VALUE OF QUALITY LAB-EHR INTEROPERABILITY IN TODAY S DYNAMIC IT LANDSCAPE

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Keith C. Drake, Ph.D., Program Executive, Quest Diagnostics

J. Michael Hyman, M.T.(ASCP), Director, Vendor Business Solutions Teresa C. Brannum, Manager, Vendor Implementation Team

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Quality Lab-EHR Interoperability

• Health IT Challenges faced by

Providers

• Lab EHR Interoperability – what it

really means to you

• Health IT Quality Solutions™ –

foundation of quality interoperability

for providers

• Best Practices – checklist of what

to look for in EHR-Lab relationship

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Dynamic IT Landscape

• Providers faced with increasing IT

challenges:

• Meaningful Use Stages 1, 2, 3, … • ICD-9 and ICD-10, LOINC, SNOMED • Other IT regulatory challenges

• Result: Providers increasingly demand

more from their IT Vendors:

• Integrated, seamless, and painless solutions

• Quality solutions they can rely on to provide better quality health care services

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Provider Challenges

• Navigating a broad and growing

scope of IT offerings:

• Selecting from wide array of EHR solutions

• Selecting from wide array of laboratory solutions

• Finding “Interoperable” IT Vendors

• Understanding government

regulations

• Meeting certification agency

requirements

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Black Book 2013 EHR Survey

• Top “must haves” for EHR users

beyond basic functionality:

1. 84%―Vendor Viability

2. 83%―Provider Data Integration and Network Data Sharing

3. 78%―Demonstrable Return on Investment and Clinical Improvements

4. 75%―Adoption of Mobile Devices (e.g., tablets)

5. 66%―HIE Support, Connectivity / Interoperability

6. 65%―Perfected interfaces with Lab,

Pharmacy, Radiology, Rehabilitation, Post Acute Care

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Interoperability – Current Perspective

• Not merely streamlined flow of data

between EHR and Lab

• Order submitted and Results returned

(data interoperability)

• But also how your IT Vendors work

together:

• Streamlined implementation process • Robust (and documented) support

process

• Active dialog between EHR Vendor and Lab to enable planning for future quality interoperability (vendor

interoperability)

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Interactive Advanced Beneficiary Notice

• Enhances provider-patient encounters

prior to placing lab orders by

supporting the need for dynamic,

real-time Advance Beneficiary Notice

(ABN) processing

• Allows EHR users to notify patients

when certain tests may be denied by

Medicare

• Generation of an ABN notice in

real-time provides clinical benefits:

• Reduces volume of unauthorized lab work

• Adds value to the provider-patient encounter and reduces overhead

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Enhanced Reports

• Enhanced Reports augment test results with images and other graphical elements

• Many EHRs enable the receipt of

Enhanced Reports from commercial labs

• More robust test result information

enables more meaningful provider-patient encounters

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Health IT Quality Solutions™

by Quest Diagnostics

• Certifies EHR solutions as Silver,

Gold, or Platinum based on the quality

of their interoperability with

commercial labs

• Certified Quality Solutions:

• meet or exceed advanced industry

standards for lab orders and results

• provide a streamlined interoperability solution with Quest Diagnostics

• Quality Solutions certification

demonstrates an EHR Vendor’s

commitment to quality and

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Health IT Quality Solutions™

by Quest Diagnostics

EHR solutions certified by Quest Diagnostics ensure quality interoperability

Aprima PRM

CompuGroup Medical Labdaq eClinicalworks

Emdeon Clinician

HealthFusion MediTouch EHR iSalus Healthcare OfficeEMR Labsoft Lightning

Meditab IMS Office Ally EHR

Orchard Software Copia & Harvest Stratus EMR

Advanced Data Systems DocAssistant Comtron Medgen EHR

CureMD CyFluent

Data Strategies Mdsuite Drchrono

E*Healthline Phoenix Intivia InSync EMR iPatientCare EMR

MDLAND iClinic System

Medical Transcription Billing EMR NCG Medical Perfect Care EHRLite OneTouch EMR

Tecnex Systems

TransMed Network Client Software VIP Medicine SmartClinic

Vitera Intergy EHR

WEBeDoctor Physician Office

Our inaugural list of Platinum Vendors will be announced soon.

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Putting it together …

• Quality Lab-EHR Interoperability

provides you with:

• Confidence in your selection of an EHR

• Reduced internal implementation costs and minimized support issues

• Streamlined and higher quality Quest Diagnostics / EHR Vendor

interoperability

• Confidence in Meaningful Use compliance and other regulatory requirements

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Ask your commercial lab …

• Do you interface to my preferred EHR solution?

• Is that interface Results Only, or does it also include the ability to send Orders and Billing information?

• Are you ready to help meet my

requirements for Meaningful Use Stage 2? • Do you have a dedicated business

manager to oversee the relationship

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Ask your EHR vendor …

• Is your EHR certified for Meaningful Use Stage 1? • What is your schedule for MU2 certification?

• Does your EHR provide advanced functionality such as:

– automated MLCP checking

– producing an Advanced Beneficiary Notice,

– ability to parse LOINC codes from result message, and store and make them available within the EHR

– integrated patient scheduling with Labs’ patient service centers – Only 10% of EHR solutions eligible for the HITQS certification

meet all four of these capabilities

• Does your EHR implement robust Ask at Order Entry (AOE) questions to enhance the quality of the result?

• Can your EHR accept Enhanced PDF Reports to include images and other graphical elements from the lab?

• Is there any special or unique functionality you provide with specific commercial or hospital laboratories?

• What is the typical interface implementation time for my lab(s)? • Is your EHR a Quality Solution certified by Quest Diagnostics