Presented by Kevin Tolin Scheper

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Presented by Kevin Tolin Scheper

Vice President, Professional Services

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athenahealth confidential

 Now is the time to switch

 Meaningful Use „pulse check‟

 Even more change is coming

 Traditional software EHRs can do more harm than good

 Cloud-based EHR: a model for success

 What is the Cloud?

 Meaningful data and insights can drive performance

 Cloud-based software isn‟t enough

 Implementation can be rapid and rewarding

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athenahealth confidential Yr 6 $21,250 $8,500 $8,500 $8,500 $8,500

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123,921

52% (64,439)

33,595

27%

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Implementation per

physician costs an

estimated

$32,409

through the first 60 days

after launch.

Maintenance expense

per physician per year

amounts to

$17,100.

SOURCE: Neil S. Fleming, Steven D. Culler, Russell McCorkle, Edmund R. Becker and David J. Ballard, The

Financial And Nonfinancial Costs Of Implementing Electronic Health Records In Primary Care Practices, Health

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athenahealth confidential 8

1. Halladay JR, et. al; Cost to Primary Care Practices of Responding to Payer Requests for Quality and Performance Data. Ann Fam Med; 2009.

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1. Did you successfully attest for Stage 1 Meaningful Use with the help of your EHR?

2. Did you struggle just to hit 90 days of Meaningful Use in the first year?

3. Does your EHR provide real-time reporting that allows you to assess staff and provider performance against Meaningful Use measures?

4. Does your EHR provide Meaningful Use support and training as part of the regular pricing without additional fees?

5. Does your EHR provide the required interfaces for free and without interruption?

6. Will your vendor charge for a Meaningful Use Stage 2 upgrade?

7. Does you EHR vendor guarantee Meaningful Use money? What guarantee can they actually make?

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● High Upfront cost

● Low Connection to outcomes

● Low Performance visibility

● Moderate Upfront cost

● Moderate Connection to outcomes

● Low Performance visibility

● Low Upfront cost

● High Connection to outcomes

● High Performance visibility

● Low Upfront Cost

● Moderate Connection to outcomes

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Software

Knowledge

Work

 athenaClinicals received Complete EHR certification for MU on 10/1/2010

 Since Oct 2010, all

athenahealth clients have been using a Stage 1 MU certified EHR

 Any software changes to support MU are pushed to all clients immediately

 Centrally monitor the performance of every provider within your practice to tell them if

they are ahead or behind in meeting MU criteria

 Identify insights based on high and low performers nationwide and roll out to network

 Coaching on Meaningful Use program performance with intervention for poor

performers

 Management of registration and attestation with CMS

 Incentive payment tracking and processing

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athenahealth Client Performance:

5/27/2011: 28%

7/11/2011: athenahealth made “Race & Ethnicity” a required field 7/24/2011: 61%

8/13/2011: 89%

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3. Use CPOE for medication orders

4. Maintain active medication list

5. Maintain active medication allergy list

7. Record demographics

6. Record vital signs

1. Implement one clinical decision support tool

8. Provide clinical summaries

2. Report ambulatory clinical quality measures

93.0%

88.2%

82.1%

28.3%

68.2%

100%

6.4%

100%

MAY 1, 2011

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1. Implement one clinical decision support tool

2. Report ambulatory clinical quality measures

100%

December 31, 2011

7. Record demographics

8. Provide clinical summaries

99.9%

96.1%

6. Record vital signs

97.7%

5. Maintain active medication allergy list

98.7%

4. Maintain active medication list

99.2%

3. Use CPOE for medication orders

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Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press

Mindshar

e

%

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17 Provi de r Satisfactio n Time Plateau of Acceptance Trough of Disillusionment Slope of Enlightenment

While strong leadership and change management can reduce the length and depth of the Trough of Disillusionment, a minority of users can create a perceived vocal majority.

Peak of Inflated Expectations

Technology Trigger

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There are six key elements of a successful implementation:

 Shared vision and measures of success

 Strong governance

 Organization-wide change management

 Implementation focused on adoption and productivity

 Skilled client resources for long-term support

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This approach

Establishes a consistent and efficient process

Leverages best practices to maximize practice performance

 Minimizes operational and financial disruptions

 Ensures meaningful adoption of new processes and technology

Supports athena‟s holistic approach to client partnership

Phase 1 Data Gathering & Assessment Phase 2 Configuration & Workflow Design Phase 3 Training & Go-live Phase 4 Post-live Support Implementation Phases Kick-off Meeting Assessment

Summary Go-Live Transition to _{Client Services} Tablespace Production Ready

u

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weeks 1-4 weeks 5-8 weeks 9-10 weeks 11-14

typical implementation timeline

Phase 5 Expertise Development & Optimization weeks 15  Client Experts Certified

u

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 The good intentions of Meaningful Use will largely be wasted if the EHRs that proliferate as a result continue to underperform

 In the same way, keeping an EHR solution that can‟t guarantee your incentives and doesn‟t optimize your practice for revenue and

performance will continue to be a drain on both time and money

 Take care of the business first, so that you can be there to take care of the patients

 athenahealth offers a unique model in which WE manage the business so that providers can manage the

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athenahealth

Quality

Management

Rules Engine

Put the power of the cloud to work.

Low investment: no expensive hardware or

software to install, maintain or upgrade (all that‟s needed is PC and internet connection)

Low risk: flexible system adapts to changing health

care environment and technological innovation

• e-prescribing

• Submission of quality measures (like P4P and PQRI) • Compliance with Meaningful Use is built into the

software and continuously updated • Flexible charting options

• Manage and post all clinical documents • Productivity reporting, measurement, and

benchmarking

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