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Orders Made Easy Pat Wolfram, Ignis Systems Ekem Merchant-Bleiberg, Alliance of Chicago.

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Presentation on theme: "Orders Made Easy Pat Wolfram, Ignis Systems Ekem Merchant-Bleiberg, Alliance of Chicago."— Presentation transcript:

1 Orders Made Easy Pat Wolfram, Ignis Systems Ekem Merchant-Bleiberg, Alliance of Chicago

2 Why orders matter Use of orders improves lab results and quality of care Improve your EMR ROI Needed for meaningful EMR use Required for Medicare reimbursement under the HITECH Act of 2009 EMR-Link | ORDERS MADE EASY2

3 Why has EMR orders been difficult? Setup can be tough Setting up the tests in Centricity Establishing insurance-to-provider relationships Coding: CPT for billing vs. xyz for the lab Getting the order to the lab is tough Does it contain the information the lab needs? Can it be sent through an interface? EMR-Link | ORDERS MADE EASY3

4 Survey: Biggest Challenge With Orders EMR-Link | ORDERS MADE EASY4

5 Workflow Hassles EMR-Link | ORDERS MADE EASY5

6 Setup/Maintenance Hassles EMR-Link | ORDERS MADE EASY6

7 About Ignis and EMR-Link We focus exclusively on lab and radiology orders/results and their interfaces Weve learned to automate orders setup 3,000 physicians using EMR-Link today We have over 70 live sites on lab orders Labs connected: Labcorp, Quest, OML, PAML, CPL, Meditech, … others being built EMR-Link | ORDERS MADE EASY7

8 Why EMR-Link? More than just an interface Easier order/result workflow reduces errors and rework Solid ROI Orders are easier to set up Your best connection to outside services (reference labs, hospital labs, radiology, cardiology) EMR-Link | ORDERS MADE EASY8

9 More than just an interface Easier order/result workflow Orders are easier to set up Solid ROI Your best connection to outside services

10 EMR-Link: More than an interface Adds requisitioning to the EMR workflow Checks ABN compliance Enhances the overall order/result workflow Tunes up your results interfaces Includes the orders/results interfaces EMR-Link | ORDERS MADE EASY10

11 More than just an interface Improved order/result workflow Orders are easier to set up Solid ROI Your best connection to outside services

12 An Improved Order/Result Workflow EMR-Link | ORDERS MADE EASY12 Physician orders the lab test Requisition Physician reviews results Lab results return to charts Lab processes the test

13 Ordering (for the physician) Zero additional clicks to order a lab Ordering from a single set of lab tests No-hassle ABN checks EMR-Link | ORDERS MADE EASY13 Physician orders the lab test

14 Requisitioning (for the nurse or phlebotomist) No re-entry of the order No mistakes to fix AOE questions are supplied by the lab (not your IT team) Specimen details are provided here EMR-Link | ORDERS MADE EASY14 Nurse completes requisition

15 Accessioning (at the lab) No data entry, saving time and mistakes All AOE clinical data there (no callbacks to the clinic) All needed insurance info is in the order ABN has been verified The lab has everything they need to send back a good result EMR-Link | ORDERS MADE EASY15 Lab processes the test

16 Lab results (in your EMR) Results match to the chart (no more 6:00 am corrections) Results get to the flowsheet EMR-Link | ORDERS MADE EASY16 Lab results return to charts

17 Signing results (for the physician) The ordering provider is notified (not the responsible provider) The EMR order is automatically marked as Complete EMR-Link | ORDERS MADE EASY17 Physician reviews results

18 OK, Lets Demo It

19 More than just an interface Improved order/result workflow Orders are easier to set up A solid ROI Your connection to all outside services

20 Order setup challenges today Getting order data into the EMR is difficult Coding Billing: will CPT codes be needed? But your lab doesnt use CPT codes Sending the order to the right lab Setup of insurance/provider relationships is tough The coding problem again for multiple labs EMR-Link | ORDERS MADE EASY20

21 Implementation Time Improvements at Alliance of Chicago EMR-Link | ORDERS MADE EASY21 Task Needs Assessment Implementation Team Clinic Team Collects Data Interview the Clinics; Worksheets, Guides 1–3 weeks (varies depending on lab vendor) Review and CompareConducts the Reviews2–4 weeks Task Data Entry and Validation Implementation TeamClinic Team Insurance/Provider5 days3 days EMR Categories (Master List) 10 days1 week Custom Lists3–4 days2 weeks Order Sets2 days2 weeks 1 2 3 4 10 days 3–4 hours 3–4 days 6–8 hours 2 days 2–4 hours

22 Solution: Simplify and automate For labs, start with what you already have: your lab utilization reports Take advantage of Centricitys clinical kits A simpler insurance-to-service provider model Simple lab code setup outside the EMR Automate with Orders Builder and Results Builder EMR-Link | ORDERS MADE EASY22

23 From Lab Utilization to EMR, Your EMR Lab Orders are Created EMR-Link | ORDERS MADE EASY23 Lab Utilization Reports Orders BuilderEMR EMR Clinical Kits Orders Builder A years worth of lab history Order descriptions Order codes Volumes EMR

24 24 The Insurance-Service Provider Rules EMR-Link | ORDERS MADE EASY EMR Insurance Rules Patient Insurance Lab A Contracted? Lab B Contracted? UHCNoYes AetnaYesNo Blue CrossNo Lab A Lab B

25 25 Insurance Rules The Lab Codes EMR-Link | ORDERS MADE EASY EMR Lab A Order Codes EMR Test DescriptionLab A Code CBC With Differential/Platelet 005009 Lipid Panel303756 TSH004259 Lab B Order Codes EMR Test DescriptionLab B Code CBC With Differential/Platelet 1234 Lipid Panel9867 TSH767 Requisitioning

26 Lab Code Maintenance For the small changes – Update your EMR- Link table Big changes – Use the Orders Builder EMR-Link | ORDERS MADE EASY26

27 Clinics EMR-LINK Account Services Updating A Single Lab Code Lab Clinics EMR LinkLogic Order Entry Questions Requisition printing ABN printing Label printing Radiology Meds Lab Requisitioning Database Rules-based routing (insurance and location) Clinic specific mapping of EMR-to-Lab data Point-of-care ABN Validation (Uses labs ABN rules) Manifest Reports Future Orders Billing interface back to PM (future) Auto-Completion Physician desktop notification Clinics mapping tablesRequisition Completion LIS ABN Validation HL7Order HL7 compliant ORM Complete order information to labs requirements HL7 compliant ORM Complete order information to labs requirements EMR-Link Connector Electronic (HL7) Result Lab Result Manager Secure HTTPS downloads 4 3 22 8 7 6 EMR-Link Connector EMR dataLab 1 DataLab 2 Data Provider NamesUPIN/NPI Order codesLab order codes InsuranceLab Insurance Location of CareLab account # Routing Rules (choose the lab) 5 Your EMR Order Codes 1 Lab 2 Lab 1 Lab compendiums Current Order 3

28 Big Maintenance Changes EMR-Link | ORDERS MADE EASY28 Lab Compendium Orders BuilderEMR EMR Clinical Kits Orders Builder Order descriptions Updated order codes EMR

29 More than just an interface Improved order/result workflow Orders are easier to set up Solid ROI Your best connection to outside services

30 Solid ROI Demo of the ROI worksheet EMR-Link | ORDERS MADE EASY30

31 More than just an interface Improved order/result workflow Orders are easier to set up Solid ROI Your best connection to outside services

32 Routing Orders to the Right Lab: Bringing the Results Back Lab Clinics mapping tablesRequisitioning Electronic (HL7) Results Electronic (HL7) Order Lab EMRLab1Lab2Lab3 Provid er s UPIN / NPI / EMRLogin Order codes Tests Insuran ce Locatio n Acct # Lab Result Manager Services Clinics EMR LinkLogic Radiology Meds Your EMR Order Codes

33 Radiology, Cardiology and Labs Services Clinics EMR LinkLogic Radiology Meds Your EMR Order Codes EMRLab1Lab2Lab3 Provid er s UPIN / NPI / EMRLogin Order codes Tests Insuran ce Locatio n Acct # Hospital ECG PACS Lab I/F Engine Lab Result Manager Clinics mapping tablesRequisitioning

34 Summary

35 Summary: Orders made easy CPOE and meaningful use. Get ready! Its about workflow. Setup can be simpler. An orders interface is only part of the solution. Its part of a requisition. EMR-Link | ORDERS MADE EASY35

36 Closing For more details on the tools…… …..stop by the CHUG booth ……or attend one of our Webinars. The ROI worksheet Contact us any time www.emr-link.com www.emr-link.com EMR-Link | ORDERS MADE EASY36

37 www.emr-link.com EMR-Link | ORDERS MADE EASY37 Contact Us The ROI Worksheet is here


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