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Seminar EMR Cloud Computing was a seminar that was held at Weiss Memorial Hospital in Chicago, IL Jan,9th 2013 Hunt Russell was one of the speakers. On how to use cloud computing for EMR with Wirehead Technology a Mobile Healthcare IT company
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Agenda
1. 7 Medical Systems Introduction2. Technology Trends/HIPAA
Regulations3. EMR Implementation Challenges4. EMR Solution Cloud Model 5. EMR Product Set 6. Questions/Answers
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Introduction 7 Medical Systems, established as a SaaS (Software as
a Service) company was originally founded in October 2003, re-branded in 2005
Corporate office in Minneapolis, MN; International Office – Florianopolis, Brazil
Continued growth year to year # of 7 Medical Install sites = 650 and growing! Multiple solutions incl. EMR, PACS, DR, Teleradiology SAS 70 Type I and Type II Audit/Certification HIPAA Audit/Compliance MSPBJ Top 50 Fastest Growing Company 2010 & INC
500/5000 Healthcare only vertical market incl. small to mid sized
hospitals, clinics, and imaging centers Mission Statement: “Prescribed Computing for Care
Providers”
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Goal: “To help lower the cost of providing health care”
SaaS Model and Trends Software as a service (SaaS, typically pronounced [sæs]),
sometimes referred to as "software on demand," is software that is deployed over the internet and/or is deployed to run behind a firewall on a local area network or personal computer. With SaaS, a provider licenses an application to customers as a service on demand, through a subscription or a "pay-as-you-go" model.
By 2015, 24% of new business software purchases will be service-enabled software -- SaaS delivery will be 13.1% of worldwide software spend (IDC)
Mobile SaaS Market reached $1.2B in 2011 and predicted to grow to $3.7B by 2016 (IDC)
The cloud based medical imagery market reached $56.5M in 2010 and predicted to grow at compound annual growth rate of 27% (IDC)
The global cloud computing market reached $40.7B in 2011 and predicted to grow to $241B in 2020 (Forrester)
More than one third of respondents (37%) plan to replace on-premises software with SaaS to drive down total cost of ownership (TCO), Gartner found.
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7 Medical Solution - HIPAA Compliant
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HIPAA Compliance Audit:
Independent auditor verification that 7 Medical has internal HIPAA privacy and security controls in place. The examination was performed by applying HIPAA Administration Simplification, Part 164 Security and Privacy Standards and, without exception, 7 Medical's internal privacy policies and controls comply with these HIPAA standards.
7 Medical Solution - SAS70 Type I & II AuditSAS 70 Type I & Type II Audits:
Independent CPA verification that 7 Medical has controls in place (Type I) and operating effectively (Type II) for IT services and corporate/data center operations. SAS 70 Type II certification ensures that 7 Medical meets the requirements of Sarbanes-Oxley using the highest standards for its health information systems, service and security.
Coming Soon---SSAE16 Auditing StandardSSAE 16 is an enhancement to the current standard for Reporting on Controls at a Service Organization, the SAS70. The changes to this standard bring companies in the US up to date with new international service organization reporting standards, the ISAE 3402.
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HIPAA - Privacy & Security
Data Center - Tier 3 Minimum Redundancy
Server/Storage Infrastructure Redundancy
Off-Site Backup/Redundancy for All Data (Min. 200 miles)
Encrypted Communication Transmission Protocols
Securing the Local Environment through Firewalls, VPN Tunnels, Secure Website, etc.
Data Retention
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EMR Implementation Challenges
Lack of capital dollars Time to Implement IT Management headaches including lack of IT
resources System integration challenges Hardware/Software maintenance Hardware upgrades Multiple Location installs/upgrades Security, power, cooling, backups, etc. Disaster Recovery measures not in place Lack of communications network Infrastructure software licensing headaches After hours support
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Traditional EMR Workflow
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7 Medical Systems Solution
Zero capital expense for servers, software licenses, or any other hardware related infrastructure to run application software
Minimum setup fees No cost (beyond monthly subscription fee) for ongoing maintenance
and support of data center infrastructure Infrastructure hardware and operating system software upgrades are
responsibility of 7 Medical Systems No data center (server/storage/etc.) hardware migrations at any time Fast, simple deployment Eliminate most IT Management headaches Always current IBM hardware/Microsoft software 7i PACS digital image integration with your EMR(Price/Study) capability Surescripts/NewCrop e-Prescription Integration Reference Lab Integration
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Certified Healthcare-Only Data Center operation with the capability and means to keep your application up and going 24x7x365 days per year.
7 Medical Systems Solution cont.
Secure access anytime from anywhere Infrastructure software licensing included Interface Engine – HL7 to HL7 or HL7 to DICOM Unified 24/7/365 support Seamless integration IBM Virtualized Blade technology Compellent SAN technology Redundant power/telecom pathways Redundant backup power diesel generators Multiple Site Data Centers for
replication(Minneapolis/Fargo) Nationwide coverage model including on-site IT
infrastructure partnerships
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As an organization that prides ourselves with top rated customer care, we are interested in your success in providing quality healthcare to your patients.
Key Components• Practice Management(PM)
– Patient Demographics– Backoffice (scheduling, billing, collections, etc.)
• Electronic Medical Record(EMR)– Clinical repository of patient data– Electronic charting
• E-Prescribing– Drug interaction, allergies, SureScripts, electronic
prescribing• Patient Portal
– Patient access to their health information
Complete Software Solution•FLEXIBLE:
– Our software is in use by over 50 specialties– We have clients in over 40 states
•POWERFUL:– Used by over 60 billing services; some with close to 90 clients– We have a track record of 30 years
•FULLY INTEGRATED– Front-office ; mid-office and back office– One seamless, consistent, user interface
Practical, Powerful Features•EHR: Fast, accurate documentation
– Integrated labs, eRx, educational documents– Level of Service Calculations– Meaningful Use Adherence
•Practice Management: Electronic everything! – Claims, remittance, eligibility, statements – Collections Manager– Comprehensive Reports
•Document Management ● Scheduling ● Patient Portal•Integration with Microsoft Word, Excel ● Comprehensive On-line Help•All integrated and packaged in an intuitive user interface!
MDsuite: The Encounter Screen
MDsuite EMR HighlightsMDsuite’s Electronic Chart• Flexible Graphing Capabilities
– Vital signs, lab results, growth charts, custom watch lists, etc.– View data in table format– Print it as a visual for the patient
• Custom Watch Lists– Create a patient specific watch list– Select a watch list in one click
• Chart by Exception– One click populates your note with all exam normals or
review of systems negatives, allowing you to chart by exception
MDsuite’s Electronic Chart• Interaction Checking
– Drug-drug, drug-allergy, drug-diagnosis– Pregnancy and geriatric alerts– Comprehensive drug information from Lexi-Comp
• Electronic prescription– SureScripts– NewCrop
• Dashboard– Organizer, your day at a glance, schedule, etc.
MDsuite’s Electronic Chart• Patient Portal
– Fully integrated into MDsuite– Enable patients to connect to your office– Save time by avoiding “phone tag”– Provide a secure, HIPAA-compliant method of
communication– Retain a history of portal communications– Configure to your needs and your website
• Meets Meaningful Use certification
MDsuite’s Electronic Chart• Models
– MDsuite’s innovative Models are easy to use and customize– They are as fast as templates, but you use your own words– Create a Model for a specific condition or procedure.
Double-click and the note is populated with patient specific data, disease specific questions, findings, reminders to yourself, and instructions to staff
• Dragon Medical Integration– 100% compatible with the world’s best selling speech
recognition program– Includes medical vocabularies covering nearly 80 medical
specialties and subspecialties
MDsuite’s Electronic Chart• Order Sets
– Groups of orders can be quickly inserted into the Assessment & Plan
– Create sets which include: Prescriptions, Procedures, Labs, Referrals, Patient education, Follow-up visits and Immunizations
– Order sets may be tied to one or more diagnosis allowing for quick placement of common orders
– All orders are tracked for patient compliance and can be delegated to staff for completion
• Quick Text– Select common phrases, sentences, or paragraphs from
categorized lists
MDsuite’s Practice Management – Scheduling • Daily View
– Schedule down to 5 minute intervals– Track no-shows, cancellations, and confirmed appointments– Check in patients– Block out time for meetings, vacations, etc.– Double and triple book appointments
• Weekly View– A week at a glance– Move from week to week with a single click– Color Code appointments by visit type, location and
appointment
MDsuite’s Practice Management – Scheduling • Manage Wait Times
– Time in Office(TIO) shows total time waiting– Time in Place(TIP) shows time waiting in the place they are
currently located• Appointment & Recall Reminders
– MDsuite supports both written reminders and automated telephone reminders
– Reminders are integrated with Word• Wait Lists
– When an appt. opening cannot be found, a wait list entry is created
– When openings become available, the operator is alerted
MDsuite’s Practice Management – Scheduling • Eligibility Checking
– Check eligibility in real-time or batch mode– Receive a response in less than 1 minute in real-time mode
• Create Recurring Appointments– One click– Use patient preferences to find openings
• Double or Triple Book Appointments– Create multiple tracks for any entity– Block out time that is not available specifying soft or hard
blocks
MDsuite’s Practice Management• Level of Service Assistant
– Tracks your documentation in real time to help you avoid under or over coding when charting
– It assures your E & M code matches documentation for audit purposes
– The Level of Service Assistant will tell you what documentation is needed to reach a higher level of service
• Real-time Eligibility Checking– Find out before service whether the patient is eligible– Fully integrated with scheduling
• Built-in Fax Capability– Quickly send information out to referring MDs, etc.
MDsuite’s Practice Management• Electronic Statements
– Faster revenue collection– Save money, reallocate staff resources – Produce statements more often in order to increase cash
flow• 3M Claim Scrubbing
– Local coverage determinations(LCDs) and National coverage determinations(NCDs)
– Claim edit capability– Includes 3M Code Viewer providing policies, diagnosis,
modifers, etc. associated with each procedure for your carrier
MDsuite’s Practice Management• Electronic EOBs
– Receive the Explanation of Benefits System integration with other systems including, but not limited to, Radiology Information Systems(RIS), Picture Archiving Communication Systems(PACS), Lab systems, etc.
– Capable of sending and receiving demographic messages as well as sending scheduling messages/receiving charge messages
• Export financial data– Capable of exporting financial data to bookkeeping
applications such as Quickbooks• Fully Integrated with MDsuite EMR
– One program to learn, consistent, intuitive user interface
7EMR/PM MDsuite Services Included Unit Quantity Unit Price Extended PriceMDsuite.Complete ELECTRONIC MEDICAL RECORD (EMR) Yes Provider 1 $380 $380MDsuite.Complete ELECTRONIC PRACTICE MANAGEMENT (EPM) Yes Provider 1 $120 $120
- Total Concurrent Users Yes User 5 Included Included - Electronic Prescription Yes Provider 1 Included Included - Electronic Lab Orders/Results: No System TBD TBD TBD - Electronic Radiology Orders/Results Yes System Included Included Included - Patient Education Documents with Updates Yes System Included Included Included - Automatic Updating Yes System Included Included Included - Clinical Document Management Yes System Included Included Included - Registration Document Management Yes System Included Included Included - Time Savers Yes System Included Included Included - Electronic Remittance Yes System Included Included Included
- Code Loader Utility: Pre-load all or portions of CPT & ICD9 Yes System Included Included IncludedHosted IT Cloud-based Platform Yes Provider 1 $150 $150 - 5 GB per Provider Data Storage in Two Separate Data Centers Yes System Included Included IncludedOptional Additional Services
- 5 GB Data Storage in Two Separate Data Centers No Per 5 GB 0 $50 $0 - Patient Portal (Including ePayment) Yes Provider 1 $50 $50 - Secure, Electronic Faxing (Sfax) No 1000 Pages 0 $79 $0 - 3M Edit Engine (Sunsetting product on 12/31/2012 No Provider 0 $26 $0 - Alpha II ClaimStaker No Provider 0 $60 $0 - Clearinghouse: TBD No Provider TBD TBD TBD - Emdeon Clearinghouse: Eligibility (Participating Payers) No Transaction 0 $0.30 $0 - Emdeon Clearinghouse: Eligibility (Non-Participating Payers) No Transaction 0 $0.64 $0 Sub-Total $700
Total Monthly Service Fees $700
Monthly Pricing Model
Revenue Cycle Management(RCM) Model•7 Medical Systems does the monthly patient and insurance billing•Healthcare facility pays a percentage of billed revenue every month to 7 Medical for RCM services•The percentage includes the PM/EMR software licensing, hosting fees, and maintenance costs
