ASC SCHEDULING| BILLING & COLLECTIONS| INVENTORY| EHR

ASC EHRTranscending Today’s

Requirementspresented by

Tara Vail, MBAVice President of Marketing

www.hstpathways.com(800)290-4078

Today’s Agenda

Topics every ASC Decision Maker should keep in mind when purchasing an EHR

1. Key factors impacting the adoption of EHRs in the ASC market

2. Why you should do it now

3. EHR elements needed to transcend tomorrow's requirements

4. Helpful evaluation questions to ask prospective EHR vendors

Key factors impacting the adoption of EHRs in the ASC market

Financial burden

• No government incentives

• ASCs’ reimbursements continue to get squeezed

• Cost to purchase and support • The EHR system

• Staffing

• Infrastructure

Impact on operations

• Time

• Case Volume

• Staffing

• Profitability

• Workflow

• Communication

• Customer support

• Limited connectivity

Technical challenges

• No consistent data standards

• HL7 incompatibility

• PC versus Apple

• Regulatory changes stress development timelines

• HIPAA audit and reporting capabilities are missing or incomplete in many systems

Then why should I think

about implementing and EHR now?

Healthcare landscape is rapidly changing!

Stats Reference: [image provided by, http://www.hoverstate.com/our-philosophy.php]

1. http://www.hitconsultant.net/2012/12/04/45-mind-blowing-digital-health-statistics-and-trends/

2. http://worldofdtcmarketing.com/80-of-internet-users-look-for-health-information-online/focus-on-patients/

3. http://www.hitconsultant.net/2012/07/25/how-patients-learn-in-the-digital-age-infographic/

4. http://www.mobilereadyteam.com/mobile-marketing-tips/health-consumers-user-mobile-social-media/

5. http://www.beckershospitalreview.com/healthcare-information-technology/physician-tablet-use-nearly-doubles-since-2011.html

Despite the bad reputation of EHRs, hospitals have seen significant

positive results.

1. The HIMSS health IT value suite. http://www.himss.org/ValueSuite. Accessed August 19, 2013.2. Image found, http://contemporaryobgyn.modernmedicine.com/contemporary-

obgyn/content/tags/accenture/ehr-benefits-and-costs?page=full

HIMSS.org

EHRs and the push for IT advancements

aren’t going any where

EHRs bring additional value to the ASC market

• Patient safety goes up when clinical information is readily available

• Care coordination in an increasingly interconnected care continuum

• Quality tracking as part of the clinical workflow

• Regulatory compliance - chart completion and clinical documentation

• HIPAA - how do you know who looked at a chart if its paper?

• ROI - record retention, chart storage and retrieval, lost charts, paperwork, staff time to audit and prep charts

But the most urgent reason to do it now….

The market is demanding it.

It is quickly becoming an expectation from your patients, physicians, and affiliated hospitals.

EHR elements needed to transcend

tomorrow's requirements

Design: Adaptable architecture

Database Layer

Application Layer

Presentation Layer

input/output of data to users

read/write data to the database

Storage and retrieval of data

“The Brains”application logic,

security, web services,data processing

What the user sees

VS.

PublicInternet

secure

VPNconnection

Functionality: Today’s needs

1. Interoperability• HL7 message types

• Web-services and “API”

2. Data Management• Discrete data = consistency

• “Big data”

• Long term storage

3. Mobile computing• Tablet-friendly

• Device agnostic

4. Workflow/Usability• Concurrent charting

• Configurable by procedure and physician

• Templates for rapid charting

5. Regulatory Compliance• Chart completion monitoring

• HIPAA audit logs and tracking

• Joint Commission and AAAHC

Transcending tomorrow’s requirements: The new normal?

• Bluetooth enabled transfer of patient health data

• Patient ownership of all their records regardless of providers

• Increase in patients with high deductibles

• Meaningful Use for ASCs

• Value-based reimbursement

• ACO model in the ASC space

• 23-hr extended and convalescent stays for more complex procedures

1,2

1 Moody’s (MCO), the credit-rating firm, http://www.bloomberg.com/bw/articles/2014-09-25/why-hospitals-want-patients-to-pay-upfront2 http://www.healthpocket.com/healthcare-research/infostat/2014-obamacare-deductible-out-of-pocket-costs#.VaZx1_lViko

Helpful questions for

evaluating EHRs

Fundamental for today’s needs

General look and feel, overall staff preferenceEase of useSpecialties it supportsMedication

reconciliationSupport of mobile

devicesIntegration with other

software vendors and medical devices

Interoperability with physician and hospital partners’ EHRsManagement and

regulatory reportingDocument managementClinical charting

workflowPhysician workflowAnesthesia charting

HIPAA audit tracking and securityImplementation and

TrainingSoftware licensing

model – concurrent user, named user, unlimited, ORs, volume, locationsCosts Hardware requirementsServices and support

Looking ahead…beyond features and functions

• How does the vendor address the challenges of scalability and performance? • What is the life expectancy of the hardware?• Is the licensing based on named user or unlimited concurrent? • What is the process for upgrading your software? How often? What is the typical downtime?• What are the top 3 highest volume support call reasons?• How quickly can the software be adapted to meet new quality and state reporting requirements?• How easy is it to get information into and out of the system? Importing documents or exporting

patient records by patient, day, month, etc?• What medical devices does the vendor integrate to? How does it handle non-HL7 compliant

devices?• What are the options for things like scanned in documents, storage of images from c-arms and

scopes? Retrieval speeds, costs, storage options.• How does the vendor help to protect you from risks of HIPAA violations security breaches?

www.hstpathways.com

Thank you for your time today!

Questions?ASC SCHEDULING| BILLING & COLLECTIONS| INVENTORY| EHR

For more information:

web:www.hstpathways.com

phone: (800) 290-4078

email:tara.vail@hstpathways.com