2012 Georgia Rural Health IT Conference GA-HITREC Technical Services for Critical Access and Rural...

2012 Georgia Rural Health IT ConferenceGA-HITREC Technical Services for Critical Access

and Rural HospitalsPresenter: Barbara Scarlette

January 26, 2012

GA-HITREC Technical Services for CAH/RH

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It is our aim to become the Health Information Technology Center for physicians and CAH/RH across the state of Georgia

We are here to serve YOU!

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Vendor Selection Assistance

EHR System

“Go-Live” Support and MU

Gap Analysis

Attestation Assistance

Medicaid

Medicare

Existing Technical Service Areas for CAH/RH (Free)

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Privacy and Security:

Assessment &

Remediation

Paper Chart Conversion

to Digital Charts

Reimbursement Services for

Medicaid and Medicare

ICD-10: Assessment

& Remediation

Services

Information Technology

and

Telecom Services

New Technical Service Areas for CAH/RH (Fee-Based)

GA-HITREC Incentive Reimbursement Services for

CAH/RH

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FACT: The majority of facilities will receive a financial benefit from participation in the EHR Incentive payment program a thorough reimbursement program ensures timely participation and collection:◦ Calculation of payment provides facilities a tangible goal and

provides motivation to collect funds.◦ Proper completion of state calculators leads to expedited

processing of EHR payments.◦ Maximization of the Medicaid EHR payment for both

Medicaid and Medicare.◦ Reimbursement services cover the entire spectrum of the

process from registration to the collection of funds.

GA-HITREC Incentive Reimbursement Services

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The primary goal of GA-HITREC’s Incentive Reimbursement Service is to assist providers collect the maximum available funds in the shortest time possible.

Reimbursement services comprise activities in the following areas:◦ Planning◦ Payment calculation◦ Registration ◦ Acquisition◦ Implementation◦ Regulatory compliance◦ Medicaid schedules completion and submission◦ Attestation◦ Payment collection

Incentive Reimbursement Services

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Reimbursement services cover the entire spectrum of the process from registration to the collection of funds.

Our #1 goal is to work together with

your staff to develop a plan to meet all of the regulatory and

compliance requirements

necessary for your facility to collect its share of available

funds as quickly as possible

GA-HITREC Privacy & Security Assessment and

Remediation Services

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Michele Madison, a Partner at Morris Manning & Martin, LLC, who specializes in the Healthcare laws, will partner with GA-HITREC to assist the hospitals and providers.

Michele provides general legal advice to health systems and physicians in various regulatory and business matters. She will support and advise on the implementation of compliance plans for HIPAA privacy and security regulations, including the proper policies and procedures to address the hospital and providers vulnerabilities.

The Privacy and Security legal services will also focus upon the unique nature of the implementation and integration of the rural providers information systems with other providers, the patient privacy concerns that are unique to a rural provider setting and the regulations that directly apply to rural health providers.

GA-HITREC Privacy and Security Services

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Privacy and Security: Legal Services

Our assessment and remediation services:◦ Addresses policies and procedures for over 50 HIPAA citations◦ Provide assistance to hospital/practice administrators in preparing

necessary documentation in order to meet compliance standards◦ Provide assistance with disaster recover and contingency

documentation◦ Reduce the complexity, fuss and presumptions of complying with the

law and help ensure that your hospital is up to date, safe, and secure.

Privacy and Security Services

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Privacy and Security: Assessment and Remediation

We provide assessment and remediation services comprised of tools, reports and policies and procedures so that your hospital is HIPPA

complaint, safe, and secure

We do not provide an ordinary “self assessment” questionnaire. A team of our experts will use their knowledge in the area of Privacy and Security to help you complete assessment activities.

GA-HITREC Paper Charting Conversion Services

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Benefits: Immediately frees up staff workload, as charts are no longer scattered in various locations;

reclaim space used for chart storage. Because our solution is designed to replicate your physical charts, hospital staff becomes

comfortable viewing charts on a computer screen A segmented implementation allows office staff to get comfortable with workflow changes as

they transition from paper to electronic health records. Duplication of systems is removed as all Clinical Records are available to every computer in

an office instantly

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GA-HITREC Paper Chart Conversion Services

Our specialized processes, software, and approach allow hospitals to make complete transition from paper to digital records in months not years. Clinical records are digitized and are accessible via the eCharting Explorer Medical Document Management System

Paper ChartsGA-HITREC eCharting Solution

Digital Charts

GA-HITREC ICD-10 Compliance and

Remediation Services

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ICD-10 Compliance Servies

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Are You Ready for ICD-10?

ICD-10 will greatly expand the number of codes available for both describing diagnoses and procedures from the currently used ICD-9

codes. There are an estimated 68,000 ICD-10-CM diagnostic codes for use in all clinical care settings and another 87,000 codes for ICD-10-

PCS that can be used to report inpatient services.

GA-HITREC ICD-10 Compliance Services

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14,000 Diagnosis Codes

4,000 Procedure Codes

Angioplasty (procedure code)

1 code

39.50

Pressure Ulcer (diagnosis codes)

7 codes

707.00-707.99

Shows location but not depth

No Equivalent ICD-9 Code

Indicated through notes and other methods

68,000 Diagnosis Codes

87,000 Procedure Codes

Angioplasty (procedure code)

854 different codes

047K047Specify body part, approach, and device

Pressure Ulcer (diagnosis codes)

125 different codes

L89.131

Show specific location, depth, severity, occurrence

Y71.3

Surgical Instruments, materials, cardiovascular devices associated with adverse incidents

ICD-9 ICD-10

Source: Adapted from United Healthcare ICD10 Transition Playbook

ICD-10 Requires Extensive Documentation at the Granular Level

GA-HITREC provides Critical Access Hospitals and Rural Hospitals with the only tool on the market that includes a proprietary ICD-10 Work Plan that integrates an enterprise-wide road map with the activities (assessment, remediation, training and project management) that need to be completed to have a successful ICD-10 implementation.

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The need for a large staff of high price consultants for all aspects of the assessment and remediation

process are eliminated.


Accelerate the collection of Assessment Data across sites and departments,

Provide an integrated view of a ICD-10 Work Plan and any documented Issues,

Share linkages of required Governance to support this enterprise-wide initiative,

Issue real time reports to Compliance sponsors and project participants, and

Collect and coordinate Vendor Contracts, Contingency Plans and Test Plans in a single location.

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Most hospitals and health systems prefer to manage and engage in ICD-10 compliance, whenever possible, with their own internal resources. As such, our team of subject matter experts has developed the U-Test-IT ® Toolkit, a Self-Assessment tool that provides CAH/RH with the following benefits:

Pre-Loaded ICD-10 Work Plan with Integration to Governance, Issues Tracking and Reporting Functionality


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Built In Vendor Contact Management System


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System Generated Reports for Executives, Sr. Management, Users, etc.


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GA-HITREC IT and Telecommunications

Services

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Patient Tracking SoftwareElectronic Medical Records

Local Area Network

Database storage

Accounting & billing

Phone system

Email

Servers

Desktop PC

Remote IT Support

Internet Connectivity

Telecom Connectivity

Critical Access HospitalsRural Hospitals

On-Site IT Support

Current State of Hospital Information Technology

Most hospitals operate within a very complex IT and Telecommunications Environment:

• 24/7/365 IT Services • Ongoing

Maintenance• Crisis Management • Connectivity• Hardware• Software Upgrades• Compliance • Disaster Recovery

GA-HITREC IT and Telecommunications Services


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QUESTIONHow can hospitals operating within already complex IT and Telecommunications environments begin leveraging new and existing technology in a way that would allow them to

devote more time to quality of care?


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ANSWERTransfer, Consolidate, and Improve the Day-to-Day

Management of Internal IT and Telecommunication Needs

Telecom & CommunicationsGA-HITREC’s IT Partner is also Licensed Phone

Company

Broadband Internet Access Wireless Networks

Wireless Backup Circuits Telephone Circuits Phone Support

Business Continuity Disaster Recovery

Secure Data Backup Hardened Data Center Services

Information & Data SecurityRelocate Critical Infrastructure

Prevent Data and Infrastructure Loss Backup Telecom Services

Managed IT Services

Local Area NetworksDesk Tops Mobile devices

Servers & Data Bases EMR

E-Mail Systems Accounting, Billing & HR Systems

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Cloud

serversdesktops

voip

virtual filing

data center

software

wireless backup link

fiber

fiber

Managed Services

pbx phone systemon-site support

Management of Internal IT & Telecom

24/7/365 Support & Call Center

IT Experts On Site IT Support Predictable Costs Remote Access to

Information Data Security &

Compliance Training of Medial

Professionals on IT Systems & Support

One vendor for all services!

Consolidation of all IT Services Through ONE Vendor


Learning Objective Recap

GA-HITREC Technical Services

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GA-HITREC

National Center for Primary Care

720 Westview Drive, SW l Suite 226 l Atlanta l GA l 30310-1495

Phone: 877-658-1990

www.ga-hitrec.org

Contact InformationBarbara ScarletteGA-HIRERCTechnical Service LeadPhone: 678-656-1640Email [email protected]

2012 Georgia Rural Health IT Conference GA-HITREC Technical Services for Critical Access and Rural...

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