Centricity™ PerinatalROI

Karen Vest, RN Clinical AnalystPatientKeeper, CPN and MEDITECHPresident-Elect CPNUGBaylor Medical Center at FriscoFrisco, TX  75034

Conflict of Interest Disclosure

The content of this presentation represents the views of the author and presenters. GE, the GE Monogram, Centricity and Imagination at Work are trademarks of General Electric Company.

The faculty and planning committee have declared no conflict of interest.

HYPOTHETICAL EXAMPLE . Information presented in this example is hypothetical and for illustrative purposes only. Any analysis or information derived from this example is for general information purposes only and is being furnished free of charge without representation or warranty of any kind whatsoever, including with respect to the calculations, inputs, outputs, and/or information provided in such analysis. While this example allows several variables to be entered by you and is based on your unaudited inputs, it also contains certain assumptions that may not be valid for your specific facts and circumstances. Actual expenses will vary depending on many factors including, without limitation, your specific operating costs, savings, actual numbers and types of procedures performed. This example and any analysis are provided for your use only and may not be transferred to any third party.

THIS example IS BASED UPON CERTAIN PUBLIC INFORMATION AND ASSUMPTIONS WHICH MAY NOT APPLY TO YOU Certain values provided in this example were obtained from available third party sources and are being furnished by way of example only. No representations or warranties are given regarding the accuracy of any such values.

YOU MUST INDEPENDENTLY VERIFY THIS INFORMATION AND SEEK EXPERT ADVICE. You should not rely on any analysis, calculation, output or information provided by this example. Any reliance shall be at your sole risk, and we shall have no liability to you or any third party for any reason. Nothing in this example and no analysis derived therefrom should be construed as constituting tax, accounting, legal or financial advice. You should consult your own professional advisors for such advice. Nothing herein constitutes a proposal or commitment for any particular transaction. Any such transaction would be subject to execution of documentation in form and substance satisfactory to GE.

HEALTHCARE PROFESSIONALS ARE RESPONSIBLE FOR MAKING INDEPENDENT CLINICAL DECISIONS AND APPROPRIATELY BILLING, CODING AND DOCUMENTATION THEIR SERVICES. This example is not intended to interfere with a health care professional’s independent clinical decision making. Other important considerations should be taken into account when making purchasing decisions, including clinical value. The health care provider has the responsibility, when billing to government and other payers (including patients), to submit claims or invoices for payment only for procedures which are appropriate and medically necessary and in accordance with applicable laws. You should consult with your reimbursement manager or healthcare consultant, as well as experienced legal counsel, prior to any expansion of service.

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ROI Disclaimer

The 4 areas to consider for ROI

• Productivity

• Quality

• Legal

• Materials

Productivity

Health Information Management Areas Processing, Coding and Release of Information:

No more scanning paper charts in to the EMR Centricity Perinatal is the Legal Record for all Women Center

Documentation Less time spent looking for deficiencies on paper

Electronic signatures took the place of the illegible signatures on paper and required physician documentation forms were created in Centricity Perinatal

Coders spend less time looking for data Electronic Physician Documentation improved the quality of the

data Support provider coding efforts

Documentation is easy to print for patients requesting a copy of the chart

Patient story is in one system

NursingDecreased charting time, increased patient

care hours: Centricity Perinatal is easily navigated with fluid

charting Charting can be accomplished in a precise, timely manner

and the nurse is able to spend more time providing patient care.

Employee training 90% of new employees in the Women Center have been

exposed or documented in Centricity Perinatal at a previous hospital and require minimal training

Recalling patient data from previous visits For returning patients, Centricity Perinatal allows for the

nurse to view previous admission history and make changes as needed.

NursingPast and Present Documentation:

Providers can view data and document from home or office.

Fetal Monitor Strip, Vital signs and documentation is stored and available for caregivers to review for trends and assist provider with Plan of Care.

Streamlining of documentation allows for easy documentation

Pre-built chart audits to help identify any data that the nurse forgot to document

Vital Signs flow directly in Centricity Perinatal Mother-Baby link saves time for the nursery nurse and

pediatrician to review maternal history Pediatricians can also view this data from the office

System Manager Building in Centricity Perinatal

Less time spent making changes to forms, charts or print templates Building new forms takes less time and requires fewer steps Customized chalkboards and views Clinical and Technical support are immediately available to help

with any issues that arise GE Healthcare has “Live” people that you can talk to and they will

stay with you until the problem is solved Centricity Perinatal Support is a definite time saver for my site and I

can’t say enough about this benefit CPNUG can be a time saving tool for system managers

System Managers share policies, forms, computed items, new chalkboards and anything else that you can imagine

Opportunities to ask questions to other users and network with CPN users

Quality DepartmentAbstraction:

Centricity Perinatal is the Legal Record for all Women Center Documentation

Less time spent looking for deficiencies Electronic signatures took the place of the illegible

signatures on paper Coders spend less time looking for data

Electronic Physician Documentation improved the quality of the data and reduced the time for coding and billing

Documentation is easy to print for patients requesting a copy of the chart

Patient story in one system

Quality

DocumentationConsistent Data:

Many of our Meaningful Use items come from Centricity Perinatal and are interfaced to Meditech®

Compliance for entering MU items in Centricity Perinatal was higher than items documented in the main EMR

Discreet data fields Core Measure documentation in Centricity Perinatal

has increased in accuracy with the use of computed document reminders and calculations to define eligible patients.

Exclusive breastfeeding can be easily reviewed based on computed text items and reason for induction can trigger the physician to document on the item

DocumentationJoint Commission:

Forms and charts are built from Joint Commission guidelines

In a recent survey, Joint Commission told administration that “we had the best OB documentation system that they have seen.” The surveyors were impressed with the organization of the documentation and the ease that the nurses were able to navigate through Centricity Perinatal

Physician and Nursing documentation in one system removes the issues of illegible delivery and progress notes

Physician documentation has greatly improved in quality and data, since going electronic

Legal

SafeguardsBuilding in Safeguards:

Computed items to calculate FHR categories, EGA, etc Use computed text to guide staff on next steps to take (stop Pitocin,

continue monitoring, etc). Create reminders for staff to document on specific items for

example (shoulder dystocia, prolapsed cord, neonatal death) In a crisis situation, a nurse may forget to go back and document

items and these reminders can assist with completing the legal record

Physicians documenting in the same system can assist with identifying typographical errors and notify the nurse, so the charting remains consistent and accurate

Documenting on the FMS to show the exact time interventions occurred and what steps were taken

Enable providers to reduce errors

The Birth StoryPutting the story together:

Antepartum, False Labor, NST’s, Probable ROM, Motor Vehicle Accident, PIH

Centricity Perinatal has all of the pregnancy events captured in one spot. There is no need to sort through multiple records and view paper EFM strips because it is all in one place. Caregivers can review trends and significant history without the hassle of changing systems.

Labor, Delivery, Postpartum The “story” is collaboratively documented by members of the

healthcare team including, nurses, physicians, lactation consultants, respiratory therapist, social workers, and hearing screeners.

The record is an accurate representation of the mother and the baby(s) journey.

Documentation in one system can show the true timeline of events and play a vital role when legal review is needed

Material

Potential Supply and Equipment SavingsPaper- 1 delivery chart can use an entire

ream of paper• $35/10 reams of paper • 220 deliveries/month • Approximate cost savings in 1 year is $9,240

Ink CartridgesPrinter MaintenanceScanner Maintenance

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Getting Started

Sharon Carpinello, RN, BSN, MBAGE Healthcare, Centricity Perinatal Sr. Global Marketing Manager

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Disclaimer

Identification What’s the problem?Unit, Hospital, State, Government

Whose your audience?Internal or External

What’s the solution?Reports, Grants, White Paper

What’s the benefits?Monetary or Psycho-Social

Next steps

• Gain buy in early• Research, research, research• Define objectives • Educate• Document

Making your plan

• Document plan• Highlight deadlines• Involve others early• Configuration changes as needed• Frequent checks on progress• Submit professionally?

Other ROI ideas and examples

• Time studies • QA reviews• Grants• Meaningful Use• Overall system savings• Others?

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Questions?

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