leadership and change management can reduce the length and depth of the Trough of Disillusionment, a minority of users can create a perceived vocal majority. 17
There are six key elements of a successful implementation: Shared vision and measures of success Strong governance Organization-wide change management Implementation focused on adoption and productivity Skilled client resources for long-term support Documented risks and mitigation strategies 18
Implementation Phases u Kick-off Meeting u Assessment Summary u Tablespace Production Ready u Go-Live u Transition to Client Services Client Experts u Certified Phase 1 Data Gathering & Assessment Phase 2 Configuration & Workflow Design Phase 3 Training & Go-live Phase 4 Post-live Support Phase 5 Expertise Development & Optimization typical implementation timeline weeks 1-4 weeks 5-8 weeks 9-10 weeks 11-14 weeks 15 This approach Establishes a consistent and efficient process Leverages best practices to maximize practice performance Minimizes operational and financial disruptions Ensures meaningful adoption of new processes and technology Supports athena s holistic approach to client partnership 19
The good intentions of Meaningful Use will largely be wasted if the EHRs that proliferate as a result continue to underperform In the same way, keeping an EHR solution that can t guarantee your incentives and doesn t optimize your practice for revenue and performance will continue to be a drain on both time and money Take care of the business first, so that you can be there to take care of the patients athenahealth offers a unique model in which WE manage the business so that providers can manage the healthcare and be their best selves
e-prescribing Submission of quality measures (like P4P and PQRI) Compliance with Meaningful Use is built into the software and continuously updated Flexible charting options Manage and post all clinical documents Productivity reporting, measurement, and benchmarking Follow-up on all lab orders Put the power of the cloud to work. Low investment: no expensive hardware or software to install, maintain or upgrade (all that s needed is PC and internet connection) Low risk: flexible system adapts to changing health care environment and technological innovation athenahealth Quality Management Rules Engine
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