Transcript Slide 1

EMR-LINK
A Fall 2010 Review
Housekeeping
1. Shrinking the GTM session
2. Being muted.
• Your Audio Pin
• Raising hands.
3. We’ll have breaks for questions.
4. Use “Chat” to queue up
questions.
What We’ll Cover Today
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What’s new with orders?
• Auto-splitting
• Courtesy copies
• Billing interface
• EMR-Link 2.0 (well, it’s not so new any longer)
What’s new with results?
• Always copy this user…..
• Send results to my HIE too….
New products
• PDF download
• HIE Connect
• Adding a second lab (and the three possible levels)
• Adding radiology orders
Maintenance tips
• When your lab changes an order code
• Where to find help
The Whole Picture
Clinic’s EMR-LINK Account
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•
• Rules-based routing
(insurance and location)
• Clinic specific mapping
of EMR-to-Lab data
• Point-of-care
ABN Validation
(Uses lab’s
ABN rules)
Order Entry Questions
Requisition printing
ABN printing
Label printing
Clinic’s mapping tables
4
ABN
Validation
EMR data
Lab
Lab 1 Lab 2
Requisition Completion
Lab 1 Data
Provider Names
Lab compendiums
Lab 2 Data
5
6
UPIN/NPI
HL7 Order
Order codes
Lab order codes
Lab order codes
Insurance
Lab Insurance
Lab Insurance
Location of Care
Lab account #
Lab account #
• HL7 compliant ORM
• Complete order
information to lab’s
requirements
Req
3
Routing Rules (choose the lab)
Label
7
Lab
Requisitioning
Database
EMR-Link Connector
2
2
• Secure HTTPS
downloads
Services
Clinic’s EMR
EMR-Link
Connector
Radiology
• Auto-Completion
• Provider desktop
notification
3
LinkLogic
1
Your Code EMR
Order Codes
Meds
• Manifest Reports
• Future Orders
• Billing interface back to
PM (future)
8
Lab Result
Manager
Electronic (HL7) Result
LIS
The Billing Interface
Clinic’s EMR-LINK Account
• Point-of-care
ABN Validation
(Uses lab’s
ABN rules)
•
•
•
•
• Rules-based routing
(insurance and location)
• Clinic specific mapping
of EMR-to-Lab data
Order Entry Questions
Requisition printing
ABN printing
Label printing
Clinic’s mapping tables
ABN
Validation
EMR data
Lab order codes
Insurance
Lab Insurance
Location of Care
Lab account #
Lab 1 Lab 2
Lab 2 Data
2
UPIN/NPI
Order codes
Lab
Requisition Completion
Lab 1 Data
Provider Names
Lab compendiums
HL7 Order
Lab order codes
1
Lab Insurance
• HL7 compliant ORM
• Complete order
information to lab’s
requirements
Lab account #
Req
Routing Rules (choose the lab)
Label
Lab
Requisitioning
Database
EMR-Link Connector
PMIS
3
• Auto-Completion
• Provider desktop
notification
Services
Clinic’s EMR
EMR-Link
Connector
Radiology
LinkLogic
4
Your Code EMR
Order Codes
Meds
• Manifest Reports
• Future Orders
• Billing interface back to
PM (future)
Lab Result
Manager
Electronic (HL7) Result
LIS
Consolidation For The Practice
EMR-LINK
Clinic’s mapping tables
ABN
ABN
Validation
Validation
ABN
Validation
EMR
Lab1
Provider s
Lab2
Order Completion
Lab3
Electronic (HL7) Order
UPIN / NPI / EMRLogin
Order codes
Tests
Tests
Tests
Insurance
Insurance
Insurance
Insurance
Location
Acct #
Acct #
Acct #
Lab
Routing Rules (choose the lab)
Lab
Lab Orders
Database
EMR-Link Connector
Lab
Radiology
Services
Clinic’s EMR
EMR-Link
Connector
Your EMR
Order Codes
Meds
LinkLogic
• Secure HTTPS
downloads
Lab Result
Manager
Electronic (HL7) Results
EMR-Link: Extensible Lab and EMR Connectivity
Labs with BiDirectional Integration
EMR-Link
EMR Clinic 1
Reference
Labs
EMR Clinic 2
Hospital
Labs
EMR Clinic 3
Imaging
Depts
Repositories
(HIE or public)
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•
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•
LabCorp
Quest
Bio-Reference
CPL (Sonic)
Mullins
Providence
PAML
PeaceHealth
Mercy Medical
Cortland
EMR-to-Hospital Integration
Orders hospital
services
Practice
Hospital
EMR-Link
Orders
ECG
PACS
LinkLogic
Structured results
URL link to image
Link to reporting system
Engine
Full text report
Results review
•Lab results
•ECG reports/images
•Radiology results/images
Practice Benefits
• Order reconciliation (auto-completion)
• Guaranteed chart matching
• Link to images (radiology)
Hospital Benefits
• Competitive Outreach Services
• Increase Referrals to Departmental
Services.
• Clean orders (decreases write-offs)
Lab
Radiology Workflow Improvements
• Pre-auth?
• Scheduling?
• Clinical lists
Clinic
• AOE questions
• Minimize data entry
Imaging
Order
Completion
• Req’d insurance
• Verified ABN
• No data entry
•Easy to order
•ABN validated
Physician
Ordering
Order ID
Physician
Review
• Desktop notification
• Updates the order
status
Physician
ID
EMR Chart
Matching
• Results match to
charts
• Contains link to the
image study
Patient
ID
RIS
PACS
PDF Result Interfaces
•The lab report you already know now includes a link that references the PDF
•Enhanced view can include color, graphics, etc. Ideal for specialty labs
•You can add multiple PDF storage locations as needed. E.g., if you fill up one disk you can
leave the current PDF files there and start a new data store elsewhere.
•Easy to install and configure. It only takes a few minutes more than a standard results kit.
•PDF storage is at the clinic so you have ownership of the data
•Works with all supported EMR releases except 5.6.
PDF Results Flow
Clinic’s EMR-LINK Account
• Point-of-care
ABN Validation
(Uses lab’s
ABN rules)
•
•
•
•
• Rules-based routing
(insurance and location)
• Clinic specific mapping
of EMR-to-Lab data
Order Entry Questions
Requisition printing
ABN printing
Label printing
Clinic’s mapping tables
ABN
Validation
EMR data
Lab
Lab 1 Lab 2
Requisition Completion
Lab 1 Data
Provider Names
Lab compendiums
Lab 2 Data
UPIN/NPI
HL7 Order
Order codes
Lab order codes
Lab order codes
Insurance
Lab Insurance
Lab Insurance
Location of Care
Lab account #
Lab account #
• HL7 compliant ORM
• Complete order
information to lab’s
requirements
Routing Rules (choose the lab)
Lab
Requisitioning
Database
PDF File
Store
Link
to PDF
4
Meds
Radiology
3
Services
Clinic’s EMR
EMR-Link
Connector
Your EMR
Order Codes
LinkLogic
2
Lab Result
Manager
Electronic (HL7) Result
With PDF
1
LIS
Health Information Exchanges
Health information exchange (HIE) is defined as the mobilization of healthcare
information electronically across organizations within a region, community or hospital
system.
Health Information Exchanges
Health Information Exchanges
EMR-Link: Extensible Lab and EMR Connectivity
Labs with BiDirectional Integration
EMR-Link
EMR Clinic 1
Reference
Labs
EMR Clinic 2
Hospital
Labs
EMR Clinic 3
Imaging
Depts
Repositories
(HIE or public)
•
•
•
•
•
•
•
•
•
•
LabCorp
Quest
Bio-Reference
CPL (Sonic)
Mullins
Providence
PAML
PeaceHealth
Mercy Medical
Cortland
Implementation Times Improve
Load Libraries
80 hours
From 120 hours
… to 16 hours
4
8
Custom
Lists
24 hours
Panels
16
hours
4
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Alliance of Chicago deploys EMRs at community health
centers across the US
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They’ve standardized on Ignis for all lab and imaging
integration. They’ve seen improvements here……..
Setup and Test
Previous Time
Req’d
Time with Ignis
Tools
Load Test Library
80
hours
4 hours
Dr’s Custom Lists 24
hours
8 hours
Panels
hours
4 hours
16
Automating The Setup:
The Orders Builder
Lab Utilization
Reports
Orders Builder
EMR Clinical Kits
Orders Builder
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Builds your order categories
(or maps the ones you already have)
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Builds your custom order lists
EMR
EMR
The Lab Results Builder
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Builds your EMR flow-sheet
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Builds your cross reference (xref) from lab
codes to EMR flow-sheet observation terms
(or evaluates the one you have already)
Questions
and
Discussion
In Closing
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Provider and practice workflow is job 1
We automate setup
We automate maintenance
We’ll keep you up to date (monthly release notes)
We give you tools for your job (ROI worksheet)
Contact us any time
www.emr-link.com
Thank You!
Pat Wolfram
Results Only Dataflow
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Uniform and Secure Download Mechanism for the Clinic
• Download method for one lab or many labs
Uniform Distribution Mechanism for Labs
Establishes EMR-Link framework for adding Lab Orders.
Lab
Paper Lab Order
Clinic’s EMRLINK Account
Radiology
EMR-Link
Connector
Lab
Order Codes
Meds
LinkLogic
• Secure HTTPS
downloads
• Queues results for the clinic
• Responds to HTTPS requests for
downloads.
Result
Manager
Electronic (HL7) Result
LIS
Services
Clinic’s EMR
Lab Results
Comparing Lab Orders….
Centricity EMR 9.2
And
EMR-Link
The Benefits of Centricity 9.2
HL7 ORM and assisted order completion.
2.
3.
ORM complies with the HL7 ORM orders message
needed by the labs.
Patient ID in the order guarantees a match to the
patient’s chart when the result is returned.
Narrows the choices of orders for manual “complete”
LinkLogic
1.
Lab
Lab
Order Codes
Meds
Radiology
Services
Clinic’s EMR
• HL7 compliant
ORM
• Patient ID
• Provider ID
Lab Orders
Lab Results
LIS
EMR-Link adds the following to 9.2
• Point-of-care
ABN Validation
(Uses lab’s
ABN rules)
1
• Rules-based routing
(insurance and location)
• Clinic specific mapping
of EMR-to-Lab data
2
4
Clinic’s mapping tables
ABN
Validation
Lab
• Billing decisions are
made.
• Test specific (AOE)
Order Entry Questions
• Requisition printing
• ABN printing
• Label printing
EMR data
Order completion
Lab Data
Lab Orders
3
Provider Names
UPIN/NPI
Order codes
Lab order codes
Insurance
Lab Insurance
Location of Care
Lab account #
• HL7 compliant
ORM
• Patient ID
• Provider ID
Orders
database
5
LinkLogic
• Manifest Reports
• Future Orders
• Billing messages sent
to clinic’s PM.
Lab
Order Codes
Meds
Radiology
Services
Clinic’s EMR
• Auto-Completion
• Dr. Desktop Notification
6
Lab Results
LIS
The Difference…… with EMR-Link
you get 9.2 ORM support and.
1. Point of care ABN validation. EMR-Link informs the provider at the point of care that a lab test is medically
necessary based on CRM (Medicare)’s ABN rules.
2. Rules based routing. EMR-Link routes your lab tests to the appropriate lab service provider, based on the patient’s
insurance and your location of care preferences.
3. Support for UPIN or NPI. The provider’s UPIN or NPI number is inserted into the order.
Also, once the lab is chosen, EMR-Link inserts the correct order codes for that lab, the correct insurance codes, and
the account number for that lab.
4. Requisition completion --- with minimal manual entry of order data.
•
No manual entry of data by your nurse or phlebotomist.
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Insurance rules decide if billing is to the 3rd party (insurance company), client (bill to the clinic), or to the patient.
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Required test specific AOE (ask at order entry) questions are asked
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Requisitions to the lab’s specifications are printed
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Labels are printed for specimen containers
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ABNs, when needed, are printed.
5. Manifest Reporting: The EMR-Link lab orders database provides
•
Downloadable manifest reporting includes: patient, test ordered, chosen lab, billing type chosen, insurance,
Patient Service Center orders, ….etc.
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Future orders are stored here until the patient returns for the specimen collection, triggering the “Order
Completion” process.
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HL7 billing messages are returned to the practices PM based on insurance or lab chosen.
6. Auto-Completion of Orders. Returned lab results are processed with the initial lab orders information.
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EMR test IDs are inserted into the ORU result, enabling Centricity EMR’s “auto-completion” machinery. Upon
signing of the result, the specific tests will auto-complete.
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The ordering provider’s UPIN (or NPI) is converted to their EMR login. This ensures desktop notification to the
ordering provider.
Data Flow for PDF Downloads
EMR-LINK
Centricity EMR
Lab
ABN Validation
Electronic (HL7) Order
Provider’s Desktop
LinkLogic
ORU Message
MDM Message
With PDF Reference
EMR-Link Connector
EMR-Link
Database
Result Manager:
HTTPS
Patient’s Chart
• Receive lab result and
encoded PDF
• Insert original EMR order ID
• Insert ordering provider
Clinic’s PDF
File store
• Send PDF to Clinic file store
• Send ORU to EMR
• Send MDM to EMR
Electronic (HL7) Result
With embedded PDF