Doctors Partner EMR
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Transcript of Doctors Partner EMR
Electronic Medical/Health Electronic Medical/Health RecordsRecords
&&Health InformationHealth Information
ExchangeExchange
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 [email protected](321) 549 – 6160 x:7011 (321) 557 – 4667 cell