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Posts Tagged ‘HiTech’

Saphner: Elekta Impac software holds our practice together. We use it at both of our main offices; at the branch clinics, one has switched, one in process and we have two more to go. Once we achieve that, we’ll all be on the system.

The real ROI happens after work patterns change, and that doesn’t happen until the last doctor converts. Once that happens, you see benefits in many aspects. Once all doctors are on Impac you no longer need paper charts. One goal is to get all doctors to approve treatment plans on the computer, and the majority has already made that conversion.

Willard: At go-live, we were a privately owned physician group strictly focused on medical oncology. In 2008, the hospital purchased the practice, so now we’re hospital owned and based.

Our goal is to merge databases with the separate radiation oncology department and have a unified patient record, since we see about 85-87% of the same patients. We’re working to integrate with radiation oncology and interface with the hospital’s McKesson computer system.

About Our Experts

Terry McKay
President and CEO
West Michigan Cancer Center
Kalamazoo, MI
www.wmcc.org

West Michigan Cancer Center is a cooperative program for cancer treatment of the two major healthcare facilities in the Kalamazoo area, Bronson Methodist Hospital and Borgess Medical Center, which consolidates the non-surgical cancer treatment services formerly located throughout the area. The center averages nearly 80,000 patient visits annually, with more than 120 employees in 55,000 square feet of space.

Thomas Saphner, M.D., FACP
Principle Investigator
St. Vincent Regional Cancer Center CCOP
Green Bay Oncology
Green Bay, WI

As principle investigator for the St. Vincent Regional Cancer Center, Thomas Saphner, M.D., FACP, leads the prestigious Community Clinical Oncology Program (CCOP) as designated by the National Cancer Institute. The designation makes St. Vincent one of only 63 major cancer research sites in 34 states, District of Columbia and Puerto Rico.

Kim Willard
Impac Systems Administrator
Palmetto Hematology Oncology Clinic
Spartanburg, SC
www.palmettoho.com

Purchased by Spartanburg Regional Hospital System in 2008, the Palmetto Hematology Oncology Clinic has 88 employees, five physicians as well as five local offices. The clinic is affiliated with the famed MD Anderson Clinic and provides state-of-the-art cancer care for residents of upstate South Carolina.

As an EMR solution, MOSAIQ® is committed to certifying under the HiTech Act, part of the $787 billion Stimulus Bill passed on February 17, 2009.

For more information, visit www.elekta.com/hitech



Q. What is the biggest change at your center since implementing MOSAIQ software?

McKay: The best thing has been the tremendous calm in the office. We’re not running around, looking for charts. We had college students working for us just finding records. And there are no overhead pages, because those were always searches for records.

Saphner: Productivity has really improved. We had a legion of people in medical records, and it cost us five bucks to pull a chart. When you think about all the times you pull those charts, it was a lot of money. We saw that an enormous amount of energy was wasted looking for charts and even handling charts. EMR is always available to us, even if we’re at home. And if you have downtime at a satellite clinic, you can use the time online, approving documents.

Willard: The improved workflow as a result of EMR has been the most visible part of the program. You don’t have four health information personnel walking around looking for charts. Charts are available at the tips of your fingers, and can be securely accessed and reviewed from home on any configured computer with an internet connection.

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Q. Do you consider yourself at the forefront of technology, since you are an early adopter of EMR?

Impac Software has been selected to present at the EHR Lab during the ASCO Annual Meeting, May 29 – June 2, at the Orange County Convention Center, in Orlando. Chosen according to criteria developed by ASCOs EHR Workgroup, 2009 is the third consecutive year Impac Software has been chosen.

A hands-on opportunity for oncologists, administrators, nurses and other members of the oncology care team to test and experiment with various EHR products, Impac will demonstrate its oncology EHR, MOSAIQ®, and how its implementation can help provide better overall communication, process efficiency and more efficient patient care.

We are pleased to again be selected to show our oncology specific functionality to this year‚ ASCO EHR lab attendees”, says Dave Eggert, Medical Oncology Business Marketing Manager for Impac Software. “With all of the buzz surrounding EMR implementation as part of the stimulus package, it‚ even more important to make an informed decision about an EMR choice.”‘

The EHR Lab will be located on the exhibit hall floor within the Orange County Convention Center during the following hours:

  • Saturday, May 30, 2009, 9 a.m. – 5 p.m.
    Sunday, May 31, 2009, 9 a.m. – 5 p.m.
    Monday, June 1, 2009, 9 a.m. – 5 p.m.

  • For additional information regarding ASCOs EHR Lab, visit: asco.org/ehr. For full details and a demonstration of MOSAIQ, visit Impac Software booth #3401 at ASCO.

    Melissa Speer has spent more than 25 years learning the business of health care and is an expert in EMR implementation. Ms Speer is presently the Director of EMR for The West Clinic, Memphis, TN. This video of Ms. Speers was recorded at the Impac Medical Oncology Users Summit in 2006. She provides tips on how she and her team set the stage for a successful implementation of an EMR.



    Read more on Implementation of an EMR

    MOSAIQ ROI

    MOSAIQ ROI

    An EMR, while it does carry a cost, shouldn’t be considered as a mere capital outlay such as the cost for office supplies. It is perhaps more productive to consider a cost -benefit analysis of an EMR that captures the overall quality of the investment by estimating how much value will be added over time. We work with customers (small and large clinics) to measure their return on investment in several different ways including: increased productivity, increased revenue, and decreased overtime. For example, many have reported increased productivity measured in time NOT spent looking for a chart, thus more patients can be seen. Because of automated charge capture, one customer recovered 1 million dollars in missed medication charges. In addition, other non-financial benefits should also be considered such as staff benefits and patient safety. West Michigan Cancer Center converted their old chart storage room into a workout room for both employees and clients. Reuters (2009) reports a study of hospitals in Texas that showed substantial benefits from ‚going paperless. For hospitals and doctors who actually used technology (as opposed to ‚just having it around), patients experienced 16 percent lower risk of complications. Please see impac.com/roi for more information, a CD and white paper. We are also currently developing an ROI tool that takes into account the new governmental EMR incentives (HITECH), which should be posted in the near future.

    Suzanne Marshall, EdM.,RN, Impac Software, Medical Oncology Business Marketing Manager.

    Economic Stimulus HiTech Act

    Economic Stimulus HiTech Act

    FULL ARTICLE HERE

    What is the HITECH Act?
    On February 17, 2009 a $787 Billion, the American Recovery and Reinvestment Act of 2009 aka “the Stimulus Bill,” was signed into law by the federal government. Included in this law is $19.2 Billion which is intended to be used to increase the use of Electronic Health Records (EHR) by physicians and hospitals; this portion of the bill is called, the Health Information Technology for Economic and Clinical Health Act, or HITECH Act. The government firmly believes in the benefits
    of using electronic health records and is ready to invest federal resources to proliferate its use. Title XIII in Division A, pages 112 through 165 and Title IV in Division B, pages 353 through 398, cover the HITECH portion of this economic recovery act.

    Why did the government pass this law? Why is it important?

    There has been extensive research done to show that utilizing an EHR would serve to improve patient care, increase patient safety and simplify compliance in the US healthcare system. Additionally, it would help cut costs in the long term, as it would minimize errors, increase productivity and administrative efficiency.

    For additional information on the potential benefits and savings associated with investing in an EMR system, the following link provides a good reference:HealthAffairs.org

    To further understand the benefits of investing in an oncology specific EMR system that go far beyond government incentives, more info – click MOSAIQ ROI

    What does the HITECH Act mean to physicians and hospitals? What incentives are available to me?

    As described in the most recent published news, the intended use of the $19 Billion will be for incentive payments, grants and loans.

    $17 Billion will be used for incentive payments to physicians and hospitals that participate in Medicare and Medicaid programs. These incentives will be issued to current users and new adopters of certified EMR systems, who use the system in a meaningful way. The certification process and standardization criteria have NOT yet been determined, and will be decided upon by the end of 2009. The government has NOT yet made any reference to partnerships with any existing EMR certification organizations.

    Medicare- Physicians seeing Medicare patients can receive up to $44K over the course of 5 years. An additional 10% is available to physicians operating in a designated Health Professional Shortage Area (HPSA), for more information go to www.hpsafind.hrsa.gov . The general depiction of the payout schedule is in the following table.

    How to read this table: The first row represents the year you adopt an EMR system. The first column represents how much the payout will be each year. For example, if you are a current user, your payout for 2012 will be $12K. If you adopt an EMR system in 2013, your payout will be $15K in 2013, $12k in 2014, and $8K in 2015.

    Payout

    Current

    2011

    2012

    2013

    2014

    2011

    $18K

    $18K

    2012

    $12K

    $12K

    $18K

    2013

    $8K

    $8K

    $12K

    $15K

    2014

    $4K

    $4K

    $8K

    $12K

    $15K

    2015

    $2K

    $2K

    $4K

    $8K

    $12K

    2016

    $2K

    $4K

    $8K

    Total

    $44K

    $44K

    $44K

    $39K

    $35K

    Medicaid – Physicians whose caseloads include at least 30% Medicaid patients are eligible to receive up to $64K over the course of 5 years, the exact payments have not yet been determined. Physicians cannot obtain incentives from both Medicaid and Medicare, but hospitals can.

    Hospitals – Hospitals can receive a base payment of up to $2M initially. Additional incentives are available according to a formula based on discharges, year of adoption etc., with a cap at $6M. The exact payment schedule is not yet determined.

    The remaining $2 Billion will be dispersed as grants and loans to promote advancements in healthcare information technology (HIT) and improve accessibility to HIT in underprivileged areas. The grants will be available to researchers, Community Health Centers, Rural Health Centers and Indian Health Centers.

    What happens if I don’t adopt and EMR system?

    After 2015, further financial incentives will not be available and penalties will kick in. There will be a 1% reduction in Medicare fees per year, up to 3% by 2017.

    Where do I begin? How do I start thinking about this process to ensure that I have thought everything through?

    It is obvious from the explanation of the incentive plan that the sooner you adopt an EMR system, the more incentive funds that will be available to you. It is not an easy undertaking and will require quite a bit of analysis, preparation and research to begin the process.

    Our STRATEGIQ professional services team is available to assist you during this process.

    Additionally, we have made every effort to make the transition to an electronic charting environment a seamless process for our customers and are offering special incentives to encourage the adoption of the MOSAIQ EMR system.

    click for: MOSAIQ Software Demo

    click for: MOSAIQ Software Demo