onecare ambulatory care initiative
TRANSCRIPT
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OneCare Ambulatory Care Initiative
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Today’s agenda
ONECARE AMBULATORY CARE INITIATIVE
PHYSICIAN PRACTICE MANAGEMENT SYSTEM–ALLSCRIPTS
AMBULATORY ELECTRONIC HEALTH RECORD
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OneCare is the way we will transform health care
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What OneCare brings to our clinics
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Ambulatory Care Initiative Overview5 OneCare / Catholic Health Initiatives /
The benefits of OneCare
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Ambulatory Care Initiative Overview 6OneCare / Catholic Health Initiatives /
Patient safety and clinical outcomes
IMPROVE
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Ambulatory Care Initiative Overview 7OneCare / Catholic Health Initiatives /
ENHANCE the patient experience
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PROVIDE necessary tools and information
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ELIMINATEduplication and waste
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BETTER position us for
the future
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ENTER a new era of technology
• Change workflows• Discontinue using paper
charts
• Use tablets or desktop computers
• ePrescribe using the AEHR
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Why PPMS–Allscripts and AEHR?
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Having common systems allows us to:• Adopt best practices (workflows)• Improve data gathering and reporting capabilities• Capitalize on the purchasing power of a large,
national organization• Provide support more efficiently• Enhance revenues
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Achieving Meaningful Use
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• Medical professionals must meet specific requirements to show they're using certified EHR technology in ways that measurably improve the quality, safety and effectiveness of patient care
• PPMS–Allscripts and AEHR will help us demonstrate Meaningful Use
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What to expect
• Plan time to learn and become competent• AEHR: Recommend reduced patient load at go-live• Significant time investment by practices • Everyone’s participation and commitment
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Introducing Physician Practice Management System–Allscripts
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PPMS–AllscriptsSUPPORTS patient care
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One standard system
StartLSS
McKesson PPPPCN
GE IDXCernerMisys
Medical ManagereClinicalWorksAthenaHealthHealthwind
Advanced MDParadigmMeditech
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Finish
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PPMS–Allscripts affects those who: • Register patients• Schedule appointments• Perform billing functions
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Our electronic appointment book
• When we schedule appointments, we’ll enter basic patient demographic and insurance information.
• Provider schedules will be built in the new system according to our needs.
• Demographic, insurance and schedule info. will flow into the AEHR.
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Our patient registry
• To register patients, we’ll use four tabs in PPMS–Allscripts
• Registration info. will flow to the AEHR
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Billing bells and whistles
• PayerPath claims clearinghouse– iClaim – Electronic claims with real-time editing, online correction,
automatic posting of claims and reporting– iRemit – Electronic remittance management and reporting– iVerify – Insurance verification and benefits eligibility – iBill – Online patient statements and payments– iRemind – Automated patient appointment and collection reminder
calling system via Televox– Alpha II – Code scrubbing: Review claims and catch and correct errors
before submission to payers– Denial management / EOB storage– Contract management – Comparison of contracted rates to paid rates
and recoup missing revenue
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Introducing Ambulatory Electronic Health Record
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AEHR benefits
Provider
Nurse
Manager
2323
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Improvements
With paper• Paper-based/handwritten
paper charts• Inconsistent and varied
patient record systems• Separate patient charts at
each care site• Reliance on costly
transcription– Illegible documentation
with potential for errors– Lost charts
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With AEHR• Reduced transcription costs• Improved service coding• Decreased costs for
preparing charts for new patients
• Reduced claim denials due to better documentation
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25A complete health record
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– Patient demographics– Nurse documentation– Medical history– Active problems– All patient health
information, clinical notes and care guides
– Physician orders and progress notes
– Medications and drug utilization review
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– Lab and ancillary results– Patient education materials– Radiology images– E-prescribing (eRx)– Dragon– Scanning of paper charts– Electronic faxing – Disease registry and
reporting– In the future, integration
with other hospital applications
What the AEHR includes
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Questions?Comments?