#EHR

GE Centricity Practice Solution (CPS) v11

 

With the announcement of Centricity Practice Solution (CPS) v11 on January 24, 2013, GE Healthcare makes a strong positive statement as they continue to develop and improve one of their core software offerings.   CPS v11 is the release that is ICD-10 compliant and GE has done a lot of work to make the transition from ICD-9 to ICD-10 easy for the physician.  GE has added a predictive search engine to the problem section of the system which allows searching by full description, abbreviation or by code and will display both the ICD-9 and ICD-10 codes when there is a match.  GE has also changed the workflow for problem entry so that the number of clicks needed to add a problem has been reduced from 4 to 1 which will be welcome news to the many physicians who count their clicks.  The focus on ease of use for the physician community is the right strategy for gaining the trust of a group of users that is dealing with change due to the various stages of Meaningful Use, among other demands on physician time.

Feedback from GE’s early adopter group indicates that the upgrade to v11 is straightforward from either v9.5 or v10 with no significant issues reported.  Some additional work is required for the upgrade from v9.5 but it is more than manageable.  This should be welcome news to organizations that have not yet upgraded to v10.

GE CPS clients can now include the upgrade to v11 in their ICD-10 planning and leverage the content to help educate their physicians on the demands of ICD-10.  By coming to market with a solution a full 20 months before the ICD-10 deadline, GE gives their clients ample opportunity to effectively manage the process and be ready in advance of the October 1, 2014 deadline.

EHR Optimization

  

Optimization of an Electronic Health Record system is the continual process of leveraging advanced application functionality to enhance workflows and improve resource productivity.  During the implementation process, many healthcare organizations make trade-offs between what system build will be completed as part of the initial go-live and what will be implemented after the go-live as part of an optimization effort.  Optimization ensures that the fullest potential of the software chosen is achieved by your organization.

Optimization is the key for maximizing the return on your EHR investment.  EHR ROI includes both financial and quality measures. From a financial perspective, optimization maximizes the return on your EHR investment, by improving overall physician and resource productivity, and ensuring the timely and appropriate capture of charge information. From a quality perspective, optimization ensures routine measurement and management of clinical quality measures and outcomes. 

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How to Effectively Leverage IT to Drive Physician Alignment

A particular strength of Culbert is helping integrated delivery networks, hospitals and academic medical centers develop and execute programs for strengthening their relationship with the independent physician practices which service their communities.  Developing programs such as Epic’s Community Connect provides many opportunities to improve physician-hospital alignment, which also enables these independent practices to capitalize on the financial incentives provided by the HITECH Act.  

An effective program to extend EHR/PM applications to community physicians must include:  

  • Development of the application offering to be provided to affiliated practices,
  • Establishment of governance structure for supporting these practices from an application, operations and revenue cycle perspective,
  • MSO development and service offering,
  • Development of marketing plan and collateral,
  • Capital budgeting,
  • Review of legal, medical affairs and compliance implications, development of policies and procedures, and
  • Structure and requirements of the subsidization strategy,

A central concern to all of our clients has been to ensure that community physician programs do not dilute the services rendered to their employed physician base. As such, Culbert recommends building, implementing and supporting your community physician program utilizing a dedicated team as opposed to sharing implementation and support responsibilities across a single team.

Progressive Approaches to Revenue Cycle Optimization

Sharing best practices, lessons learned and innovative solutions to improve the effectiveness and efficiency of a revenue cycle operation is central to any consulting firm’s success. As part our approach to introducing our firm’s capabilities and experience, I wanted to share examples of how we have helped hospitals, integrated delivery networks, academic medical centers and group practices solve challenges faced by the multitude of regulatory changes, ICD-10, shifting reimbursement models and healthcare reform. Additionally, these solutions have included leveraging leading edge IT vendors to enhance the patient experience while improving revenue cycle performance. Progressive healthcare organizations are taking a strategic view at addressing these seemingly endless pressures by transforming overall patient access and revenue cycle operations as opposed to tackling each pressure as an individual project.

Examples of how progressive healthcare organizations have transformed patient access and revenue cycle operations include:

Evaluating Benefits of A Core Vendor to Support Patient Access, EHR and Revenue Cycle Requirements: A core vendor to meet enterprise-wide registration, scheduling, EHR and billing requirements can provide a variety of benefits including reduced annual operating expenses, clinical work flow efficiencies, improved physician productivity and satisfaction, reductions in lost charges, improved coding and compliance, and enhanced patient satisfaction. However, vendors differ in their features and functionality, as well as their Total Cost of Ownership. Meaningful Use financial incentives have directed attention and resources towards Electronic Health Records, however future state requirements provide an optimal opportunity to evaluate the benefits and trade-offs of vendor capabilities to address an organization’s future state revenue cycle requirements.

Leveraging ICD-10 Conversion to Improve Coding and Clinical Documentation: Converting to ICD-10 will require upgrades to clinical and revenue cycle systems, as well as a significant investment in training physicians, administrative and billing staff. While most organizations have completed or are in the process of completing an ICD-10 impact assessment, ICD-10 planning should include a holistic view of improving charge capture, documentation and billing workflows. As with new revenue cycle system implementations, this conversion provides a unique opportunity for re-designing processes, policies and procedures and your use of technology to drive revenue cycle efficiencies.

Centralizing & Standardizing Patient Access: Establishing a centralized patient access unit to support registration and scheduling for hospital and professional services. Centralized patient access has been an effective vehicle for improving data capture to reduce denials, and also for improving the patient experience by reducing the number of phone calls to schedule services. Frequently, this type of implementation involves consolidating and standardizing Visit Types to improve physician productivity and enterprise-wide reporting.

Single Consolidated Patient Statement: Accountable Care Organizations will tightly align professional and hospital billing operations and require revenue cycle systems to support bundled payments. When addressing these requirements, several of our clients have leveraged this opportunity to implement a single consolidated patient statement covering both hospital and professional services. In addition to significant cost efficiencies, this has a major impact on patient satisfaction which has proven to accelerate patient payments.

Business Intelligence & Population Management: The use of metrics and benchmarking is not new, however advances in healthcare business and clinical intelligence tools provides the ability to leverage actionable information to improve financial and clinical performance. These tools help maximize reimbursement and allow healthcare organizations to effectively and proactively manage patient populations, while complying with payer and regulatory requirements.