1. Ambulatory PracticeSolutionsServices

2. Targeted AmbulatoryElectronic Health Records andPractice ManagementSolutions and Services2 3. Ambulatory Practice Solutions - Services Overview -BusinessTechnologyOperations3 4. Ambulatory Practice Solutions - Services Overview -InfrastructureQuality4 5. Ambulatory Practice Solutions - Services Overview -EnterpriseApplicationInformationStaff5 6. 6 7. The Engagement Model 7 8. Business Technology OperationBusiness Model Return on Investment (ROI) Benefits Realization Total Cost of Ownership (TCO)Technology Model Applications Implementation Solution Delivery ImplementationOperations Model Workflow Management Practice Analytics, Trending, Metrics 8 9. 9 10. Business Technology OperationBusiness Model Return on Investment (ROI) Benefits Realization Total Cost of Ownership (TCO)Technology Model Applications Implementation Solution Delivery ImplementationOperations Model Workflow Management Practice Analytics, Trending, Metrics 10 11. 11 12. Business Technology OperationBusiness Model Return on Investment (ROI) Benefits Realization Total Cost of Ownership (TCO)Technology Model Applications Implementation Solution Delivery ImplementationOperations Model Workflow Management Practice Analytics, Trending, Metrics 12 13. 13 14. Business Technology OperationBusiness Model Return on Investment (ROI) Benefits Realization Total Cost of Ownership (TCO)Technology Model Applications Implementation Solution Delivery ImplementationOperations Model Workflow Management Practice Analytics, Trending, Metrics 14 15. 15 16. Facilities Technology Central Billing Office 16 17. Enterprise Preparedness Services Facilities Module definition Pilot deployment Rollout Calendar Technology Data Center Desk side Helpdesk Billing Office Demographics Claims Management 17 18. Enterprise - FacilitiesFacilitiesModule the selection of Module definition which module (functions) to Pilot deploymentrollout. i.e. PM, eMar, CPOE, Rollout Calendaretc.TechnologyPilots provides anunderstanding of workflow Data Centerand adoption on a limited Desk side scale. HelpdeskRollout lessons learnedBilling Officeduring the pilot and research Demographicsof best practices forms the Claims Managementmass roll out framework. 18 19. Enterprise - TechnologyFacilitiesData Center primary Module definition processing and storage Pilot deploymentfacilities. May include failover Rollout Calendarassets and systems.Desk Top Support Technologystaffing to implement Data Center additional devices and the Desk side TCO for headcount. HelpdeskHelpdesk core training ofBilling Officeticket avoidance, top 10resolution, and escalation Demographicsmanagement. Includes level 2 Claims Management 19& 3. 20. Enterprise - CBOFacilitiesDemographics - Module definition ownership of the primary Pilot deploymentMaster Patient Index data. Rollout CalendarTechnologyClaims management Data Centerall processing for eligibility, Desk side claims, contracts, insurance, Helpdeskand the like.Billing Office Demographics Claims Management 20 21. Enterprise RecapFacilities Module selection and sequencing. i.e. PM, eMar, CPOE, etc. Pilots program development and lessons learned Enterprise wide best practices roll out frameworkTechnology Data Center primary processing, storage facilities, failover Desk Top Support implementation staffing and SLA headcount Helpdesk training, top 10 issues, escalation, level 2 & 3Billing Office Master Patient Index data maintenance and ownership Claims management processing for eligibility and claims21 22. Design, Build, Configuration Workflow Access & Entitlement 22 23. Applications Preparedness ServicesDesign, Build, and Configure Data Control systems Validation Analysis Application configurationWorkflow Out of the Box analysis Screen Flow Data SensitivityUser access and entitlement Workplace management Role management & Supervisory Uplifts 23 Reporting and Auditing 24. Applications Design,Validate,Build Design & Build Data Control Data Controls thedocumentation of information Validationrequirements and compliance. Configuration Workflow Validation Design validationanalysis, resource and timeline Out of the Box analysis, and capital budget Screen Flowestimates. Data SensitivityConfiguration scope of work User accessdefinition for the selected Workplace management application. Role management24 Reporting and Auditing 25. Applications - WorkflowDesign & Build Comparative Analysis - Data Control illustrating customization v. Out-Of- Validation The-Box solutions, in deployment Configurationphases.Workflow Screen Utilization the definition Out of the Box of operational workflow requirements process diagraming. Screen Flow Data Sensitivity Data Sensitive - flow management, tab sequencing, and defaultUser accessdefinitions. Workplace management Role management 25 Reporting and Auditing 26. Applications User Environment Design & BuildApplications Access the Data Controldocumentation of roles and their Validation applications access mappings. ConfigurationRole Management - Security Workflow assignments, separation of dutyguidelines, and supervisory uplifts. Out of the Box Screen FlowReporting the scheduling of Data Sensitivity periodic reports, on-demand reports,and adhoc request. User access Workplace management Role management 26 Reporting and Auditing 27. Applications RecapDesign, Build, and Configure Data - the documentation of information requirements and compliance Design validation analysis, resource and timeline analysis, and budgets Configuration scope of work definitionWorkflow Customization v. Out-Of-The-Box solutions, in deployment phases Operational workflow requirements process diagraming Screen flow management, tab sequencing, and default definitionsUser access and entitlement Applications Access roles definitions and their process mappings Role Management for security, separation of duty, and supervisors Reports management of periodic reports, on-demand, and adhoc27 28. Master Patient Index Clean-up Claims Integration Revenue Cycle Analysis28 29. Information Preparedness ServicesMaster Patient Index Clean Up Initiatives Duplicate Avoidance Merge / Purge AutomationClaims Management Eligibility Processing Claims Submission Resubmissions LogisticsRevenue Cycle Analysis Coding Procedures Payment Analytics 29 Payment Systems Review 30. Information - MPIMPIClean Up current MPI analysis noting duplicates, junk, eMPI modeling, Clean Up Initiatives and deficient records Duplicate Avoidance Merge Automation Admissions Procedures and systems to search the existingClaims database during admission / Eligibilityregistration Claims ResubmissionsAutomation daily operating procedures and technology to performRevenue Cyclepost-admission duplicate editing Coding Analytics Payment Systems30 31. Information - ClaimsMPIEligibility real-time insurance eligibility sourcing with interface Clean Up Initiatives technology linkages to the MPI Duplicate Avoidance Merge Automation Claims Management - FSC determination, claims submission,Claims fee schedule updates Eligibility Claims Resubmission complete task Resubmissionsmanagement with deficiency identification analysis forRevenue Cycleresubmitting Coding Analytics Payment Systems31 32. Information Revenue Cycle MPICoding automated fee scheduleupdates, payer contract Clean Up Initiativesreimbursements, Procedure coding Duplicate Avoidanceanalysis Merge Automation Claims Performance Analytics rejections, resubmissions, copay, Eligibilitydeductibles, limits reporting analysis Claims ResubmissionsPayment Systems lock box, selfpay, payment processing (ACH, Revenue CycleCredit, DEBIT), Coding Analytics Payment Systems32 33. Information RecapMaster Patient Index Clean Up Initiatives - current MPI analysis and data modeling Admissions procedures and systems during admission / registration Daily operating procedures and technology for post-admission editingClaims Management Real-time insurance eligibility sourcing with interface technology Claims Management, FSC determination, submission Resubmission task management and deficiency identificationRevenue Cycle Fee schedule updates, payer contracts, coding analysis Analytics of rejections, resubmissions, copay, deductibles, limits Payment Systems for lock box, self pay, ACH, Credit, DEBIT 33 34. Back Office Personal Providers Admissions and Registration34 35. Staff Preparedness Services Back Office Roles and Responsibilities Training Separation of Duty Providers Physician Steering Committee Best Practice Recommendations Remote Access Baselines Front Office Registration and Admissions Scan Strategies Enterprise Scheduling 35 36. Staff Back OfficeBack OfficeRoles the documentation of application feature access security Roles and requirements. Break Glass Training procedures Separation of DutyProvidersTraining curriculum development, training delivery, Steering Committee helpdesk & SLA skills transfers Best Practice Workflow Remote AccessSeparation of Duty HIPPA, SOX, and auditing. ApplicationFront Office feature access recommendations Registration Scan Strategies Scheduling 36 37. Staff - ProvidersBack OfficeSteering Committee practice management expectations, Roles deployment guidance, workflow tuning Training Separation of Duty Best Practice community implementation analysis. IndustryProvidersstandards. Rollout strategies. Steering Committee Best Practice Workflow Remote Access off campus Remote Accessapplications access, security, applications availabilityFront Office Registration Scan Strategies Scheduling 37 38. Staff - AdmissionsBack OfficeRegistration admissions, visit, encounter best practice and go- Roles ahead functional specifications Training Separation of Duty Scan Planning - chart migration strategic planning. OperationalProvidersscanning procedures. Steering Committee Best Practice Workflow Scheduling enterprise Remote Accessscheduling. Scheduling rules. Site scheduling. PA / MA physicianFront Office overlapping. Registration Scan Strategies Scheduling 38 39. Staff RecapBack Office Roles documentation of application feature access Training curriculum development, delivery, skills transfers SOD, HIPPA, SOX, and auditing recommendationsProviders Steering Committee and communications management Operational best practice for paradigm shift Remote access off campus, security, applications availabilityFront Office Registration, visit, encounter functional specifications Paper chart migration strategic planning Enterprise scheduling, rules, site. PA / MA physician overlapping. 39 40. 40 41. ScenariosUse CasesTest casesDatabase PopulationsTesting Unit Module Functional Enterprise Stress Capacity Performance User Accept Test 41 42. Personal Computers Exam Room, Desktop, Laptop, Tablet, PDA, Office, HomePrintersDocument ScannersCard & Bar code readersLocal Area Network Wired, Wireless, Guest portal, Router, SwitchCommunications ProvidersData Center Servers, Environment Management, Network Attached Storage, Performance Monitoring42 43. 43 44. 44 45. Day before Dry run Go-Live team introductions and assignmentsDay ofOn and Off-site support staffIssue managementHelpdesk utilizationSubject Matter Expert (SME) utilizationSustaining Support utilizationEnd Of Day (EOD) briefingDay after Workflow tuning Command and control continues Daily briefingDay 30 Transition to Production Technical Support Provisioning uplift 45 46. Responsibility Matrix Call Tree managementHelp Desk Ticket, Response, EscalationLevel 2 and 3 Staff &Vendor SMEsFailover Down Time Business Continuity Disaster RecoveryService Agreement MonitoringAs-Is DocumentationsShutdown ProceduresData Archiving 46 47. V1.1 Upgrade Planning Customizations New Features delta Regression Testing Enterprise testing Data migration Data transformationVersion 2.x Request analysis Prioritization Planning Release planningSoftware Life Cycling Design, Validate, Build, Test, and Deploy 47 48. G SF 48 49. S L Fritz Healthcare218-755-5301www.SLFritz.com 2012 S L Fritz Consulting, LLC