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What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 1
Medical Billing Made Easy™
Presents
What You Need To What You Need To Know About Selecting Know About Selecting
the Right EHRthe Right EHR
Ron Sterling
www.Kareo.com
AgendaAgenda
Survey Five Key EHR Components Examine Four EHR Types Analyze EHR Relationships With Practice
Management Systems and Patient
© R. Sterling | 2011 6
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Management Systems and Patient Portals
Review Ten Key EHR Evaluation Criteria Discuss EHR Evaluation Strategies
6
EHR ComponentsEHR Components
© R. Sterling | 2011 7
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What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 2
Document ManagementDocument ManagementPractice Fusion Image ToolPractice Fusion Image Tool
© R. Sterling | 2011 8
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Patient ServicePatient Service
• Service Tools Triage Tools Refill Tracking Order Tracking Coordinating Care Items
© R. Sterling | 2011 9
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Coordinating Care Items Messaging Reporting to Patient Reporting to Others Managing Care
Transcription Files
Image Repositories
InteroperabilityInteroperability
Lab Systems
OtherProviders
OtherEHR Systems
DiagnosticEquipment
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 3
Workflow ToolsWorkflow Tools
• Supports Collaboration Among Doctors and Staff
• Allows the Tracking of Messages and Issue Resolution
© R. Sterling | 2011 11
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• Routes Incoming Items and Manages Outgoing Items
• Supports Patient Services Within the Office
• Supports and Tracks Interactions
Care360 WorkflowCare360 Workflow
© R. Sterling | 2011 12
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Patient PortalPatient Portal• Patient Service Refill RequestMessage Exchange eVisits
• Patient Health Record
© R. Sterling | 2011 13
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Access Information Review Results
• Patient Information Gathering Health History HPI Periodic Reporting
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 4
MedfusionMedfusion Health HistoryHealth History
© R. Sterling | 2011 14
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EHR Clinical ContentEHR Clinical Content
• Content - Specialty or Practice Specific Medical Record Structures Primary Care and Specialty Subspecialties Disease or Conditions Covered
© R. Sterling | 2011 15
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Disease or Conditions Covered Protocols Supported Service Mix Ancillary Services Payer Mix
Electronic Medical Record (EHR) Electronic Medical Record (EHR) ToolkitsToolkits• Toolkits - Programs That Allow You to Define
How the Clinical Record Will Look
Define Information That You Need in the Order That You Need
© R. Sterling | 2011 16
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Enter Clinical Findings or Information That Tie in With Your Specific Practice/Specialty
Define Relationships Among Medical Records (i.e., Image and Report)
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 5
PMS, EHR and PMS, EHR and Patient PortalsPatient Portals
© R. Sterling | 2011 17
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PMS and EHRPMS and EHR
EHRDemographics
Charges
Appointments
PMS EHR
© R. Sterling | 2011 18
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g
Interfaced Products cannot support some features.EHR Options may be limited to selected PMSs.Old PMSs may be difficult to interface with EHRs.
Patient Portals and PMSPatient Portals and PMS
EHR
Patient Portal
Demo/Appt Update
Demo/Appt Information
PMSStatements
© R. Sterling | 2011 19
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Payment/Inquiry
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 6
Patient Portals and EHRPatient Portals and EHR
EHRPatient Portal Patient Request
Information
© R. Sterling | 2011 20
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Response
Messages – Sent to Inbox and Information Entered into EHR.Information Accepted – Information Flagged and Posted to Patient Chart.
Key EHR Key EHR Selection CriteriaSelection Criteria
© R. Sterling | 2011 21
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Uncovering Your EHR NeedsUncovering Your EHR Needs
• Talk To Patients Doctors Staff Other Doctors and Providers
© R. Sterling | 2011 22
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• Review Paper Chart Contents• Review Other Documents• Examine Current Procedures• Observe Patient Service• Inventory Internal and External Sources
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 7
Key EHR Selection CriteriaKey EHR Selection Criteria
• Certified EHR• Entity Structure• Usability/Look and Feel• Technology
© R. Sterling | 2011 23
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Existing PMS Consider Existing Base
• Support and Maintenance
• Practice and User Customization Options Practice Standards Multi-Specialty Accommodations User Roles
• Surgery Scheduling
Key EHR Selection CriteriaKey EHR Selection Criteria
© R. Sterling | 2011 24
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Surgery Scheduling Tracking Needs Monitor Progress
Key EHR Selection CriteriaKey EHR Selection Criteria
• Imaging Indexing File Types Annotation
• Patient Summary
© R. Sterling | 2011 25
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Patient Summary Display Options Content Outstanding Items
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 8
Key EHR Selection CriteriaKey EHR Selection Criteria
• Clinical Content Specialty/Subspecialty Services Patient Population Treatment Standards
© R. Sterling | 2011 26
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Treatment Standards Report Quality Report Presentation
Key EHR Selection CriteriaKey EHR Selection Criteria
• Transcription EHR Inserts Tracking
• Prescriptions Electronic Rx
© R. Sterling | 2011 27
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Electronic Rx Management
• Orders (Lab, Diagnostic, Procedures) Tracking Completion Continuity of Care Results
Key EHR Selection CriteriaKey EHR Selection Criteria
• Patient Education Internal Content Logs
• Coding and Billing Justification
© R. Sterling | 2011 28
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Justification Supporting Documentation
• Workflow Patients In Office Messages Patient Service
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 9
Key EHR Selection CriteriaKey EHR Selection Criteria
• Reports and Letters Addressable Data Search Options Reporting Options Log Files
© R. Sterling | 2011 29
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Log Files Triggers
EHR Evaluation StrategiesEHR Evaluation Strategies
30
Selecting An EHRSelecting An EHR
• Evaluate EHRs Based On Realistic Criteria Workflow Model Practice Size Specialty and Clinical Fit
• Conduct Limited Demonstrations with Selection
© R. Sterling | 2011 31
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• Conduct Limited Demonstrations with Selection Committee Scripted Questions
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 10
Selecting An EHR (Cont’d.)Selecting An EHR (Cont’d.)
• Check References and Visit Sites Verify Comparable Situation Clinician and Operations Participation Observe Workflow and Charting
© R. Sterling | 2011 32
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Selecting An EHRSelecting An EHR
• Select Final(ists)• Conduct Demonstrations for a Broad Array of
Staff Scripted Demonstration Drop In Demonstration
© R. Sterling | 2011 33
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Drop In Demonstration Accountability for Staff
Selecting An EHR (Cont’d.)Selecting An EHR (Cont’d.)
• Create a Realistic Budget Project Management Non-Vendor Assistance Data Conversion Adequate Hardware
© R. Sterling | 2011 34
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Adequate Hardware Training Support
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 11
Decision TimeDecision Time
• Summarize Results• Establishing Realistic Expectations• Best of Breed Versus Single Vendor• “All Things Being Equal” Test
M ki A G d/B t D i i
© R. Sterling | 2011 35
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• Making A Good/Best Decision Can You Be Successful with the Product Will You Be Able to Work with the Vendor
Speaker Contact Information:
Ron SterlingSterling Solutions, Ltd.
301-681-4247
© R. Sterling | 2011 36
Sponsored by
SQEES.blogspot.com [email protected]
www.sterling-solutions.com
These handouts may not be reproduced without thewritten consent of the speaker.
INSANELY EASYINSANELY EASY
Matt KellyMatt KellyAccount ExecutiveAccount Executive
Medical Billing Made Easy™
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 12
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What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 13
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N LN L T C t tT C t t
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No LongNo Long--Term ContractsTerm Contracts
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 14
N C ll ti P ltiN C ll ti P lti
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No Cancellation PenaltiesNo Cancellation Penalties
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1 Month Free1 Month Free
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30 days free30 days freeWhen you subscribe by When you subscribe by
Friday, October 21Friday, October 21
What You Need to Know About Selecting the Right EHR
10/18/2011
© Sterling Solutions, 2011 15
Questions?Questions?
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Thank You!Thank You!
Sponsored by
www.Kareo.comwww.Kareo.com