EMR ORDERS They Get Easier Pat Wolfram. Housekeeping 1.Shrinking the GTM session 2.Being muted. Your Audio Pin Raising hands. 3.We’ll have breaks for

EMR ORDERS

They Get Easier

Pat Wolfram

Housekeeping

1. Shrinking the GTM session2. Being muted.

• Your Audio Pin• Raising hands.

3. We’ll have breaks for questions.4. Use “Chat” to queue up

questions.

Why EMR Orders Matter

Good orders lead to good results

Good orders reduce call backs from the lab

Good orders improve your ROI

Orders are needed for “Meaningful Use”

EMR-Link | ORDERS MADE EASY 3

Why have EMR orders been difficult?

Setup has been tough

Creating “clean” and complete orders is tougher yet

Getting the lab order to the lab is difficult


Survey: Biggest Challenge With Orders


9

21

9

0 5 10 15 20 25

The workflow for the staff

The workflow for the physician

The setup and maintenance

In your experience, what are your biggest challenges in using EMR Orders?

Workflow Hassles


9

18

7

0 2 4 6 8 10 12 14 16 18 20

Data entry (in a system other than Centricity EMR)

The need for a physician to choose a specific lab

The difficulty of validating medical necessity compliance

If your practice finds the orders workflow difficult, what are the biggest hassles?

Setup/Maintenance Hassles


10

10

7

8

0 2 4 6 8 10 12

Maintaining the test order codes – keeping them up to date.

Creating the test order code/descriptions and categories

Establishing the “ask-at-order-entry” prompts and questions

Establishing the insurance-to-provider rules

In the setup and maintenance of orders, what are the biggest hassles?

About Ignis and EMR-Link

We focus exclusively on lab and radiology orders/results and their interfaces

We’ve automated orders setup for 120 sites, 3500 physicians.

20 labs integrated today including: Labcorp, Quest, OML, PAML, CPL, Meditech, … others being built


More than just an interface

Easier order/result workflow

Orders are easier to set up

Solid ROI

Your best connection to outside services

EMR-Link: More than an interface

Real auto-completion of EMR orders.

Auto-routes orders to labs based on insurance.

Validates ABN compliance

Satisfies all lab ordering rules. No call-backs to your practice.

Lab Results – virtual guaranteed chart matches, physician matches, structured results.



Improved order/result workflow


Solid ROI


An Improved Order/Result Workflow


Physician orders the lab test

Requisition

Physician reviews results

Lab resultsreturn to charts

Lab processes

the test

Ordering (for the physician)

Zero additional clicks to order a lab

Ordering from a single set of lab tests

No-hassle ABN checks


Physician orders

the lab test

Requisitioning (for the nurse or phlebotomist)

No re-entry of the order No mistakes to fix AOE questions are supplied

by the lab (not your IT team)

Specimen details are provided here


Nurse completes requisition

Accessioning (at the lab)

No data entry, saving time and mistakes

All AOE clinical data there (no callbacks to the clinic)

All needed insurance info is in the order

ABN has been verified

The lab has everything they need to send back a good result


Lab processes the test

Lab results (in your EMR)

Results match to the chart (no more 6:00 am corrections)

Results get to the flowsheet


Lab results return to charts

Signing results (for the physician)

The ordering provider is notified (not the responsible provider)

The EMR order is automatically marked as Complete


Physician reviews results

OK, Let’s Demo The Workflow




A solid ROI

Your connection to all outside services

EMR-Link Orders Setup

It’s Automated

It’s Fast to Deploy 10 Days 4 Hours

It’s Repeatable

It’s Predictable

It’s Simpler

It’s Your Way


Automate Your Setup


Lab Utilization Reports Orders Builder EMR

EMR Clinical Kits

Orders Builder

A year’s worth of lab history

Order descriptions

Order codes

Volumes

EMR

10 Days --- 4 Hours


TaskNeeds Assessment Implementation Team Clinic Team

Collects Data Interview the Clinics;Worksheets, Guides

1–3 weeks

(varies depending on lab vendor)

Review and Compare Conducts the Reviews 2–4 weeks

TaskData Entry and Validation Implementation Team Clinic Team

Insurance/Provider 5 days 3 days

EMR Categories (Master List) 10 days 1 week

Custom Lists 3–4 days 2 weeks

Order Sets 2 days 2 weeks

1

2

3

4

23

Simple Insurance Rules

EMR-Link | ORDERS MADE EASY

EMRInsurance Rules

Patient Insurance

Lab A Contracted?

Lab B Contracted?

UHC No Yes

Aetna Yes No

Blue Cross No No Lab “A”

Lab “B”

24

Insurance Rules

The Lab Codes – Simple Tables

EMR-Link | ORDERS MADE EASY

EMR

Lab “A” Order Codes

EMR Test Description Lab A Code

CBC With Differential/Platelet

005009

Lipid Panel 303756

TSH 004259

Lab “B” Order Codes

EMR Test Description Lab B Code

CBC With Differential/Platelet

1234

Lipid Panel 9867

TSH 767

Requisitioning

Lab Code Maintenance

For the small changes – Update your EMR-Link table

Big changes – Use the Orders Builder


Clinic’s EMR-LINK Account

Services

Updating A Single Lab CodeLab

Clinic’s EMR

Lin

kLog

ic

• Order Entry Questions• Requisition printing• ABN printing• Label printing

Radiology

Meds

LabRequisitioning

Database

• Rules-based routing (insurance and location)

• Clinic specific mappingof EMR-to-Lab data

• Point-of-care ABN Validation(Uses lab’s ABN rules)

• Manifest Reports• Future Orders• Billing interface back to

PM (future)

• Auto-Completion• Physician desktop

notification

Clinic’s mapping tables Requisition Completion

LIS

ABN Validation

HL7Order • HL7 compliant ORM• Complete order

information to lab’s requirements

• HL7 compliant ORM• Complete order

information to lab’s requirements

Electronic (HL7) ResultLab Result Manager

• Secure HTTPSdownloads

4

3

22

8

7

6

EMR-Link Connector

EMR data Lab 1 Data Lab 2 Data

Provider Names UPIN/NPI

Order codes Lab order codes Lab order codes

Insurance Lab Insurance Lab Insurance

Location of Care Lab account # Lab account #

Routing Rules (choose the lab)

5

Your EMR Order Codes

1

Lab 2Lab 1

Lab compendiums

Current Order3

Big Maintenance Changes


Lab Compendium Orders Builder EMR

EMR Clinical Kits

Orders Builder

Order descriptions

Updated order codes

EMR




Solid ROI


Solid ROI

Demo of the ROI worksheet





Solid ROI


Routing Orders to the Right Lab: Bringing the Results Back

Lab

Clinic’s mapping tables Requisitioning

Electronic (HL7) Results

Electronic (HL7) Order

Lab

EMR Lab1 Lab2 Lab3

Provider s

UPIN / NPI / EMRLogin

Order codes

Tests

Tests

Tests

Insurance

Insurance

Insurance

Insurance

Location

Acct #

Acct #

Acct #

Lab Result Manager

Services

Clinic’s EMR

Lin

kLog

ic

Radiology

Meds


Radiology, Cardiology and Labs

Services

Clinic’s EMR

Lin

kLog

ic

Radiology

Meds


EMR Lab1 Lab2 Lab3

Provider s

UPIN / NPI / EMRLogin

Order codes

Tests

Tests

Tests

Insurance

Insurance

Insurance

Insurance

Location

Acct #

Acct #

Acct #

Hospital

ECGPACS

Lab

I/F Engine

Results Manager

Clinic’s mapping tables Requisitioning

Summary

In Summary…

Orders – They’re Easier

Setup is automated …… and simpler

Workflow is automated ….and simpler

Maintenance is more automated


Closing

For more details on the tools

stop by the CHUG booth

wake up with us at our 7:00am, May 1 CHUG meeting

or attend one of our Webinars

The ROI worksheet

Contact us any timewww.emr-link.com


Documents

EMR ORDERS They Get Easier Pat Wolfram. Housekeeping 1.Shrinking the GTM session 2.Being muted. Your Audio Pin Raising hands. 3.We’ll have breaks for