Updates!

e-Newsletter by Iatric Systems, Inc.

 

November 2008

 

 

In this issue (click on the title to jump directly to the article):

 

 

1

Message from Senior Management  

 

 

 

Financial Crisis - Who's Accountable?

Ken Hoffman, Vice President

Interfaces and Integration

 

The election is behind us yet the economy is still in the headlines and the number one concern people share.   There is a myriad of finger pointing when it comes to assessing blame.  Depending on the news source you choose you might hear it’s due to a specific political party or corporate greed or even capitalism itself.  Whoever or whatever is to blame is only one piece of the puzzle.  What surprised me is how fast everything unraveled and how few people actually yelled ‘the sky is falling’ until the sky actually fell.  How can multiple $500 billion plus companies get themselves in this financial situation with so little scrutiny from the rest of financial world until it was too late?  It’s a question of accountability.

 

We can all see the application of accountability in a hospital environment.  I’ve worked on many projects with hospitals and it’s not uncommon for a project to get off track.  Sometimes they get so off-track we start looking for someone to ‘blame’ and hold ‘accountable’ for being behind schedule.  Assessing blame isn’t difficult; especially with an interface project.  Most interface projects include multiple vendors, hospital staff and from time to time throw in a consultant to spice it up.  I personally say blame the consultants and vendors, they’re always causing trouble.   Seriously, who do you hold accountable in this melting pot environment?   The clear answer is ‘everyone’.  The more pressing question may be ‘how do you hold them accountable’? 

 

The answer to those questions is for each of us to address and take action.   I assure you everyone at Iatric Systems takes accountability very seriously.  I would like to introduce the other members of my Interface team that I hold accountable. 


 



Charlie Baxter

Associate Vice President Interface Services
978-805-4177
CharlieB@iatric.com




 


Chris Hanson

Director of Interface Support
978-805-4105
ChrisH@iatric.com


Rich Murphy

Director of Interface Implementation
978-805-4151
RichM@iatric.com



Mark Bevivino

Director of Interface Development
978-805-4155
MarkB@iatric.com


Joan Bolt

Director of Interface Project Management
978-805-4132
JoanB@iatric.com


 

And if I’m not meeting your needs I am accountable to our President, Joel Berman; JoelB@iatric.com, 978-805-4101.

 

A hospital interface project isn’t a $500 billion business but the level of accountability and commitment from everyone involved requires the same level of intensity.  Should Iatric Systems fall short in any way please hold me and my staff accountable.  Don’t wait until the ‘sky is falling’ to contact any one of us directly.  We are here to serve you!

 

 

 

2

Rack Your Challenges, Pocket Success

 
 

 

Get real solutions to your business challenges from the comfort of your office chair! Everything is going virtual and now the Healthcare Information and Management Systems Society (HIMSS) Virtual Conference & Expo brings real solutions into your office from November 19 to 20, 2008. Our staff will be available to chat with you from 8 am until 8 pm (EST).

 

Let Iatric Systems help you pocket the success: 
 

  •   Internal security breaches and too many patients to audit? Save time and money while protecting your patients’ private information by auditing all user activity with Security Audit Manager.

  •   Patient identification errors a concern? MobiLab brings positive patient identification, positive specimen identification and specimen label printing to the bedside.

  •   Too many EMRs, too little time to integrate with your HIS? Look at Physician Office Integrationit’s secure, scalable, and works with over 200 different physician EMR systems.

  •   No EMR system at the physician office? The MDAccess web portal enables physicians to securely view patient results anywhere, anytime.

  •   Are your interface costs ever-increasing? HL7 EasyConnect enables hospitals to gain the benefits of an interface engine without the resource commitments inherent in similar solutions.

With limited travel time and expenses, this virtual conference is a must for busy Information Systems personnel who need to make the most of your HIS investment. Visit exhibit booths/sessions and chat live. You can’t afford to miss out on the educational and networking opportunities while interacting with experts and finding the right IT solutions for your business.  We’ll be there; ready to listen and offer solutions that will help you sink your challenges!

 

Learn more about the conference at http://www.himssvirtual.org/. To register, visit http://www.himssvirtual.org/reg.asp. For more information, please contact us at info@iatric.com.

 

 

 

3

Right Record for the Right Patient

 

     

Healthcare agencies and organizations are continually emphasizing the importance of accurate patient identification as a critical component of patient care.  Duplicate unit numbers affect patient care when prior radiology exams, laboratory results and other clinical information are not linked to the patient’s current record.   The revenue cycle is impacted by additional time and effort needed to identify, correct and combine electronic and physical charts. The problems of duplicate unit numbers can be compounded by facility mergers and the creation of Regional Health Information Organizations (RHIOs) and Electronic Health Records (EHRs)

 

Facilities have two areas of focus - identifying and correcting duplicates that were created in the past and preventing duplicates from being created in the future. The standard process for identifying duplicate unit numbers in MEDITECH uses reports which search based on a combination of name, date of birth and Social Security number.  The reports can identify potential duplicates which are then researched and entered into MEDITECH for merging.   With the Social Security number becoming of less value as a search criteria.  Additional search options and combinations can improve the accuracy and specificity of the search, making the process more efficient.  

 

Preventing the creation of new unit numbers is an on-going effort of education of the registration staff and monitoring new unit numbers as they are created to ensure they are not duplicates.

 

Please join us via webcast as Paula Vaughn, Hallmark Health Systems, walks you through the duplicate medical records process. We’ll provide a demonstration of the MRI MergeMate product at the end of the session. To register simply select a webcast date below and follow the registration instructions.

 

Webcast Date

Day

Time

November 19th

Wednesday

2:00pm Eastern

 

For registration questions, please email SandyB@iatric.com.

 

 

 

4

Visual Flowsheet - So Much More Than the Basics

 
 

 

Iatric Systems Visual Flowsheet (our clinical documentation solution) has been around for a long time!  With five registered nurses on the development team, your world is our number one consideration. 

 

We continue to add more information at a glance to decrease the number of keystrokes it takes to get to where you are going fast.  Best of all, not one of these requires an additional keystroke!

 

Some of the newest features include:
 

  • View all order entry query responses along with the order

  • Enhanced medication sorting

  • Diagnosis, goal and interventions display together

  • Intervention protocols with the intervention

  • Enhanced microbiology procedures - see the source of any organisms identified

  • Enhanced BBK details including number of units and status

  • And much more...

 

Join us as Michelle Schneider, RN, demonstrates the latest and greatest features of Visual Flowsheet. To register simply select a webcast date below and follow the registration instructions.

 

Webcast Date

Day

Time

Type

November 18th

Tuesday

2:00pm Eastern

MAGIC

November 20th

Thursday

2:00pm Eastern

Client/Server

 

For registration questions, please email SandyB@iatric.com.

 

 

 

 

5

Red Flag Rule Delay until 2009

 
 

 

Posted:  October 22, 2008 - Modern HealthCare Today

 

The Federal Trade Commission (FTC) said it would delay enforcement of what's known as the "red flag" rule to May 1, 2009, from the scheduled compliance date of November 1, 2008.  The rule requires that creditors - broadly defined and construed to include healthcare providers that accept deferred payment - adopt written programs to identify and respond to indicators of identity theft.

 

According to an enforcement policy issued today, FTC staff learned during outreach efforts on the rule that many affected organizations were unaware the rule would apply to them and didn't have time to be in compliance by Nov. 1.  Recognizing the "confusion and uncertainty" with the deadline looming, the commission concluded it would be "neither equitable for the covered industries nor beneficial to the public" to stick with the date. 

 

In order to assist our customers with timely compliance, Iatric Systems has partnered with ComplianceCoach®.  ComplianceCoach® offers CompliancePal™ an easy to use web-based software that a hospital or other medical services provider can use to quickly comply with the FACT Act Identity Theft Red Flags Rule.

 

CompliancePaloffers:

  • Online tool that can guide you through risk assessment

  • Identification of covered accounts

  • Identification of relevant red flags

  • Mapping appropriate detection and response procedures

  • Production of the compliant written identity theft prevention program

  • Development of appropriate training material and a compliance status report 

 

CompliancePal™ was designed to save you hundreds of hours in the development of your compliance plan.  To learn more, visit ComplianceCoach® at http://www.compliancecoach.com.

  

 

 

 

6

Revenue Cycle Improvement  Tips

 
 

 

RAC Audits - Get In The Game

Kay Jackson

Financial Marketing Manager
 

When it comes to Recovery Audit Contractors (RAC), where is your facility?  You need to get into the game.  The long awaited Recovery Audit Contractors (RAC) announcement was published October 6, 2008.  When the new RAC providers and local state hospital associations educate the hospitals, audit requests will start.  In the initial period, only AUTO audit notices will be submitted to hospitals. American Hospital Association (AHA) is assisting with this effort and will play a key role in providing feedback to Center for Medicare & Medicaid Services (CMS). Although the CMS has announced a short delay in beginning these audits, a specific timeframe has not been confirmed and therefore  hospitals need to be diligent in preparation. 

 

Do you need help getting in the game for tracking RAC audits? Iatric Systems created IatriTRAC to assist your facility with the RAC audit process. IatriTRAC monitors RAC audits real-time so users are able to extract or display MEDITECH data including payment totals and other elements. You can also track all events surrounding ongoing appeals and follow-up.  IatriTRAC is listed on the AHA RAC vendor list. In addition the CMS has announced that records requested for audits can now be submitted via CD’s versus hard copy.  This change will save hospitals enormous workload time.  Iatric Systems offers an Archiving and Scanning solution for combining scanned images as well as archived MEDITECH data to be gathered and transferred to a CD in less than one minute.

 

Please join us via webcast as Kay Jackson, Financial Marketing Manager, educates you about the recent RAC announcement and the tool to track all of the events. She’ll provide a demonstration of the IatriTRAC product at the end of the session. To register simply select a webcast date below and follow the registration instructions.

 

Webcast Date

Day

Time

Type

December 4th

Thursday

2:00pm Eastern

MAGIC

December 10th

Wednesday

2:00pm Eastern

Client/Server

 

For registration questions, please email SandyB@iatric.com.

 

 

7

NPR Report Writing Tips

 
 

Find that report you just edited - or just ran (MAGIC or C/S)

Sometimes the old short-term memory fails, or a user calls for a change to a report and you want to avoid having to sleuth thru menus to find the program name.   Using NPR.REP, you can let a report find your report.

Use the EDIT ELEMENTS option to provide a default and lookup for the selection on Edit User.  You need to add the ID attribute because the @user field does not call a dictionary lookup.  The @run.user field, however, does behave as desired so it does not need to have an ID attribute added.

Also change the REQ attributes to N so that you can run the report to select by edit user, or run user, or searching titles, or any combination of criteria.

The selection screen values are actually created with the IG (Ignore) selection operator, as we will use the select values entered by the user in our own "start" macro loop to process the activity and audit trail and check the report title to decide whether to include the report.

Because we will need to process data from two child segments and also check the title, it is easiest to "IG"nore the select values and handle the selection with our own code.  Loading the "urn" (internal report name) into a list, and using an LI selection against that list as follows:

In the "start" macro, we loop on the DPM range of reports, select those with a "zcus" and check the title, audit trail, and activity log against the criteria entered for the IG fields. (edit user and edit date range or run user and run date range or string to search for in the report title).

Notice how the list in /URN contains packed (queued) data.  We put an asterisk in piece 0 if the edit user is found, an asterisk in |1 if the run user is found, and an asterisk in |2 if the title contains our searched-for text.  This allows us to print flags on the output to show which select criteria were met by each report.

Client Server and MAGIC versions of this report have been placed in our Report Library:  NPR.REP.zcus.is.eupdate.find.report

You can find additional NPR Tips on our website at http://www.iatric.com/information/npr-tips.asp. You'll also find information about our on-site NPR Report Writer Training and NPR Report Writing Services.

 

 

 

8

Newsletter Sign-Up/ Contact Us

 

 

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You can unsubscribe from this newsletter at the bottom of this email using the SafeUnsubscribe link or by sending us a request at info@iatric.com.

 

If you received this newsletter via email, you may give us feedback by simply replying to the email.  However, if you would like to reach someone directly, please feel free to contact one of the individuals listed below.

 

Joel Berman, President, JoelB@iatric.com, 978-805-4101

John Danahey, VP, Sales & Marketing, JohnD@iatric.com, 978-805-4153

 

 

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