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KIDS & TEENS MEDICAL GROUP . L.A. Care: HIT conference October 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.
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KIDS & TEENS MEDICAL GROUP L.A. Care: HIT conference October 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.
