a short survey customer about email successes · meaningful use— preparing for attestation...
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Message fromSenior Management
A Short Surveyabout EmailJoel BermanPresident
Meaningful Use—Preparing for
Attestation
CustomerSuccesses
UpcomingWebinars
Message fromSenior Management
A Short Survey about EmailJoel Berman, President
At Iatric Systems, we send marketing emails with the goal of informing you about importantindustry issues, and about our products and services. We hope that you find value in these emails.
We recognize that every one of our customers has a different tolerance for emails, depending onthe vendor, topic and frequency. Therefore, to better understand how our marketing emails can bemost helpful to you, we have developed a short survey that we encourage you to complete. Yourresponses will be anonymous and will help us improve our marketing email practices so that wemay better serve you.
Please click on the following link to complete this 60 second survey. We appreciate your time andhelp.
Iatric Systems Email Marketing Survey
Meaningful Use—Preparing for Attestation
Meaningful Use—Preparing for AttestationMeeting the long list of Meaningful Use objectives can be overwhelming for most hospitals, but itdoesn't have to be.
Watch this short video now and discover how one hospital has significantly eased this burdenusing Iatric Systems Meaningful Use Manager.
In this video you'll hear Frank Fear, VP of Information Services at Memorial Healthcare, tell whyhis hospital chose Iatric Systems Meaningful Use Manager, how they implemented it and thepositive impact it's having.
Contact us to learn more at [email protected] or 978-805-4100.
Customer SuccessesIatric Systems offers many solutions to hospital and healthcare systems diverse challenges;including patient privacy, integration and Meaningful Use attestation. These customers sharedtheir stories of how our solutions helped solve these challenges.
Security Audit Manager (SAM)Newman Regional Health needed a solution that would enable the organization to comply withHIPAA and subsequent security legislation. The HITECH Act of 2009 and its breach notificationcomponent require proactive review of employee access to patients’ protected health information.The Act gives teeth to HIPAA, with its steep penalties for violations.
IntegrationScottsdale Healthcare wanted to bring together separate clinical information systems to maximizeusability of data, automate workflowsand improve delivery of care. They needed to achievetransparent, two-way integration for many different data elements between their Picis ED systemand the core clinical and hospital information systems provided by McKesson.
Meaningful Use AttestationAshe Memorial Hospital is a Critical Access Hospital (CAH) located in the northwestern corner ofNorth Carolina. Nursing and IT leadership at the small rural hospital wanted to attest for Stage 1Meaningful Use as quickly as possible in order to maximize incentive payments. Measuringcompliance using the hospitals existing Health Information System (HIS) was an extremelytimeconsuming and labor intensive process so they looked for a certifed tool that would make the
cumbersome process easier and lead to earlier attestation.
For more information on these stories or solutions, please contact Amanda Howell [email protected] or 978-674-8121.
Upcoming WebinarsIatric Systems is offering several webinars covering a wide range of solutions for your mostpressing issues. We've planned webinars to help you with healthcare interoperability,computerized physician order entry (CPOE), data formats and patient privacy.
Register below for these sessions. Iatric Systems product solutions can help your facility improvepatient care and advance your hospital's clinical, financialand administrative capabilities.
Date Day Time
3/28/12 Developing Your Healthcare Interoperability Strategy: Top 7Questions to Ask 2:00 pm ET
4/5/12 Achieving the full promise of CPOE with evidence-based ordersets 2:00 pm ET
4/11/12 VSB Notification Provides Real-Time Alerts 2:00 pm ET
4/17/12 iStaff—Employee Portal and More 2:00 pm ET
4/24/12 Learn How to Manage Multiple Data Formats 2:00 pm ET
4/26/12 Learn How to Manage Multiple Data Formats 2:00 pm ET
5/9/12 Public Health Interfaces: How do State requirements affect myhospital? 2:00 pm ET
5/10/12 How to Implement a Successful Patient Privacy Program 2:00 pm ET
For more information on these webinars, please contact Amanda Howell [email protected] or 978-674-8121.
We look forward to seeing you online!
Revenue Cycle Improvement TipsKay Jackson, Manager, Software Certification, Compliance and Financial
What could change with Accountable Care Organizations (ACOs)? Is America ready?
ACOs were created to improve care and trim costs, but what will it really mean to providers orpatients? Six aims for improvement in quality healthcare outlined by the IOM in 1999 included(a):1. Safe, 2. Effective, 3. Patient-Centered, 4. Timely, 5. Efficient, 6. Equitable. Have we made anyheadway in moving forward with a new method of providing care since this article was publishedin 1999?
Many customers I work with have made major changes and are ready for the next step for patientcare and reimbursement. Meaningful Use is helping significantly with this advancement. The keydesign principles in Accountable Care Organizations introduced to the Medicare Payment AdvisoryCommission (MedPAC) in 2006 from an article published by Dr. Elliott Fisher are Accountability,
Performance Measure and Payment Reform. Accountability includes returning the power andleaderships of these organizations to physicians(b). Performance measure is designed to providetransparency to patients and other stakeholders. Payment reform is a fundamental change fromthe fee-for-service reimbursement model, which some experts feel has resulted in rewardingproviders instead of holding them accountable.
The ACO model also has a strategy to offer consumers options on tiered premiums and tiered co-payments. These changes may move consumers from an entitlement mindset to an attitude ofshared responsibility for decision making. So big changes are in store, both for patients regardingtheir healthcare expectation and for how hospitals manage data and provide caregivers access tothat data. The ACO model is a united front of providers providing the best and most economicalcare for patients under their supervision. It also aims to allow patients to be more proactive withtheir medical costs and hold providers accountable for both cost and quality of care. It will beinteresting to see what the next 10 years of change will bring to healthcare.
References: Recently I have been reading two books about Accountable Care Organizations thatI recommend:“Clinical Integration-A Roadmap to Accountable Care” by Dr. Bruce Flareau (Author), Dr. KenYale (Contributor), Ms. J.M. Bohn (Contributor), Mr. Colin Konschak (Contributor)
“Accountable Care Organizations-Your Guide to Strategy, Design and Implementation” by MarcBard (Author), Michael Nugent (Author)
Articles:Wall Street Journal: Can Accountable Care Organization Improve Health Care while Reducing Costs?HealthBlog: Purchasing healthcare on “a wing and a prayer”? There’s a better way.
Sources(a) IOM, 1999 report: To Err is Human.(b) Transcript available for MedPAC.
Next month: How should we prepare for ACOs?
NPR Report Writing TipsJoe Cocuzzo, Vice President – NPR Services
NPR Tip: Oh Sheet! (of labels)
If you had to print a sheet of labels for a single patient, in Word you could just type theinformation, pick the “envelopes and labels” wizard, find your Avery stock number and push abutton. In the NPR report writer, life is not as simple.
The first problem is that the Characters Per Inch and Lines/Inch fields on Page One (General Tab)are ignored if you are printing to a laser. The Report Writer selects those values based entirely onthe characters per line value. If you try to lay out 6 lines per label, the output will creep up thepage, even though your labels are exactly 1” high and the report seems to be set to 6 lines per inch.
Short of breaking out the LA120 or Genicom (dot matrix printing will respect your CPI and LPIvalues), what can you do?
Years ago, Joel showed a cheesy way to cope with the creeping up the page, by including some codethat sent an extra CR/LF every 3 lines as follows:
The \ operator is “modulus” or remainder on division. Each time CNT divides evenly by 3 (line 3,line 6, line 9) we send an extra CR/LF. That sufficiently corrects the creep up the page so we hitour labels, although things shift up and down a bit, as you are not doing exactly 6 or 8 lines perinch but instead are tossing in a correction every 3 lines.
A better method is to call a special Z program that will set the printer characteristics to use thevalues from the General Tab (Client/Server) or Page 1, and to just use three sets of fields bywrapping them in a DO loop.
The program call is: %Z.printer(/R.CPI,/R.LPI,/R.PS,/R.CPL,/R.LP,{"",{/R.CPI},{"",/R.LPI}})
You can use it AL BEFORE.PRINT or (in a report that does not have any edited sort fields) you canuse it AL START. AL START will not work in a report with sorts that have been changed becausethe printer is released while the records are compiled and the report sort file is built (Number ofRecords Sorted Message appears), then the printer is re-initialized and your Z.printer call basedsetting would be over-ridden.
In a report that just prints for one patient, we can use the call in an AL START footnote, directly.This report is going to pick the record and go directly to printing, so the setting up we do in ALSTART will not be spoiled by a printer re-initialization after the compile of the temp file.
If we were sorting records, we would need to use an AL BEFORE.PRINT footnote and call a macroby name, as the line of code will not quite fit:
The next step is to build three blocks of fields on the report picture in a detail section that is either6 lines or 8 lines high, depending on whether you have set up your report on page one to be 6 or 8lines per inch. To allow the three blocks to fit into the three-across labels, I have shortened thename fields (patient and doctor) to 27 characters by adding a LEN=27 attribute. Without this, Icannot push the third set of labels close enough to the right margin to fit.
Once the blocks are aligned to fit the top three labels, I could use the block copy command (MAGICF1/F2, Client/Server Ctrl F9/CtrlF10) to put nine more sets on the picture. The problem with thisapproach is that any additions or modifications to the label need to be done in 30 places instead ofthree.
Instead, we can use the ECB (Extra Code Beginning) and ECE (Extra Code End) commands towrap a loop around the six lines to print them a total to 10 times:
There is one flaw in this approach, with a 60 line page, the carriage return/line feed at the end ofline 60 will cause an extra blank page to print. Changing the page size to 61 will not fix this.
What is happening is that the report writer is sending a CR/LF at the end of line 60 and the printerforces a new page. One way to fix this is to suppress the CR/LF on line 6 (the last line of the block)and send the CR/LF “yourself” for only the first 9 sets of labels. The line attribute on line 6 nowbecomes:
The report translator wants a “RL” (Record Length) footnote added to any report where you usethe NL=N line attribute, so we add RL 92 to the footnotes:
This approach works exactly the same for a C/S report. Example reportsADM.PAT.zcus.is.label.sheet have been added to our NPR Report Library.
Here are the Avery 3 x 10 labels with a Code 128 bar code of the account number:
Search our report library for more NPR tips:http://www.iatric.com/Information/NPRReportLibrarySearch.aspx
You can find additional NPR Tips on our website athttp://www.iatric.com/Information/NPRTips.aspx, as well as information about our on-site NPRReport Writer Training and NPR Report Writing Services.
Read Joe's blog posts at MEDI-Talk.
Upcoming NPR Training Opportunities:
We are pleased to offer NPR Report Writer training sessions at host sites. Details and a coursedescription are available on our website at http://www.iatric.com/Information/Classes.aspx.Location Level Instructor Date StatusValley PresbyterianHospitalVan Nuys,CA
Intermediate /Advanced
PhilipSherry
September 10-12,2012
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