Thank you for joining us today. AHIMA 2009 October 2009 Thank you for joining us today. My name is <Jesseca/Ulkar/Barbara> , <position> for Meta Health Technology. I am an RHIA with a background in HIM in an acute care environment. We are happy to have you here with us to share with you our latest software application. So I can get an idea of your facility needs, by a show of hands, how many of you currently have a CDI program in your facility? How many are working on implementing a CDI program? Ok, so many of you….. <comment on show of hands> © Meta Health Technology Inc, 2009. All rights reserved.

Clinical Documentation Improvement Application AHIMA 2009 October 2009 Introducing… eCDI Clinical Documentation Improvement Application So, we are thrilled to introduce all of you to our newest software product called eCDI , Meta’s Clinical Documentation Improvement Application. © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

Meta Health Technology AHIMA 2009 October 2009 Meta Health Technology Leading provider of HIM software Over 30 years of service Exclusively serving HIM Established client base of healthcare organizations Before we get started, I’d like to tell you a little about Meta Health Technology…. We are : A leading provider of HIM software, with Over 30 years of service We are proud to exclusively serve the HIM industry We have an over 200 hospitals, both small community and multiple site academic centers, and large physician practices in US and Canada © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

Meta Health Technology AHIMA 2009 October 2009 Meta Health Technology Providing HIM Software solutions for… Abstracting & Coding Chart Analysis & Completion Release of Information Document Management Physician Query RAC Management Over the years, we’ve been providing the entire range of software solutions to handle the entire range of HIM operations such as….. Abstracting & Coding Chart Analysis & Completion Release of Information Document Management And at the AHIMA convention in Philadelphia, we introduced our powerful Physician Query product… in fact, our newest product was developed based on great feedback we received from facilities that were looking for a product to help them streamline not only their retrospective query process, but the concurrent process that is used for clinical documentation improvement (CDI). © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

Importance of CDI Recent Motivators for CDI Medicare Severity DRGs AHIMA 2009 October 2009 Importance of CDI Recent Motivators for CDI Medicare Severity DRGs Present on Admission indicators Risk of mortality/Severity of illness measures Quality indicators Recovery Audit Contractors (RACs) In the last few years….additional focus on documentation quality and increased need for CDI because of a number of regulatory changes and the importance of data quality…. Some of these are…. Severity DRGs – started in FY 2008 POA indicators– the need to capture that information in the medical record in order to assign the indicator appropriately. ROM/SOI- measures that indicate the complexity of patient mix for hospital report cards & physician profiles Quality indicators – all the information that is collected and available to consumers and insurers for Pay-4-Performance RACs- the complex reviews entail detailed reviews of medical records to ensure that the information coded and billed is reflected in the documentation © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

To improve the quality & accuracy of clinical documentation AHIMA 2009 October 2009 To improve the quality & accuracy of clinical documentation Common Goal Clearly, all of these recent motivators are linked together in that the quality of the medical record documentation drives the outcome and success of each indicator. Therefore, we’ve seen an increased emphasis on the need to improve the quality and accuracy of clinical documentation.. © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

CDI Reporting Requirements AHIMA 2009 October 2009 CDI Reporting Requirements Case mix index (CMI) Severity of illness/Risk of mortality CC/MCC capture rate Physician query rate Physician query response rate Reporting is an especially challenging prospect for CDI programs, but these reports are essential to identify program activity, issues and outcomes. Some of the key CDI program reports reflect key indicators such as : Case mix index (CMI) Severity of illness/Risk of mortality scores CC/MCC capture rate Physician query rate Physician query response rate © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

CDI Challenges Facilities struggle to obtain… Streamlined workflow AHIMA 2009 October 2009 CDI Challenges Facilities struggle to obtain… Streamlined workflow Access to physicians Integrated query process Report development Implementing a CDI program is not such an easy task as facilities often face challenges such as Lack of a streamlined workflow process Difficulty gaining access to physicians Difficulty with the query process and integrating it with the CDI program Inability to obtain necessary reports © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

CDI Solution Meta’s Response eCDI web application with… AHIMA 2009 October 2009 CDI Solution Meta’s Response eCDI web application with… Automated workflow Electronic Physician Query Management reports This is where we at Meta can help by providing you the tools you need to gain maximum efficiency. Our response to your CDI challenges is to deliver our eCDI web application that has: Automated workflow- that allows your CDI Specialists to track and manage their daily work assignments & electronically collect case review data right while on the nursing unit; Our Electronic Physician Query built right in- so that you can communicate efficiently with your physicians; and Best of all, our product provides you with a whole host of management reports that allow you to measure the effectiveness of your CDI program. © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

Summary Meta’s eCDI product provides… Streamlined workflow AHIMA 2009 October 2009 Summary Meta’s eCDI product provides… Streamlined workflow Better access to physicians Integrated physician queries Robust reporting In summary, We hope that we have shown you today how Meta’s eCDI product can help you with many of the challenges we discussed earlier……such as: Streamlining your workflow Providing better access to physicians for queries since the electronic query application is built right into the application Robust reporting tools to allow you to demonstrate the activity and successes associated with your CDI program. As our goal is ….. © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

AHIMA 2009 October 2009 Meta’s eCDI To give you the tools to help you Start fast & Finish strong! © Meta Health Technology Inc, 2010 © Meta Health Technology Inc, 2009. All rights reserved.

Meta Health Technology See us in OHIMA Booth 24 Electronic CDI © Meta Health Technology Inc, 2010