Research Paper: Practice Fusion Strategic Planning Document

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[. . .] Avatar PM, case management, Avatar CWS, and industry leading EHR management solutions. Benefits of this system including the reduction of budgets and staffing and automation of clinical processes, compliance with emerging electronic health record (EHR) requirements; flexible, next-generation financial, clinical and management systems including electronic medical billing; Interest in applications to support caseworkers in mobile, disconnected settings; Desire for data analysis, reporting and benchmarking.

(2) Vendor: Defran Systems

Website Address: www.defran.com

Solution: Evolv-CS

Overview: EVOLV-CS is a completely integrated Electronic Health/Medical Record (EHR/EMR) and AR/AP sub-ledger system. Included are case and clinical management tools that are of an advanced nature as well as reporting and billing features and supports. Included in benefits are automation of administrative tasks, revenue increases, cash flow improvement, and data entry and paperwork reduction.

Core Features of the System:

Referral Processing & Intake

Client Information & Record Management

Assessments & Treatment Planning

Service Delivery & Productivity Aids

Quality Improvement & Outcomes Management

Resource Family & Facility Management

Comprehensive & Integrated AR / AP Management

Extensive Reporting Solutions

Front Desk Scheduling and Resource Management

(3) Vendor: REHAB-EMR

Website Address: www.rehab-emr.com

Solution: REHAB-EMR

Overview: This is patient-centered software that specializes in paperless charting and documentation for physical and occupational therapists in outpatient rehabilitation clinics, skilled nursing homes, sub-acute rehab centers, and hospitals. Benefits of the system include enhanced Productivity, Reduced Overhead Costs, Improved Patient Care, Clinical Documentation At Point-of-Care, Intuitive System Workflow, Automated Coding and Compliance, More Effective Management, Customizable Functionality, Lower Cost of Ownership, Enhanced Analytics

Features: An innovative therapy documentation system designed for physical and occupational therapists and their administrators, web-based system designed to use internet/intranet technology. Access to the system is through a standard Web browser and supports a wide array of hardware platforms, including wireless Tablet PC's and Laptops, Linux, SQL-based

(4) Vendor: SourceMedical

Website Address: http://sourcemed.net/

Solution: TherapySource

Overview: TherapySource is a therapy practice management software solution, delivering comprehensive functionality and is used by the majority of all large PT chains in the U.S. TherapySource is a scalable solution for small clinics and built to streamline and automate clinical and financial processes, including EMR, scheduling, registration, clinical documentation, billing, revenue cycle management and more. TherapySource physical therapy software is ideal for clinics looking for software that can grow with them. Benefits include the system being built to handle multiple sites across the enterprise, TherapySource is the practice management solution for large chain clinics in America. Whether you own 2 or 2000 clinics, TherapySource is the most scalable, comprehensive practice management system in the industry. TherapySource has a built in EMR featuring a unique knowledge base designed by top rehab professionals in the industry. TherapySource is the best business partner for managing scheduling, registration, clinical documentation, billing, revenue cycle management... And much more.

Major Features: Reporting and Clinical Documentation; Scheduling and Clinical Documentation; Coding, Billing & Collections

(5) Vendor: Optimus EMR, Inc.

Website Address: www.optimusemr.com

Solution: Opitmus EMR, C.N.A. Kiosk or PDA Point of Care Module

Overview: The Icon-based CAN Charting Module is engineered with total software automation. Primary features include:

The Optimus C.N.A. icon-based charting module allows C.N.A.s to document or observe all of the following:

ADLS, Mood and Behaviors;

Continence (Bowel and Bladder);

Vitals,

Intake and Output,

Meals;

Care Plan Driven C.N.A. Task Lists;

Resident Messages entered by Facility Nursing Management;

Clinical Alerts generated by the OEMR Alerts; Dashboard;

esident Complaints;

Restraints;

Restorative Nursing Assistants and Restorative Therapy documentation; and Therapists minutes.

The following chart lists the various systems compared along with the system's architecture, language, payment methodology and website address.

Figure 4 - Systems Compared

Company Name

Software Name

Architecture

Language

Payment Methodology

Website

Altos Solutions, Inc.

OncoEMR, oncology-specific EMR

Web-based or Client-hosted

Annual Subscription for MDs & Extenders, all others free http://www.altossolutions.com/

BetterHealth Global (USA), Inc.

BETTERHEALTH record

Client-Server and web based

Delphi

Monthly per Provider or One time plus annual maintenance http://www.bhgusa.com/

DoctorsPartner

DoctorsPartner

Client-Server (web based)

ASP

Monthly per Provider

http://www.emr-electronicmedicalrecords.com/

Intuitive Medical Software

UroChart EMR

SAAS and Client-Server

C#

SAAS - Monthly per Provider

Client-Server - One time with annual maintenance http://www.intuitivemedical.com/

MedbaseInc

Medbase

LAN server or web-based your choice

MS Visual Fox c++ Adobe

No monthly fees one time http://www.medbaseinc.com.com/

MDoffice

MDoffice

LAN & web based

Delphi SQL Server

licensed or subscription http://www.mdoffice.com/

Medical Voice Products, Inc.

MPS

LAN

.Net

One time plus annual maintenance http://www.medicalvoiceproducts.com/

Medicat

Medicat

Client-Server

Visual Basic

One time plus annual maintenance http://www.medicat.com / meridianEMR

meridianEMR

"Blended" SAAS and Client-Server

Java

One time plus annual maintenance http://www.meridianemr.com/

NexTech Practice

NexEMR

Client-Server

Native C++, Transact-SQL

One time plus annual maintenance and technical support http://www.nextech.com/

Patient Now

Medical Records Suite

Client-Server

C##

24 months http://www.patientnow.com/

PracticeFusion

Practice Fusion EMR

SAAS

C# .NET & Adobe Flex

Free (ad supported) or $100 per provider per month (no ads)

http://www.practicefusion.com/

Sevocity

Sevocity EHR

SAAS

Java

Monthly per Provider

http://www.sevocity.com/

Company Name

Software Name

Architecture

Language

Payment Methodology

Website

SSIMED

SSIMED EMRge

Client Server/Hosted

.Net

One time plus support http://www.ssimed.com/

STI Computer Services

ChartMaker Medical Suite

Client Server

C++ and C# .Net

One time plus annual maintenance http://www.sticomputer.com/

TECNEX Systems LLC

TECNEX POMS

Client-Server

C#

One time plus annual maintenance http://www.clinicbusinesspartner.com/

Webahn, Inc.

Capzule

Web-based / iPhone

Java

Monthly (starting at $50)

http://www.capzule.com/

WebDMEMR

WebDMEMR

Web Based

ASP.NET

Monthly per visit, user and disk space http://www.webdmemr.com/

The system chosen is that of the Practice Fusion EMR system which includes the iPad EHR, Web-based EHR, EHR Drawing, Patient Portal, e-Prescribing, Lab Integration, EHR Interoperability and Medical Charting. The reasons for this choice include the integration of the system and its ability to operate with other already in use systems and the low cost for implementation of this IT solution.

III. Timeline for Planning Process

The timeline for the planning process includes the following segments:

Development -- 6 months

Implementation -- 3 months

Roll-out and assessing -- 3 months

V. Chart of Key Stakeholders and Pros and Cons

Types of change that are encountered in the implantation of the EHR system include the following types of changes and their accompany characteristics:

(1) Operational: changes in the methods of the ongoing operations of the conduction of business and automation in specific areas;

(2) strategic changes in the business direction;

(3) Cultural changes in the basic philosophy of the organization and the conduction of business;

(4) Political changes due to changes in staffing.

There are various personalities that emerge during organizational change that must be dealt with including the following personalities:

(1) The Initiator -- this personality perceives the challenge or opportunity and conceptualizes the change that needs to be made in response to these challenges or opportunities;

(2) The Approver -- this personality is a power figure in the organization that supports the change, which has been proposed;

(3) The Leader -- this personality is a visible and enthusiastic supporter of change who works in rallying support for the change in who provides maintenance for that support.

(4) The Facilitator -- this personality assists in making the organizational change process smooth and is generally involved from the beginning of the change.

(5) The Developer -- this personality takes responsibility for the technical aspects of the organizational change.

(6) The Installer -- this personality holds responsibility for change implementation including the needed training and support activities;

(7) The Doer -- this personality has to perform their work in the changed environment;

(8) The Obstructionist -- this person guards the status quo and is against the change;

(9) The Customer -- does not view that they will be impacted immediately by the change and observes the change with interest; and (10) The Ignorer -- views the change as having no personal impact and is indifferent to the change.

The following tables lists the stakeholders and members of the project.

Figure 4 -- Stakeholders and Project Members

Group

Job Title

Major Project Roles & Responsibilities

Executive

CEO / President

Participate in developing Mission Statement

Support Project

Identify & Help to Resolve Obstacles to Implementation

Executive

Nurse Executive

Participate in developing Mission Statement

Support Project

Identify & Help to Resolve Obstacles to Implementation

Identify Budget & Restraints

Approve Project Plan

Certify Vendor Selection

Certify Vendor Solution

Support Go-Live

IT

Manager

Facilitate Project Plan

Serve as liaison between stakeholder groups

Participate in vendor selection

Primary contact with vendor

IT

IT Operations Manager

Perform acceptance testing

IT

Operations

Provide requirements for operations

Perform operational testing (e.g. server loads, etc.)

Departmental Groups

Project Manager

Work with IT Project Manager for departmental deliverables

Departmental Groups

Business Analyst / Informatician

Define business processes & requirements

Participate in acceptance testing

Participate in training plan development & execution

Participate in vendor selection

Departmental Groups

Advanced User / IT Leaders

Contribute business processes & requirements

Participate in training plan development & execution

Departmental Groups

Physicians

Approve project plan schedule

Participate in training plan development

Departmental Groups

Nurses

Participate in training

Part Three

I. Infrastructure Roadmap for Project and Budget

Funds for the EHR system implementation are divided between ongoing and upfront costs. The… [END OF PREVIEW]

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Practice Fusion Strategic Planning Document.  (2012, June 11).  Retrieved April 24, 2019, from https://www.essaytown.com/subjects/paper/practice-fusion-strategic-planning/4073555

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"Practice Fusion Strategic Planning Document."  Essaytown.com.  June 11, 2012.  Accessed April 24, 2019.
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