The importance of Enterprise Health Information Exchange (EHIE) as a key way to empower your physicians and patients and demonstrate meaningful use of electronic health records: - Present the business case for EHIE as an important architecture that matters to progressive health systems - Take a look at some of the market-leading EHIE architectures and products - Provide real exam...ples of organizations that are using EHIE to improve their operations

1. Harness Your Clinical and Financial Data with an Enterprise Health Information Exchange August 26, 2010

3. About Perficient Perficient is a leading information technology consulting firm serving clients throughout North America. We help clients implement business-driven technology solutions that integrate business processes, improve worker productivity, increase customer loyalty and create a more agile enterprise to better respond to new business opportunities. Follow Perficient’s Healthcare IT team at: Blogs.Perficient.com/Healthcare Twitter.com/Perficient_HC

5. Our Solutions

6. Provider Landscape…. Quality Reporting Clinical Processes Orders, Medications, Results, Alerts Scheduling, Pre-Reg Billing, Collections, Denial Management Charge Capture Eligibility and Medical Necessity Checking Point of Service Collections Pay for Performance Reporting RAC Audits Coding Patient Transfers Discharge Registration Check In EDI Standards ICD 10 5010 Physician Alignment ARRA Decision Support Consumerism

7. Consumerism in Healthcare

10. Consumer Trends – On-Line Access Source: Deloitte LLP - United States Economist Magazine Consumer Trends – On-Line Access Source: Deloitte LLP - United States Economist Magazine Online Access Generation Study: Gen X, Baby Boomers, and women are the most likely to use health-related sites

11. Consumer Trends – Prevention & Wellness Source: Deloitte LLP - United States Consumer Trends – Prevention & Wellness Source: Deloitte LLP - United States

12. Preventative Care Preventative Care

13. Consumer Trends -- Quality Source: HealthView Plus 2006

14. Physician Practice Alignment in Healthcare

22. ARRA “Meaningful Use” EHR Criteria – Standard Reporting

23. ARRA “Meaningful Use” EHR Criteria – Standard Reporting (Cont.)

24. ARRA “Meaningful Use” Criteria -- Analytics

25. 127 Measures (43 Nurses) This CANNOT be conquered one Core Measure or quality metric at a time. An active vendor partnership is needed, with a solution that enables agility, adaptability, adoption and clinical excellence. Unscalable personnel costs in suboptimal processes … … and lost pay for performance money … Quality Measures Reporting 2003 2006-07 2008 2009 2010 2011 10 Measures 21 Measures 27 Measures (10 Nurses) 30 Measures 72 Measures

28. Enterprise Health Information Exchange Approach

35. An Enterprise HIE Reference Architecture Epic Cerner Lawson Siemens Agfa Eclipsys

37. Performance Excellence Healthcare System Business Rules Clinical Best Practices Key Performance Indicators Chief Medical Officer Chief Nursing Officer Department Directors Nurse Unit/Shift Managers Attending Physicians Alerts Risk Assessments Daily Dashboards Weekly/Monthly Reports Patients Health Status Post Discharge Monitoring Therapy Adherence Alerts/Reminders Certification Accreditation Regulatory Compliance Outcomes-based Reimbursement Quality/Safety Process Improvement Quality Reporting KPI Monitoring Process Monitoring Meaningful Use Enterprise Applications, Electronic Health Record, Revenue Cycle Solutions, Diagnostic, Testing

39. Care Coordination Platform Example Retail Pharmacies PBMs Medical Home PCPs Care Management Team Patients/Consumers Prescription Pickups Rx Refills Record Medication Usage Home Device Integration Alerts/eReminders/Calls Update CareTracker Health Information Exchange Maintain Chronic Disease Patient Registry Assign/Create Clinical Protocol for Chronic Patients Monitor Patient Status Medication Adherence Protocol Adherence Manage Events (Rx, Appts, Alerts, Secure Messaging) Health Care System Personal Health Records Clinical Protocols Clinical Best Practices EHR

40. Questions?

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