Disclaimer This webinar may be recorded. This webinar ......• October 2016 –Amazon, Twitter, Pandora, Reddit, Pinterest, athena and many other organizations had downtime situations

DisclaimerThis webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some state laws. This should not be used as legal advice. Itentive recognizes that there is not a “one

size fits all” solution for the ideas expressed in this webinar; we invite you to follow up directly with us for more personalized information as it

pertains to your specific practice and issues. Thank you, and enjoy the webinar.

About UsOur passion is to provide solutions for our healthcare provider partners which help them improve patient care, enhance the patient experience and maintain a financially healthy practice.

Since 2003 we have specialized in NextGen Healthcare services including:• Consulting

• Hosting

• Customization

• And productivity tools such as ChartGuard® and RefundManager®

Upcoming Webinars

Quality Reporting Using HQM• Overview of NextGen Health Quality

Measure Web Portal

• Using the HQM for reporting under the Quality Payment Program established by MACRA

• New features in 5.0 upgrade

Wednesday, April 19 at 12pm CT

Welcome (Housekeeping)

• To prevent random noises from interrupting the demonstration, the phones will be muted.

• We’ll take questions via the control panel on the right while the demonstration is proceeding.

• After the demonstration, we’ll answer many of the questions sent in during the demonstration.

• Let us know in the “chat box” if you are experiencing and audio quality issues.

Introduction

Tom Siko

Business Development [email protected]

224-220-5523

Joseph Schulz

Director of Product [email protected]

224-220-5550

ChartGuard®

Your EHR Downtime Solution

Agenda

• What is ChartGuard

• EHR dependencies

• Why practices buy ChartGuard

• How it works

• Show the ChartGuard output

• Brief Itentive overview

• Your questions

What is ChartGuard?

ChartGuard™

• Business Continuity Solution

• Ensures the availability of patient charts during EHR downtime

• Addresses downtime preparedness at each clinic location

HIPAA 164.308(a)(7)(i)

Establish (and implement as needed) policies and procedures for responding to an emergency or other occurrence that damages systems that contain electronic protected health information.”

“responding” - Contingency Plan• Data Backup Plan• Disaster Recovery Plan• Emergency Mode Operation Plan• Testing and Revision Procedures• Applications and Data Criticality Analysis

EHR Dependencies

EHR is dependent on Complex Technology• Servers, Workstations,

Tablets, Scanners

• Local Networks, T1Lines, VPNs, Wireless

• Internet Connections (Hosting)

• Power, Cooling

Loss of Access to EHR means…• Quality of Care may be

impacted

• Lost Productivity

• Lost Revenue (multiple sources show Downtime Cost at $488 per Hour per Provider)

• Embarrassment/Reputation

EHR Downtime Options

• Temporarily Close the Practice/Location

• Paper Charts Manually maintained

Labor intensive

• Fully redundant technologies Servers, Network, SANs

Data centers, Power, Cooling

• Even Hosting has it’s risks for access

Examples of failures…• Cooling failed – drain was plugged

• Sprinkler line failed – water started to seep into the server room

• SAN LUN failed and detached the Host Servers

• Network/Failover switch failed – affecting a satellite office

• July 2015 – United Airlines, NYSE, Wall Street Journal, Brookings Institute all had failures on the same day

United – a network connectivity issue caused by a router causing it to ground hundreds of flights worldwide for 2 hours

NYSE – a faulty software upgrade caused them to stop trading on the exchange for nearly 4 hours

WSJ.com - insufficient capacity for unanticipated demand and a failure of server connections

Brookings Institute – was offline for an hour due to a “content publishing error”

• May 2016 – Time Warner Cable and Cox customers in New York City, Massachusetts, and Rhode Island lost internet connections because of multiple fiber cuts by Level 3 in PA and MA

• October 2016 – Amazon, Twitter, Pandora, Reddit, Pinterest, athena and many other organizations had downtime situations due to the Dyn distributed denial-of-service (DDoS) cyber-attack. Dyn is one of the largest ISP providers in the world.

10 Provider Practice down for 4 hours costs $19,520

The Questions are...• Do I pursue uptime or do I pursue a solution that enables me to

continue on with my business until NextGen comes back online?

• Am I going to be reactive or proactive in my clinic’s preparedness for downtime?

• What are the type of impacts that a NextGen downtime incident can have on our clinic?

• How significant can the impact be to our clinic based on the duration of downtime incident?

• The question isn’t whether your clinic will lose connectivity, the question is how to minimize the loss and minimize the disruption when it does happen.

The ChartGuard Option

ChartGuard™

• Affordable Business Continuity Solution

• Ensures your practice is productive, profitable, and secure during EHR downtime

• Complete Clinical Record Available Off-Line as PDFs!

How ChartGuard Works

Nightly Deliverables – Out of the Box

• Daily Appointment Listing – each location

• Patient Data Sheet

• Module Data: Allergies, Immunizations, Labs, Medications and Problems

• Vitals (KBM template)

• Documents

Let’s Look At The Output

• Sample Appointment Book

• Sample Chart PDF Output

Customization

• Practice defined safety net You pick how many days to generate

You pick the depth of information on the chart

• ChartGuard can be customized to match your Specialty, KBM level, Number of locations

• Appointment Listing can be customized to meet front office needs

Testimony…

“We had a WAN outage that took down our NextGen access to 2 of our biggest clinics today (December 9th). Thanks to your product we did not have to close clinics and turn away patients. We were able to keep our clinics at least functioning and the doctors were pleased with our backup plan of ChartGuard.”

-John, Network Manager

ChartGuard VersionsChartGuard™

• Business Continuity Solution

• Automated Updates

• Complete Clinical Record Available Off-Line as PDFs!

ChartGuard™ OnDemand

• Create a patient chart on request

• You control how much history to generate

• Fulfill audit requests, patient requests

ChartGuard™ Archiver

• Comprehensive Chart Archive to PDF

• Long Term Chart Storage and Retrieval

• Assists in Migrating Between EHR Systems

The Itentive 411

• Founded in 2003

• Mission is to create additional value for your NextGen investment

• Our passion is to work with our clients to

improve patient care

enhance the patient experience

maintain a financially healthy practice

• 19+ years experience with NextGen

• 70+ Employees Coast to Coast

• 350+ Clients using NextGen

• NextGen Strategic Partner

• We “live” NextGen Everyday

Itentive Service Lines

Consulting Services

Technology Services

Product Solutions

Information Solutions

Reseller Solutions

NextGen Life Cycle Solutions

Implementations

Process Improvements

Enhancements, Upgrades & Support

IT Managed Services & Cloud Hosting

Productivity Tools

Itentive’s Other Productivity ToolsRefundManager®

• Automates the Refund Process

• Workflow Management

• Accounting System Integration

Phreesia Clinical Interface for NextGen

• Patient Encounter, Allergies, Medications, Surgical History, Family History, etc

DrsLink

• Integrate with NextGen to seamlessly pass files to TransworldSystems

• Lower cost to collect

Questions

Tom Siko

Business Development [email protected]

224-220-5523

Joseph Schulz

Director of Product [email protected]

224-220-5550

Thank You