“Remote” Physician Practice Documentation …...“Remote” Physician Practice Documentation...

“Remote” Physician Practice Documentation

Management

The Changing Landscape of

Healthcare Information Technology

Anthony Volpe, PMP

Jordan Bires, MBA

Alpha Systems – Est. 1975

Who We Are & How Have We Changed?

How Has Technology Changed Our Lives?

Conversations

Photography

Healthcare

Household Chores!

How Has Technology Affected HIM?

• 1928: “American College of Surgeons (ACOS)

seeks to improve the standards of records

being created in clinical settings.”

• 1960’s & 70’s: “The development of

computers encouraged pioneering American

universities to explore the marriage of

computers and medical records.”

How Has Technology Affected HIM?

• 1980’s & 90’s : “Computerized registration, the

introduction of the master patient index (MPI),

and databases of patient information used

across all the departments of a healthcare

organization, was massive successes.”

• 2000’s : “Electronic health records would allow

providers to make better decisions and provide

better care while reducing the incidence of

medical error by improving the accuracy and

clarity of medical records.” (CMS.gov)

http://www.rasmussen.edu/degrees/health-sciences/blog/health-information-management-history/

Today & Tomorrow

• Health Information Exchange

• Accountable Care Organizations

• External Data Management (Physicians Practices)

• Computer Assisted Coding

• Information Governance

• Data Integrity

• Interoperability

• Etc. Etc. Etc.

Case Study

Yesterday

• HIM Director – new responsibility of 150+ Physicians Practices

• Cerner EMR (implemented May 2013)

• Existing Scan Center at Hospital

• Setup to successfully process IP records

• Not setup to handle additional practice documentation – no form standardization amount practices

• 3 FTEs Approved for Hire (10 Requested)

• With 50% of the Practices Live:

• $8,000 Monthly Overtime ($96,000 Annually)

• Courier Challenges and Cost ($150K+)

• Inconsistency

• 4 Week Turnaround Time

• Physician Concern

• 1 Month Indexing Backlog – scan center staff quickly fell behind

• Needed a Cost Effective, Consistent & Scalable Solution

Solution

• Working together with the client our team developed a

new process that leveraged existing hardware at the

client site

• Modifications were made to our proprietary workflow

software to build a solution that worked for everyone

How it Works

• Cost Savings

• $96,000 Annual Overtime

• $150,000 Transportation

• 3 FTE’s Reallocated ($100,000+)

• Process Improvement

• Consistent and Scalable Model

• 14X Faster Turnaround

• No Backlogs

• Most importantly, the patient records available for the

clinical staff to view with 48 hours vs. weeks

• Employee Satisfaction

• Minimal Practice Involvement

• Physicians Access to Records

One Last Thought

By utilizing existing technology but

developing new processes, we were able

to help the client take a new

responsibility and turn it into an

opportunity.

Sometimes Your River Moves…

“Remote” Physician Practice Documentation …...“Remote” Physician Practice Documentation...

Documents

A Guide to Better Physician Documentation - · PDF fileI am pleased to present you with this guide to better physician documentation. It reflects the collective input and recommendations

Clinical Documentation Improvement (CDI). Physician Documentation This module will provide you with key strategies for meeting both professional and hospital

OB Physician Documentation End User Education. Agenda 1. Brief Intro to Physician Documentation (PDOC) 2. Features/Benefits 3. Review list of OB Documents

The Impact Physician Documentation on Hospital Reimbursement and Metrics

Physician Documentation Tips

Physician Documentation - SUO/AADO

Table of Contents - Idaho Medicaid Health PAS OnLine Guidelines/Physician...Sample Documentation for Abortions to Save the Life of the Mother I, (Name of physician), attending physician

Inpatient Physician Documentation Samplesapi.ning.com/files/phiRQf4HqfMMUuGs-lyyn2ZjQ8SDdgv4SNLqQSMT9… · Inpatient Physician Documentation Samples All information is provided to

Remote Physician Consultation App

Documentation Impact and the Physician Advisor

Non-Physician Practitioners Coding, Billing and ...Non-Physician Practitioners Coding, Billing and Documentation Guidelines Medical Compliance Services 2 Agenda Non-Physician Practitioners

“The Odyssey of Physician Documentation and CDI: The ... · “The Odyssey of Physician Documentation and CDI: The Journey Continues” Background Information ... • As they become

Documentation User Manual for HEIDELBERG Remote Access

Professional Services Documentation and Coding Guidelinesmed.stanford.edu/content/dam/sm/gme/housestaff... · Medical Student Documentation - E&M Services The attending physician

Appropriate documentation- why it matterssma.org/.../uploads/2015/08/Cornatzer_Appropriate-Documentation.pdfAppropriate documentation- why it matters ... Physician #1 admits patient

Investing in the future Projects - Catholic Health Initiatives · 2011. 3. 30. · Meditech 6.0 Computerized Physician Order Entry / Physician Documentation Clinical Standardization

Physician Documentation & Billing

Improving physician clinical documentation quality ...downloads.lww.com/wolterskluwer_vitalstream_com/journal_library/... · Improving physician clinical documentation quality: Evaluating

Computerized Physician Documentation Emergency Department September 2012

Medical Record Documentation for Patient Safety and Physician