Galen Healthcare Solutions: Allscripts Consultants Enterprise EHR

Galen Certified – The New Standard for Allscripts Enterprise™ Expertise!

Our consultants have always been the experts when it comes to the Allscripts Enterprise EHR™ application and now they have the certification to prove it! We are proud to announce the Galen Certified-Enterprise EHR Application Specialist training and certification program. This week marks the completion of Galen’s second group of employees who have taken part in our intensive seven week training that concludes with both a written and verbal examination.

The training, which is designed and performed by our experts, consists of an in depth review of all the Enterprise Certified Workflows and build methodologies with an added emphasis on the clinical relevance of each. Much like that of the Configuration Workbook, we step through Base, Rx, Charge, Order/Result, Note, CareGuides, Dictate, Transcribe and Scan. Along with the module specifics, we provide an entire System Administration review with the latest 11.2 Enhancements and configuration techniques.

During the training each student is provided with their own virtual 11.2 Enterprise environment so they might build, test, and configure without the concern of being in a LIVE environment or configuring over another user. As part of the testing process each student is required to build out a mock client environment from scratch. They are given mock client build specifications that begin with the organization set up and build of users, right down to the assignment of all Task List and Worklist views. They participate in “real-life” patient care/documentation scenarios to ensure that they are prepared to support the actual day to day needs of the end user without hesitation or delay.

We began the training and certification with newly hired employees and then expanded it to include verifying the overall level of understanding of the Enterprise product by including our Senior Consultants. We are proud to announce that as of today 15 employees already hold the distinction of being Galen Certified Enterprise EHR Application Specialist, with 7 more preparing to test in the next 2 weeks.

We are currently working to complete the training and certification for all the consultants on our Service Team. As well, the future will include Advanced Certifications in areas of V11 Note, Order/Results, Charge, CareGuides, and System Administration.

Please join me in congratulating the following employees:

Michael Dale, Associate Consultant

Michael joined Galen in April 2011 as an Associate Consultant. He attended the initial class for Galen’s Certification program. He was the first employee to officially become “Galen Certified – Enterprise EHR Application Specialist”. In his six months in this industry, he has grown very familiar with Allscripts Enterprise EHR™ and has become a frequent contributor to the Galen Blog. In the coming months, he plans to contribute to the Galen Public Webcast series.

Michael graduated from Iowa State University in 2005 with a Bachelor’s Degree in Management. His background includes analytical experience in the Healthcare industry and a variety of leadership positions.

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Zia Rahman, RHIA, Associate Consultant

Zia works primarily from the Chicago office and focuses on Allscripts Enterprise EHR™ implementations. He is a recent graduate from the University of Illinois with a Bachelor of Science in Health Information Management and is also RHIA certified. Most recently he has been assisting a large client in the Midwest as their dedicated resource to help the implementation go as smoothly as possible. Zia is always dedicated to ensuring the project is a success.

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Christy Erickson, Consultant

Christy joined Galen in March of 2011 as a Consultant serving clients in either Project Manager or Implementation Consultant roles specializing in clinical workflows and v11 Note. Before joining Galen, Christy was Operations Manager for Abraxas Medical Solutions (now Merge Health) responsible for implementations, support, technical services, and client education. Prior to that, Christy spent three years at Allscripts in both project management and consultant roles where she was named the 2008 Allscripts Service Employee of the Year and promoted to Manager, Professional Services. Before entering the health IT industry, Christy worked in nursing as a nurse and nurse practitioner with experience in outpatient, hospital, and hospice, including several years in Spain as an ICU/OR nurse where she became fluent in Spanish. Christy earned both her Bachelor of Science and Master of Science in Nursing from Salisbury University in Maryland and currently lives in Southern California.

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David Burkhead, Managing Consultant

David joined Galen in March 2010 as a Consultant and recently transitioned from Senior Consultant to Managing Consultant. In his 6 years working with Allscripts Enterprise EHR™, his project experience has included Project Management, Implementation Consulting, Conversion Analyst, and Interface Analyst roles. In his recent experience with Galen, he has been involved with an Enterprise EHR™ READY deployment, external webcasts, and an occasional contributor to the Galen blog. David graduated from The University of Vermont in 2005 with a Bachelor’s Degree in Business Administration along with a concentration in Management of Information Systems.

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Cecil Hunter, Senior Consultant

Cecil has been an integral part of the Galen team since April 2008. He has more than 11 years of experience in the health care Industry and 6 years of experience with Allscripts Enterprise™ EHR deployment. Cecil has most recently worked on a deployment of Enterprise EHR™ Version 11 modules for a large comprehensive network of affiliated physicians in Columbia, South Carolina. Cecil is certified in Allscripts Enterprise EHR™ Version 11 System Administration, as well as, Allscripts Enterprise EHR™ Version 11 Upgrades. Prior to joining Galen, Cecil served as an Allscripts Super User at a major University Healthcare Group in South Florida.

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Steve Cotton, Managing Consultant

Steve has been with Galen Healthcare Solutions since January 2010 and has recently transitioned from Senior Consultant to Managing Consultant. Following his years of experience at Allscripts Healthcare Solutions as a Senior Implementation Consultant and the Lead Internal Educator, he has continued to exhibit his expertise in project management, implementations, and education. In his recent Galen experience, he has contributed to the Galen external webcasts, assisted multiple clients with the Order Synchronization process, and serves as the primary implementation resource for Galen’s business continuity solution, VitalCenter. Steve has a Bachelor’s degree in Health Information Management and a Master’s degree in Health Informatics; his educational background has provided him with a strong understanding of the Healthcare Industry.

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Carl Fulton, Lead Consultant

Carl has more than eight years experience with healthcare information systems, specializing in Project Management and Implementation Consulting for Allscripts Enterprise EHR™. He has led implementation efforts for a range of clients, affecting thousands of providers, using all modules within Enterprise EHR™. In addition to his background in healthcare information systems, Carl has a Masters Degree in Organizational Leadership from Gonzaga University and Bachelors Degree in Management Information Systems from Washington State University.

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Cyn Gerson, Senior Consultant

With over ten years of health information systems experience, Cyn has played an integral role in many client projects; including implementation & deployment of all Allscripts Enterprise EHR™ modules, for many healthcare systems around the country. Most recently Cyn took a lead role with a major multi-specialty organization to get them live on their latest implementation phase, which included multiple Order/Result interfaces, Charge and v11 Note.

Cyn has demonstrated her skills in project management, workflow analysis, application build, interface testing and end-user training & support. She has a strong work ethic combined with a commitment to excellence in all projects undertaken, and continuously strives to cultivate positive relationships with her clients while providing objective guidance in accomplishing their goals.

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Tony Yelacic, Senior Consultant

Tony Yelacic has been with Galen Healthcare Solutions since 2007. He came to Galen with 30 years of healthcare experience across clinical, operational, and information systems areas. His unique blend of skills has provided many opportunities for the Galen community.

 

 

 

 

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Karla Koertner, Consultant

Karla Koertner is a software implementation professional with more than 11 years in healthcare. She is experienced with both acute and ambulatory care software systems and has functioned as a Project Manager, Subject Matter Expert, and Implementation Consultant on several large scale Allscripts installs. Karla resides in Charlotte, NC and looks forward to a long career with Galen Healthcare Solutions.

 

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Matt Woodside, Managing Consultant

Matt has been involved with the design, build and implementation of clinical software for over 10 years, including extensive experience with clinical application testing and evaluating end-user readiness. Most recently, he has been working with Senior Implementation staff, Clinical Analysts and Hospital Management to roll-out Allscripts Enterprise EHR™ to the first Beta sites in the network at one of the largest Allscripts clients in the Northeast. Matt was also involved with leading the client team through their recent Allscripts Enterprise EHR™ version11.2 upgrade. Matt is looking forward to continuing to apply his knowledge and experience to current and future client needs.

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Steve Stahr, Senior Consultant

Steve joined Galen in April 2008, and has been integral in assisting clients with their EHR projects, both as a Project Manager as well as Implementation Consultant. More recently, Steve became more involved with the Galen Upgrade Team, assisting with the increased demand of upgrading clients trying to achieve Meaningful Use and report from the Stimulus Set. His interest in the Orders and Results modules of Allscripts Enterprise EHR™ has given him the opportunity to assist many different clients with navigating this significant and strategic process. Steve has also been very involved with hosting webcasts through Galen’s Free Webcast Series, and conducted on site training with clients, as well.

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Will Ditton, Senior Consultant

With more than 10 years experience in Healthcare IT and working with Allscripts products, Will has had the opportunity to be involved with clients ranging in size from small to large MSO. His experience includes implementing Allscripts Enterprise EHR™ as well as assisting clients with optimization. In addition to his main focus on the Enterprise EHR™ application, Will has experience with Network and System Administration. Will has proven to be a huge asset to Galen’s clients and he looks forward to assisting future clients in achieving their goals.

 

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Litisha Turner, MSN, Clinical Consultant

Litisha has been with Galen as a Clinical Consultant for one and half years. She is a Registered Nurse with a Master’s Degree in Nursing Informatics. Her focus has been on building notes, forms, text templates and flowsheets for various clients including Northwest Community Hospital, Scripps, North Florida Surgeons and University Physician Associates. She has provided remote System Administrator training and end user training to a number of clients, as well as v11.2 Upgrades and work on bidirectional lab interfaces.

 

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Laleen Shah, Associate Consultant

Laleen Shah has been with Galen Healthcare Solutions since May 2011. In her recent experience she has been involved with a large healthcare organization in Iowa, assisting in system build, go live support, and data gathering for upcoming go-live events. She is currently a Galen Certified Enterprise EHR Application Specialist. Laleen graduated from the University of Illinois at Chicago in 2011 with a Bachelors Degree in Health Information Management.

 

 

 

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Tags: Allscripts Consultants, Allscripts Enterprise EHR, Galen Certified - Enterprise EHR Application Specialist

It’s been an exciting quarter for everyone in the Allscripts community as more and more physicians are adopting EHR technology and health systems across the country are positioning themselves for Meaningful Use. As our industry continues to evolve, Galen has recently made some key promotions designed to give our employees additional support needed to provide high-quality services to a growing client base. Their leadership allows our company to stay better connected. Please join us in congratulating the following people on their recent promotions.

Dave Burkhead, Managing Consultant

Dave knows the configuration of the Enterprise EHR application front and back and has worked on the interface and technical side of the application. In addition to this product knowledge, Dave has project management experience and a natural ability to lead. This combination of product knowledge and higher level vision is at the heart of what Galen provides, and it’s what makes Dave such a valuable asset to both his clients and team members. Congratulations to Dave on this well-deserved promotion.

Steve Cotton, Managing Consultant

Steve came to Galen with superior product knowledge and a willingness to do whatever it takes to help his clients, and that has not changed. Steve does all things Enterprise EHR™; trainings, onsite support, orders/results build, interfaces, VitalCenter™ implementations, external Galen webinars, and much more. In addition to his client work, he has been a steady contributor to internal projects and is the true epitome of a team player. In his new role as Managing Consultant, Steve will be able to bring years of consulting and application experience to his team. We congratulate Steve on this well-deserved promotion.

Michael Ficociello, Upgrade Manager

Michael was one of the original upgrade team members who started in 2008 and has made immeasurable contributions to its success in the years since. His work ethic and attention to detail have allowed him to provide superior services to his clients, and his passion for process improvement has allowed the entire upgrade team to stay organized and on point. In his new role of managing the upgrade consultants and upgrade project managers, Michael will continue to provide leadership to the team in addition to his full workload with his own upgrade clients. Congratulations to Michael and thanks for all the hard work.

Troy Forcier, Senior Upgrade Technician

Troy has been upgrading Galen’s client base for the past three years, working with just about everything between V10 and V11. During that time, he has taken on some of our largest clients as well as some of our smallest, and done great work at every stop. In addition to his upgrade work, he has also gone on-site with clients to perform assessments of their Allscripts infrastructure, visited clients to perform Galen’s System Maintenance Training, and hosted educational webcasts.  He has also been a tremendous help in on-boarding some of our newer upgrade resources, allowing Galen to bring top-quality technical services to a growing client base. We congratulate Troy on his promotion to Senior Upgrade Technician.

Carl Fulton, Lead Consultant

Carl has been with Galen since September 2007 and has worked with multiple clients throughout his time with Galen.  The common theme with each is that they keep coming back to Galen for support with their implementations, upgrades, and other projects. He has tremendous product knowledge and combines his great sense of humor with a level of professionalism that makes him a great resource for all clients. In addition to his client-side impact, Carl plays a large role internally for the service team. He is truly an asset to the clients and to Galen. Carl has made the transition from Consultant to Senior Consultant to Lead Consultant in his four years here, and we congratulate him on his newest promotion.

Matt Woodside, Managing Consultant

Matt has been promoted to Managing Consultant and will now take on responsibilities for managing part of the service team in addition to his continued full-time client work. Matt has a combination of extensive product expertise and excellent leadership capabilities. His strong project management skills have helped him provide direction and leadership to one of Galen’s largest clients as they move towards Meaningful Use. Within Galen, he has helped with the recruitment of new employees, ensuring that Galen employees continue to represent the highest standard. Congratulations to Matt on his exciting new role as Managing Consultant.

Tags: Allscripts Consultants, EHR Implementation

Have you ever found yourself asking how the heck does Imagelink work?  How is it possible to click a button in the Allscripts application and view an X-ray?  Have you ever wanted to know how a result closes an order is closed without a Touchworks Order number?  Have you ever heard someone say, did you check the requested performing location dictionary, and not know what they’re saying?  Have you ever wanted to know more about Allscripts result interfaces?

Well you are in luck! The Galen technical services team is proud to host a Free Results Interface Training hosted at it’s brand new office!

Who: Allscripts Interface Analysts

What: Free Result Interface Training

Where:  70 Federal Street, 7th Floor, Boston, MA 02110.

When:  Wednesday, December 14th, 2011 from 9AM-5PM with lunch provided.  There will also be a cocktails and networking hour from 4PM-5PM with beer, wine and light snacks.

Why: Learn about more of the intimate details, nuances, and best-practices surrounding Allscripts result interfaces

Agenda:

• Imagelink
• Reconciliation w/ and w/o eletronic order interface
• Common errors
• Requisitions
• Requested Performing Location
• Auto synching
• Much More!

Please contact us if there is a topic you would like to learn more about that isn’t in the list above.

Travel:  If you are driving into the city, there are parking garages nearby. The cheapest and most convenient is the Winthrop Square Parking Garage at $20/day.  If you are coming in from out of town, there are many hotels in the area.  Also note that we will have wireless internet and workstations with a hardwired internet connection available for those who need it.

Space is limited – Register Today! If you can’t make the training, it’s ok!  Galen offers free webcasts about every two weeks.

Tags: Allscripts, Allscripts Enterprise EHR, Allscripts Interface, ConnectR, ConnectR Training, Galen Webcast Series, Integration, Interface Training, Interoperability, Results Interface

This past Tuesday, I attended the NEHMISS Monthly Event and Social hosted at the Papa Razzi in Wellesley, MA with one of my colleagues, Patrick Zummo. It provided an invaluable opportunity to network with other healthcare IT professionals as the event had one of its best turnouts in the past two and a half years that we have attended (I would estimate about 65 attendees!) It was great catching up with folks and seeing new faces. The networking opportunity can’t be underscored enough!

The event featured a presentation on “An Approach to Meaningful Use” by Laura Leinin, Sr. Project Specialist, Clinical Information Systems at Partners Healthcare, and Jennings Aske, J.D., CISSP, CIPP, Chief Information Security Office at Partners Healthcare.

Laura started things off with an overview of the MU legislation to date:

• Original goal of MU legislation was to target full EHR adoption by 2014
• The three phase of EHR: Adoption – MU – Outcomes
• Compuer Sciences Corporation (CSC) estimated that for a hospital with 276 beds, the potential MU payout would be $4.2 million
• The major certifying entities for EHR software is Certified Commmunication for Health Information Technology (CCHIT) and the Drummond Group. The model utilized is a conformance tool where submission of data is required.
• Attestation if currently a manual process – submission of the numerator and denominator.

Jennings followed by addressing security compliance & MU:

• The main components of security compliance include access control, emergency access (“break-glass” capability), auto log-off, and audit log.
• Jennings noted that with the audit report, requirements included capture of userid, patientid, user activity and the ability to sort by time.
• An example of compliance presented was since Partners had a home-grown EHR system (longitudinal medical record – LMR), in order to comply with CCHIT & Drummond certification, the system needed to possess the capability to handle encrypted file import.
• Jennings expressed that Partners needed to exhibit compliance as described above, but in some scenarios (like the encrypted file import described above) they don’t actually intend on using the functionality. This led me to wonder what the percentage of cases were where the EHR needed to comply with security standards, but would never actually use or implement the feature in operational practice.

For the remainder of the presentation, Laura offered some statistics and updates with regard to Partners MU initiative:

• As of Thursday, September 30^th, 114,644 EPs & EHs have registered for attestation.
• As previously noted, attestation for stage 1 is currently a manual process and Laura warned of the high chance that organizations are likely to be audited post-attestation and as such they should have the records and data to back it up.
• She noted that Academic Medical Centers (AMCs) need to be self-certified in that they often have home-grown systems in the inpatient setting and noted that community hospitals often have commercial off the shelf (COTS) systems provided by the leading EMR vendors.
• She provides a project status dashboard each month to stakeholders and executives with more than 125 data points to track each month!
• Laura also mentioned the challenges of qualifying for MU in the presence of the healthcare information system mosaic at Partners that we’ve previously touched on in our blog in that of the different organizations that are affiliated with Partners (Brigham and Women’s Hospital, Massachusetts General Hospital), there are different vendor systems for ED (Electronic Discharge) systems, PM (Practice Management) systems, etc.
• In some cases, to qualify for meaningful use, workflows had to be adapted. One example was the handout of clinical summaries to patients.

Several great questions were posed by the audience including the following

• Q: Is standardization of vocabularies at Partners being handled by IT or the clinical staff? A: IT staff
• Q: What’s the headcount needed at Partners for the MU initiative? A: About 50 people across hospitals and LMR teams
• Q: How is Partners handling the case where smoking status is not captured discretely, but rather exists in a note? A: The homegrown LMR at Partners currently captures smoking status discretely. However, there are NLP (Natural Language Processing) solutions (Autonomy, Nuance come to mind) to post-process the non-discrete data for those applications which do not store it discretely. We have touched on data-mining non-discrete data in a previous blog post.
• Q: What happens if an organization decides to switch an EHR going forward? How is certification and MU qualification handled? A: No presenter or audience member had experience in switching organizations, but as we’ve witnessed with EHR vendor consolidation and an explosion of acquisitions requiring data conversions, this is likely to be a hot topic going forward.

Tags: Allscripts, Allscripts Data Mining, CCHIT Certification, Custom Reports, Drummond Group Certification, HIMSS Meaningful Use, Longitudinal Medical Record, Meaningful Use, Meaningful Use Security Compliance, NEHIMSS, New England HIMSS, Partners Healthcare Meaninful Use

This week, the world lost one of the most innovative people of our time. Steve Jobs, co-founder of Apple Computer, passed away leaving behind quite the legacy. I feel obligated to honor Steve Jobs this week and reflect on how he affected technology in health care.

It is amazing to reflect upon the history of Apple computers. It seems not too long ago, I was learning how to use a Macintosh computer playing Number Crunchers and Oregon Trail in Elementary school. Back then, the idea of a computer with a mouse was relatively new technology! Twenty years later, Jobs’ vision has evolved technology well beyond that grey box, keyboard, and mouse.

Take this timeline for example:

• May 1984 – Macintosh was released using a graphical user interface controlled by a mouse (courtesy of Xerox technology)
• April 2010 – Apple releases the first iPhone, optimizing a user interface that would pave the way to the iPad and an extensive library of applications that remains the most popular OS to developers today.

What an advancement in technology in twenty six years! So while the only Apple product I own is an iPod, I remain deeply amazed at the technology Apple offers and how much its technology touches our lives. Apple products remains as probably the most popular choice for mobile computing in the United States.

Business Insider published an article in July 2010 titled “10 Ways The iPad is Changing Healthcare”.  While it’s a quick click through the list, you certainly get a feel for the opportunities the iPad has presented to healthcare. Examples included “Going Green”, cost savings, and information consolidation. All this was made possible with the vision of Steve Jobs.

Did you know?:

According to Wikipedia on Steve Jobs:  “Jobs is listed as either primary inventor or co-inventor in 338 US patents or patent applications related to a range of technologies from actual computer and portable devices to user interfaces (including touch-based), speakers, keyboards, power adapters, staircases, clasps, sleeves, lanyards and packages.”

Being in the Electronic Healthcare Record industry, I want to share a couple examples that resulted from Jobs’ technology.

Thank you to the iOS software and the work by developers at Allscripts^TM, there are two applications that Allscripts^TM offers that can be utilized using an iPad or iPhone.

ePrescribe:

This application allows providers to use their iPhone/iTouch to view patients from their Practice Management System.

Features:

• Summary page that identifies and presented problems, allergies, unprocessed medications, and any active medications
• Allows providers to write prescriptions using an excellent, user-friendly design
• Displays formulary indicators and DUR
• Can submit Rx’s direct to Pharmacy, Send to Mail order, and send to a printer

For more information on Allscripts^TM ePrescribe, visit their webpage to learn more.

Remote EHR:

This is another excellent application that is utilized by healthcare facilities using the iOS software that allows providers to remotely control their AllscriptsTM Electronic Health record from any location.

Features:

• Provides real-time access to patient summary information
• Includes ePrescribing to the patient’s pharmacy
• Integration with Charge capturing and attaching diagnosis codes to scripts
• Compatible with Allscripts^TM Enterprise EHR v11 (among other Allscripts products!)

For more information on Allscripts^TM, visit their webpage to learn more. Additionally, Galen Healthcare Solutions offers a Wiki page with more information regarding Remote EHR.

So, thank you Steve Jobs for making such applications possible. Remote EHR and ePrescribe are two examples of the results of Jobs’ achievements and have allowed for better patient care.

Share your thoughts! Give us your feedback on how you’ve used this technology in healthcare and how you see its benefits or contributions.

As always, do not hesitate to contact Galen Healthcare Solutions for more information.  Galen is a Preferred Platinum Partner of Allscripts^TM .

Tags: Allscripts, Allscripts Enterprise EHR, EHR, Enterprise EHR, ePrescribe, Healthcare IT, iOS, Remote EHR, Steve Jobs, v11

I attended my first New England Healthcare Information and Management Systems Society (NEHIMSS) event.  And I must say I was impressed!  There were five wonderful presentations and opening and closing remarks by Lisa Ewing, NEHIMSS President.  I had the privileged honor to meet:

• Jim Albert CIO – Charlotte Hungerford Hospital, Connecticut
• Dan Feinburg (Director, NEU Masters in Health Informatics Program)
• Arthur Harvey (Professor, Brandeis University Masters in Health Informatics Program, Director IT Operations, Boston Medical Center)
• Sue Schade (CIO – Brigham and Women’s Hospital) and,
• Many other influential people within the healthcare IT industry.

Jim Albert’s presentation was on the topic of Skillsets required in the new world of automation in healthcare.  A few of the points he touched on were the recent rise of merger and acquisitions within the healthcare world.  According to Mark Reiboldt (VP – Coker Capital Advisors), in 2010, the number of hospital merger and acquisitions have risen 25% to 30% (for full article, http://goo.gl/JOnXk).  Jim also mentioned a very interesting, recent implementation which involved 250 IPhones.   The IPhones are used throughout the Hospital as a way to communicate silently to hospital employees and much more.  Jim also talked about creating an IT department solely of clinicians who have a deep understanding of the intricacies of a hospital workflow.  I thought all of his ideas/recent implementations are very bold and out-of-the-box thinking.  What do you think?

Dan Feinburg and Arthur Harvey talked about The Changing Face of HIT Education.  There seems to be a place for everyone in healthcare IT.  Whether you are assisting with data analysis or dissecting complex workflows; with the right training and education, you can have a happy and successful career in healthcare IT.  So where do you fit in?  One topic that was brought up was the difficulties some MBA graduates face once they re-enter the workforce or are entering the workforce for the first time.  Because Healthcare IT is such a risk averse industry MBAs are facing a competitive market.  Some strategies exposed from hiring managers are simply hiring within or stealing from competitors.  We all know this happens and it can be frustrating sometimes, especially if you are trying to get your foot in the door.  I can say there are no shortages of opportunities, so keep up the hard work!

Sue Schade talked about the Challenge of recruiting and retaining talent in today’s competitive health care IT market.  She talked about some of the strategies Partners Healthcare are using to keep their employees interested and committed.  She talked about Connected Work Space, similar to the structure of a consulting company.  This strategy allows employees to work from home a few days a week and office and desk space is shared between employees.  Another strategy she discussed was Career Growth Initiative, which is a structured mentorship.  One I was particularly fond of is the IS Innovation Program.  This program allows exceptional and hardworking employees the opportunity to pilot an idea for a four month period.  The employee is allowed to put on hold all, or majority of their regular responsibilities to try something new.  The program allows the chosen employees to dive-in head first and develop a creative and new project.  Some of the things this program accomplishes are encouraging risks and learning.  It also promotes staying curious, committed, open, and energized.

The event ended with a networking reception sponsored by Microsoft.  This gave everyone and a chance to talk in a casual setting.  Hope to see you at the next NEHIMSS event!  Did I mention the food was delicious?

This piece is the second of a two part series discussing the transition to ICD-10.

 

As I mentioned before, the healthcare industry is rapidly moving closer to the October 1, 2013 compliance date for ICD-10. As that date draws closer, organizations will need to actively take action to successfully be compliant.  The Centers for Medicare and Medicaid Services (CMS) is actively providing resources to assist in achieving this success.

Before I share another tool that CMS is offering as support to the transition, I wanted to reflect upon some rather humorous information regarding the new ICD-10 codes. Last week, I read a blog from EMR and HIPAA that made me aware of the fact that the ICD-10 code volume has expanded and now includes some “off-the-wall” codes.

One example the article shared was “V91.07XA, “burn due to water-skis on fire”. I would say that’s fairly specific!  After reading this, I was encouraged by curiosity to dig for more interesting codes. After browsing the ICD10 code listing, I did manage to find some more codes that amazed me.

In tribute to the Southeast United States:

• W5803XA Crushed by alligator, initial encounter
• W5803XD Crushed by alligator, subsequent encounter
• W5811XA Bitten by crocodile, initial encounter
• W5811XD Bitten by crocodile, subsequent encounter

I come away from those codes wondering what the actual number of times the code W5803XD will be used.

The fact that these codes have increased in volume and in specificity, to me, seems to have far more benefit than harm as we transition to using ICD-10 codes. But before we see the end result of this transition, we have to endure the transition and arrive to October 2013 with only success. One tool CMS is offering to assist is the Implementation Widget.

Implementation Widget

CMS offers a “timeline widget” that users can download to their desktop of mobile device.  Once downloaded by a user, that person can share the application through email, social media, or post in a website. The purpose of the widget is to “identify and take action on the benchmarks you will need to ensure smooth transitions to” the ICD-10 compliance date. HIMSS News summed it up perfect indicating that it would help organizations:

• Understand what should be done right now to prepare for the switches to 5010 and ICD-10
• Know the steps needed to take in the future and when
• Stay on top of approaching transition deadlines to help manage the implementation process

The widget first prompts for a selection among four choices: Vendors, Payers, Large Providers, or Small Providers.  Each category differs in the output of the timeline, benchmarks, and necessary actions suggested by CMS to act upon.  A full timeline can be downloaded in each category. The timeline, viewed as a PDF file, indicates the suggested immediate actions/goals, then broken down by quarter up to the deadline. However, users can step through the timeline using the widget, making the experience more visually appealing as it breaks down the timeline piece by piece.

The goals and action points are clean, concise bullet points set to guide the organization in the direction of a successful compliance. Here’s an example of the bullet points for Venders listed of Actions to take immediately:

• Identify staff to receive training and develop training materials (5 months)
• Establish organization’s implementation chart (6 months)
• Determine product requirements (8 months)
• Estimate budgets.  Budgets should include all costs associated with implementation including software, software licensing, hardware procurement, development, and staff training costs (8 months)
• Conduct product re-engineering analysis (6 months)
• Start product/solution development (9 months)

Each action point has a timeframe given. That timeframe is the estimated total duration needed for that action point.

The information presented in this tool should prove to be a valuable resource to organizations. I am interested to hear feedback from organizations whether they are using this tool or not, and if so, how the information is helping steer them successfully to compliance.

Another key ingredient to the October 2013 compliance date will be the incorporation of the ICD-10 codes to vendor systems. This will certainly affect systems such as the EHR and PM systems. Hopefully soon, the various vendors will begin (if they haven’t already started) to incorporate plans to swap the ICD-9 codes to ICD-10. Organizations will need to pay close attention to any vendor communications, as vendors will surely indicate release dates and material that correspond to the ICD-10 implementation.

As we move closer to the deadline, CMS will certainly provide more information on the ICD-10 transition. Visit their Latest News page to sign up for notifications, industry updates, attend teleconferences, and obtain other valuable resources.

One common and important theme from the CMS resources is training.  Proper and well established training inside each organization will prove to be a crucial step to ensure a smooth transition to using ICD-10 codes.  Training is the most powerful force behind deciding the level of success to using any new or updated information and procedures.  An organization that chooses to invest more in training will certainly have a higher return on that investment.

Galen Healthcare Solutions offers project management and training solutions. Contact us to find out how Galen might assist in the ICD-10 transition.

Tags: Centers for Medicare and Medicaid Services, Clinical Conversion, CMS, Compliance, Data Conversion, Galen Healthcare Solutions, Healthcare IT, ICD-10, Implementation, October 2013

This piece is the first of a two part series discussing the transition to ICD-10. The ICD-10 transition should be a high priority concern in healthcare.

Today, the healthcare industry is rapidly moving closer to the compliance date for ICD-10. That date is October 1, 2013.  As that date draws closer, organizations will need to actively take action to successfully be compliant.  The Centers for Medicare and Medicaid Services (CMS) is actively providing resources to assist in achieving this success.

FAQ Fact Sheet

CMS posted a downloadable PDF FAQ “transition basics” fact sheet indicating sixteen question and answers.  This tip sheet gives an excellent and informative overview to the transition to ICD-10.

Among these Q/A’s are:

• What does ICD-10 compliance mean?
• ICD-10 compliance means that all Health Insurance Portability and Accountability Act (HIPAA) covered entities are able to successfully conduct health care transactions on or after October 1, 2013 using the ICD-10 diagnosis and procedure codes. ICD-9 diagnosis and procedure codes can no longer be used for health care services provided on or after this date
• What is the transition to ICD-10 happening?
• The transition is occurring because ICD-9 codes have limited data about patients’ medical conditions and hospital inpatient procedures. ICD-9 is 30 years old, has outdated and obsolete terms, and is inconsistent with current medical practice.
• Also, the structure of ICD-9 limits the number of new codes that can be created, and many ICD-9 categories are full.
• A successful transition to ICD-10 will be vital to transforming our nation’s health care system.
• What type of training will providers and staff need for the ICD-10 transition?
• Training should take place in late 2012 or early 2013 for most staff. Training needs will vary for different organizations. For example, physician practice coders will need to learn ICD-10 diagnosis coding only, while hospital coders will need to learn both ICD-10 diagnosis and ICD-10 inpatient procedure coding.
• Look for specialty-specific ICD-10 training offered by societies and other professional organizations. Take into account that ICD-10 coding training will be integrated into the CEUs that certified coders must take to maintain their credentials.
• ICD-10 resources and training materials will be available through CMS, professional associations and societies, and software/system vendors. Visit http://www.cms.gov/ICD10 regularly throughout the course of the transition to access the latest information on training opportunities.

As we move closer to the deadline, CMS will certainly provide more information on the ICD-10 transition. Visit their Latest News page to sign up for notifications, industry updates, attend teleconferences, and obtain other valuable resources.

The second part of this series will discuss implementation and producing results.  Look for that piece next week!

Tags: Centers for Medicare and Medicaid Services, Clinical Conversion, CMS, Compliance, Data Conversion, Healthcare IT, ICD-10, ICD9, October 2013

Technology in healthcare is taking a huge step forward. Wellpoint, Inc has announced that they will be using a commercial version of IBM’s Watson supercomputer.

Not too long ago, a room full of computer hardware once computed at a power less than what our cell phones currently do. Now, a room full of computer hardware will equate to a computing entity with the intelligence to assist physicians with medical decisions.

You may know Watson best for its performance on the Jeopardy game show. Watson demonstrated swift decision making after indexing over 200 million pages of data. Watson would only answer if the system crossed a certain confidence threshold.  The confidence threshold was a predefined percentage set inside the system. When Watson referenced the data, it determined the percentage to which it was sure the top three answers were correct. If the percentage of the top answer crossed the confidence threshold, Watson would signal for the answer. The IBM machine proved itself successful against two humans competing in the game show by winning both rounds.

Certainly physicians and members have much to gain from the assistance of a machine that can reference millions of pages of data to ascertain a diagnosis or treatment.  While physicians may always hold the upper hand to interpret the context of the situation for a presenting patient, Watson’s assistance can certainly supplement any decision using vast amounts of data in a quicker time frame.

In an article posted by EMR and HIPAA, it noted that “One of the keys in the AP article above and was also mentioned by Dr. Nick from Nuance was that the Watson technology in healthcare would be applied differently than it was on Jeopardy.  In healthcare it wouldn’t try and make the decision and provide the correct answer for you. Instead, the Watson technology would be about providing you a number of possible answers and the likelihood of that answer possibly being the issue.” The article later went on to state:  “Saying that perhaps 25 percent of all healthcare errors are errors of diagnosis, Kohn [IBM Chief Medical Scientist Dr. Marty Kohn] noted how getting the diagnosis right can prevent all kinds of unnecessary complications and spending. “Of course, if you’ve made the wrong diagnosis, picking the right course of treatment becomes a challenge,” Kohn said.

So how might this affect the EHR world? The electronic EHR would be used as a reference for the Watson system. Previous prescriptions, orders, lab results, presented problems, among others, would all contribute to Watson ascertaining a confidence threshold.  Once a confidence threshold is reached or passed, the system would suggest a route of possible treatment, or determine a possible diagnosis.

With the advances in accuracy, these decisions can come back to the EEHR and certainly provide more efficiency and cost savings for the practice. The technology undoubtedly proves to be a win-win situation for all players in the healthcare industry.

 What do our readers think?

Tags: Business Intelligence, EHR, Healthcare IT, IBM Watson

With ACE just a month away, the excitement is growing as we prepare to reconnect with our colleagues, clients, and old friends.   While ACE is the Allscripts Client Experience, it is also an invaluable opportunity for us to share the “Galen Experience” with new colleagues, new clients, and new friends.   But what is it about the Galen Experience that differentiates us from our competitors?      

I think it can be summed up in two words:  Service Excellence.  We believe in what we are doing and we know that the success of our clients is a direct reflection on Galen as a company and as individuals.  We all strive for continuous improvement; we are never satisfied with the status quo.  Our environment encourages and requires the highest level of knowledge sharing.  Our clients benefit by having a Galen specialist working directly with them plus the knowledge, wisdom and experiences of the other 60+ experts on the Galen team.  Whether you need a project manager, an implementation consultant, an interface analyst or a conversion expert – we have the industry’s best.

Our focus is always on our clients’ needs and we have a passion for their success.  Just a few things we’ve heard over the last several months from our clients: 

“The Galen conversion team was able to successfully extract and convert the data, such that our patient demographic and discrete clinical data was available seamlessly within Allscripts EHR on day one. The technical expertise and support from Galen was impressive.” – Donna Lyles Basden, Director of Physician Network Support Services, Lexington County Health Services District

“I just wanted to take a moment to tell you what a pleasure it has been working with [Galen] on the v11 upgrade project for New Mexico Department of Health….incredibly knowledgeable and supportive… …We not only met our deadlines, but had one of the smoothest v11 upgrades I’ve heard reported.  Congratulations on a job well done!” – Jan Frey, Director of Clinical Solutions at MedNetwoRx

 “…we have had lots of laughs and fun together through this process.  Thanks to them and Galen for helping to make our 11.2 upgrade a success.”   –Emily Lazaros, Allscripts Application Manger at UMass Memorial Health Care

We have had a busy summer already and much success with conversions, go lives, and helping guide our clients towards Meaningful Use through the Enterprise EHR^TM Version 11.2 upgrade and stimulus set implementations.  With a myriad of happy clients we are excited to share these experiences with you.  Don’t you want to be a part of the Galen Experience?  If you are attending ACE make sure you stop by the Galen booth #601!    

Hope you are enjoying the summer and we look forward to seeing you at ACE!

– Erin Sain, VP, Field Services