Archive for the 'Meaningful Use' Category

For the Users, By the Users: ERUG 2015

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The 5th Annual Allscripts Eastern Region Users Group Summer Conference was held last week at the posh, “boutique design” W Hotel in downtown Atlanta, GA. True to its motto, “For the Users, By the Users,” the ERUG conference proved to be a collaborative and informative educational and networking event for clients and vendors alike.

The educational sessions focused on topics such as patient tracking, optimization, ICD-10, and patient engagement. In addition, Allscripts shared their roadmap and updates for the TouchWorksTM product and provided color around services and solutions including EHR upgrades, mobility, Meaningful Use reporting, clinical notes strategy, and architecture advisory. We also had meaningful discussions with clients on topics including EHR downtime, custom interface development and support, CIE migrations, and application portfolio management.

Galen’s Vice President of Clinical Solutions, Rita Owens, presented on Galen’s Note Form Reporting solution, which aides TouchWorksTM V11 Note Form users in efficient and successful PCMH, Medicare Advantage, and ACO documentation and tracking. Rita also shared new Note Form Reporting charge automation functionality and recent client success stories.

Of course, a conference wouldn’t be complete without some fun! Galen sponsored both the networking reception Wednesday evening and the Cirque du Soleil ERUG member appreciation event on Thursday evening at Opera Nightclub.

Special recognition to ERUG President Jeff Ciccanti and the rest of the board for their tireless efforts in organizing a spectacular conference and ensuring it went off without a hitch.

 

Allscripts Analytics Platform – Do You Have the Latest News?

AAP

As Meaningful Use, PQRS, and CPCI have developed over the past few years, so have their reporting capabilities.  The race to achieve MU-required goals as well as a pattern of late-in-the-year Final Rule updates from Congress have required vendors to rapidly update reporting algorithms.  For Allscripts, what began as the Stimulus Reporting Portal with v11.2.3 migrated to the more robust Allscripts Analytics Portal (AAP) in v11.4.1.

In keeping with the ever-changing landscape, AAP 15.2 was deployed to Production on June 9, 2015.  There are the usual logic changes, however at a higher number than seen in the past.  In fact, there were enough significant issues during UAT testing that this update was delayed for several few weeks.  This latest version brings numerous logic, value set, and even workflow changes – 21 pages of calculation changes to be exact!   Whenever there is an update to the AAP, every organization’s data will be recalculated, and this can take several days for the process to finish.  As of the date of this publication, Allscripts is expecting this process to be completed by the end of the week.  Remember that the dropdown for the 2015 reports will be unavailable until the data has reprocessed.

A major change to note is in workflow NQF 0028- Preventative Care and Screening for Tobacco User:  Screening and Cessation.  In 2014, physicians were credited if counseling was entered as an order, but for 2015, the order must also be in a “completed” status to count in the calculation.  The numerous updated measures will have a new section in the configuration document called “Changes from 2014 to 2015”.  The specific measures affected can be found here with helpful hyperlinks.

With the combination of increasing alternative payment model adoption and the impending code set change to ICD-10, it stands to reason that audits will increase.  It is has become increasingly important to not only have accurate reporting in place, but to also develop the contextual connection to that information.

Recommendations:

  • Subscribe to the AAP Blog to automatically receive email updates
  • Run and validate reports regularly
  • Always export reports to excel and save them! This is important for audits, but perhaps even more important for validation testing processes.
  • Keep careful records of what a report represents for the organization. A detail as simple as a specific consistent naming convention helps delineate changes, and creates a defensible audit position.
  • Keep a calendar or diary of the changes applied, not only for audit purposes, but also for ease of knowledge transfer between team members. For example documentation should include Plan of Correction Actions taken for workflow changes and confirmation of changes to existing configurations.

The healthcare atmosphere requires careful balancing between the many competing objectives of healthcare reform.  If you have further questions or feel your organization could use the strategic insight and proven solutions that Galen Healthcare Solutions offers, don’t hesitate to contact us at sales@galenhealthcare.com.

Resources:

Allscripts Analytics Platform Documentation: https://clientconnect.allscripts.com/community/toolbox/doc

Allscripts Advisory Blogs:  https://clientconnect.allscripts.com/docs/DOC-33108age

Allscripts Changes 2014 – 2015 Announcement: https://clientconnect.allscripts.com/docs/DOC-19659

Successfully Attest for Meaningful Use While Simultaneously Converting to a New EHR

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With seemingly everyone trying to consolidate and take advantage of economies of scale, some of the biggest trends in today’s dynamic healthcare landscape are conversions and mergers.  Is your organization making the move to a new EHR?  Is your group entertaining the idea of acquiring another hospital or outpatient facility?  Outside of the business-related articles that will directly impact an organization during an acquisition, there are many other important items to take into account that may fly under the radar.

One of which is Meaningful Use, and the ability to effectively manage both the conversion from a Legacy system to your new Target EHR, and your physicians’ MU successful attestations.  We find it wise to consider the following prior to kicking off a project:

  • Are there resources in place and are they experienced?
  • Is the conversion team skilled enough to populate all necessary fields with the appropriate information for MU reporting?
  • Are there configuration experts available from both EHRs who can collaborate and communicate effectively about the MU requirements?
  • Is the project manager experienced with other conversions and does he/she understand the caveats that come with MU reporting?

Although Meaningful Use is tapering down, don’t leave any of that money on the table!  To learn more about how to manage an EHR conversion and MU attestations simultaneously, join us for a free webcast this Friday, June 19.  Having facilitated many EHR conversions, Galen is uniquely positioned to partner with healthcare organizations who are about to engage in such an undertaking.  We have the system analysts, MU resources, and technically savvy specialists to give the proper recommendations and project leadership that will provide your organization with a leg up in keeping things on track.  Managing multiple projects is always a difficult task, but with enough foresight and preparation, you can position your organization for success, despite the interdependent project timelines.

MUSE 2015 – A Year of Change for MEDITECH

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The 2015 MUSE conference was held last week at the lovely Gaylord Opryland Hotel in Nashville, Tennessee.  MUSE CEO Alan Sherbinin started off the 2015 International MUSE conference with a bang, and per usual, his opening ceremony was both informative and hilarious.  Alan drove his points home to the audience by way of a Beatles impersonator group, brutalizing the most famous Beatles’ songs by making the words “MUSEr-friendly”!  Many of the attendees were laughing happy tears.

The educational sessions, which were led by MEDITECH hospital thought leaders and MEDITECH subject matter experts, focused on 6.0 Migrations, Interoperability, Reporting, and ICD-10 Readiness.  There was also a considerable amount of buzz around MEDITECH’s new web-based ambulatory product.  According to Hoda Sayed Friel, MEDITECH’s Executive Vice President, five of their healthcare clients are currently implementing the new product, with most of them going live this summer.  Many of the attendees we spoke with at our booth were also contemplating a move to the new MEDITECH ambulatory product, citing a lack of interoperability between their inpatient and outpatient applications as the most common reason for considering the move.  The same clients were also very interested in converting their old legacy data from non-MEDITECH systems into the new ambulatory system.  Since Galen Healthcare Solutions was rated 2nd in KLAS for technical services, including data migration, our booth was quite active with conversion inquiries.

The biggest surprise (outside of the Beatles impersonators) was MEDITECH’s announcement that they are also moving their inpatient EHR product to a web-based platform within the next few years.  Hoda Sayed Friel said that MEDITECH will also be migrating to a more industry-standardized database platform to allow for an easier flow of information between systems.   She acknowledged that this is a huge about-face for MEDITECH who has sometimes faced critique for its lack of an open source environment.  I believe everyone agreed that it is long overdue and is a step in the right direction in achieving the goal of increased interoperability among EHR systems.  This could be the one factor that differentiates MEDITECH from their greatest source of competition – Epic.

Many felt that this year’s conference was more fun than ever.  The attendees were friendly, happy, and well-fed!  The Exhibit Hall was booming for the entire conference thanks to the MUSEO bingo game that most attendees played, and all in all, this year’s conference was a great success!  To find out more about how Galen can assist with your needs, visit our MEDITECH page or contact sales@galenhealthcare.com.

E-Referrals…Why We Are Not Breathing A Sigh Of Relief

eReferral

Many organizations took advantage of the CMS Final Rule for 2014 Meaningful Use Reporting last year, breathing a sigh of relief that they could postpone implementing some of the more challenging Meaningful Use Stage 2 measures such as e-Referral and Direct Messaging. With the 2014 Attestation complete, now is the time to look at the what’s, why’s, and how’s surrounding the e-Referral process and make it a functional reality for your providers.

The ability to “Connect” is an increasingly prevalent theme as we navigate through Meaningful Use. Connecting via e-Referrals allows providers to quickly and accurately send patient information via secure electronic messaging for instant collaboration on patient care. Effective and efficient communication between care providers has been identified as a key contributing factor to providing better patient care and lowering healthcare costs. This not only reduces administrative overhead, it also increases the security of patient information and ensures that records reach their intended destination in a complete and auditable way. This also benefits the patient experience by reducing potentially duplicate tests, promoting continuity of care, and enabling faster access to services.

If you would like to hear more about e-Referrals and Direct Messaging in Allscripts TouchWorksTM  and learn how to configure your system to maximize efficiency and end user satisfaction, please join our free webcast on April 24th: E-Referrals – Review and What’s New  http://www.galenhealthcare.com/events/

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