Wednesday, November 10, 2010

#WHIT Moving to meaningful use with MedPlus (Quest) Care360.

More from WHIT

8:20 am -
9:15 am
OPENING KEYNOTE PANEL DISCUSSION: Moving Towards Meaningful Use One Step at a Time - Lessons from the Practice Front Lines
  • Utilizing information to improve quality, satisfaction, and efficiency by redesigning and reengineering the delivery of care through innovation and information technology
  • Hear first-hand experience from a small practice provider on their adoption process and how they dealt with issues related to capital, workflow, data security, interoperability and other challenges
  • Assess the role of one payer in supporting physician adoption before Meaningful Use was established and the complementary eHealth program that was designed to advance physician technology innovation
  • Examine a new EHR approach that enables faster implementation, physician adoption and access to ARRA incentives

Paulo Andre, MD
Attending Neurologist, Neurological Services P.C., 
MetroWest Medical Center,
Vice President,
MetroWest Healthcare Alliance 

 View Biography

Meera Kanhouwa, MD, MHA, FACEP
Medical Information Officer
MedPlus, a Quest Diagnostics company 

 View Biography

Gregory S. LeGrow
Director, eHealth Innovation
Blue Cross Blue Shield of Massachusetts 

 View Biography

Greg LeGrow talking about Care360 EHR pilot at BCBSMA

Only 32% of small physicians have an EHR solution.

Lessons learned:
- Active Physician Champions are vital 
- Sponsorship and Financial Subsidies
- Choice of Lab and Radiology to address lock in fears
- Provider Advisory Group online community to increase level of engagement and peer support

Dr Paulo Andre:

EHR features required:
- Web Based
- Share data across the network not just in a practice
- Clinical notes
- Clinical messages
- Tests: Lab results, images etc.

Most EHRS made it difficult to share online, had a big learning curve, disrupted workflow and productivity, were complex and expensive ($500/month and $40k/Doctor)

They wanted something as simple and flexible as gmail.

MedPlus Care360 provides:
- web-based
- Easy sharing
- Disease Registry and able to send HEDIS quality feedback via EHR Message system
- Flexible data input: type, Speech recognition or upload transcriptions
- No impact to patient throughput - workflow doesn't impede workload
- Online upgrades make it easy to maintain
- Intuite and minimal training needed.
Phase 1: e-perscribe, Messaging
Phase 2: EHR with notes.

- Accessible from iPhone and iPad.

MetroWest experience:

100 Physicians in 40 Facilities selected Care360
74 from 30 facilities have activated Care360.
59 Physicians at 27 facilities are using Care360 daily.
Paper to Electronic transition in 4 weeks.

Meera Kanhouwa, MedPlus:

MedPlus: >160k physicians and >70,000 Practices
>120 EMRs

MedPlus is an IT subsidiary of Quest Diagnostics.

Average time to deploy is 16 business days.

94% of all US Practices are 5 physicians or less.

4,500 physicians in Maryland are connected.

- 40B Lab Results for 120M patients.
- Medication History, inc. Vaccines and allergies.

Quest connects to Google Health, KEAS and Microsoft HealthVault.

Care360 Mobile on iPhone/iPad.

Partnership with HP to deploy equipment and connectivity.

Actively involved with RECs.

Subscription based system. Data is not held hostage.

Care360 is a hosted single instance system. Every physician (172,000+) on Care360 is in the network. 

Interesting note:
10 Physician referrals increase a hospital bottom line by $1 M to $1.5M.

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