2 presentation to joe smith physician & entrepreneur background

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Presentation to Joe Smith

Physician & EntrepreneurBackground

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Seth GutermanMD FACEP

Board-Certified, Clinically-Practicing Emergency Medicine Physician

Hospital turnaround expert whose process improvement expertise focuses on Risk Management, Government Compliance, and Enhanced Workflow Strategies

EMERGENCY CARE PHYSICIAN SERVICESBoard Certified EM Physician Staffing

PEOPLE’S CHOICE HOSPITAL Hospital Acquisition and Management Experts

EMPOWER SYSTEMSONC Certified Comprehensive Electronic Health Record

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Why EHR Stills Needs Huge Improvement, Why 95% of Hospitals are Partial Paper and How to Address ItEHR

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SPEEDDoctors and Nurses require EHRs that will enable them to document as fast, if not faster, than on paper.

INTEGRATIONDisparate systems that do no efficiently share real-time information dictate users to wait for information or revert to old workflow patterns.

DESIGNEHR products built without direct involvement of Doctors and Nurses will not fully meet their needs.

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For Comprehensive EHR Adoption & AcceptanceRequirements

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o Workflow should not Changeo Clinical process enhanced; not altered.

o Simplicity of User Experience (Navigation)o Limited mouse clicks and fewer layers of pages/content.

o Easy Trending & Filtering of Datao Saves time for end users.

o Centralized Informationo All notes, clinical and ancillary, should be stored in a single location

o Complete Medical Recordo Social, family and past medical histories of each patient, home medications, allergies,

and previous visits.

o Easy Physician (CPOE) Orderso Avoids workflow delays and unsigned orders.

Requirements for Adoption & Acceptance

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For Successful EHR Implementation & AdoptionBenchmarks

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1. Define the Scope of the Project

i. Implementation of User-Friendly Software

ii. Standard of Care for Documentation to be Better than or Equal to the Handwritten Medical Chart

iii. Implementation of 1 Hospital Unit at a Time

Benchmarks for Success

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2. Outcome Measurementsi. Ease of Use for Physicians and Nurses: Measure Training Time

ii. Evaluate Hospital Staff Productivity Computer vs. Paper

1. Average Time for a Nurse to Execute Physician Order

2. Average Patient Length of Stay in the Hospital

3. Number of Hospital Coded Charts per Coding Staff

iii. Compliance with Joint Commission Core Measures

iv. Present on Admission – CMS Requirements

v. Track the Number of MD Delinquent Charts / Summary Suspension from Medical Staff

vi. MD, RN, Clinical and CODING Staff Subjective Surveys


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PHASE 11. Getting Doctors and Nurses “Off Paper” and on to Documentation Software

(a Clinical Electronic Pen) for Clinical Documentation

2. CPOE-Computerized Physician Order Entry

1. 100% Compliance with Joint Commission Core Measures

2. 100% Compliance with Medical Necessity

3. ADT & Diagnostic Results Integration with Core HIS

4. CPOE integration between EHR & Core HIS

5. Physician Clinical Decision Support Software

6. Provide a Medical Record that is Legible

7. Pharmacy and eMAR Integration


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PHASE 21. CPOE integration between EHR & Core HIS

2. Discharge Instructions

3. Vital Signs Monitoring & Smart Bed Integration


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PHASE 3

1. Bedside Pharmacy Scanning Devices

2. Value-Added Risk Management Features (Coding, Charge Capture, etc.)

3. Paperless Hospital InPatient Units


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PHASE 4

1. Physician and Nurse Leadership lead Clinical Care Integration

2. Work Flow Experts (Documentation & Flow of Information)

3. Software Implementation

4. Interface Engines Development and Deployment

5. Crisis Managers for Clinical Documentation


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Crucial to the Success of 21st Century HealthcareEHR + HIS Technology

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Cloud-Based EHR+HIS Solutions

EmpowerSystems™

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SECUREConnectivity for All Usersfrom Any Location

INTEGRATEDAcross all Empower EHR and HIS Products

EFFICIENTDeployment within Days of Contract Signing

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Empower EHR + HIS Solutions• ONC Certified Inpatient, Ambulatory, ED Systems• Registration System• Hospital Scheduling• Revenue Cycle Management• Laboratory Information System• Radiology Information System• Pharmacy Information System• Surgical Suite Management System• Health Information Exchange• Patient Portal

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Telemedicine by PCH

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Telemedicine by PCH

• People’s Choice Hospital leverages cutting-edge Telemedicine solutions

• In conjunction with EmpowerSystems™ ONC Certified Comprehensive EHR and Advanced Core HIS solutions

• To immediately provide Rural and Inner City hospitals with access to leading medical professionals, regardless of geographic limitations

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A National Telemedicine Hub

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Successful EHR / HIS Deployment Crucial to SurvivalHospital Landscape

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Hospital Financial Landscape

Break-Even

38%

Profitable

25%

Bankrupt or Liquidating

37%

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Affordable Care Act

Underinsured

45%Insured

25%

Self Pay

30%

30 MillionPreviously Uninsured / Self-Pay Patientsto Infuse Massive Volume-Based Revenue

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Increased Healthcare Needs of Baby Boomers

65+ Population represents massive volume increase in marketplace.

78Million

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A Perfect Storm

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1

$149Billion

for Healthcare Spending under ARRA/HITECH 2009 “The Carrot & Stick”

75%of Hospitals

facing Financial Hardship

30Million

Americans to be fully insured via

Affordable Care Act

78Million

Baby Boomers turning 65 years old

$

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To Restore Struggling Hospitals to Positions of Strength in their CommunitiesOpportunity

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IDENTIFYThe Needs of the Hospital and Its

Community

ASSESSThe Financial and

Operational Realities of the Facility

DEVELOPA Viable Financial &

Operational Model for Success

DELIVERExperienced Clinical,

Technical, and Operational Teams

Methodology

Click icon to add pictureClick icon to add pictureClick icon to add picture

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To Enhanced Revenue Streams and Turnaround Success for Hospitals and CommunitiesRoad Map

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Enhance Clinical RevenueAdmissions, Tests, Procedures ROADMAP

TO TURNAROUND SUCCESS

Enhance OperationsResource Allocation, Billing/Coding,

Government Incentive Programs

Leverage TalentLocal, Regional, National

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Why PCH is UniqueCompetitive Advantage

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Disparate Competitors

HOSPITAL ACQUISITION

GROUPSMBA / M&A Viewpoint

EHR / HISCOMPETITORS

Technical Tools, but No Operational

Experience

PHYSICIAN STAFFING

COMPANIESClinical Skill, but Not Operations

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Competitive Advantage

PCH

Physician Access

Proprietary Technology

Operational Expertise

Able to Leverage Strategic Components Not Duplicated by Potential Competitors

National Telemedicine Hub with Access to On-Site Physician Specialist Network

One Patient. One Chart. One Database.Advanced EHR & HIS Technology

Proven experience in operating and supporting distressed hospitals

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Turnaround Strategies for Bankrupt HospitalsProcess

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Process

o Identify bankrupt hospital turnaround opportunities

o Enact Loan to Own strategies utilizing Secured Debt Purchases

o Establish operational control of the facility with approved Management Agreement

o Deploy Advanced EHR / HIS Technology

o Increase hospital revenue streams

o Exit bankruptcy protection once hospital mismanagement and bad contracts have been resolved

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Cochise Regional HospitalDouglas, AZProof of Concept

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Proof of Concept Timeline

Opportunity IdentifiedApril 2013

Mgt Contract SubmittedJune 2013

Negotiation of Debt

PurchaseMay 2013

Completion of Debt

PurchaseMay 2013

EHR / HIS Contracts Executed

July 2013

EHR / HIS Systems InstalledJuly 2013

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Proof of Concept Timeline

Mgt Contract ApprovedAugust 2013

Legal Proceeding ConclusionJan 2014

Operational Control of

FacilityActive Review of

Budget, Finances, Staff, Resources

Aug 2013-Present

Strategic Action Taken

at FacilityPolicies,

Procedures, Budget Cuts Enacted

Aug 2013-Present

Telemedicine & MD Access

LaunchJan 2014

Marketing & Brand

RevisionJan 2014

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2000 Spring RoadSuite 200Oak Brook, IL 60523

305-766-3245 (phone)312-276-8116 (fax)

[email protected]

Reach UsAt Our Corporate Offices

www.PeoplesChoiceHospital.com

2 presentation to joe smith physician & entrepreneur background

Documents

powerpoint presentation

joe smithphase

joe smithspeeddoctors

joe smith1

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joe smith workflow

joe smithwhy ehr stills

hospital unit