In April we held our 2018 All Team Company Meeting, a tremendous gathering where the entire organization (approximately 200+ associates) came together in Boston for education and socialization. Our sessions included presentations by MEDITECH executives on their latest products and vision for the future, as well as education and training on our proprietary tools, which are designed to maximize value for our clients. We also reinforced the message that our culture is one of integrity, quality, collaboration and responsiveness. When we started this company in 2001, we had a vision of building an organization that lives its values and focuses on doing the right thing for our staff, our clients and MEDITECH.
This month’s newsletter includes an article about our vision and values. We challenge our staff to live these values and ask our clients and friends hold us to these standards. I believe we do an exceptional job of practicing our values, but if you ever feel we are not, please let me know.
John Haffty, President
Navin, Haffty & Associates
As more hospitals and health systems implement MEDITECH Ambulatory, we have seen a surge in requests for information about providing and pricing services to independent physicians and their practices. Beyond the various strategic business reasons for hospitals to offer these services, one of the challenges has been pricing. Many of our clients are in the process of considering this option and we’d like to share some thoughts for your consideration:
While we haven’t covered every question or scenario, we hope this provides some guidance on the topics you need to cover when developing a pricing strategy for independent physician practice services.
With Web Ambulatory now included in most Expanse (formerly 6.16) implementations, we want to share some lessons around the topic of conversions. First, some statistics:
As of April 2018, Navin, Haffty & Associates (NHA) has led, assisted or is active with 35 Ambulatory implementations.
Here is a breakdown of the numbers:
MEDITECH developed a set of conversion routines from MEDITECH/MPM to Ambulatory. Most organizations migrating from MPM have converted some data, although there is variation in the specific data sets converted.
Regarding other vendor data conversions, while MEDITECH optionally offers an extensive list of data that can be converted, to date only one of our eight LIVE clients has converted data, and most of what they converted was done manually. A number of our clients made a conscious decision to start with clean data as there were concerns with either the quality of the existing other vendor data or the challenges with mapping data, and the effort required to convert and trust the data.
While converting from MEDITECH/MPM to Ambulatory would seem to be easier, no conversion is easy or without significant expenditure of time and resources. NHA has developed a roadmap for these conversions. Further, knowing what is and isn’t converted allows your organization to plan appropriately. For example, MEDITECH does convert future appointments, but there are exceptions that will require manual effort. Specific to this example:
MEDITECH provides a Community Wide Scheduling (CWS) Migration Desktop. Here are some notes on the use of this tool:
Organizations should plan for significant validation effort.
Besides converting appointments, conversions from MEDITECH/LSS to Ambulatory are also available for encounters, immunizations, health maintenance and past family social history (PFSH). NHA has developed roadmaps for each of these conversions.
In previous newsletters, we discussed new content requirements for a patient’s Continuity of Care Document(CCD). In addition to these requirements, Centers for Medicare & Medicaid Services (CMS) has added two new measures to the Health Information Exchange (HIE) criteria: Request/Accept CCD, and Reconciliation of Clinical Information.
Incorporating an Inbound Continuity of Care
Meaningful Use (MU) Stage 3 requires the receiving hospital to incorporate inbound CCDs into a patient’s record. It is worth noting the denominator is the number of patients admitted/seen for which a CCD is available. Of this cohort, >10% will need to have their CCDs incorporated into the receiving facility’s EHR.
CCDs may be received through various channels; incorporation processes should be developed for each method, taking into account site specific requirements. The CCD can arrive via Direct Messaging or through the Inbound CCD Interface. If it arrives via the CCD Interface, acknowledgment can be accomplished within PCS Status Board, PCM Desktop or EDM Tracker. For CCDs arriving via Direct Messaging, the Process Direct Messaging routine may be used by providers or nursing. The initial effort will be to verify patient identity through an MPI match. If a match is verified, reconciliation of the CCD’s information may then be performed using functionalities built into the 2015 certified version of MEDITECH.
Organizations need to monitor compliance throughout the year, especially at the beginning of the attestation period. Without knowing how many patients will present with a CCD, a targeted effort should be made for patients seen early in the attestation period in order to maintain compliance above 10%. Organizations should consider automatically sending a request for CCD when admitting a patient; simply making the request will qualify to increase the numerator, and will likely increase the number received.
Clinical Information Reconciliation
Reconciliation of clinical information is an extension of the current medication reconciliation criterion, but adds the reconciliation of medication allergies and current problems to the requirements. The minimum compliance is >50% and requires reconciliation of all three sets in order to count as a positive in the numerator.
Medications, allergies and problems may be either supplied verbally by the patient, received on paper, or received electronically. Manual reconciliation will require minimal builds and follows processes found in current implementations. If received electronically, this reconciliation may be part of incorporating the CCD discussed above. Additionally, Pharmacy (PHA) users are also alerted when external, unreconciled data are available.
As with incorporating an inbound CCD, reconciliation of additional information will require time on the part of providers and clinicians. Education and training for all groups will need to be developed and conducted in order to achieve a >50% compliance throughout the year.
This is the fourth article of a four-part series covering MU Stage 3. Links to the first three are provided below:
“Meaningful Use Stage 3 Just Around the Corner” – February 2018
MU Stage 3 involves changes to all criteria and will require significant effort. For support with your preparation and planning, contact your NHA engagement executive, or email us at firstname.lastname@example.org.
As mentioned in the opening article, we would like to share with you our vision and values. These portray the tenets of our commitment to service excellence and doing what is right by our staff, clients and MEDITECH.
Our Vision: We maximize the value of the MEDITECH EHR by leveraging our collective expertise and working in the best interest of our clients.
Our Values: Since our inception in 2001, NHA has followed a vision and set of values that has helped distinguish us from other consultancies. As a privately held company, NHA is not influenced by external demands that conflict with our clients’ goals and objectives. Our privileged collaboration with MEDITECH fosters a positive relationship that naturally and directly impacts our clients’ success.
Integrity. We do the right thing by our clients, collaborating closely to achieve their goals and treating everyone with respect, honesty, and fairness.
Quality. We provide accurate, sound counsel and advice to our clients. Our recommendations are based on facts and collective experiences, not anecdotal evidence or opinion.
Collaboration. We care about the long-term success of each client and strive to foster trust-based, long-lasting relationships with MEDITECH, our clients and associates.
Responsiveness. We make ourselves accessible and available to our clients at all times and make it easy to do business with us.
Thought Leadership. We seek to be recognized for our depth and breadth of strategic and applications-specific knowledge, and strive to be the preferred source of thought leadership in the MEDITECH community.
Commitment. We are dedicated to our clients and associates:
Reputation. We will develop and grow our business through reputation and referrals.
In April, we held our All Team Company Meeting where over 200 colleagues gathered in Boston. For those interested, here is a group photo and a link to some pictures from this event. See if you might find one of your favorite consultants?
Each month NHA provides a few recent comments from KLAS. We are pleased that many of our clients participate with KLAS and we have a volume of comments to choose from (visit KLAS’ website to see all comments). We include this to share how our clients feel about their experience with NHA and as a counter-point to competitors who suggest they have significant experience but have far fewer clients providing commentary to KLAS. While not perfect, we believe KLAS provides the best representation of a vendor’s performance and believe we owe it to our clients and prospective clients to be transparent.
Below are recent comments from April:
“Navin, Haffty & Associates came in and trained some of our new users on our MEDITECH system. MEDITECH had stopped doing training on our particular system, so they recommended Navin Haffty. We bought a bucket of hours and told Navin Haffty what we wanted to learn more about. They gave us a list; we specified which areas the new folks need to learn. We had leftover hours that we can apply at any time. It was really nice that Navin Haffty customized things for us. They didn’t just give us a standard offering. They told us what they would do if they were to do things end to end and asked us which pieces we wanted. I really enjoyed working with Navin Haffty and would definitely work with them again.”-Director
“Navin Haffty was very on top of hitting timelines and flexible in their timing. We didn’t have to sign the contract and then wait for a month to get started. I was really impressed with the engagement overall.”-Director
Please note selected commentaries may not represent the whole of provider sentiment related to this product or service. For a complete view, visit KLASresearch.com.
NHA will attend the e-Health 2018 conference in Vancouver on May 27-30. We are excited to be presenting at the conference on Tuesday, May 29 and our topic, “Aligning your EHR Implementation with HIMSS Stage 7,” will be of great interest to many of you. This presentation will be led by Karen Shearing, who has project managed multiple hospitals through the successful implementation of MEDITECH Expanse (formerly 6.16). In this presentation we will highlight specific actions that have measurably improved patient outcomes.
If you are planning to attend and would like to meet with us, contact David LaFontaine, Senior Vice President of Business Development, at email@example.com.
NHA is pleased to be exhibiting at the 2018 International MUSE conference, known this year as Inspire. It kicks off with pre-conference sessions and the Executive Institute on Tuesday, May 29. Regarding the Executive Institute, we are pleased that two NHA clients, Eric Carey, CIO, The Valley Hospital, Ridgewood, New Jersey and Denni McColm, CIO, Citizens Memorial Hospital, Bolivar, Missouri, are among the presenters, as well as Corinne Proctor Boudreau of MEDITECH.
The regular conference will be held Wednesday, May 30 – Friday, June 1.
Our President, John Haffty, along with Chris Roggenstein, President of Forward Advantage and Jim Fitzgerald, Chief Strategy Officer of CloudWave, will conduct a panel discussion on Wednesday, May 30 at 1:30 entitled: “Views of the Future from MEDITECH’s Vendor Partners.” Here is a brief description of the session:
Sharing their views of the future, the presidents of several MEDITECH partner vendors will provide their perspective on industry trends impacting healthcare organizations and how they prepare for these changes with a focus on MEDITECH specific products and plans. Participants can learn how this vision translates into and/or supports the future and vision of the MEDITECH EHR. The session will be long on audience participation and is intended to engage the attendees in a robust discussion and how they can take these vendors’ visions and apply them to their own organizations.
If you are attending, we can be found at Booth #610. As you make your plans for 2018 International MUSE Conference, be sure to stop by our booth to say hello, or pre-arrange a meeting by contacting John Haffty at firstname.lastname@example.org.
Join MEDITECH at its annual Nurse and Home Care Forum on June 13-15 at the Foxborough location as they highlight strategies that will give you the freedom and flexibility to provide safe, patient-centered care. Hear from your peers as they discuss ways they’re using information technology to:
Click here for more information or to register.
For more information, click here.
May 10-May 12, Orlando, FL
Join MEDITECH in booth #114 at the 2018 ANIA Annual Conference, and learn how MEDITECH Expanse helps nurses coordinate care across the continuum.
May 15-May 16, London, United Kingdom
Healthcare is going through a digital transformation. Stop by stand #254 during UK e-Health Week 2018 to learn how MEDITECH is leading the charge.
May 27-30, Vancouver, BC
NHA will attend this year’s e-Health Annual Conference and Tradeshow, Canada’s national healthcare conference. Don’t miss our presentation of “Aligning your EHR Implementation with HIMSS Stage 7,” Tuesday, May 29, 12-1 p.m. local time.
May 29-June 1, Orlando, FL
NHA Booth #610
Be sure to attend “Views of the Future from MEDITECH’s Vendor Partners,” a panel discussion to be led by John Haffty, Chris Roggenstein, President of Forward Advantage and Jim Fitzgerald, Chief Strategy Officer of CloudWave, on Wednesday, May 30, at 1:30 p.m.
Session 1109, room Sarasota 2.
June 13-15, Foxborough, MA
Join MEDITECH at its annual Nurse and Home Care Forum as they highlight strategies that will give you the freedom and flexibility to provide safe, patient-centered care. Hear from your peers as they discuss ways they’re using information technology to:
Upcoming MEDITECH webinars:
May 15, 2:30 PM Eastern
See how MEDITECH’s Ambulatory solution is a fully integrated part of MEDITECH’s Expanse EHR, designed specifically for the office setting, with guidance from MEDITECH’s own practicing physicians.
May 16, 2:00 PM Eastern
Learn how MEDITECH Expanse Web Point-of-Care (POC) software offers flexibility to the care providers’ workflow. Attendees will learn how these components help nurses, LPNs, aides, therapists and other clinicians and how POC complements the mobile capabilities of MEDITECH’s Patient Care and Patient Safety solution.
May 17, 2:00 PM Eastern
Learn how MEDITECH’s end-to-end integration can help you to minimize lost charges, reduce claim rejections, and improve employee productivity.
May 21, 2:00 PM Eastern
See how MEDITECH Expanse offers physicians the modern, personalized workflows they deserve, through mobile web-based navigation.
May 23, 2:00 PM Eastern
Learn practical steps you can apply now to help take your organization’s information security to the next level. Based on industry research and best practices, this webinar will cover cybersecurity threats and preparedness.
May 30, 2:00 PM Eastern
As the healthcare paradigm shifts from volume to value, see how MEDITECH can facilitate new roles, processes, and strategies to help you deliver proactive care at an affordable price.
Can you please update this to the link to link to the event on MEDITECH.com: https://ehr.meditech.com/events/e-health-2018-annual-conference-tradeshow
If you are interested in consulting, consider joining us. NHA continues to need excellent MEDITECH specialists and for the fourth year in a row, we have been named to the Top 100 “Best Places to Work” by Modern Healthcare magazine.
We are currently looking for those with MEDITECH 6.1 implementation experience, with a special interest in clinical leads/project managers, and specialists in the General Financials, HR/PP, AMB and RCG applications.
Please note that at this time we are only able to consider those able to travel up to 80% of the time (also employees from MEDITECH and our clients cannot be considered).
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.