Proven Strategies for Successfully Deploying an Electronic Health Records Solution

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Proven Strategies for Successfully Deploying an
Electronic Health Records Solution

• September 10, 2009
• Sponsored by Kofax, a leading provider of
  document driven business process automation
  solutions.
• Please note you will receive the slide deck and
  a link to the recording of the webinar via
  email.

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Todays Speakers

• Mark BrousseauEditortoday magazine

• Margot WeiglDirector of Vertical Solutions
  MarketingKofax

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Todays Speakers

• Mark BrousseauEditortoday magazine

• Margot WeiglDirector of Vertical Solutions
  MarketingKofax

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The Health Care Market
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About TAWPI

• The Association for Work Process Improvement
  (TAWPI) is a 39 year-old non-profit professional
  association that provides education, market
  research, and actionable information for its
  members and followers.
• As technology has advanced, TAWPIs role has
  evolved into become an important source of
  objective information about the converging
  technologies, processes and tools that enable
  payments automation and document management. 
• Through in-person events, on-line resources and
  facilitated networking opportunities, TAWPI
  drives the peer-to-peer exchange of actionable
  information, ideas and best practices.

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The Universe of Health Care Providers

• Hospitals and Hospital Systems

• Clinics, physicians
• Other agencies

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Key Drivers of the Health Care Industry

• Need to improve health care quality
• Need to cut cost
• FUD around EMR/EHR
• Definition not yet clear
• Meaning of new regulations unclear
• 17.2 billion in incentives through Medicare and
  Medicaid announced
• Entitlement / availability of funds through ARRA
  highly complicated
• Privacy and security concerns (under HIPAA)

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The Definition of Electronic Health Records and
Predicted Benefits

• Electronic health records and meaningful use of
  technology
• Includes patient demographic and clinical health
  information
• Provides clinical decision support
• Supports physician data and order entry
• Captures and queries information relevant to
  health care quality
• Includes electronic prescribing
• Supports clinical information exchange and
  integration of information from other sources
• Complies with HIPAA
• Predicted benefits
• Faster access and exchange of information, within
  and cross health care organizations, insurers,
  patients
• Cost savings

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What is Driving IT Investment?

• Pressure from payers
• Transparency
• Efficiency
• Pay for performance contracts include metrics for
  clinical IT adoption
• Pressure from government
• As part of ARRA, Medicare demands EHR usage
• Pressure from consumers
• Consumer directed health plans paid by employers
  and employees
• Pressure through competition
• Quality of information and information access

• Demonstrate quality
• Information access
• Data accuracy
• Metrics and outcomes

• Demonstrate meaningful use of EHR certified
  technology

• Enhance customer experience, create long term
  patient relationships

• Enhance (remote) access to high quality clinical
  data

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Medicare Incentives for Hospitals

• Incentives start in 2011
• Large hospitals can qualify for up to 11 million
  US over a 4-year period
• Incentive program uses a complicated formula to
  determine benefits and payments
• Hospitals adopting after 2013 will only receive
  reduced payment
• No incentive payments will be available for
  hospitals adopting only after 2015

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Conclusions

• Moving from health records to electronic health
  records is no longer an option its a must
• Health records are high volume, and mainly
  paper-based
• Majority of patient data still locked in paper
  based departmental systems
• There is a need today
• to get ready for EHR
• to improve efficiency
• Improve data completeness and accuracy
• to be compliant
• to process EOBs
• to process invoices
• A time window from 2011-2015
• for Medicare/Medicaid funding for adoption to EHR
• Solutions exist today for providers to get
  started!

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Migrate from Paper to Electronic Health
Records

• Margot WeiglVertical Marketing, Kofax

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Worlds Largest Information Capture Vendor

• Successful
• The market leader in information capture
• 20 years in business
• 185.8 million annual revenue FY09(approx.
  US304 million)
• 132,000 Kofax Capture licenses sold
• 23,000 end users
• 25 billion images under maintenance
• Thousands of integrations with ERP, ECM,
  workflow, line-of-business, etc.
• Focused
• 16 of software revenue goes into RD
• Global
• 1100 employees in 34 countries
• 1000 resellers in 64 countries
• 70 worldwide distributors
• 9 global OEM partners

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Why Migrate from Paper to Electronic Health
Records?

• Access to and optimized processing of patient and
  health information is key to improve health care
  quality
• Data and information, today siloed and often
  locked in paper files
• Need to be digitized and entered into HIM, ERP
  and other back-end systems
• For immediate access for patients, insurances,
  hospitals, clinics, doctors and at the point of
  care
• Pressure from health care payers
• Transparency
• Cost reduction
• Capitalizing on savings potential
• Avoid wrong and/or double payments
• Getting your share of Medicare and Medicaid
  Incentives
• Meaningful use of EHR and EHR technology
• 17.2 billion announced within ARRA/HITECH act for
  2011-2015

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How Migrate to Electronic Health Records?

• Capture all patient and health data at point of
  entry
• Distributed
• Any format
• Scan at top quality
• Transform them into process-ready information
• Classification and indexing
• Data Extraction
• Validation
• Route them to relevant workflows and systems
• In a secure and compliant way
• Fast and in high quality

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Capture

• Widest range of document scanners
• Scales from 1 to gt1,000 scanners
• Deploy in remote sites
• Centrally managed
• Alternative input sources
• MFP
• E-mail
• Fax
• Full traceability from scan to release
• Flexible and customizable client UI

Fits anywhere!
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Transform

• Identifies documents
• Index or meta data extracted automatically
• Separates folders into documents
• Provides advanced recognition technologies
• OCR
• ICR
• OMR
• Customizable validation and correction
• Reporting on key performance metrics
• Highly scalable

Automation Reduces Costs and Accelerates Systems!
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Deliver

• Over 100 Export Connectors
• Export to multiple connectors/releases
  simultaneously
• Tightly integrated to leading ECM systems
• Full reporting and traceability
• Scalable to accommodate low to high volumes
• Customizable
• More documents are processed by Kofax Capture
  than any other vendor
• Confirmation of successful release

Offers Flexibility
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Kofax Suite Architecture
Capture Documents at Any Location
Transform Any Document Type
Deliver to Any Channel

• Branch Offices
• MFPs/Digital Copiers
• Scanners
• Electronic Capture
• E-Transactions
• E-Mail
• Fax
• Back Office/Mailroom
• Production Scanning

• Automatic Classification
• Eliminates Sorting
• Separation of Multipage Documents
• Data Extraction
• OCR, IMR, OMR
• Eliminates Keying
• Conversion of Data to PDF

• e-Mail
• Fax
• SMS
• Network
• Database
• 100 Connectors
• ECM
• Workflow
• LOB Applications

Monitor and Manage at the Process or Document
Level for Complete Transparency Reporting SLA
Metrics Historical Performance Tracking
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Migrating from Paper to Electronic Health Records
Patients
Capture Digitize
Channels
E H R
Postal Service
Scanner
Correspondence
Point of Care Physicians Doctors Nurses
Admission Forms Insurance Forms
Fax
Fax Server
Classification Extraction
Administration
EOB
LAB Invoice MRT, X-Ray Etc.
E-mail
HIM
Inbox

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Spectrum Health
Industry Health Care Location Grand Rapids,
Michigan Size 2 Billion of Employees
14,000

• Challenges
• Handles 60,000 inpatients, 200,000 emergency room
  patient visits, 143,000 urgent care visits and
  34,000 outpatient surgeries annually
• Inpatient charts are structured in 1,400
  different formats
• 10 of the forms do not have barcodes and require
  advanced OCR to identify type of document
• Solution
• Kofax Capture, Kofax Transformation Modules (KTM)
• High quality scanning of large volume of
  documents
• Data quality, ingestion and routing in compliance
  with government regulations
• Automation and streamlining of medical records
  processing and document classification for
  inpatients
• Results
• Significant improvements in document
  classification accuracy, efficiency and
  productivity
• Can now process 10.5 million documents annually
• Enormous increase in document processing has not
  required additional employees
• Physicians now have immediate access to patient
  records

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Greenville Hospital System
Industry Health Care Location
Greenville, South Carolina Size
985.3 Million of Employees 8,172

• Challenges
• More than 800 patient Explanation of Benefits
  (EOB) insurance forms are entered into the
  hospital's patient financial system weekly
• Manual data entry procedure typically required
  8-10 hours per week
• EOB forms from insurance providers typically
  reach hundreds of pages in length
• Solution
• Kofax Capture, Kofax Transformation Modules (KTM)
• Automating data entry and extraction, routing to
  relevant workflows and back-end systems
• Results
• With the new system, data processing time has
  been cut from 8 hours to less than one hour
• Internal payment cycles are speeded up by more
  than one week
• Productivity has increased by 400
• One-third fewer employees are required to process
  insurance forms

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Kofax Delivers

• One platform to streamline processes around
  capturing, transforming and routing medical data
• Outstanding data quality
• Accelerated information availability at the point
  where needed
• Decision support for high quality health care
• Increase of efficiency
• Physicians can see more patients per day
• Higher processing volume of claims and/or
  payments per day
• Significant cost reduction
• Automation of health care records capture and
  entry
• Elimination of paper storage and paper mailing
• Move health care providers up the maturity matrix
• Fast ROI
• Proven track record

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Completeness of Offer

• Patient / health records management
• Convert complex forms, test reports,
  prescriptions, health payer documentation,
  patient inquiries and images like MRT or X-Rays
  into high quality digital information,
• Route it to a database, ECM or HIS system, and
• Integrate it into key processes in the quickest
  possible time,
• All in a secure and auditable manner.
• Medical claims processing for health care payers
• EOB and payment processing
• Quicker reconciliation of payments, more accurate
  financial reporting and better cash management
  through powerful OCR technology, data extraction
  and separation.
• Accounts payable / invoice processing
• Order processing

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More Information on Kofax Solutions for Health
Care

• TAWPI Healthcare Payment Automation Summit, Sept.
  13-15, Chicago
• Get a presentation of our solution at our booth
• Listen to our CMO, Andrew Pery, talk about
  emerging trends in health care payments
  automation
• Kofax Transform 2009, October 21-22, San Diego
• See Kofax solutions in action, presented by our
  customers and our partners in the health care
  industry
• Hear from Kofax executives and development on how
  we continue adopting our solutions to your needs

http//www.tawpi.org/events/hpas.aspx
http//www.kofax.com/go/transform/
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Thank You for Joining Us!

• You will receive the slide deck and a link to
  the recording of the webinar via email Contact
  KofaxLisa Ames, Sr. Marketing
  ManagerLisa.ames_at_kofax.com949.783.1397