Monday, November 14, 2011

The New Approach to Healthcare Enterprise Information Management - EHR, EMR, EIM


Basics -

What is the Enterprise Information Management?

Enterprise Information Management means the organization has access to 100% of the data, the data can be exchanged between the groups / applications / databases, the information is checked and cleaned, and master data management method is applied. Deviations of the EIM data warehouses, such as EHR data warehouse, Business Intelligence and Performance Management. Here is a guide, in layman's terminology, that health organizations follow to determine their EIM requirements.

Fact # 1: Each health care entity, agency, campus and non-profit knows what software is used for its poslovanje.Aplikacije be in silos, are not available to other groups or departments, sometimes within a team that is responsible for it. If information is needed from the group at all levels within the company, it must be a requirement, in business terminology, the host group, who would then go to the source (listed software and / or database) to retrieve what is needed and that the applicant submit a application - hopefully as the applicant can work with (ie Excel for further analysis in relation to a document or a PDF ).

Fact # 2: Because the business terminology can vary within an organization, there will be further "translation" required for inclusion of information collected from various software packages. It can be a nightmare mora.Prikupljanje information to convert to another format, to translate the common business terminology, and then preparing it for consumption is a lengthy, expensive process -. Which brings us to Fact # 3

Fact # 2: Because the business terminology can vary within an organization, there will be further "translation" required for inclusion of information collected from various software packages. It can be a nightmare mora.Prikupljanje information to convert to another format, to translate the common business terminology, and then preparing it for consumption is a lengthy, expensive process -. Which brings us to Fact # 3

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Fact # 4: While large organizations can deal with this method is expensive to gather enough information to make effective and strategic business decisions, the amount of time and money is an obstacle for smaller or cash strapped institutions, freezing the necessary data in the silo.

Fact # 5: If the information were available (along with security and access control, preventing unauthorized access and inappropriate), the time frame for the analysis of improvement, the results are timely, strategic planning is an effective and cost time and money were significantly reduced .

integration (with data cleansing, aka Data Quality) should not be a foreign concept to the middle and smaller organizations. Price is the most important factor that prevents this level of leveraging business information. "Glass ceiling", exclusively on the basis of the limits of technology, because the price tag, bars consideration of EIM. It is a mistake technology vendors. Business Intelligence, Performance Management and Data Integration Services automatically create a class struggle between the SMB and large healthcare organizations. Data Integration is the biggest culprit in this situaciji.Trošak integration in a typical BI implementation is typically four times the cost of BI. It is easy for BI services to tantalize your looks with functionality and reasonable prices. However, when integration comes into play, bucking the price is introduced into the scenario. No action has become the norm at this time.

What are the financial implications for healthcare organizations to maintain the status quo?

fraud detection is a focal point for the CMS EHR requirements of healthcare organizations, let's take a deeper, more meaningful view of the impact of EHR. Integration, a prominent part of Enterprise Information Management in the new approach, bringing information from all the silos of the organization, enabling component of the quality of data validation and cleaning it. The next step will be to either send it back to its original source in the exact condition and / or put it in a repository where they will be available for review (I think CMS sanctions on auditors), business intelligence solutions, and electronic medical records applications. With currently available EHRs, hospitals and surrounding practices can confirm a patient with payors, download history for diagnosis and treatment decisions, and update / add patient related information. What impact on the treatment of a review of a new patient history for the patient and practice? Here are some elements that should be considered:

1 Diagnosis and treatment based on previous patient disposition - reducing recovery time, eliminating the Medicare / Medicaid / Payor denial (based on their interpretation of a fault in the original treating physician error or incurring additional treatment ).

2 Current fraud detection of patients who seek treatment for the same disease through the practice within the organization. Prescription Medicare fraud and abuse saves money not only for payors, but health care organizations, as well.

3.Udruga fraud examiner stated that 9% of hospital revenue each year is actually lost to fraud.

3.Udruga fraud examiner stated that 9% of hospital revenue each year is actually lost to fraud.

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An overlooked, but they often influence the cost of managing patient records. Thousands of file folders in the store with new cases being added every time a new patient enters the system. Millions of pieces of paper capturing patient information, taxpayer information, charts, billing statement, and various items such as photo copies of patient ID, they are all stored in the mape.Mape is then stored in a vast filing cabinets - are constantly being accessed by filing officers, nurses, practitioners, and assorted staff. Content files are lost or filed incorrectly. Hundreds if not thousands, of square meters is consumed for pohranu.Aha projects that affect the enterprise electronic health records will recover no less than 15,000 square feet of usable space. This space can be used for additional services, opening new channels prihoda.Opravdanje is simple: how much it would cost the hospital to build 15,000 square meters for new service? The average price for the building space used for health services is $ 65 per square meter, or a total of 975,000 dolara.EIM solution through a new approach will be less than 20% of it. Not only EIM solution that reduced dollars lost to fraud, suspended on the payor meetings to be paid, increased cash on hand, but will also open up new services for the patient community and the revenue back to health organizations.

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Electronic data interchange is set in its own way. Bad aka "Dirty" data has a huge impact. Data can be corrupted by errors in data entry, maintenance, database platform changes or upgrades, food and information sharing in line format, the change in front-end applications and frauds, such as identity theft. The impact of poor data cause and effect relationship that is widespread in the financial landscape:

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2 Bad data masks prijevare.Preokret digits of my Social Security number, the request was submitted as a single person to treat another member of the family, the history of the disease that does not reflect all diagnosis and treatment because the patient can not be identified. Fraud is the biggest impact on the cost of health care delivery in the United States. Finally, the health system must absorb the cost - reducing profitability and growth restriction

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3 Bad data results in failure. CMS has already begun the architecture and implementation of sanctions for data exchange. These exchanges are a network of data repositories that are used to connect to the health of the health system, download the CMS related data, and stored for reviziju.Dohvat will be limited to patient encounters that demonstrate the potential for denial or deception, so the repository will be stored all Medicare and Medicaid the patient encounter. However, the exchange must be able to read data in a data source to services for CMS to apply certain conditions against information that is read. What happens when the information is incomplete or incorrect? Health system is responsible for the meetings can not be read. This means automatic and irreversible denial of claims before the audit, regardless of the legitimacy of the request.

Price Fix Big Box Healthcare Technology Companies

Price Fix Big Box Healthcare Technology Companies

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are a major healthcare software and technology vendors (Big Box) price gouging? Probably not. They are victims of their own solution strategies. Through gained some organic growth (McKesson, Eclipsys, Cerner, etc.), they find their EIM solutions lose their agnostic approach. This is bad ... very bad for the health systems of all sizes. With very few exceptions, the vast majority of health care organizations do not buy all the programs and modules in a stack of players. How could they? Health care systems grow like - some organic, some through acquisitions. When the hospital found the organization over time, a program that is reliable, such as billing system, there is tremendous reluctance to remove a proven solution that everyone knows how to use. Since the major technology providers in the health care work space as a "One Stop Shop", they spend most of their time working on integrating into its own product suite with little to no in relation to other applications. After that, they find themselves trapped: they have the status of all products / modules to maintain the availability and integrity of their data. This is problematic for hospitals trying to solve a problem, but then you have to buy additional solutions for use in areas that are not broken, just to be able to integrate information. It's like going to the hardware store for a screwdriver and returned with a 112 piece tool set with a rolling 4 foot cart built NASCAR. Probably will never use 90 +% of these tools and will no longer be able to park in the garage, because your new tool box takes up too much space!

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of IT resources - including humans - must be used. In today's economy, affected by internal IT staff for implementation of the arrangements after the implementation is given. If your IT resources do not feel comfortable in supporting the integration plan, then the status quo will be justified. This is the "anti" approach in providing solutions in the healthcare industry: sales leaders from major companies want their Box Technologies sales people in front of the business organization and to stop selling it. Although this is a common sense approach, the economy in 2010, requires that at least confirm their ability to apply new technological solutions. The prospects for long-term professional consulting engagements to follow after the installation is reduced at the same rate as wages and health care organizations.

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Solving the dilemma - a better solution through a new approach at a fraction of the cost

When the Healthcare business professionals to combine talent with technology architects, EIM solution costs drop dramatically. This is a new approach to health EIM, provided that the organization is the way health will be able to provide successful solutions at significantly reduced costs, -. Opening the door to the health systems of all sizes

EIM company (using a new approach) compared to the big box Healthcare Technology Providers:

smaller, agile companies provide many benefits to healthcare organizations of any veličine.Prednosti:

1 They are focused on specific verticals - just like the big box health technology services. Subject matter experts (SMEs) in smaller companies typically industry veterans with years of experience and success in their approach to see their continued service as offering better benefits when they are able to apply their methods for planning a successful strategy in relation to study methods of Big Box players. Their income is better than their income is used in lower operating costs, which extends the lower rates for solutions that are efficient and offer greater customer / supplier relationships as well as small and medium enterprises are the limits on the number of clients.

2 Solutions based on proven approaches and strategies. Again, the company's small and medium sized enterprises are able to define a methodology that can be reused or re-configured in the case of each client. This saves time and money for the client, as delivery is accelerated, and the cost of architecture has been eliminated.

3.Tvrtke develop solutions and methodologies agnostically. Their understanding of the diversity that exists in technology, healthcare organizations allows them not only to develop customized solutions, and plan to add business process management (BPM). BPM will define exactly how to organize the information received, processed, cleaned, stored, shared and accessed. It will also define an action plan for IT training for administration and support, as well as end users at all levels about how they will affect you going forward. BPM planning Health Organization is a low six-figure investments outside group.eu Consulting company will be included in the cost of the solution. Basically, this difference is to be told what is wrong and here's recommendations on how to fix it over here is what is wrong and it will be fixed in the new solution.

What is a typical company EIM solution?

1 Solution Assessment, highlighting current systems, data sources and methods of exchanging information and business processes, identifying key personnel who are keepers of the door if the information, timeliness of information provision and the overall performance of the invested business information for strategic business planning. See Figure 1 for an example of the flow of information processed by the visual components of the actual assessment.

2 EIM solution that includes the integration engine to access all data sources - reading and writing back to the database or application, providing data quality and maintenance of HIPAA and HL7 requirements. See Figure 2 for a diagram.

3 EHR podataka.Spremišta warehouse to build electronic health records through an integrated data flow.

4 EHR patient portal of entry (when additional information needs to be added) in the browser.

5 Business Intelligence Dashboards for measurement, ad hoc analysis and performance management scorecard to organizational goals and objectives.

6 Onsite implementation and integration of the EIM solution.

7 Onsite training during the installation of IT and end users. Ongoing training through webinars, documentation and technical support staff.

8 Relations maintains subject matter experts for life solutions.

9 Incentives "HITECH" Act pays $ 44,000 per physician for the EHR solution provodi.Malih and medium enterprises created to grant the request is submitted by health care organizations are being encouraged funds to pay the total EIM solution

is a key element of the solution

the date of delivery and a full-time support are key. However, the most important element is training. Why? As already mentioned, it is paramount that existing IT investments, and to have people be able to not only manage, but also the behavior of the development needed. In health care, CMS managed Medicare / Medicaid is already the margins are negative. As private payers follow suit, the number of uncollectible encounters will increase, affecting the profitability of current models and increased future costs for treatment. Do alleviate IT costs, the total cost of ownership (TCO) qualifications should actually develop the return on investment (ROI). ROI is immediate access to this solution, but suffered from last year by taking advantage of the internal IT support and development. Now, the organization has eliminated costly professional services consulting engagements and re-investing in a new feature licensing. It takes a variable cost each year and make it fixed, but a smaller amount of -. Reasonable access to proven strategies to achieve financial

Summary -

Why EIM? It was the omnibus, "Obama" for it or edit it (not repair) the health industry, health organizations know the truth:

1 Electronic health records are required for fraud detection unit of CMS. Each organization must be in accordance with accessibility, and HIPAA format. Fraud reduces the total revenue for the hospital for 9% (ACFE)

2 EHR / EHR have proven to be very effective in eliminating the internal waste, patient fraud, and paper practice abundance. An enormous amount of space in buildings that were used to store patient records in print can now be used to provide additional services and open new revenue streams.

3 Bad or "dirty" data in electronic or hard copy format is expensive. According to the AHA (September 2008), the average cost of a patient record with a good or accurate information godišnje.Godišnji $ 343 cost of the patient record with bad information, $ 2,054 per year. On average, 18% of patients within the healthcare organization's information is wrong.

4 Strategy developed by WHO, without 100% of the information they hold, it is also timely and relevant are ineffective. Targets can not be defined, successful processes can be identified and improvement plans for little to no measurement which determines success.

5 Incentives / HITECH Act pays $ 44,000 per physician when EHR is part of the EIM solution. With smaller companies EIM, incentive pay for the entire solution.

why the new approach to EIM firm?

1 Subject matter expertise of consultants who have proven methodologies.

2 Agility adapt to the needs of the client, instead of Big Box approach to client customization of their product limitations.

3.Bolje solution at a fraction of cost. Their solutions are based on need rather than opportunities.

4 Relations with the vendor, resulting in better service, the maximum value from suppliers and solution focused approach to client needs and goals.

5.Povrat on investment compared to the total cost of ownership. Clients need to see the solutions immediately pay for themselves, and then recover the lost revenue, while offering a new channel on profit centers.

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