Information Technology for Physicians’ Medical Practices

1. Information Technology for Physicians’ Medical Practices Renee’ Ross Hung N. Winn

2. MU Health Care MU Health Care consists of 4 operational entities: • School of Medicine (SOM) • University Physicians (UP) • Hospitals (2) • Clinics

3. Integrated Technology Services (ITS) • MU Health Care has a centralized IT organization namely ITS that provides complete IS for the whole system. • CIO of ITS reports to CEO who runs UP, hospitals and clinics.

4. ITSOrganization Chart Columbia Regional Hospital IS Chief Information Officer Executive Staff Asst I Missouri Rehab Center Administrative Associate II Networking System Security Analyst Associate Chief Information Officer Administrative Manager Security Administrative Assistant Application Services Technical Services Manager of Application Services Manager of Technical Services EMR Project IDX Application Support Workstation & Server Support Database & MidRange Server Support Cerner Application Support Call Center (Weekdays) Interface & Web/Programming Support Data Operations (Call Center-Nights/Weekends) Ancillary Application Support

5. ITS • Headcount: • MU Health Care: 4500 • ITS: 108 or 2.4% of the total headcount • Budget: • MU Health Care: 430 M • ITS: • 13.5 M or about 3% of the total revenue • 50% of budget for personnel • 50% of budget for hardware, software and outside supporting services

6. University Physicians’ IT • Headcount: • UP: 635 (370 physicians + 265 staff) • IT: 22 or 3.5% of total UP headcount • Budget: • UP ‘s revenue: 110 M • IT services: 2.7 M or 2.5% of revenue • IDX system: The cost involves initial licensing, subsequent updates and continuing supporting services.

7. Physicians’ Practices and IDX Application Support • IDX Corporation is a leading provider of software, services and technologies for healthcare provider organizations • Physicians use IDX to schedule patients and submit billings. • IDX drives customer success by: • Advancing a seamless flow of healthcare information • Improving revenue cycle management • Reducing operating costs, and • Enhancing patient satisfaction

8. Service Level Agreement • Workflow Improvement • Faster service from those in contact with the patient • Easier data access by back-office employees • Due to increased efficiency; reduction of staff has occurred • Downtime must be scheduled • Downtime has been less than 2 hours in 20 months – scheduled, no data lost • Billings are generated within 72 hours • Billing statements mailed within 24 hours • Revenue cycle remains at current service level or improves • A/R days have decreased by 40%

9. Service Level Agreement • Net collections • Net collections are up 12% • Response time • Average response time of 0.99 second at 150,000 transactions/day • Denial Rates remain at current service level or improve • Denial rates have decreased by 65% • Reporting times are reduced by 50% • Reduced report turnaround time from 72 to 14 hours • Imaging solution decreases film expenses • Film costs decreased by $65,000 per month

10. Medical Practice & IDX • IT is an integral part of medical practice. • Application of IT enhances the organization’s performance.