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Background
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Physician & Entrepreneur
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SethMD
Guterman
FACEP
EMERGENCY CARE PHYSICIAN SERVICES
Board Certified EM Physician Staffing
Board-Certified, Clinically-Practicing
Emergency Medicine Physician
Hospital turnaround expert whose
process improvement expertise focuses
on Risk Management, Government
Compliance, and Enhanced Workflow
Strategies
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EMPOWER SYSTEMS
ONC Certified Comprehensive
Electronic Health Record
PEOPLE’S CHOICE HOSPITAL
Hospital Acquisition and
Management Experts
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EHR
Why EHR Stills Needs Huge Improvement, Why 95% of
Hospitals are Partial Paper and How to Address It
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SPEED
Doctors and Nurses require EHRs that will enable
them to document as fast, if not faster, than on paper.
INTEGRATION
Disparate systems that do no efficiently share realtime information dictate users to wait for information
or revert to old workflow patterns.
DESIGN
EHR products built without direct involvement of Doctors and
Nurses will not fully meet their needs.
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Requirements
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For Comprehensive EHR Adoption & Acceptance
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Requirements for Adoption & Acceptance
o Workflow should not Change
o Clinical process enhanced; not altered.
o Simplicity of User Experience (Navigation)
o Limited mouse clicks and fewer layers of pages/content.
o Easy Trending & Filtering of Data
o Saves time for end users.
o Centralized Information
o All notes, clinical and ancillary, should be stored in a single location
o Complete Medical Record
o Social, family and past medical histories of each patient, home medications, allergies,
and previous visits.
o Easy Physician (CPOE) Orders
o Avoids workflow delays and unsigned orders.
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Benchmarks
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For Successful EHR Implementation & Adoption
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Benchmarks for Success
1. Define the Scope of the Project
i. Implementation of User-Friendly Software
ii. Standard of Care for Documentation to be Better than
or Equal to the Handwritten Medical Chart
iii. Implementation of 1 Hospital Unit at a Time
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Benchmarks for Success
2. Outcome Measurements
i.
Ease of Use for Physicians and Nurses: Measure Training Time
ii.
Evaluate Hospital Staff Productivity Computer vs. Paper
1.
Average Time for a Nurse to Execute Physician Order
2.
Average Patient Length of Stay in the Hospital
3.
Number of Hospital Coded Charts per Coding Staff
iii. Compliance with Joint Commission Core Measures
iv. Present on Admission – CMS Requirements
v.
Track the Number of MD Delinquent Charts / Summary Suspension
from Medical Staff
vi. MD, RN, Clinical and CODING Staff Subjective Surveys
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Benchmarks for Success
PHASE 1
1. Getting Doctors and Nurses “Off Paper” and on to Documentation Software
(a Clinical Electronic Pen) for Clinical Documentation
2. CPOE-Computerized Physician Order Entry
1.
100% Compliance with Joint Commission Core Measures
2.
100% Compliance with Medical Necessity
3. ADT & Diagnostic Results Integration with Core HIS
4. CPOE integration between EHR & Core HIS
5. Physician Clinical Decision Support Software
6. Provide a Medical Record that is Legible
7. Pharmacy and eMAR Integration
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Benchmarks for Success
PHASE 2
1.
CPOE integration between EHR & Core HIS
2.
Discharge Instructions
3.
Vital Signs Monitoring & Smart Bed Integration
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Benchmarks for Success
PHASE 3
1. Bedside Pharmacy Scanning Devices
2. Value-Added Risk Management Features (Coding, Charge Capture, etc.)
3. Paperless Hospital InPatient Units
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Benchmarks for Success
PHASE 4
1. Physician and Nurse Leadership lead Clinical Care Integration
2. Work Flow Experts (Documentation & Flow of Information)
3. Software Implementation
4. Interface Engines Development and Deployment
5. Crisis Managers for Clinical Documentation
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EHR + HIS Technology
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Crucial to the Success of
21st Century Healthcare
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Cloud-Based EHR+HIS Solutions
EmpowerSystems™
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SECURE
INTEGRATED
EFFICIENT
Connectivity for All Users
from Any Location
Across all Empower EHR
and HIS Products
Deployment within Days
of Contract Signing
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Empower EHR + HIS Solutions
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ONC Certified Inpatient, Ambulatory, ED Systems
Registration System
Hospital Scheduling
Revenue Cycle Management
Laboratory Information System
Radiology Information System
Pharmacy Information System
Surgical Suite Management System
Health Information Exchange
Patient Portal
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Telemedicine by PCH
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Telemedicine by PCH
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People’s Choice Hospital leverages cutting-edge
Telemedicine solutions
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In conjunction with EmpowerSystems™ ONC Certified
Comprehensive EHR and Advanced Core HIS solutions
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To immediately provide Rural and Inner City hospitals with
access to leading medical professionals, regardless of
geographic limitations
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A National Telemedicine Hub
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Hospital Landscape
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Successful EHR / HIS Deployment
Crucial to Survival
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Hospital Financial Landscape
Bankrupt or
Liquidating
37%
Break-Even
38%
Profitable
25%
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Affordable Care Act
30 Million
Insured
Underinsured
25%
45%
Previously Uninsured / Self-Pay Patients
to Infuse Massive Volume-Based Revenue
Self Pay
30%
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Increased Healthcare Needs of Baby Boomers
65+ Population represents massive volume increase in marketplace.
78
Million
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30
1
2
Million
Americans to be fully
insured via
Affordable Care Act
78
Million
Baby Boomers
turning 65 years old
A Perfect Storm
75%
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of Hospitals
facing Financial
Hardship
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$
3
149
$
Billion
for Healthcare
Spending under
ARRA/HITECH 2009
“The Carrot & Stick”
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Opportunity
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To Restore Struggling Hospitals to Positions
of Strength in their Communities
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Methodology
IDENTIFY
ASSESS
DEVELOP
DELIVER
The Needs of the
Hospital and Its
Community
The Financial and
Operational Realities
of the Facility
A Viable Financial &
Operational Model for
Success
Experienced Clinical,
Technical, and
Operational Teams
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Road Map
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To Enhanced Revenue Streams and Turnaround
Success for Hospitals and Communities
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ROADMAP
Enhance Clinical Revenue
Admissions, Tests, Procedures
TO TURNAROUND SUCCESS
Enhance Operations
Resource Allocation, Billing/Coding,
Government Incentive Programs
Leverage Talent
Local, Regional, National
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Competitive Advantage
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Why PCH is Unique
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Disparate Competitors
PHYSICIAN
STAFFING
COMPANIES
Clinical Skill, but
Not Operations
HOSPITAL
ACQUISITION
GROUPS
MBA / M&A
Viewpoint
EHR / HIS
COMPETITORS
Technical Tools,
but No Operational
Experience
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Competitive Advantage
PCH
Able to Leverage Strategic Components
Not Duplicated by Potential Competitors
Physician Access
National Telemedicine Hub with Access
to On-Site Physician Specialist Network
Proprietary Technology
One Patient. One Chart. One Database.
Advanced EHR & HIS Technology
Operational Expertise
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Proven experience in operating and
supporting distressed hospitals
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Process
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Turnaround Strategies for Bankrupt Hospitals
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Process
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Identify bankrupt hospital turnaround opportunities
o
Enact Loan to Own strategies utilizing Secured Debt Purchases
o
Establish operational control of the facility with approved
Management Agreement
o
Deploy Advanced EHR / HIS Technology
o
Increase hospital revenue streams
o
Exit bankruptcy protection once hospital mismanagement
and bad contracts have been resolved
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Proof of Concept
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Cochise Regional Hospital
Douglas, AZ
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Proof of Concept Timeline
Opportunity Identified
Mgt Contract Submitted
April 2013
June 2013
Negotiation
of Debt
Purchase
Completion
of Debt
Purchase
EHR / HIS
Contracts
Executed
EHR / HIS
Systems
Installed
May 2013
May 2013
July 2013
July 2013
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Proof of Concept Timeline
Mgt Contract Approved
Legal Proceeding Conclusion
August 2013
Jan 2014
Operational
Control of
Facility
Strategic
Action Taken
at Facility
Telemedicine
& MD Access
Launch
Marketing &
Brand
Revision
Active Review of
Budget, Finances,
Staff, Resources
Policies,
Procedures, Budget
Cuts Enacted
Jan 2014
Jan 2014
Aug 2013-Present
Aug 2013-Present
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Reach Us
At Our Corporate Offices
2000 Spring Road
Suite 200
Oak Brook, IL 60523
305-766-3245 (phone)
312-276-8116 (fax)
www.PeoplesChoiceHospital.com
contact@PeoplesChoiceHospital.com
Presentation to Joe Smith