In April I had the privilege of speaking to the Interbit Data user group. While formulating a few words I thought might be valuable to a group consisting mostly of middle management staff, I revisited my roots as a hospital CIO many years ago. As a first time CIO with the mission of turning around an underperforming department, I emphasized IT as the tool we use and customer service as the business we’re in. It is easy to get distracted by daily pressures and lose sight of this fundamental truth.
I thought sharing some basics on this theme may be useful to some of our readers. The first step in improving customer satisfaction is understanding what customers think. Do you know who your customers are and what they think of IT? I have used a simple 8-10 question survey that can be completed in 3-5 minutes for this purpose.
We encourage direct communication as well as conducting brief surveys of executives, physicians and middle managers on a regular basis (every 3-6 months). This information can be used to identify areas of declining satisfaction while measuring the change over time.
Key questions should be:
A few other related topics will be shared later in this issue and in next month’s newsletter. We welcome suggestions from our readers on what to include in the future.
John Haffty, President
Navin, Haffty & Associates
2014 Best in KLAS Planning and Assessment
2014 Category Leader Staff Augmentation
Below are some interesting and noteworthy items regarding MEDITECH:
KLAS held their annual awards ceremony at last month’s HIMSS conference. We were pleased to share a moment with our friends from MEDITECH who also received a “Best in KLAS” award for the Community HIS category. Below is a picture that captures this proud moment:
John Haffty, president of Navin, Haffty & Associates (NHA) alongside Hoda Sayed-Friel, executive vice president of MEDITECH and Helen Waters, vice president of sales and marketing for MEDITECH pose with their 2014 “Best in KLAS” awards.
READY is MEDITECH’s new implementation approach. In January, we started a series of articles highlighting benefits realized by clients that have completed or are underway with READY projects. While some of these examples may have been accomplished independent of 6.x implementation, they underscore the value that READY brings.
This month we will focus on benefits realized by Revenue Cycle as well as Quality and Risk Management.
Revenue Cycle (including registration, scheduling, Authorization and Referral Management (ARM) and bed management):
Quality Management (QM) and Risk Management:
We hope this information provides inspiration for recognizing opportunities within your current system and demonstrates where a migration to 6.x could provide value to your hospital. If you have specific questions regarding areas of benefit, let us know.
In addition to the publication of the proposed Stage 3 criteria and requirements, CMS also published a proposed set of Meaningful Use (MU) changes for 2015. These were published in the Federal Register on April 15 and require a 60 day comment period before they may be finalized. This comment period will end June 15 with an expected final rule to be published in mid to late July.
In this proposed rule, CMS is considering changes to the requirements for Stages 1 and 2 of MU for 2015 through 2017. These changes will align with the proposed requirements and criteria for MU Stage 3 beginning in 2017. In addition to proposing changes to many of the Core and Menu criteria, CMS has proposed several major programmatic changes including the following.
Details concerning modifications to each criterion are included in the links below:
The Department of Health and Human Services, through the Office of the Inspector General (OIG), is conducting multi-year Meaningful Use (MU) audits of physicians and hospitals. These audits include attestations back to 2011 for early adopters. Their purpose is to determine if Medicare and Medicaid incentive payments were properly made and to review CMS’ response when incorrect payments were made. It has been reported that two major audits have been conducted by the OIG with one identifying overpayment by CMS and the second identifying underpayments to providers and hospitals.
These multi-year audits are one of several recent changes in MU auditing. For the first time, the OIG has become involved in conducting audits rather than all MU audits going through Figliozzi & Company. In addition to these audits covering multiple years, there has also been an indication that they may include a closer review of HIPAA security assessments and remediation plans. The third change we have noted includes prepayment audits, which have been ongoing since last year, with an estimated 5% to 10% of attesting providers and hospitals receiving audits before payment.
The major takeaway is the probability of audit is substantial and audit defense documentation for all years should be available for submission on short notice. If sites have attested for several years and they have not yet been audited, it would be wise to review the completeness and sufficiency of documentation, and perform a mock audit.
The 2015 International MUSE Conference will be held at Gaylord Opryland Resort & Convention Center in Nashville, TN from May 26-29. There is still time to register.
If you are planning to attend, please stop by our booth #610. If you’d like to meet with us, contact John Haffty, firstname.lastname@example.org to schedule a time.
NHA is hosting two sessions featuring NHA clients who will share their experiences with implementing 6.x. While we believe our consultants have useful information to share, there is nothing better than speaking with colleagues. If you are considering migration to 6.x, you may want to attend.
Friday, 9:00 AM – Bayou D
1152 – Are You Ready for READY?
Two NHA 6.x clients who have successfully completed their 6.1 implementations using the READY methodology will present in a roundtable format encouraging maximum Q&A. Panelists include:
MEDITECH will also be active at MUSE. The MEDITECH gallery will be open Wednesday – Friday showcasing some of their newest products. They are also conducting the following sessions:
Finally, Hoda Sayed-Friel, MEDITECH’s executive vice president, will be the keynote speaker on Thursday morning.
Nurse & Home Care Forum
MEDITECH’s annual Nurse and Home Care Forum will be held June 17-19. This year will be the inaugural event for their new state-of-the-art conference center in Foxborough, MA. The keynote speaker will be Jane Englebright, Ph.D, chief nursing officer for HCA speaking on mobility and wearable technology for nurses. In addition to the networking and updates on MEDITECH development, there are a large number of presentations by hospital and home care users, sharing real world experiences and solutions. Register today.
Physician & CIO Forum
MEDITECH is combining its CIO/Technology and Physician Forums into one event this year. It will be held on November 5-6. Registration is now open. It’s not too early to get this on the calendar for your key physicians, CMOs and CMIOs.
Nurse and Home Care Forum // June 17-19, Foxborough, MA – Register
6.x Peer-to-Peer Information Exchange // September 16-17, Foxborough, MA – Register
Physician and CIO Forum // November 5-6, Foxborough, MA – Register
If you are interested in exploring new positions at other organizations, visit the client job board section of our website. This is a free service of NHA to the MEDITECH community. Currently there are many postings from MEDITECH organizations. If you or a colleague are interested, check out what’s open.
If you would like to include your organization’s listing on the NHA website, please email Katie Kelly at email@example.com. (Please note that as this is a courtesy to the MEDITECH community, we will not accept postings from recruiting companies.)
Since our inception, Navin, Haffty & Associates’ sole focus has been providing solutions that maximize the value of your MEDITECH EHR. The experience we have gained along the way has made us the largest and most respected MEDITECH consulting firm in North America. This exclusive focus has allowed us to provide clients with greater insight and understanding of MEDITECH’s capabilities and the expertise to better deliver innovative tools, solutions, and strategies that improve your operational performance and enhance patient care quality. Our proven track record has positioned us to become MEDITECH’s first and most experienced READY- certified consulting firm.
Our staff not only makes up the largest MEDITECH consulting team available, it is also comprised of the most experienced professionals in the industry. Our pool of 240+ consultants are some of the most seasoned professionals in the industry with an average 14 years of MEDITECH, 18 years of overall IT, 6 years of consulting, and 20 years of EHR/HCIS experience. By leveraging the combined expertise of our consulting team, Navin, Haffty & Associates stands second to none and is uniquely positioned to meet the needs of any organization utilizing the MEDITECH EHR. Our proven track record of success has led to Best in KLAS rankings for Planning and Assessment and Category Leader for Staff Augmentation.