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Case study Implementation of ezCAC

www.ezDI.com

The Situation:During the spring of 2015, RUMC felt that their existing encoder vendor was not going to be able to offer all of the workflow and functionality that was about to be required with the - at that time - pending ICD-10 migration, on October 1, 2015. Another objective Ms. Simanovskaya had was to cut-down on the time for coders to code each case. The immediate concern was proactively combating the forecasted productivity losses that would impact RUMC coders with the change-over to ICD-10, which would negatively impact DNFB and hospital cash flow. Mrs. Liza Simanovskaya is the Director for Health Information Management, with a staff of 10 coders, as well as a contracted outsourced coding services organization.

Case StudyezDI implements ezCAC, its cloud-based Computer-assisted Coding (CAC) platform, at Richmond University Medical Center (RUMC), Staten Island,NY

About:Richmond University Medical Center (RUMC) is an affiliate of The Mount Sinai Hospital and Mount Sinai School of Medicine on Manhattan. A 470+ bed healthcare facility, RUMC serves New York City borough residents as a leader in the areas of surgery, gastroenterology, pediatrics and pediatric gastroenterology, endocrinology, urology, oncology, orthopedics, surgery and maternal health. Its main campus is located on Staten Island, New York. RUMC also offers behavioral health services at its Bayley-Seton campus. Mr. Robert Ren served as the executive sponsor during the CAC vendor evaluation process. Mr.Ren is Vice President of Revenue Cycle and Managed Care for Richmond University Medical Center.

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Case study

The Solution:"When evaluating CAC vendors, and we looked at them all, we became very frustrated with vendors sending in the typical sales people, who did not know the specifics of their application's functionality, and based on my experience, tend to overpromise and underdeliver," said Rob Ren. Liza Simanovskaya added, "During and right after the initial ezDI presentation, we picked up on something very different with the ezDI team. We sensed that they would provide the attention and extra-effort that we knew would make a difference, versus going with some of the other vendor choices who had very "salesy" presentations. Liza continued, "Even though we became the first ezCAC customer, we were finally talking about a software that would be customized to meet our unique workflow requirements, and not the other way around where software gets installed and we, the customer, have to make all of the adjustments. We were very impressed with ezDI."

The Results:According to Liza, once we signed with ezDI, the implementation, support and trainingwere unbelievable.

Richmond University Medical Center went live with ezCAC on October 1, 2015!

Liza commented that the ezDI implementation team was fantastic and the onsite support was unbelievable. RUMC management and coders completely understood how to use the system before the ezDI team left, and as a matter-of-fact, the post go-live support is superb. When RUMC calls ezDI support, they get a human being who always answers the call and I can talk to people who can give immediately give me an answer.

"When you came and showed us the application, I thought the product was really great and an actual ezCAC developer came onsite with the ezDI team and was able to answer every question we had on functionality and capability," said Rob.

Liza happily relayed that, "We have had a laundry list of requests to enhance the system, like a compliance module to replace the current compliance application in use, which now we know is being released in November, 2016. Every request we made to ezDI was taken into consideration, was approved, and now that feature functionality is available in ezCAC - and all of the release timelines were realistic and met."

There is a big appreciation by the RUMC coders as they are able to take full advantage of the procedure side of coding. It was very easy to adopt to, use, and the workflow is coder oriented and actually the way it should be.

And, something Liza wanted to pass along is, "this system has no slowness or lag like we have in other applications and because the system is so advanced and modern, ezCAC has never been down!"

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Case study

The Benefits:In spite of hospitals experiencing anywhere between 10% - 50% loss in coder productivity with the ICD-10 transition, RUMC has actually realized a 33% increase in coder productivity since October 1, 2016. Organizational metrics, like DNFB and CMI, were not negatively impacted by the ICD-10 cutover and DNFC is never more than three days.

Coder requested enhancement, like hot-keys and short-cuts, have been implemented and the coders couldn't be happier with ezCAC.

What was once a resource intensive IT support cost-center with VPNs and remote user access support to work with multiple systems, is now department that requires zero IT support with optimized workflow and NO DOWN-TIME!

"One of the absolute best features in ezCAC, and I can't stress this enough, are the real-time reports and dashboards that are at my disposal every day," Liza states. At any given time, I know RUMC's CMI and many other productivity and financial metrics."

According to Rob Ren, "We are very happy with our decision to partner with ezDI and I can strongly recommend them, and I will gladly to speak to other hospitals, on behalf of ezDI and the ezCAC product!"

Medical CMIMonth Surgical CMI Combined CMI Avg. GMLOS (days) Avg. Actual LOS (days)

January-2016

February-2016

March-2016

April-2016

May-2016

June-2016

July-2016

August-2016

September-2016

October-2016

November-2016

December-2016

2.5896

2.3890

3.5343

2.6086

2.5556

2.7938

2.1193

2.5961

2.8385

2.3698

3.0238

2.8304

1.3370

1.3334

1.4904

1.3403

1.3829

1.4470

1.3069

1.4143

1.4292

1.3393

1.5477

1.5222

3.99

4.06

4.26

3.99

4.10

4.18

4.05

4.14

4.19

3.98

4.35

4.19

5.51

5.81

6.20

5.73

6.02

6.22

5.72

5.97

6.45

5.34

6.01

6.06

1.0948

1.1190

1.1043

1.0684

1.0924

1.1337

1.1240

1.1299

1.0971

1.1021

1.1620

1.2275

Real-time Operational and Financial Metrics

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Case study

Avg.# of Days (Discharge to Coding Completion)

5.8

Month

January-2016

February-2016

March-2016

April-2016

May-2016

June-2016

July-2016

August-2016

September-2016

October-2016

November-2016

December-2016

6.9

6.3

5.7

5.8

4.9

4.5

4.4

4.1

4.5

3.8

2.9

6.5

1.6 4K

3K

2K

1K

LOS

Tota

l Var

0K

1.5

1.4

Oct

1.3603

1.4000

1.3947

1.4200

1.4710

1.6032

1.4232

1.4711

Nov Dec Jan Feb Mar Apr May Jun

CMI

CMI

1.3448

Case study

Medical

CMI LOS Total Var

Surgical

Medical2,589

Surgical668

Total Number of Patients

300 298

Oct Nov Dec Jan Feb Mar Apr May Jun

283 294 287262

320

279 286 280

757893

7362747654

83

200

100

0

Coun

t of P

atie

nts

Number of All Discharges

Headquartered in Louisville, Kentucky, ezDI, Inc. focuses on developing healthcare IT solutions that leverage cutting-edge technologies including Natural Language Processing (NLP), Machine Learning, Semantic Web, and High Performance Computing. The goal is to put operational data in the hands of healthcare professionals to help them proactively identify patients at risk, patterns in disease and treatment outcomes.

ezDI builds intuitive healthcare IT solutions spanning Clinical Documentation Improvement (CDI), Computer-assisted Coding (CAC), Medical Transcription, Analytics, and more. ezDI has been named as one of the top 100 highly innovative companies at TiECon 2014 and ranked #1 in the Semantic Evaluation of Clinical Data (SemEval) competition for the year 2015.

For more information, please visit http://www.ezDI.com.

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