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Stark Bill Reversal: Making Hospital-Centric RHIOs Possible

Stark Bill Reversal: Making Hospital-Centric RHIOs Possible. February 13, 2006. What is a Hospital-Centric RHIO. The Hospital Becomes the Central Point for Clinical Information for Resident Physicians Patients See the Hospital as the Point for Information Contact Point for RHIO and NHIN.

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Stark Bill Reversal: Making Hospital-Centric RHIOs Possible

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  1. Stark Bill Reversal: Making Hospital-Centric RHIOs Possible February 13, 2006

  2. What is a Hospital-Centric RHIO • The Hospital Becomes the Central Point for Clinical Information for Resident Physicians • Patients See the Hospital as the Point for Information • Contact Point for RHIO and NHIN

  3. Why Should a Hospital Be Concerned? • Quality Improvements • Physician Loyalty • Patient Loyalty • P4P Requires Complete Medical History

  4. Pay for Performance (P4P) • More Payers Starting Programs • Creates Need for More Complete Information

  5. Physician Loyalty • Create Reason to Come to Hospital • Provide Relevant Information • Add Value to the Physician's Practice

  6. Communicate with Providers • Clinical Data Required From Physicians • Keep Physician Engaged With Facility • Central Point of Contact

  7. Integration with a RHIO • Hospital System Connects to RHIO • Larger Point of Presence • Representation of Physicians

  8. Integration with the NHIN • Point of Presence for NHIN • Distributor of Data • Disaster Recovery Facility

  9. Status of Stark Bill Reversal • Draft Published October 11, 2005 • Final Regulations Expected in Late 2006

  10. What Will Reversal Allow Me To Do? • Facilitate Access to ePrescribing Systems • Donate Necessary EMR Services to Physicians • Provide Technical Training and Education

  11. What Can I Do Today? • Enhance Web Site Services Related to Hospital Service Delivery • Provide Services for a Fee Equivalent to Cost • Create Separate Organizations for Services

  12. What Services Should I Offer? • ePharmacy • Drug History • eLabs • Internal & External Lab Information • eAdministration • Eligibility • Claim Services • Claim Status • Banking • Complete EHR System

  13. Now is the Time • Prepare for P4P • Develop Connectivity Options for RHIOs and NHIN • Break out of the Silo and Become Part of the Community • Provide Physicians Tools To Better Interact with the Hospital, Community and Nation

  14. Challenges with Providers • Independency! • Non-Technical Capabilities • Technical Education & Training • Limited Web Business Connectivity

  15. Challenges with Data • Format Implementation Standards, Limited Implementation Guides • Lack of Communication Standards • Inconsistent Applications of Codifying Data

  16. Where Can I Save Money? • No Duplicate Testing – Payers Starting To Reject • Laboratory Data Distribution • Improved Patient Quality

  17. How Can I Improve Quality of Care? • Complete Medical History • Reduce Drug Interactions • Verified Patient Information

  18. Next Steps • Ensure a Clinical Web Site • Add Pharmacy Functionality to Web Site • Add Patient Verification • Provide Centralized EMR on a Per Seat License

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