Electronic Medical/Health Electronic Medical/Health RecordsRecords

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An Overview

Why do you need an EMR?Why do you need an EMR?

The Carrots– Improve Patient Care– Improve Office Efficiencies– Improve Revenues– Reduce Costs– Save Time– And…. HITECH Incentives

Incentive ScheduleIncentive Schedule

EHR Medicare IncentivesYear of First Use Year 1 Year 2 Year 3 Year 4 Year 5 Total

2011 18,000.00$ 12,000.00$ 8,000.00$ 4,000.00$ 2,000.00$ 44,000.00$ 2012 18,000.00$ 12,000.00$ 8,000.00$ 4,000.00$ 2,000.00$ 44,000.00$ 2013 15,000.00$ 12,000.00$ 8,000.00$ 4,000.00$ -$ 39,000.00$ 2014 12,000.00$ 8,000.00$ 4,000.00$ -$ -$ 24,000.00$

EHR Medicaid IncentivesYear of First Use Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Total2011 - 2016 21,250.00$ 8,500.00$ 8,500.00$ 8,500.00$ 8,500.00$ 8,500.00$ 63,750.00$

Why do you need an EMRWhy do you need an EMR

The Stick(s)– Penalties, Penalties, Penalties

Year 2015 2016 2017 2018 2019 2020 & beyondPenalty (% of Reimbursement 1% 2% 3% 4% 5% ???

EHR Penalty Schedule

Improving Patient CareImproving Patient Care

Preventive AlertsPrescription ManagementOrder trackingReliable ChartingEasy Recall management

Improving Office EfficiencyImproving Office Efficiency

Auto Phone Appt ReminderLab InterfacesFax InterfaceMessaging ModulePatient Communication (Portal)

Improving RevenuesImproving Revenues

Bring patients in for regular follow ups (Alerts)

Capture all charges at point of careCode ScrubberManage Patient/Referral

Relationships

Reducing CostsReducing Costs

TCO advantages (Total Cost of Ownership)

Fax ManagementAutomated Appt remindersDocument ManagementPortal communications

Sample ROISample ROI

Sample CasePrior to

Implementation After 

Implementation Savings/Net

IncreaseInternal Medicine Practice 1 Doctor, 3 staff members, 20 patient visits per day.

Revenues

--Annual Billing $250,000 $255,000

--Annual Collections(77% of billing) $192,500 $201,450 $8,950

Expenses

--Physician Salary $120,000 $ 120,000.00

--Physician Benefits $12,000 $ 12,000.00

--Employee Compensation $72,800 $69,160 $3,640

--Employee Benefits $7,280 $ 6,916.00 $364

Transcription Expenses $4,800 $ 2,400.00 $2,400 Appointment Confirmation (time saving using Call&Confirm Software) $4,000 $ - $4,000

Office Supplies (Folders,Paper etc) $2,100 $ 1,000.00 $1,100

Savings/Additional Income $20,454

Based on these very conservative estimates, it is obvious that the annual * Assuming a very modest 2% increase in efficiency Employees -- - Front Desk @ 9.00 per hour- - LPN @ 11.00 per hour- - Billing @ 15.00 per hourTotal Compensation                                      $72,800 +Time savings in chart pulling, reduced rejection rates, prescription

Saving TimeSaving Time

Faster and more complete documentation

Rapid Documentation using Templates or Macros

Instant, secure access to Charts from anywhere via the web

Web Access

Meaningful Use Meaningful Use CertificationCertification

Certification DetailsCertification Details

NIST is coming up with certification criteria

Multiple Certifying agencies will be accredited to certify EMR/EHR technology

Certification agencies will be identified and accredited later this year

Currently, there is no accredited certifying agency

Getting StartedGetting Started

Review your optionsDo demonstrationsAsk questionsCheck costsCheck time line and time

requirements

Health InformationHealth InformationExchangeExchange

(HIE)(HIE)

What is it anyway?

HIE is…..HIE is…..

Securely Sharing medical records– Referrals– Consults– Orders– Results– Records Requests– Sharing with providers involved in

patient care

AdvantagesAdvantages

Sharing critical data securely, when it is needed

Improved patient care and outcomes Reduces redundant paper & paperwork Reduces redundant testing Saves hours of busy work every day Complete/Holistic view of record Tracks referrals, orders etc.

Typical DisadvantagesTypical Disadvantages

Everyone has to agree – the Big Bang approach

Expensive to setup storageHard to administer/run

SushooSushoo

Federated Storage ModelInexpensiveViral footprint – incremental

approachStart at any time, when the time is

right for youSaves hours of work

THANK YOU THANK YOU

Please contact:

Jason LailVice President IntegrationJason@Sushoo.com(321) 549 – 6160 x:7011 (321) 557 – 4667 cell