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Orders Made Easy

Orders Made Easy. Pat Wolfram, Ignis Systems Ekem Merchant-Bleiberg, Alliance of Chicago. Why orders matter. Use of orders improves lab results and quality of care Improve your EMR ROI Needed for “meaningful EMR use” Required for Medicare reimbursement under the HITECH Act of 2009.

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Orders Made Easy

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  1. Orders Made Easy Pat Wolfram, Ignis Systems Ekem Merchant-Bleiberg, Alliance of Chicago

  2. Why orders matter • Use of orders improves lab results and quality of care • Improve your EMR ROI • Needed for “meaningful EMR use” • Required for Medicare reimbursement under the HITECH Act of 2009 EMR-Link | ORDERS MADE EASY

  3. Why has EMR orders been difficult? • Setup can be tough • Setting up the tests in Centricity • Establishing insurance-to-provider relationships • Coding: CPT for billing vs. “xyz” for the lab • Getting the order to the lab is tough • Does it contain the information the lab needs? • Can it be sent through an interface? EMR-Link | ORDERS MADE EASY

  4. Survey: Biggest Challenge With Orders EMR-Link | ORDERS MADE EASY

  5. Workflow Hassles EMR-Link | ORDERS MADE EASY

  6. Setup/Maintenance Hassles EMR-Link | ORDERS MADE EASY

  7. About Ignis and EMR-Link • We focus exclusively on lab and radiology orders/results and their interfaces • We’ve learned to automate orders setup • 3,000 physicians using EMR-Link today • We have over 70 live sites on lab orders • Labs connected: Labcorp, Quest, OML, PAML, CPL, Meditech, … others being built EMR-Link | ORDERS MADE EASY

  8. Why EMR-Link? • More than just an interface • Easier order/result workflow reduces errors and rework • Solid ROI • Orders are easier to set up • Your best connection to outside services (reference labs, hospital labs, radiology, cardiology) EMR-Link | ORDERS MADE EASY

  9. More than just an interface • Easier order/result workflow • Orders are easier to set up • Solid ROI • Your best connection to outside services

  10. EMR-Link: More than an interface • Adds requisitioning to the EMR workflow • Checks ABN compliance • Enhances the overall order/result workflow • Tunes up your results interfaces • Includes the orders/results interfaces EMR-Link | ORDERS MADE EASY

  11. More than just an interface • Improved order/result workflow • Orders are easier to set up • Solid ROI • Your best connection to outside services

  12. An Improved Order/Result Workflow Requisition Physician orders the lab test Lab processes the test Physician reviews results Lab resultsreturn to charts EMR-Link | ORDERS MADE EASY

  13. Ordering (for the physician) • Zero additional clicks to order a lab • Ordering from a single set of lab tests • No-hassle ABN checks Physician orders the lab test EMR-Link | ORDERS MADE EASY

  14. Requisitioning (for the nurse or phlebotomist) • No re-entry of the order • No mistakes to fix • AOE questions are supplied by the lab (not your IT team) • Specimen details are provided here Nurse completes requisition EMR-Link | ORDERS MADE EASY

  15. Accessioning (at the lab) • No data entry, saving time and mistakes • All AOE clinical data there (no callbacks to the clinic) • All needed insurance info is in the order • ABN has been verified • The lab has everything they need to send back a good result Lab processes the test EMR-Link | ORDERS MADE EASY

  16. Lab results (in your EMR) • Results match to the chart (no more 6:00 am corrections) • Results get to the flowsheet Lab results return to charts EMR-Link | ORDERS MADE EASY

  17. Signing results (for the physician) • The ordering provider is notified (not the responsible provider) • The EMR order is automatically marked as Complete Physician reviews results EMR-Link | ORDERS MADE EASY

  18. OK, Let’s Demo It

  19. More than just an interface • Improved order/result workflow • Orders are easier to set up • A solid ROI • Your connection to all outside services

  20. Order setup challenges today • Getting order data into the EMR is difficult • Coding • Billing: will CPT codes be needed? • But your lab doesn’t use CPT codes • Sending the order to the right lab • Setup of insurance/provider relationships is tough • The coding problem again for multiple labs EMR-Link | ORDERS MADE EASY

  21. Implementation Time Improvements at Alliance of Chicago 2 1 4 3 EMR-Link | ORDERS MADE EASY

  22. Solution: Simplify and automate • For labs, start with what you already have: your lab utilization reports • Take advantage of Centricity’s clinical kits • A simpler insurance-to-service provider model • Simple lab code setup outside the EMR • Automate with Orders Builder and Results Builder EMR-Link | ORDERS MADE EASY

  23. From Lab Utilization to EMR, Your EMR Lab Orders are Created Lab Utilization Reports EMR Clinical Kits Orders Builder EMR • A year’s worth of lab history • Order descriptions • Order codes • Volumes EMR Orders Builder EMR-Link | ORDERS MADE EASY

  24. The Insurance-Service Provider Rules EMR Insurance Rules Lab “B” Lab “A” EMR-Link | ORDERS MADE EASY

  25. The Lab Codes Lab “B” Order Codes EMR Insurance Rules Requisitioning Lab “A” Order Codes EMR-Link | ORDERS MADE EASY

  26. Lab Code Maintenance • For the small changes – Update your EMR-Link table • Big changes – Use the Orders Builder EMR-Link | ORDERS MADE EASY

  27. Updating A Single Lab Code Clinic’s EMR-LINK Account Lab Lab compendiums • Point-of-care ABN Validation(Uses lab’s ABN rules) • Rules-based routing (insurance and location) • Clinic specific mappingof EMR-to-Lab data • Order Entry Questions • Requisition printing • ABN printing • Label printing Lab 2 Lab 1 Clinic’s mapping tables Requisition Completion 4 5 6 • HL7 compliant ORM • Complete order information to lab’s requirements HL7Order 3 Current Order Routing Rules (choose the lab) 7 Lab Requisitioning Database EMR-Link Connector • Manifest Reports • Future Orders • Billing interface back to PM (future) 2 2 • Secure HTTPSdownloads • Auto-Completion • Physician desktop notification 1 3 8 EMR-LinkConnector Lab Result Manager Your EMR Order Codes Meds Electronic (HL7) Result LIS LinkLogic Radiology Services Clinic’s EMR

  28. Big Maintenance Changes Lab Compendium EMR Clinical Kits Orders Builder EMR • Order descriptions • Updated order codes EMR Orders Builder EMR-Link | ORDERS MADE EASY

  29. More than just an interface • Improved order/result workflow • Orders are easier to set up • Solid ROI • Your best connection to outside services

  30. Solid ROI • Demo of the ROI worksheet EMR-Link | ORDERS MADE EASY

  31. More than just an interface • Improved order/result workflow • Orders are easier to set up • Solid ROI • Your best connection to outside services

  32. Routing Orders to the Right Lab: Bringing the Results Back Clinic’s mapping tables Requisitioning Lab Electronic (HL7) Order Lab Lab Result Manager Lab Your EMR Order Codes LinkLogic Meds Radiology Electronic (HL7) Results Services Clinic’s EMR

  33. Radiology, Cardiology and Labs Clinic’s mapping tables Requisitioning Hospital PACS Lab ECG Lab Result Manager Your EMR Order Codes LinkLogic Meds Radiology Services I/F Engine Clinic’s EMR

  34. Summary

  35. Summary: Orders made easy • CPOE and “meaningful use.” Get ready! • It’s about workflow. • Setup can be simpler. • An orders interface is only part of the solution. It’s part of a requisition. EMR-Link | ORDERS MADE EASY

  36. Closing • For more details on the tools………..stop by the CHUG booth……or attend one of our Webinars. • The ROI worksheet • Contact us any timewww.emr-link.com EMR-Link | ORDERS MADE EASY

  37. www.emr-link.com Contact Us The ROI Worksheet is here EMR-Link | ORDERS MADE EASY

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