Overview

1. Information Technology Overview and Planning Guide Course Two – June 7 Patrick Gauthier and Linda Hagen Overview

2. Overview of IT Adoption Life-Cycle Ten Steps on the Critical Path Review ARRA HITECH Incentives Next Steps – A Guide to Your Planning Questions and Answers Learning Objectives

3. Not your father’s IT anymore Hardware Software and SaaS Interface Networking Storage and Disaster Recovery Information Exchange Privacy and Security Compliance Informatics Expert Staff Resources Information Technology

4. Developing and implementing short and long-range IT strategic plans to align technology with business objectives. Assessing IT infrastructure needs. Conducting cost/benefit analysis. 1. IT Strategic Planning

5. Evaluating the potential and the cost effectiveness of outsourcing all or a portion of your information systems needs. With respect to billing, a clearinghouse or other billing option may make sense. Outsourcing IT services like desk-top support, maintenance and training may make sense. 2. IT Outsource

6. Document and analyze current workflow and business processes then explore the opportunity for process improvements in a future state design with your team of experts. Newly refined workflow and business processes become the basis for new technical and operational requirements software vendors need to satisfy. 3. Workflow and Process Analysis

7. Based on final business processes and workflow, develop and document your system’s functional and technical requirements. Requirements will help identify vendors and systems that are best suited for your unique environment and needs. 4. Requirements Documentation

8. Develop standardized scoring tools based on requirements. Assess vendors consistently across technical, operational, functional, financial, and business relational dimensions. Pre-script demos so vendors have to show you what you want to see. Not the other way around. Ask for references where “live” sites have been on the system 1+ years and call them! 5. Vendor Evaluation

9. Selection depends on scoring process which depends on requirements and workflow documentation. Did you do your homework? Price is an issue but understand hidden costs and Total Cost of Ownership. Be clear about costs of upgrades and patches and maintenance. Reputation and viability are essential. 6. System/Vendor Selection

10. Identifying and documenting system modifications that the vendor has agreed will be configured. Configuration is the result of analyzing current system functional capabilities against actual business process and workflow requirements. If you can live with, don’t reconfigure it. 7. System Configuration

11. System conversions involve identifying and carefully mapping data that will be moved or “migrated” from a current or legacy system into the new system in order to preserve information. Conversions are common when vendors go out of business/merge, when providers merge, and when new certification requirements have to be met. 8. System Conversion

12. Developing comprehensive implementation approaches and work plans to assure optimum “go live”. Managing your implementation team through installation, configuration, parallel processing, testing and quality assurance. Conducting thorough training. Developing “super users” and joining user groups 9. System Implementation

13. Analyzing data sharing and system connectivity needs and designing/selecting and implementing an infrastructure to achieve required integration. May include interface engines, data warehousing, analytical tools and reporting tools. 10. System and Data Integration

14. AMERICAN RECOVERY AND REINVESTMENT ACT of 2009 $50B for Health IT (HIT) Goals Improve rate of certified EMR adoption Enhance infrastructure and interoperability Improve quality, safety, & efficiency Engage patients & their families Improve care coordination Improve population and public health; reduce disparities Ensure privacy and security protections ARRA Incentives

15. Medicaid providers (including MH/SUD) can receive incentives (total $63,750/EP) through non-hospital based eligible professionals (EPs) Physicians Nurse Practitioners Physician Assistants in an FQHC Medicare incentive is $44,000 Medicaid Provider Incentives

16. Percentage of Medicaid encounters must be 30%+ for each EP over a representative 90-day period EP must have 50% of their encounters at facilities using a certified EHR EP must be non-Hospital based (Hospital based means the professional furnishes 90% of services in either inpatient or emergency room of Hospital) Organization meets certified Meaningful Use EHR requirements EPs must assign their incentives to the organization Medicaid Criteria for Incentives

17. Eligible for EPs who Adopt certified EHR (acquired and installed) Implement certified system (started using) Upgrade a certified system (expand or upgrade to certified system) Medicaid Incentives

18. Registration Providers must register on CMS website Enrolled in Medicare FFS or Medicaid (FFS or managed care) National Provider Identifier (NPI) Tracking Self attestation Other ways to be determined at state level Registration and Tracking

19. What is ourvision for ourIT? Clinical pathways? Efficiencies? Performance Management? Managing Utilization? Quality Improvement? Reporting? ACOs and Health Homes? Next Steps

20. Calculate eligibility for incentives Implement electronic billing Develop revenue cycle management and performance metrics Recommend IT budget and financing plan Financial Plan

21. Buy-in from bottom-up AND top-down Plan for Work-in-Progress Understanding that implementation takes time and things slow down at first Talent and expertise required to execute plan and deploy new systems Job descriptions and staffing plans revised Team Readiness

22. What will you measure? Why and how? How will it change practices and patient experience? How will standards be selected and implemented? QI Plan

23. Become a Learning Organization Recruit accordingly Use consultants appropriately Retain the talent and expertise you have Recognize and reward your people Engage your customers Learn

24. Thank You. Questions? Patrick Gauthier Director pgauthier@ahpnet.com 888-898-3280 x.802 www.ahpnet.com