January 26, 2012

1. 2012 Georgia Rural Health IT Conference GA-HITREC Technical Services for Critical Access and Rural Hospitals Presenter: Barbara Scarlette January 26, 2012

2. It is our aim to become the Health Information Technology Center for physicians and CAH/RH across the state of Georgia We are here to serve YOU! GA-HITREC Technical Services for CAH/RH

3. GA-HITREC Technical Services for CAH/RH Existing Technical Service Areas for CAH/RH (Free)

4. GA-HITREC Technical Services for CAH/RH New Technical Service Areas for CAH/RH (Fee-Based)

5. GA-HITREC Incentive Reimbursement Services for CAH/RH

6. The primary goal of GA-HITREC’s Incentive Reimbursement Service is to assist providers collect the maximum available funds in the shortest time possible. GA-HITREC Incentive Reimbursement Services • FACT: The majority of facilities will receive a financial benefit from participation in the EHR Incentive payment program a thorough reimbursement program ensures timely participation and collection: • Calculation of payment provides facilities a tangible goal and provides motivation to collect funds. • Proper completion of state calculators leads to expedited processing of EHR payments. • Maximization of the Medicaid EHR payment for both Medicaid and Medicare. • Reimbursement services cover the entire spectrum of the process from registration to the collection of funds.

7. Reimbursement services cover the entire spectrum of the process from registration to the collection of funds. Incentive Reimbursement Services • Reimbursement services comprise activities in the following areas: • Planning • Payment calculation • Registration • Acquisition • Implementation • Regulatory compliance • Medicaid schedules completion and submission • Attestation • Payment collection Our #1 goal is to work together with your staff to develop a plan to meet all of the regulatory and compliance requirements necessary for your facility to collect its share of available funds as quickly as possible

8. GA-HITREC Privacy & Security Assessment and Remediation Services

9. GA-HITREC Privacy and Security Services Privacy and Security: Legal Services • Michele Madison, a Partner at Morris Manning & Martin, LLC, who specializes in the Healthcare laws, will partner with GA-HITREC to assist the hospitals and providers. • Michele provides general legal advice to health systems and physicians in various regulatory and business matters. She will support and advise on the implementation of compliance plans for HIPAA privacy and security regulations, including the proper policies and procedures to address the hospital and providers vulnerabilities. • The Privacy and Security legal services will also focus upon the unique nature of the implementation and integration of the rural providers information systems with other providers, the patient privacy concerns that are unique to a rural provider setting and the regulations that directly apply to rural health providers.

10. Privacy and Security: Assessment and Remediation Privacy and Security Services We do not provide an ordinary “self assessment” questionnaire. A team of our experts will use their knowledge in the area of Privacy and Security to help you complete assessment activities. • Our assessment and remediation services: • Addresses policies and procedures for over 50 HIPAA citations • Provide assistance to hospital/practice administrators in preparing necessary documentation in order to meet compliance standards • Provide assistance with disaster recover and contingency documentation • Reduce the complexity, fuss and presumptions of complying with the law and help ensure that your hospital is up to date, safe, and secure. We provide assessment and remediation services comprised of tools, reports and policies and procedures so that your hospital is HIPPA complaint, safe, and secure

11. GA-HITREC Paper Charting Conversion Services

12. Our specialized processes, software, and approach allow hospitals to make complete transition from paper to digital records in months not years. Clinical records are digitized and are accessible via the eCharting Explorer Medical Document Management System GA-HITREC Paper Chart Conversion Services Benefits: • Immediately frees up staff workload, as charts are no longer scattered in various locations; reclaim space used for chart storage.   • Because our solution is designed to replicate your physical charts, hospital staff becomes comfortable viewing charts on a computer screen •  A segmented implementation allows office staff to get comfortable with workflow changes as they transition from paper to electronic health records. • Duplication of systems is removed as all Clinical Records are available to every computer in an office instantly

13. GA-HITREC ICD-10 Compliance and Remediation Services

14. ICD-10 Compliance Servies Are You Ready for ICD-10? ICD-10 will greatly expand the number of codes available for both describing diagnoses and procedures from the currently used ICD-9 codes. There are an estimated 68,000 ICD-10-CM diagnostic codes for use in all clinical care settings and another 87,000 codes for ICD-10-PCS that can be used to report inpatient services.

15. ICD-10 Requires Extensive Documentation at the Granular Level GA-HITREC ICD-10 Compliance Services ICD-9 ICD-10 14,000 Diagnosis Codes 4,000 Procedure Codes Angioplasty (procedure code) 1 code 39.50 Pressure Ulcer (diagnosis codes) 7 codes 707.00-707.99 Shows location but not depth No Equivalent ICD-9 Code Indicated through notes and other methods 68,000 Diagnosis Codes 87,000 Procedure Codes Angioplasty (procedure code) 854 different codes 047K047 Specify body part, approach, and device Pressure Ulcer (diagnosis codes) 125 different codes L89.131 Show specific location, depth, severity, occurrence Y71.3 Surgical Instruments, materials, cardiovascular devices associated with adverse incidents Source: Adapted from United Healthcare ICD10 Transition Playbook

16. GA-HITREC ICD-10 Compliance Services • GA-HITREC provides Critical Access Hospitals and Rural Hospitals with the only tool on the market that includes a proprietary ICD-10 Work Plan that integrates an enterprise-wide road map with the activities (assessment, remediation, training and project management) that need to be completed to have  a successful ICD-10 implementation.  The need for a large staff of high price consultants for all aspects of the assessment and remediation process are eliminated.

17. GA-HITREC ICD-10 Compliance Services Most hospitals and health systems prefer to manage and engage in ICD-10 compliance, whenever possible, with their own internal resources.  As such, our team of subject matter experts has developed the U-Test-IT ® Toolkit, a Self-Assessment tool that provides CAH/RH with the following benefits: • Accelerate the collection of Assessment Data across sites and departments, • Provide  an integrated view of a ICD-10 Work Plan and any documented Issues, • Share linkages of required Governance to support this enterprise-wide initiative, • Issue real time reports to Compliance sponsors and project participants, and • Collect and coordinate Vendor Contracts, Contingency Plans and Test Plans in a single location.

18. GA-HITREC ICD-10 Compliance Services Pre-Loaded ICD-10 Work Plan with Integration to Governance, Issues Tracking and Reporting Functionality

19. GA-HITREC ICD-10 Compliance Services Built In Vendor Contact Management System

20. GA-HITREC ICD-10 Compliance Services System Generated Reports for Executives, Sr. Management, Users, etc.

21. GA-HITREC IT and Telecommunications Services

22. GA-HITREC IT and Telecommunications Services Current State of Hospital Information Technology • Most hospitals operate within a very complex IT and Telecommunications Environment: • 24/7/365 IT Services • Ongoing Maintenance • Crisis Management • Connectivity • Hardware • Software Upgrades • Compliance • Disaster Recovery Patient Tracking Software Electronic Medical Records Telecom Connectivity Local Area Network Database storage Internet Connectivity On-Site IT Support Critical Access Hospitals Rural Hospitals Accounting & billing Remote IT Support Phone system Email Desktop PC Servers

23. QUESTION How can hospitals operating within already complex IT and Telecommunications environments begin leveraging new and existing technology in a way that would allow them to devote more time to quality of care? GA-HITREC IT and Telecommunications Services

24. ANSWER Transfer, Consolidate, and Improve the Day-to-Day Management of Internal IT and Telecommunication Needs GA-HITREC IT and Telecommunications Services • Telecom & Communications • GA-HITREC’s IT Partner is also Licensed Phone Company • Broadband Internet Access • Wireless Networks • Wireless Backup Circuits • Telephone Circuits • Phone Support Business Continuity Disaster Recovery Secure Data Backup Hardened Data Center Services Information & Data Security Relocate Critical Infrastructure Prevent Data and Infrastructure Loss Backup Telecom Services Managed IT Services Local Area Networks Desk Tops Mobile devices Servers & Data Bases EMR E-Mail Systems Accounting, Billing & HR Systems

25. GA-HITREC IT and Telecommunications Services • Management of Internal IT & Telecom • 24/7/365 Support & Call Center • IT Experts • On Site IT Support • Predictable Costs • Remote Access to Information • Data Security & Compliance • Training of Medial Professionals on IT Systems & Support • One vendor for all services! Consolidation of all IT Services Through ONE Vendor servers desktops voip wireless backup link virtual filing software fiber Cloud on-site support pbx phone system fiber Managed Services data center

26. Learning Objective Recap • GA-HITREC Technical Services

27. Contact Information Barbara Scarlette GA-HIRERC Technical Service Lead Phone: 678-656-1640 Email barbara.scarlette@via-consulting.com GA-HITREC National Center for Primary Care 720 Westview Drive, SW  l  Suite 226  l  Atlanta  l GA  l  30310-1495 Phone: 877-658-1990 www.ga-hitrec.org