1. Centricity™ Perinatal
ROI
Karen Vest, RN
Clinical Analyst
PatientKeeper, CPN and MEDITECH
President-Elect CPNUG
Baylor Medical Center at Frisco
Frisco, TX  75034

2. Conflict of Interest Disclosure
The content of this presentation represents the views of the author and presenters. GE, the GE Monogram, Centricity and Imagination at Work are trademarks of General Electric Company.
The faculty and planning committee have declared no conflict of interest.

3. ROI Disclaimer
HYPOTHETICAL EXAMPLE . Information presented in this example is hypothetical and for illustrative purposes only. Any analysis or information derived from this example is for general information purposes only and is being furnished free of charge without representation or warranty of any kind whatsoever, including with respect to the calculations, inputs, outputs, and/or information provided in such analysis. While this example allows several variables to be entered by you and is based on your unaudited inputs, it also contains certain assumptions that may not be valid for your specific facts and circumstances. Actual expenses will vary depending on many factors including, without limitation, your specific operating costs, savings, actual numbers and types of procedures performed. This example and any analysis are provided for your use only and may not be transferred to any third party.
THIS example IS BASED UPON CERTAIN PUBLIC INFORMATION AND ASSUMPTIONS WHICH MAY NOT APPLY TO YOU Certain values provided in this example were obtained from available third party sources and are being furnished by way of example only. No representations or warranties are given regarding the accuracy of any such values.
YOU MUST INDEPENDENTLY VERIFY THIS INFORMATION AND SEEK EXPERT ADVICE. You should not rely on any analysis, calculation, output or information provided by this example. Any reliance shall be at your sole risk, and we shall have no liability to you or any third party for any reason. Nothing in this example and no analysis derived therefrom should be construed as constituting tax, accounting, legal or financial advice. You should consult your own professional advisors for such advice. Nothing herein constitutes a proposal or commitment for any particular transaction. Any such transaction would be subject to execution of documentation in form and substance satisfactory to GE.
HEALTHCARE PROFESSIONALS ARE RESPONSIBLE FOR MAKING INDEPENDENT CLINICAL DECISIONS AND APPROPRIATELY BILLING, CODING AND DOCUMENTATION THEIR SERVICES. This example is not intended to interfere with a health care professional’s independent clinical decision making. Other important considerations should be taken into account when making purchasing decisions, including clinical value. The health care provider has the responsibility, when billing to government and other payers (including patients), to submit claims or invoices for payment only for procedures which are appropriate and medically necessary and in accordance with applicable laws. You should consult with your reimbursement manager or healthcare consultant, as well as experienced legal counsel, prior to any expansion of service.
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4. The 4 areas to consider for ROI
Productivity
Quality
Legal
Materials

5. Productivity

6. Health Information Management Areas
Processing, Coding and Release of Information:
No more scanning paper charts in to the EMR
Centricity Perinatal is the Legal Record for all Women Center Documentation
Less time spent looking for deficiencies on paper
Electronic signatures took the place of the illegible signatures on paper and required physician documentation forms were created in Centricity Perinatal
Coders spend less time looking for data
Electronic Physician Documentation improved the quality of the data
Support provider coding efforts
Documentation is easy to print for patients requesting a copy of the chart
Patient story is in one system

7. Nursing Decreased charting time, increased patient care hours:
Centricity Perinatal is easily navigated with fluid charting
Charting can be accomplished in a precise, timely manner and the nurse is able to spend more time providing patient care.
Employee training
90% of new employees in the Women Center have been exposed or documented in Centricity Perinatal at a previous hospital and require minimal training
Recalling patient data from previous visits
For returning patients, Centricity Perinatal allows for the nurse to view previous admission history and make changes as needed.

8. Nursing Past and Present Documentation:
Providers can view data and document from home or office.
Fetal Monitor Strip, Vital signs and documentation is stored and available for caregivers to review for trends and assist provider with Plan of Care.
Streamlining of documentation allows for easy documentation
Pre-built chart audits to help identify any data that the nurse forgot to document
Vital Signs flow directly in Centricity Perinatal
Mother-Baby link saves time for the nursery nurse and pediatrician to review maternal history
Pediatricians can also view this data from the office

9. System Manager Building in Centricity Perinatal
Less time spent making changes to forms, charts or print templates
Building new forms takes less time and requires fewer steps
Customized chalkboards and views
Clinical and Technical support are immediately available to help with any issues that arise
GE Healthcare has “Live” people that you can talk to and they will stay with you until the problem is solved
Centricity Perinatal Support is a definite time saver for my site and I can’t say enough about this benefit
CPNUG can be a time saving tool for system managers
System Managers share policies, forms, computed items, new chalkboards and anything else that you can imagine
Opportunities to ask questions to other users and network with CPN users

10. Quality Department Abstraction:
Centricity Perinatal is the Legal Record for all Women Center Documentation
Less time spent looking for deficiencies
Electronic signatures took the place of the illegible signatures on paper
Coders spend less time looking for data
Electronic Physician Documentation improved the quality of the data and reduced the time for coding and billing
Documentation is easy to print for patients requesting a copy of the chart
Patient story in one system

11. Quality

12. Documentation Consistent Data:
Many of our Meaningful Use items come from Centricity Perinatal and are interfaced to Meditech®
Compliance for entering MU items in Centricity Perinatal was higher than items documented in the main EMR
Discreet data fields
Core Measure documentation in Centricity Perinatal has increased in accuracy with the use of computed document reminders and calculations to define eligible patients.
Exclusive breastfeeding can be easily reviewed based on computed text items and reason for induction can trigger the physician to document on the item

13. Documentation Joint Commission:
Forms and charts are built from Joint Commission guidelines
In a recent survey, Joint Commission told administration that “we had the best OB documentation system that they have seen.” The surveyors were impressed with the organization of the documentation and the ease that the nurses were able to navigate through Centricity Perinatal
Physician and Nursing documentation in one system removes the issues of illegible delivery and progress notes
Physician documentation has greatly improved in quality and data, since going electronic

14. Legal

15. Safeguards Building in Safeguards:
Computed items to calculate FHR categories, EGA, etc
Use computed text to guide staff on next steps to take (stop Pitocin, continue monitoring, etc).
Create reminders for staff to document on specific items for example (shoulder dystocia, prolapsed cord, neonatal death)
In a crisis situation, a nurse may forget to go back and document items and these reminders can assist with completing the legal record
Physicians documenting in the same system can assist with identifying typographical errors and notify the nurse, so the charting remains consistent and accurate
Documenting on the FMS to show the exact time interventions occurred and what steps were taken
Enable providers to reduce errors

16. The Birth Story Putting the story together:
Antepartum, False Labor, NST’s, Probable ROM, Motor Vehicle Accident, PIH
Centricity Perinatal has all of the pregnancy events captured in one spot. There is no need to sort through multiple records and view paper EFM strips because it is all in one place. Caregivers can review trends and significant history without the hassle of changing systems.
Labor, Delivery, Postpartum
The “story” is collaboratively documented by members of the healthcare team including, nurses, physicians, lactation consultants, respiratory therapist, social workers, and hearing screeners.
The record is an accurate representation of the mother and the baby(s) journey.
Documentation in one system can show the true timeline of events and play a vital role when legal review is needed

17. Material

18. Potential Supply and Equipment Savings
Paper- 1 delivery chart can use an entire ream of paper
$35/10 reams of paper
220 deliveries/month
Approximate cost savings in 1 year is $9,240
Ink Cartridges
Printer Maintenance
Scanner Maintenance

19. Getting Started Sharon Carpinello, RN, BSN, MBA
GE Healthcare, Centricity Perinatal
Sr. Global Marketing Manager

20. Disclaimer

21. Identification What’s the problem? Whose your audience?
Unit, Hospital, State, Government
Whose your audience?
Internal or External
What’s the solution?
Reports, Grants, White Paper
What’s the benefits?
Monetary or Psycho-Social

22. Next steps Gain buy in early Research, research, research
Define objectives
Educate
Document

23. Making your plan Document plan Highlight deadlines
Involve others early
Configuration changes as needed
Frequent checks on progress
Submit professionally?

24. Other ROI ideas and examples
Time studies
QA reviews
Grants
Meaningful Use
Overall system savings
Others?

25. Continuing Education Credits available for this session
Continuing Education Credits available for this session. Please complete the evaluation.
Questions?