How to Integrate other EMRs

into your

Centricity EMR Practice

Presented By:

Linda Travers, Director of Clinical Technology

Don Nagel, Director of Technology – Systems

Constantine Papasavvas, Manager Clinical Technology

Introduction & Management

• Linda Travers RN, BSN, MS, NE-BC• Project Manager/Director of Clinical Technology

• M3 Meridian

About M3, the Company

• Previously Owned by IDX

• Acquired by GE (2008)

• Acquired by Gores Group(2013)

Privately owned and operated

Service Culture Discipline Growth

M3 Vision

M3 Services

M3 Services: Billing Services (Revenue Cycle Management) - Data Entry - A/R Management - Coding & Credentialing EMR Services (Electronic Medical Record) - EMR - RX Account Management and Reporting Project Management and Consulting Product Management: - Technology Deployment and Support - Engineering and Server Support

Our Technology Services – Available to our clients

Claim Scrubber

Charge Management

Patient Self-Service EMR Document Image Document Repository

Web based products including:

RegistrationEnterprise Wide SchedulingeCommerce Suite: Eligibility, Claims and RemittanceRevenue Cycle ProductsEMR ProductsDocument Imaging ToolBusiness IntelligenceInterfaces

M3 provides an integrated and single-source solution

for Management, EMR, and Revenue Cycle services

Practice Management and Revenue Cycle

Mobile Access

Electronic Prescribing

Lab Ordering and Results

Clinic-based Kiosks

Clinic Back Office Management

Electronic Medical Records and Revenue Cycle Management

Our Customers

Scope Of Services

• Revenue Cycle Management includes end to end billing

to turn medical services into cash

• Electronic Medical Record deployment, optimization,

and first and second tier support

• Systems Integration for third party add-on products,

mobile devices, and kiosks

• Business Intelligence and practice data analytics

products and support

• Provider Enrollment for government payers and

managed care plans

• Coding services includes auditing, education,

documentation review and project work

1

2

3

4

5

Mobile

Access

Electronic Rx

Imaging

Electronic Lab and

Ordering Results

Revenue Cycle

Management

Hosting and

Support

Business

Analytics

Encounter

Documentation

• Large Multi-Specialty Groups in private practice, typically 150 or more

providers

• Academic Practice Plans and medical schools or teaching institutions

• Hospital System-owned Physician Groups developed through

hospital acquisitions of smaller practices6

M3 Services

RCM SERVICES

Process

Technology

Business Intelligence

Consulting

EMR SERVICES

Deployment

Support

Consulting

RESOURCES

Project Management

Consulting

Data Entry

Coding

Credentialing

TECHNOLOGY

Product Support

Programming

Interface/Conversion

Hosting

Value of Project Management

& Staying on Task

Project Planning Project Integration Scope Management

Outline the scope and process of the project

including documentation

Assist in the integration of new technology in your

facility

Ensure requirements are defined and incorporated into

the project

Time Management Cost Management Quality Management

Manage the execution of milestones on time

Deliver the project on contract budget

Reduce and manage project risks to increase satisfaction

Resource and Procurement Mgmt

Communication Management

Risk Management

Coordinate the project team in addition to third parties and the customer team at

the right time

Manage communication between resources and

provide feedback to project stakeholders

Increase project success by managing conflicting

priorities, scope, cost, and time

Integration Methodology

GE ContributionsSoftware Product

Product Training

Technical Consulting

Clinical Consulting

Implementation Guidance

GE Resource Coordination

Overall Project Oversight

Client ContributionsClient supplies Implementation Manpower

Client supplies hardware needs M3 Contributions3rd Party Products

3rd Party Product Training

Interfaces

Resources

Consulting/Support

Shared Responsibility• GE supplies SW products and value added services

• Client supplies implementation manpower

• 3rd Party Partners supply HW & SW products

Client

M3

Contributions

GE

Healthcare

Your Project Goals & Objectives

• Stay Focused

• Identify the Factors leading to the integration of an EMR

• What Benefits are expected from this integration?

• Expectations of the system and project and the stakeholders?

Interface Engineer

• Don Nagel• Director of Technology • M3 Meridian

• Constantine Papasavvas MA• Manager of Clinical Technology• M3 Meridian

Interfaces/Integration

•Improving patient care

through data exchange by

merging external data.

Next Steps

• Demographics

• Scrub the data for uniqueness

• Identify any issues

• Formats through HL7 – pushed data to the

EMR

• Old System Capabilities

• Import Options

Demographics

Source System

Insurance

Duplicate Resolution

Keys - tie things together

Simulation

Registration Update

What needs to be converted?

• Immunizations

• Growth Data

• History (Social, Family, Medical, Surgical)

• Problem Lists

• Allergies

• Medication

• Scanned Items

Capabilities of Old EMR System

• Paper print image

• CCD, CCDA

• Flat File

(like a Spreadsheet /Columns identified)

• HL7 Message Types

Import Options

• Manual Enter - screen to screen, system to system

• Scripting – Simulate User from a file

• OCR Scanning – print image manual import

• HL7 Message, OBR

– a desired method

– OBR – observation result

• CCD Import

– CEMR allows for CCD reconciliation

• 3rd Party application for presentation

• Direct updating of database table

• Other

Imported Data

Observations Captured

CCDA – xml version control

• How to import

• Importing the file XML File

• Convert into a format the version EMR

understands

• When attempting the simulation, grab the

worst case CCDA we could find

• Removed the attributes or the elements

that had bad stuff on them.

HL7 - Revisit

• The “Managing Interfaces with Centricity

EMR” documentation does not need to be

difficult.

• Third party software will make your life

much easier.

• Be willing to try different things.

An Interface Engine is Crucial

• An interface engine will allow you to accept HL7

messages that do not conform to EMR standards

and translate them to something the EMR can

import.

• EMR versions come packaged with Centricity

Clinical Gateway with Cloverleaf, there are also

various third party options available. Plan to

implement one ASAP.

CCDA Sample

• The “Managing Interfaces with Centricity

EMR” documentation does not need to be

difficult.

• Third party software will make your life

much easier.

• Be willing to try different things.

HL7 OBR Sample

• The “Managing Interfaces with Centricity

EMR” documentation does not need to be

difficult.

• Third party software will make your life

much easier.

• Be willing to try different thin

CCD Example

Results / Common Issues

Common Issues

• Effort hours for each option

• Correct Chart chosen

• Versioning of electronic version

• Presentation

• Validation of results

• Documents vs. discrete data elements

Items we encountered

• Patients not found

• Patient Duplicates

– Good demographic conversion should prevent

• Capabilities of source EMR

• Version of CCD

• Converting into electronic version

CCD ERRORS

Road Blocks

• Vendor supplying the data

• Getting the physicians to agree with

process

• Getting everyone on the same pages

• Scheduling the meetings

• Meeting Attending and follow through

Identify and Prioritize Integration

• Prioritize integrations that benefit the entire

group and not those that those that only

benefit one clinic or physician.

• Identify and engage key personnel involved

with each integration.

• Create a project plan for each project and

distribute to all parties involved.

Questions?

THANK YOU!

M3 Meridian Medical Management Team