Patient EMR - MxSecure

1
Patient EMR The Evolution of Patient
Documentation

• Sponsored by

2
Todays Patient EMR Presenter

• Craig Mercure
• VP, Sales Marketing
• Joined MxSecure in 2003
• 13 years of experience in sales and marketing in
  the healthcare market
• Bachelor of Science degree from Arizona State
  University in Purchasing and Logistics Management
  and obtained his MBA from the University of
  Phoenix

3
Todays Agenda

• Healthcare Stimulus
• Current State of Patient Documentation
• Future State of Patient Documentation

4
HITECH Act Overview

• Part of ARRA (American Recovery and Reinvestment
  Act)
• Incentives to encourage Professionals and
  hospitals to utilize EHR technology
• Meaningful Use
• Rapidly changing patient documentation

5
Medicare Incentive Matrix
Adoption Year
Incentives 2011 2012 2013 2014 2015
2011 18,000 - - - -
2012 12,000 18,000 - - -
2013 8,000 12,000 15,000 - -
2014 4,000 8,000 12,000 12,000 -
2015 2,000 4,000 8,000 8,000 0
2016 0 2,000 4,000 4,000 0
2017 0 0 0 0 0
Total Incentives 44,000 44,000 39,000 24,000 0
Incentive Year
Source Title IV Subtitle A of the American
Recovery and Reinvestment Act of 2009
6
Medicaid Incentive Matrix
Adoption Year
Incentives 2011 2012 Repeated through 2017
2011 21,250 - -
2012 8,500 21,250 -
2013 8,500 8,500 21,250
2014 8,500 8,500 8,500 years 2-6
2015 8,500 8,500
2016 8,500 8,500
2017 - 8,500
Total Incentives 63,750 63,750 63,750
Incentive Year
Source Title IV Subtitle A of the American
Recovery and Reinvestment Act of 2009
7
Current Patient Documentation Process

• Handwriting
• Transcription
• Speech Recognition
• Point and Click EMRs

8
Handwriting

• Pros
• Quick, Easy
• Retains current workflow

• Cons
• Not structured
• or encoded
• Legibility

9
Transcription

• Pros
• Fast, easy, expressive
• Retains current workflow, favored by physicians
• Skilled Professionals

• Cons
• Not structured
• or encoded
• Transcription still needs to be interpreted
• Inconsistent turn around times

10
Speech Recognition

• Pros
• Reduce documentation costs
• Immediate turn around

• Cons
• Not structured
• or encoded
• Physician needs to still edit their notes
• Learning curve

11
EMR Documentation

• Pros
• Coded clinical data
• Immediate entry into patient record
• Practice uniformity

• Cons
• Manual process
• Documentation
• of narrative
• Inflexible

12
Future Patient Documentation Process

• Continuity of Care (CCD)
• Discrete Reportable Transcription
• Patient demographics
• Medication list
• Immunizations
• Medication allergy list
• Problem list
• Procedures
• Diagnostic test results

13
The Future is Now

• Find an option that is most productive for
  provider and helps him deliver better patient
  care
• 2009 HITECH Act (Stimulus) will rapidly
  accelerate the need for this type of technology
  and services
• Patient documentation is going to see rapid
  change over the next 5 years
• Understand what options are out there and what
  will work best for your practice

14
Questions?

• For more information contact
• Craig Mercure
• Craig.mercure_at_mxsecure.com
• 888.580.1010-Toll Free
• 480.776.8912-Direct
• www.mxsecure.com