1. Navigating the MPM Suite Tricia Pyle, IS Specialist Kelly Templeton LPN, IS Specialist Michelle Swofford FNP, Team Leader

2. What is the MPM Suite? LSS and Meditech Modules: MPM Scheduling (CWS) PBR-Billing and Receivables ARM-Authorization and Referral Mgt EAR-Electronic Ambulatory Record RXM/AOM-Ambulatory Order Mgt PWM-Provider Workload Mgt

3. Who are we? We are a diverse clinic system: 9 Rural Health Clinics All Family Practices 7 Non-Rural Specialty Clinics General Surgery Orthopaedic Surgery Podiatry Pain Management Eye Clinic Endocrinology

4. Our Timeline for Implementation December 2002 Scheduling Appointments and Ordering Labs directly into the hospital departments –All clinic locations LIVE the same day. June 2003 Clinic Scheduling and Billing. –Beginning of a Fiscal Year –All clinic locations LIVE the same day.

5. Our EAR Implementation 15 Practices and a Version upgrade in 18 months. First Clinic went LIVE March 29, 2005. –Pilot Clinic was the Physician Champion and EAR Team Leader’s clinic. –Modules were implemented in the “Big Bang Approach”.

6. How do we use MPM? Shortcut Searching for appointment can be done automatically or manually Scheduling Appointments

7. How do we use MPM? Viewing Schedules

8. How do we use MPM? We use a full registration in the clinics so that we are consistent with an acute registration.

9. How do we use MPM? Visit Documentation

10. How do we use MPM? Ordering Prescriptions and Diagnostic Tests

11. How do we use MPM? Pending appointments created from the order.

12. How do we use MPM? Messaging and Tasking

13. How do we use MPM? Coding

14. How do we use MPM? Charge Entry

15. How do we use MPM? Payment Entry

16. How do we use MPM? Account Follow Up

17. Days in AR In the system we used prior to LSS, our days in AR hovered around 85, with no end in sight… Once we started using LSS we were relieved to see our days drop and maintain at a reasonable number. Currently as of Monday November 6 th, we are at:

18. Reporting Capabilities Automating Paper Processes Vaccines for Children Inventory Lab Logs Compiling Clinical Data Children eligible to receive RSV vaccine Pain Scale Capturing/Reporting

19. Productivity This provider went LIVE 8/17/06. His productivity was 3.5 per hour prior to his Go Live, and in one month he was consistently reaching 3.5 again.

20. Health Maintenance We are in the process of building Health Maintenance and Disease Management standards based on DOQ-IT measures, CDC immunization guidelines, and other recognized standards of care.

21. Nurse using lightweight, touch screen laptop. Provider using standard laptop and a cart.

22. Nurse using a tablet. Before Go Live Currently packing up charts.

23. Questions & Answers Tricia Pyle tkpyle@citizensmemorial.com 417-328-7718 Kelly Templeton ktempl@citizensmemorial.com 417-328-6635