7.01 physicians and physician organizations: making … · 1 digital medical office of the future...

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DIGITAL MEDICAL OFFICE OF THE FUTURE

DIGITAL MEDICAL OFFICE OF THE FUTURE

7.01 Physicians and Physician Organizations: Making the Purchasing Decision

Developing Your Requirements and Making Your Selection

222

MARK ANDERSON, CPHIMS, FHIMSS

Nationally recognized expert in ambulatory EMRs

More than 30 years of professional experience in healthcare management and information technology

Integrated Delivery Networks (IDNs)

Hospitals

Payer organizations

Physician practices / organizations

National speaker >over 350 sessions since 2000

Taconic IPA Chief Information Officer (CIO)

333

ELECTRONIC HEALTH RECORDS

Institute of Medicine - Vision of EHR -To document all episodes of healthcare where ever they take place.To provide immediate access to data.To process data in a variety of ways to support better decision making for patient care and clinical and health services research.To increase efficiency of healthcare organizations and decrease the costs of services.To ensure confidentiality of data.To improve the quality of care and promote wellness of the population.

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Transitioning from Paper to Digital Electronic Medical Records

PAPER DIGITAL

© 2003 Cisco Systems, Inc. All rights reserved.

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EMR ISSUES

Too many vendors selling EMRs

Not many financially viable companies

How do you decide what functions are important?

How do you decide which vendors to look at?

How do the vendors rate in functionality?

Are all products the same?

666

0%

5%

10%

15%

20%

25%

30%

35%

40%

Messaging DIM Charting EMR EHR

200020032005

INTRODUCTION TO EMRs

Over 260 vendors claiming to sell EMRs

777

DIGITAL MEDICAL OFFICE FUNCTIONALITY

XPHRXHealth Maint.XXChief ComplaintXXNational AlertsXXStandards/CCRXXXE & M CodingXXXXE-PrescribeXXXXXPaper DocXXXXXXTranscriptionXXXXXXLabsXXXXXXXScheduling

XBilling

EHREMREMR Lite

ChartingDIMSecuredMessage

PMSFunction

888

CALCULATING YOUR OWN ROI

Coding improvementsPayment improvements including dropping the bill faster and

avoiding “lost” chargesReduction in malpracticeReduction in transcription costsReduction in paper, forms, and supply costsRecover storage spaceReallocation and retention of staff – NOT staff reductionPhysicians save 4 hours per week – NOT patient time

Nurses save an average 6 hours per weekStaff save an average of 6 hours per week per physician

Being paid for enhancing patient care is becoming the norm; clinical benefit is provable now

Documented savings of $12.50 to $20.00 per patient visit

999

RESULTS

74% of discarded EMRs were because the software did not meet the actual needs of the physicians.

Spending too much for the software.

80% of the vendors implementing the software do not help the practice determine “how” to use the product to improve operations.

The wrong EMR decision could cost the average physician more than $50,000 per year.

101010

WHAT NOT TO DO

Research the products by yourself.

Rely on your friends or associates.

Rely on hearsay.

Rely on vendor advertising claims.

Rely on vendor claims of functionality and company viability.

Try to implement the product by yourself.

Assume the software installation includes implementation and configuration.

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EMR Functional Evaluations• AC Group conducted extensive

evaluation of the EMR marketplace4th report Completed in October 2004Included over 5,455 functional questions27 categories of functionality26 subcategories of charting functionality4 delivery methods (desktop, remote, wireless, and PDA)

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5 - Star EHR Vendor ApplicationsVendors Meeting a Minimum of 80% of Required Functionality

70%

75%

80%

85%

90%

95%

100%

Rati

ng

Overall Score

NextGen

EPIC

Allscripts

Cerner **

Bond Medical

eClinicalworks

SynaMed

Med Com Sys

PMSI

JMJ

MedInformatix

iGreat

Imedica

Based on 4,583 Functional Questions Divided Between 27 Categories

131313

5-Star EMR Vendor ApplicationsVendors Meeting a Minimum of 80% of Required Functionality

75%77%79%81%83%85%87%89%

Rati

ng

Overall Score

Bond Medical

eClinicalworks

SynaMed

Med Com Sys

PMSI

JMJ

MedInformatix

iGreat

Imedica


141414

5-Star Charting Vendor ApplicationsVendors Meeting a Minimum of 60% of Required Functionality

60%

65%

70%

75%

80%

Rati

ng

Overall Score

Cliniflow

Vista Care

GE Medical

Misys

Greenway

Vitalworks

MerianEMR

Praxis

Orion

A4 Healthcare

e-MDS

Chartcare

DR Notes

MDAnywhere

McKesson


151515

5-Star EMR Lite ApplicationsVendors Meeting a Minimum of 80% of Required Functionality

40%

50%

60%

70%

80%

Rati

ng

Overall Score

iGreat

AIC Solutions

Med NetSystems

Axolotol

HealthVision

Alteer


161616

Top EMR/EHR Vendor ApplicationsLarge Practices > 100 Physicians

50%

60%

70%

80%

90%

100%

Rati

ng

Overall Score

NextGen

EPIC

Allscripts

Cerner **

eClinicalworks

iGreat

Imedica

GE Medical

Misys


171717

Top EMR/EHR Vendor ApplicationsMid –Sized Practices from 10 to 99 Physicians

70%

75%

80%

85%

90%

95%

100%

Rati

ng

Overall Score

NextGen

Allscripts

Cerner **

Bond Medical

eClinicalworks

SynaMed

Med Com Sys

PMSI

MedInformatix

iGreat

Imedica

GE Medical

Misys

Greenway

Vitalworks


181818

Top EMR/EHR Vendor ApplicationsSmall Practices from 1 to 9

70%

75%

80%

85%

90%

Rati

ng

Desktop

Bond Medical

eClinicalworks

SynaMed

PMSI

JMJ

MedInformatix

Cliniflow(Monarch)Vista Care

GE Medical

Misys

Greenway


191919

Other Factors

• Company ViabilityYears in the EMR MarketEMR Revenues and % of RevenuesCash flowStaff size

• Experience with large MSO/IPAs• Interoperability• 5-Rights

Access Anywhere, Anytime, on Any Device, from Any Location, by Anyone that is a clinician of record

202020

Top EMR/EHR Vendor ApplicationsBased on Functionality, Company Viability and end-user satisfaction

15

20

25

30

35

Rati

ng

NextGen

Allscripts

EPIC

GE Medical

Misys

PMSI

McKesson

A4 Healthcare

eClinicalworks

iGreat

Imedica

MedInformatix


212121

BOTTOM LINE

Every vendor is NOT the same

Recommend starting incrementally

EMR changes the way physicians work

Does NOT reduce time in front of patients

Save time retrieving results, refilling medications, etc.

Start thinking “How can a afford NOT to have an EMR/EHR”

Health plans starting to pay more to practices with EMRs

Malpractice rates will decrease with EMRs

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For More InformationMark R. Anderson, FHIMSS, CPHIMS

CEO and Healthcare FuturistAC Group, Inc.

118 Lyndsey DriveMontgomery, TX 77316

(281) 413-5572eMail: mark.anderson @ acgroup.org

www.acgroup.org

7.01 physicians and physician organizations: making … · 1 digital medical office of the future...

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