quirk healthcare: upgrades
TRANSCRIPT
Upgrades Wednesday, December 11, 2013
Disclaimer: Nothing that we are sharing is intended as legally binding or prescrip7ve advice. This presenta7on is a synthesis of publically available informa7on and best prac7ces.
Agenda
• Introduc.ons • Upgrades – NextGen 5.8 – KBM 8.3
• What’s next?
• Q&A
Survey
• What is the one thing you want to take away from this webinar?
Why it makes sense to upgrade
• ONC-‐2014 Edi.on Cer.fied • ICD-‐10/SNOMED and Meaningful Use Stage 2 (MU 2) ready
• Prerequisite for KBM 8.3 upgrade
How do you stack up?
5.7
Easy upgrade
– sit pre^y
5.6
to later version is easier – sit pre^y
5.5
to later version is a HUGE upgrade – RUN
Some of the biggest changes
• PIN is gone! • Performance, especially around database table indexing
• New diagnosis module • Changes in the Medica.on Module • New features in template editor • Improved Medica.on Reconcilia.on • Advanced Audit is required
What should/shouldn’t be turned on
• Hold off on ICD10 mapping • Turn on HCC indicator in problem/diagnosis module • Leave off all the extra pa.ent educa.on choices for ini.al roll out – Stay with Healthwise and then add external sources later.
• Discuss Prescribing Delegates at length – Recommend leaving off, unless workflow requires the feature
• Leave off pa.ent informa.on bar un.l 8.3 • Review BBP enhancements
Poll
• Do you plan to do your upgrade in-‐house? – Yes – No
KBM 8.3 Upgrade
• NextGen users on KBM version 8.1 or earlier or non-‐KBM version must upgrade
• ICD-‐10 and Meaningful Use (MU) Stage 1 and Stage 2-‐compliant
• Time, cost, and effort for upgrade predicated on current KBM version
• Scope of conversion based on level of customiza.on, data mapping, and workflow changes
Where are you in the KBM zone?
Outright scary
Pre-‐KBM Custom
Repent earthly sins Migrate to North Korea
Pre<y bad
7.6 7.7 7.8
Drop other HIT projects Determine upgrade plan
Doable
7.9 8.0
Get 8.3 BTU
Test 8.3 BTU
Op?mal
8.1
Get 8.3 BTU
Test 8.3 BTU
Some of the biggest changes
• ICD-‐10 and MU2 compliant • Founda.on Template Set • Choice of plan details • Family history • Health promo.on • Real-‐.me Clinical Quality Measure (CQM) check
• Immuniza.on module
Poll – Will You Be Preserving Your Customiza.ons? • Yes • No • No Customiza.ons
Do you have the right hardware?
• Windows Opera.ng System • Windows worksta.ons
• Server size • Development environment
• SQL Server • Separate SQL server for reports, HQM, and Advanced Audit
Op.mal Project Plan
• Developing a plan for 2014 is impera.ve
A step in the right direc.on
Iden.fy core team
Create project plan and
assign tasks
Workflow and gap analyses
Training and tes.ng
Apply upgrade
and go live
Project considera.ons
Resources
Tasks
Budget Goals,
Milestones, and Timelines
Risk Management
Project considera.ons -‐ con7nued
Impact analysis Integra.on Communica.on
What’s Next?
December 18, 2013 – ICD-‐10
January 8, 2014 –
Meaningful Use 1
January 15, 2014 –
Meaningful Use 2
January 22, 2014 – Pa.ent-‐Centered Medical Home (PCMH)
January 29, 2014 –
Accountable Care
Organiza.ons (ACOs)
