stark bill reversal: making hospital-centric rhios possible february 13, 2006
TRANSCRIPT
Stark Bill Reversal: Making Hospital-Centric
RHIOs Possible
February 13, 2006
What is a Hospital-Centric RHIO
The Hospital Becomes the Central Point for Clinical Information for Resident Physicians
Patients See the Hospital as the Point for Information
Contact Point for RHIO and NHIN
Why Should a Hospital Be Concerned?
Quality Improvements
Physician Loyalty
Patient Loyalty
P4P Requires Complete Medical History
Pay for Performance (P4P)
More Payers Starting Programs
Creates Need for More Complete Information
Physician Loyalty
Create Reason to Come to Hospital
Provide Relevant Information
Add Value to the Physician's Practice
Communicate with Providers
Clinical Data Required From Physicians
Keep Physician Engaged With Facility
Central Point of Contact
Integration with a RHIO
Hospital System Connects to RHIO
Larger Point of Presence
Representation of Physicians
Integration with the NHIN
Point of Presence for NHIN
Distributor of Data
Disaster Recovery Facility
Status of Stark Bill Reversal
Draft Published October 11, 2005
Final Regulations Expected in Late 2006
What Will Reversal Allow Me To Do?
Facilitate Access to ePrescribing Systems
Donate Necessary EMR Services to Physicians
Provide Technical Training and Education
What Can I Do Today?
Enhance Web Site Services Related to Hospital Service Delivery
Provide Services for a Fee Equivalent to Cost
Create Separate Organizations for Services
What Services Should I Offer?
ePharmacy• Drug History
eLabs• Internal & External Lab Information
eAdministration• Eligibility• Claim Services• Claim Status• Banking
Complete EHR System
Now is the Time
Prepare for P4P Develop Connectivity Options
for RHIOs and NHIN Break out of the Silo and
Become Part of the Community Provide Physicians Tools To
Better Interact with the Hospital, Community and Nation
Challenges with Providers
Independency!
Non-Technical Capabilities
Technical Education & Training
Limited Web Business Connectivity
Challenges with Data
Format Implementation Standards, Limited Implementation Guides
Lack of Communication Standards
Inconsistent Applications of Codifying Data
Where Can I Save Money?
No Duplicate Testing – Payers Starting To Reject
Laboratory Data Distribution
Improved Patient Quality
How Can I Improve Quality of Care?
Complete Medical History
Reduce Drug Interactions
Verified Patient Information
Next Steps
Ensure a Clinical Web Site
Add Pharmacy Functionality to Web Site
Add Patient Verification
Provide Centralized EMR on a Per Seat License