ASC SCHEDULING| BILLING & COLLECTIONS| INVENTORY| EHR ASC EHR Transcending Today’s Requirements presented by Tara Vail, MBA Vice President of Marketing www.hstpathways.com (800)290-4078
ASC SCHEDULING| BILLING & COLLECTIONS| INVENTORY| EHR
ASC EHRTranscending Today’s
Requirementspresented by
Tara Vail, MBAVice President of Marketing
www.hstpathways.com(800)290-4078
Today’s Agenda
Topics every ASC Decision Maker should keep in mind when purchasing an EHR
1. Key factors impacting the adoption of EHRs in the ASC market
2. Why you should do it now
3. EHR elements needed to transcend tomorrow's requirements
4. Helpful evaluation questions to ask prospective EHR vendors
Financial burden
• No government incentives
• ASCs’ reimbursements continue to get squeezed
• Cost to purchase and support • The EHR system
• Staffing
• Infrastructure
Impact on operations
• Time
• Case Volume
• Staffing
• Profitability
• Workflow
• Communication
• Customer support
• Limited connectivity
Technical challenges
• No consistent data standards
• HL7 incompatibility
• PC versus Apple
• Regulatory changes stress development timelines
• HIPAA audit and reporting capabilities are missing or incomplete in many systems
Healthcare landscape is rapidly changing!
Stats Reference: [image provided by, http://www.hoverstate.com/our-philosophy.php]
1. http://www.hitconsultant.net/2012/12/04/45-mind-blowing-digital-health-statistics-and-trends/
2. http://worldofdtcmarketing.com/80-of-internet-users-look-for-health-information-online/focus-on-patients/
3. http://www.hitconsultant.net/2012/07/25/how-patients-learn-in-the-digital-age-infographic/
4. http://www.mobilereadyteam.com/mobile-marketing-tips/health-consumers-user-mobile-social-media/
5. http://www.beckershospitalreview.com/healthcare-information-technology/physician-tablet-use-nearly-doubles-since-2011.html
Despite the bad reputation of EHRs, hospitals have seen significant
positive results.
1. The HIMSS health IT value suite. http://www.himss.org/ValueSuite. Accessed August 19, 2013.2. Image found, http://contemporaryobgyn.modernmedicine.com/contemporary-
obgyn/content/tags/accenture/ehr-benefits-and-costs?page=full
HIMSS.org
EHRs bring additional value to the ASC market
• Patient safety goes up when clinical information is readily available
• Care coordination in an increasingly interconnected care continuum
• Quality tracking as part of the clinical workflow
• Regulatory compliance - chart completion and clinical documentation
• HIPAA - how do you know who looked at a chart if its paper?
• ROI - record retention, chart storage and retrieval, lost charts, paperwork, staff time to audit and prep charts
But the most urgent reason to do it now….
The market is demanding it.
It is quickly becoming an expectation from your patients, physicians, and affiliated hospitals.
Design: Adaptable architecture
Database Layer
Application Layer
Presentation Layer
input/output of data to users
read/write data to the database
Storage and retrieval of data
“The Brains”application logic,
security, web services,data processing
What the user sees
VS.
PublicInternet
secure
VPNconnection
Functionality: Today’s needs
1. Interoperability• HL7 message types
• Web-services and “API”
2. Data Management• Discrete data = consistency
• “Big data”
• Long term storage
3. Mobile computing• Tablet-friendly
• Device agnostic
4. Workflow/Usability• Concurrent charting
• Configurable by procedure and physician
• Templates for rapid charting
5. Regulatory Compliance• Chart completion monitoring
• HIPAA audit logs and tracking
• Joint Commission and AAAHC
Transcending tomorrow’s requirements: The new normal?
• Bluetooth enabled transfer of patient health data
• Patient ownership of all their records regardless of providers
• Increase in patients with high deductibles
• Meaningful Use for ASCs
• Value-based reimbursement
• ACO model in the ASC space
• 23-hr extended and convalescent stays for more complex procedures
1,2
1 Moody’s (MCO), the credit-rating firm, http://www.bloomberg.com/bw/articles/2014-09-25/why-hospitals-want-patients-to-pay-upfront2 http://www.healthpocket.com/healthcare-research/infostat/2014-obamacare-deductible-out-of-pocket-costs#.VaZx1_lViko
Fundamental for today’s needs
General look and feel, overall staff preferenceEase of useSpecialties it supportsMedication
reconciliationSupport of mobile
devicesIntegration with other
software vendors and medical devices
Interoperability with physician and hospital partners’ EHRsManagement and
regulatory reportingDocument managementClinical charting
workflowPhysician workflowAnesthesia charting
HIPAA audit tracking and securityImplementation and
TrainingSoftware licensing
model – concurrent user, named user, unlimited, ORs, volume, locationsCosts Hardware requirementsServices and support
Looking ahead…beyond features and functions
• How does the vendor address the challenges of scalability and performance? • What is the life expectancy of the hardware?• Is the licensing based on named user or unlimited concurrent? • What is the process for upgrading your software? How often? What is the typical downtime?• What are the top 3 highest volume support call reasons?• How quickly can the software be adapted to meet new quality and state reporting requirements?• How easy is it to get information into and out of the system? Importing documents or exporting
patient records by patient, day, month, etc?• What medical devices does the vendor integrate to? How does it handle non-HL7 compliant
devices?• What are the options for things like scanned in documents, storage of images from c-arms and
scopes? Retrieval speeds, costs, storage options.• How does the vendor help to protect you from risks of HIPAA violations security breaches?
Thank you for your time today!
Questions?ASC SCHEDULING| BILLING & COLLECTIONS| INVENTORY| EHR
For more information:
web:www.hstpathways.com
phone: (800) 290-4078
email:[email protected]