KIDS & TEENS MEDICAL GROUP

L.A. Care: HIT conferenceOctober 27, 2009

HOW WE CONVERTED TO EMR

• WHERE WAS OUR COMPANY IN THE PAST?• WHERE ARE WE TODAY?• HOW DID WE DO IT? • CHOOSE AN EMR THAT FITS YOUR SPECIALITY.• CHOOSE IF YOU WANT KEEP THE DATABASE IN-HOUSE OR

OUTSIDE. • NO MORE MANUAL CHARTS .• WHAT HAPPENS NEXT?• WHY WE LOVE IT.

WHERE WAS OUR COMPANY IN THE PAST?

• ACQUIRED A SMALL PRACTICE IN MISSION HILLS, OCT 2007• THE PRACTICE WAS A SMALL MEDICAL CLINIC.• NO COMPUTERS EVEN TO BOOK APPOINTMENTS.• ALL MANUAL CHARTS• NO ELECTRONIC BILLING

WHERE WE ARE TODAY

• We now have three medical offices.• Mission Hills, Van Nuys & Valley Pres ( Van Nuys)• Electronic medical records fully implemented• Electronic billing fully implemented• E-Prescribing & lab results functional within the EMR• Significantly increased business at the Mission Hills office• Most of all key employees who never used a computer are

still with us & are computer experts. We are grateful for their continued support and contribution at work.

HOW DID WE DO IT?

• CHOOSE AN EMR THAT FITS YOUR SPECIALITY .• CHOOSE IF YOU WANT KEEP THE DATABASE IN-HOUSE OR

OUTSIDE. WE CHOSE TO KEEP IT IN-HOUSE.• LAB-RESULTS THAT INTERFACE WITH LABCORP, QUEST &

AMA• E-PRESCRIBING IS ACTIVATED.• ONGOING EMPLOYEE TRAINING.• VIGILENT ABOUT SOFTWARE UPDATES.

CHOOSE AN EMR THAT FITS YOUR SPECIALITY

• SEVERAL EXCELLENT EMR VENDORS. • DECIDE ON 2-3 THAT ARE RELATED TO YOUR SPECIALTY.• WE CHOSE VACCINE INVENTORY MANAGEMENT AND

PATIENT RECALL FOR VACCINES.• DOES IT HAVE THE FLEXIBILTY TO INTERFACE WITH THE LABS

YOU USE?• E-PRECRIBING AVALABLE ?

CHOOSE IF YOU WANT KEEP THE DATABASE IN-HOUSE OR OUTSIDE

• IF YOU CHOOSE IN-HOUSE YOU WILL NEED HELP IN MANAGING YOUR SERVERS AND YOU WILL NEED TO INCREASE YOUR NETWORK SECURITY BUT YOU WILL HAVE MORE FLEXIBLITY.

• IF YOU CHOOSE TO GO OUTSIDE YOU WILL NOT NEED A COMPUTER CONSULTANT ON CALL.

• ALL EXAM ROOMS HAVE COMPUTERS• ALL MEDICAL ASSISTANTS HAVE COMPUTERS WITH

SCANNERS.

NO MORE MANUAL CHARTS• All Patients –

– New disclosures and vaccine cards are scanned into the system.– Vaccine information is keyed into the system for better tracking. – Old chart information is scanned only if patient has history of multiple

chronic diseases.• Physician Patient Exam–

– Reviews MA notes for reason of visit.– Enters all encounter information and orders MA tasks which includes

labs, prescriptions, referrals, vaccine needs and follow up appointments.

• Finalizing Patient Visit -

– Physician enters DX codes, CPT codes and summarizes visit.– Physician responsibility for billing is done

WHAT HAPPENS NEXT

• ELECTRONIC BILLING – – Electronic billing is transmitted to insurance companies and MediCal.– Encounter information is also transmitted to HMOs and IPAs.

• MANUAL BILLING– – CHDP - We still do this manually as we have not seen any system that

can handle this yet.– Some IPAs and health plans accept electronic CHDP.

• DISPUTED OR REJECTED EOB’s - – Each disputed or rejected EOB is reviewed daily and resubmitted.

WHY WE LOVE IT• PATIENT CARE –

– patient care has improved significantly. – decrease medical errors, check for drug interactions, allow for electronic

prescriptions, and make the referral process more efficient and accurate. – ability for the doctor to review patient charts from anywhere with internet

access.• INCREASE IN BILLING RECEIPTS–

– billing is done seamlessly reducing many errors– disputes or rejections are handled most often within 48 hours.

• REPORTS- – recall visits of patients with chronic diseases or those due for physicals and

vaccines– real time account receivable reports.– electronic insurance eligibility check.