2 Presentation to Joe Smith Physician & Entrepreneur Background.
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Transcript of 2 Presentation to Joe Smith Physician & Entrepreneur Background.
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Presentation to Joe Smith
Physician & EntrepreneurBackground
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Presentation to Joe Smith
Seth GutermanMD FACEP
Board-Certified, Clinically-Practicing Emergency Medicine Physician
Hospital turnaround expert whose process improvement expertise focuses on Risk Management, Government Compliance, and Enhanced Workflow Strategies
EMERGENCY CARE PHYSICIAN SERVICESBoard Certified EM Physician Staffing
PEOPLE’S CHOICE HOSPITAL Hospital Acquisition and Management Experts
EMPOWER SYSTEMSONC Certified Comprehensive Electronic Health Record
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Why EHR Stills Needs Huge Improvement, Why 95% of Hospitals are Partial Paper and How to Address ItEHR
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SPEEDDoctors and Nurses require EHRs that will enable them to document as fast, if not faster, than on paper.
INTEGRATIONDisparate systems that do no efficiently share real-time information dictate users to wait for information or revert to old workflow patterns.
DESIGNEHR products built without direct involvement of Doctors and Nurses will not fully meet their needs.
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For Comprehensive EHR Adoption & AcceptanceRequirements
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o Workflow should not Changeo Clinical process enhanced; not altered.
o Simplicity of User Experience (Navigation)o Limited mouse clicks and fewer layers of pages/content.
o Easy Trending & Filtering of Datao Saves time for end users.
o Centralized Informationo All notes, clinical and ancillary, should be stored in a single location
o Complete Medical Recordo Social, family and past medical histories of each patient, home medications, allergies,
and previous visits.
o Easy Physician (CPOE) Orderso Avoids workflow delays and unsigned orders.
Requirements for Adoption & Acceptance
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For Successful EHR Implementation & AdoptionBenchmarks
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1. Define the Scope of the Project
i. Implementation of User-Friendly Software
ii. Standard of Care for Documentation to be Better than or Equal to the Handwritten Medical Chart
iii. Implementation of 1 Hospital Unit at a Time
Benchmarks for Success
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2. Outcome Measurementsi. Ease of Use for Physicians and Nurses: Measure Training Time
ii. Evaluate Hospital Staff Productivity Computer vs. Paper
1. Average Time for a Nurse to Execute Physician Order
2. Average Patient Length of Stay in the Hospital
3. Number of Hospital Coded Charts per Coding Staff
iii. Compliance with Joint Commission Core Measures
iv. Present on Admission – CMS Requirements
v. Track the Number of MD Delinquent Charts / Summary Suspension from Medical Staff
vi. MD, RN, Clinical and CODING Staff Subjective Surveys
Benchmarks for Success
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PHASE 11. Getting Doctors and Nurses “Off Paper” and on to Documentation Software
(a Clinical Electronic Pen) for Clinical Documentation
2. CPOE-Computerized Physician Order Entry
1. 100% Compliance with Joint Commission Core Measures
2. 100% Compliance with Medical Necessity
3. ADT & Diagnostic Results Integration with Core HIS
4. CPOE integration between EHR & Core HIS
5. Physician Clinical Decision Support Software
6. Provide a Medical Record that is Legible
7. Pharmacy and eMAR Integration
Benchmarks for Success
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PHASE 21. CPOE integration between EHR & Core HIS
2. Discharge Instructions
3. Vital Signs Monitoring & Smart Bed Integration
Benchmarks for Success
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PHASE 3
1. Bedside Pharmacy Scanning Devices
2. Value-Added Risk Management Features (Coding, Charge Capture, etc.)
3. Paperless Hospital InPatient Units
Benchmarks for Success
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PHASE 4
1. Physician and Nurse Leadership lead Clinical Care Integration
2. Work Flow Experts (Documentation & Flow of Information)
3. Software Implementation
4. Interface Engines Development and Deployment
5. Crisis Managers for Clinical Documentation
Benchmarks for Success
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Crucial to the Success of 21st Century HealthcareEHR + HIS Technology
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Cloud-Based EHR+HIS Solutions
EmpowerSystems™
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SECUREConnectivity for All Usersfrom Any Location
INTEGRATEDAcross all Empower EHR and HIS Products
EFFICIENTDeployment within Days of Contract Signing
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Empower EHR + HIS Solutions• ONC Certified Inpatient, Ambulatory, ED Systems• Registration System• Hospital Scheduling• Revenue Cycle Management• Laboratory Information System• Radiology Information System• Pharmacy Information System• Surgical Suite Management System• Health Information Exchange• Patient Portal
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Telemedicine by PCH
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Telemedicine by PCH
• People’s Choice Hospital leverages cutting-edge Telemedicine solutions
• In conjunction with EmpowerSystems™ ONC Certified Comprehensive EHR and Advanced Core HIS solutions
• To immediately provide Rural and Inner City hospitals with access to leading medical professionals, regardless of geographic limitations
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A National Telemedicine Hub
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Successful EHR / HIS Deployment Crucial to SurvivalHospital Landscape
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Hospital Financial Landscape
Break-Even
38%
Profitable
25%
Bankrupt or Liquidating
37%
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Affordable Care Act
Underinsured
45%Insured
25%
Self Pay
30%
30 MillionPreviously Uninsured / Self-Pay Patientsto Infuse Massive Volume-Based Revenue
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Increased Healthcare Needs of Baby Boomers
65+ Population represents massive volume increase in marketplace.
78Million
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A Perfect Storm
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$149Billion
for Healthcare Spending under ARRA/HITECH 2009 “The Carrot & Stick”
75%of Hospitals
facing Financial Hardship
30Million
Americans to be fully insured via
Affordable Care Act
78Million
Baby Boomers turning 65 years old
$
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To Restore Struggling Hospitals to Positions of Strength in their CommunitiesOpportunity
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IDENTIFYThe Needs of the Hospital and Its
Community
ASSESSThe Financial and
Operational Realities of the Facility
DEVELOPA Viable Financial &
Operational Model for Success
DELIVERExperienced Clinical,
Technical, and Operational Teams
Methodology
Click icon to add pictureClick icon to add pictureClick icon to add picture
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To Enhanced Revenue Streams and Turnaround Success for Hospitals and CommunitiesRoad Map
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Enhance Clinical RevenueAdmissions, Tests, Procedures ROADMAP
TO TURNAROUND SUCCESS
Enhance OperationsResource Allocation, Billing/Coding,
Government Incentive Programs
Leverage TalentLocal, Regional, National
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Why PCH is UniqueCompetitive Advantage
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Disparate Competitors
HOSPITAL ACQUISITION
GROUPSMBA / M&A Viewpoint
EHR / HISCOMPETITORS
Technical Tools, but No Operational
Experience
PHYSICIAN STAFFING
COMPANIESClinical Skill, but Not Operations
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Competitive Advantage
PCH
Physician Access
Proprietary Technology
Operational Expertise
Able to Leverage Strategic Components Not Duplicated by Potential Competitors
National Telemedicine Hub with Access to On-Site Physician Specialist Network
One Patient. One Chart. One Database.Advanced EHR & HIS Technology
Proven experience in operating and supporting distressed hospitals
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Turnaround Strategies for Bankrupt HospitalsProcess
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Process
o Identify bankrupt hospital turnaround opportunities
o Enact Loan to Own strategies utilizing Secured Debt Purchases
o Establish operational control of the facility with approved Management Agreement
o Deploy Advanced EHR / HIS Technology
o Increase hospital revenue streams
o Exit bankruptcy protection once hospital mismanagement and bad contracts have been resolved
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Cochise Regional HospitalDouglas, AZProof of Concept
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Proof of Concept Timeline
Opportunity IdentifiedApril 2013
Mgt Contract SubmittedJune 2013
Negotiation of Debt
PurchaseMay 2013
Completion of Debt
PurchaseMay 2013
EHR / HIS Contracts Executed
July 2013
EHR / HIS Systems InstalledJuly 2013
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Proof of Concept Timeline
Mgt Contract ApprovedAugust 2013
Legal Proceeding ConclusionJan 2014
Operational Control of
FacilityActive Review of
Budget, Finances, Staff, Resources
Aug 2013-Present
Strategic Action Taken
at FacilityPolicies,
Procedures, Budget Cuts Enacted
Aug 2013-Present
Telemedicine & MD Access
LaunchJan 2014
Marketing & Brand
RevisionJan 2014
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Presentation to Joe Smith
2000 Spring RoadSuite 200Oak Brook, IL 60523
305-766-3245 (phone)312-276-8116 (fax)
Reach UsAt Our Corporate Offices
www.PeoplesChoiceHospital.com