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Orders Made Easy. Pat Wolfram, Ignis Systems Ekem Merchant-Bleiberg, Alliance of Chicago. Why orders matter. Use of orders improves lab results and quality of care Improve your EMR ROI Needed for “meaningful EMR use” Required for Medicare reimbursement under the HITECH Act of 2009.

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Orders made easy
Orders Made Easy

Pat Wolfram, Ignis Systems

Ekem Merchant-Bleiberg, Alliance of Chicago


Why orders matter
Why orders matter

  • Use of orders improves lab results and quality of care

  • Improve your EMR ROI

  • Needed for “meaningful EMR use”

    • Required for Medicare reimbursement under the HITECH Act of 2009

EMR-Link | ORDERS MADE EASY


Why has emr orders been difficult
Why has EMR orders been difficult?

  • Setup can be tough

    • Setting up the tests in Centricity

    • Establishing insurance-to-provider relationships

    • Coding: CPT for billing vs. “xyz” for the lab

  • Getting the order to the lab is tough

    • Does it contain the information the lab needs?

    • Can it be sent through an interface?

EMR-Link | ORDERS MADE EASY


Survey biggest challenge with orders
Survey: Biggest Challenge With Orders

EMR-Link | ORDERS MADE EASY


Workflow hassles
Workflow Hassles

EMR-Link | ORDERS MADE EASY


Setup maintenance hassles
Setup/Maintenance Hassles

EMR-Link | ORDERS MADE EASY


About ignis and emr link
About Ignis and EMR-Link

  • We focus exclusively on lab and radiology orders/results and their interfaces

  • We’ve learned to automate orders setup

  • 3,000 physicians using EMR-Link today

  • We have over 70 live sites on lab orders

  • Labs connected: Labcorp, Quest, OML, PAML, CPL, Meditech, … others being built

EMR-Link | ORDERS MADE EASY


Why emr link
Why EMR-Link?

  • More than just an interface

  • Easier order/result workflow reduces errors and rework

  • Solid ROI

  • Orders are easier to set up

  • Your best connection to outside services (reference labs, hospital labs, radiology, cardiology)

EMR-Link | ORDERS MADE EASY


  • More than just an interface

  • Easier order/result workflow

  • Orders are easier to set up

  • Solid ROI

  • Your best connection to outside services


Emr link more than an interface
EMR-Link: More than an interface

  • Adds requisitioning to the EMR workflow

  • Checks ABN compliance

  • Enhances the overall order/result workflow

  • Tunes up your results interfaces

  • Includes the orders/results interfaces

EMR-Link | ORDERS MADE EASY


  • More than just an interface

  • Improved order/result workflow

  • Orders are easier to set up

  • Solid ROI

  • Your best connection to outside services


An improved order result workflow
An Improved Order/Result Workflow

Requisition

Physician orders the lab test

Lab processes the test

Physician reviews results

Lab resultsreturn to charts

EMR-Link | ORDERS MADE EASY


Ordering for the physician
Ordering (for the physician)

  • Zero additional clicks to order a lab

  • Ordering from a single set of lab tests

  • No-hassle ABN checks

Physician orders the lab test

EMR-Link | ORDERS MADE EASY


Requisitioning for the nurse or phlebotomist
Requisitioning (for the nurse or phlebotomist)

  • No re-entry of the order

  • No mistakes to fix

  • AOE questions are supplied by the lab (not your IT team)

  • Specimen details are provided here

Nurse completes requisition

EMR-Link | ORDERS MADE EASY


Accessioning at the lab
Accessioning (at the lab)

  • No data entry, saving time and mistakes

  • All AOE clinical data there (no callbacks to the clinic)

  • All needed insurance info is in the order

  • ABN has been verified

  • The lab has everything they need to send back a good result

Lab processes the test

EMR-Link | ORDERS MADE EASY


Lab results in your emr
Lab results (in your EMR)

  • Results match to the chart (no more 6:00 am corrections)

  • Results get to the flowsheet

Lab results return to charts

EMR-Link | ORDERS MADE EASY


Signing results for the physician
Signing results (for the physician)

  • The ordering provider is notified (not the responsible provider)

  • The EMR order is automatically marked as Complete

Physician reviews results

EMR-Link | ORDERS MADE EASY



  • More than just an interface

  • Improved order/result workflow

  • Orders are easier to set up

  • A solid ROI

  • Your connection to all outside services


Order setup challenges today
Order setup challenges today

  • Getting order data into the EMR is difficult

  • Coding

    • Billing: will CPT codes be needed?

    • But your lab doesn’t use CPT codes

  • Sending the order to the right lab

    • Setup of insurance/provider relationships is tough

    • The coding problem again for multiple labs

EMR-Link | ORDERS MADE EASY


Implementation time improvements at alliance of chicago
Implementation Time Improvements at Alliance of Chicago

2

1

4

3

EMR-Link | ORDERS MADE EASY


Solution simplify and automate
Solution: Simplify and automate

  • For labs, start with what you already have: your lab utilization reports

  • Take advantage of Centricity’s clinical kits

  • A simpler insurance-to-service provider model

  • Simple lab code setup outside the EMR

  • Automate with Orders Builder and Results Builder

EMR-Link | ORDERS MADE EASY


From lab utilization to emr your emr lab orders are created
From Lab Utilization to EMR, Your EMR Lab Orders are Created

Lab Utilization Reports

EMR Clinical Kits

Orders Builder

EMR

  • A year’s worth of lab history

  • Order descriptions

  • Order codes

  • Volumes

EMR

Orders Builder

EMR-Link | ORDERS MADE EASY


The insurance service provider rules
The Insurance-Service Provider Rules

EMR

Insurance Rules

Lab “B”

Lab “A”

EMR-Link | ORDERS MADE EASY


The lab codes
The Lab Codes

Lab “B” Order Codes

EMR

Insurance Rules

Requisitioning

Lab “A” Order Codes

EMR-Link | ORDERS MADE EASY


Lab code maintenance
Lab Code Maintenance

  • For the small changes – Update your EMR-Link table

  • Big changes – Use the Orders Builder

EMR-Link | ORDERS MADE EASY


Updating a single lab code
Updating A Single Lab Code

Clinic’s EMR-LINK Account

Lab

Lab compendiums

  • Point-of-care ABN Validation(Uses lab’s ABN rules)

  • Rules-based routing (insurance and location)

  • Clinic specific mappingof EMR-to-Lab data

  • Order Entry Questions

  • Requisition printing

  • ABN printing

  • Label printing

Lab 2

Lab 1

Clinic’s mapping tables

Requisition Completion

4

5

6

  • HL7 compliant ORM

  • Complete order information to lab’s requirements

HL7Order

3

Current Order

Routing Rules (choose the lab)

7

Lab

Requisitioning

Database

EMR-Link Connector

  • Manifest Reports

  • Future Orders

  • Billing interface back to PM (future)

2

2

  • Secure HTTPSdownloads

  • Auto-Completion

  • Physician desktop notification

1

3

8

EMR-LinkConnector

Lab Result Manager

Your EMR

Order Codes

Meds

Electronic (HL7) Result

LIS

LinkLogic

Radiology

Services

Clinic’s EMR


Big maintenance changes
Big Maintenance Changes

Lab Compendium

EMR Clinical Kits

Orders Builder

EMR

  • Order descriptions

  • Updated order codes

EMR

Orders Builder

EMR-Link | ORDERS MADE EASY


  • More than just an interface

  • Improved order/result workflow

  • Orders are easier to set up

  • Solid ROI

  • Your best connection to outside services


Solid roi
Solid ROI

  • Demo of the ROI worksheet

EMR-Link | ORDERS MADE EASY


  • More than just an interface

  • Improved order/result workflow

  • Orders are easier to set up

  • Solid ROI

  • Your best connection to outside services


Routing orders to the right lab bringing the results back
Routing Orders to the Right Lab: Bringing the Results Back

Clinic’s mapping tables

Requisitioning

Lab

Electronic (HL7) Order

Lab

Lab Result Manager

Lab

Your EMR

Order Codes

LinkLogic

Meds

Radiology

Electronic (HL7) Results

Services

Clinic’s EMR


Radiology cardiology and labs
Radiology, Cardiology and Labs

Clinic’s mapping tables

Requisitioning

Hospital

PACS

Lab

ECG

Lab Result Manager

Your EMR

Order Codes

LinkLogic

Meds

Radiology

Services

I/F Engine

Clinic’s EMR



Summary orders made easy
Summary: Orders made easy

  • CPOE and “meaningful use.” Get ready!

  • It’s about workflow.

  • Setup can be simpler.

  • An orders interface is only part of the solution. It’s part of a requisition.

EMR-Link | ORDERS MADE EASY


Closing
Closing

  • For more details on the tools………..stop by the CHUG booth……or attend one of our Webinars.

  • The ROI worksheet

  • Contact us any timewww.emr-link.com

EMR-Link | ORDERS MADE EASY


Www emr link com
www.emr-link.com

Contact Us

The ROI Worksheet is here

EMR-Link | ORDERS MADE EASY


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