EMR Remedies AHDI - ACE 2011 Electronic Health Record Solutions Anil Keswani President August 20, 2011

EMR RemediesAHDI - ACE 2011

Electronic Health Record Solutions

Anil KeswaniPresident

August 20, 2011

Medical Transcription

Copyright – EMR Remedies - 2011

Dead or Alive??

“ “That it will ever come into general use, That it will ever come into general use, notwithstanding its value, is extremely notwithstanding its value, is extremely doubtful because its beneficial doubtful because its beneficial application requires much time and gives application requires much time and gives a good bit of trouble, both to the patient a good bit of trouble, both to the patient and to the practitioner because its hue and to the practitioner because its hue and character are foreign and opposed and character are foreign and opposed to all our habits and associations.”to all our habits and associations.”

from The London Times in 1834

Commenting on ... the “stethoscope”

A computer for patient care?


Information

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Background 30 years of technology experience Electrical Engineering degree – Stevens Institute of Technology 23 years with Texas Instruments in Defense and Information

Technology 7 years in Software Development; IT, legal and healthcare services Held positions as Chief Technology Officer and Chief Information Officer Resided in Sweden to improve efficiencies for a global software

company Worked with physicians on identifying and deploying EHR, LIS and

PACS technologies Published an article on bar code technology for the defense industry Married 27 years


Evolution of Transcription


In the beginning…

Your Business……

Imagine you are the only MTSO…

You have 100% of the market & revenue…

In 3 – 5 years what will be your market & revenue…

- 100%- 50%- 25%


Reality Check…

25 – 30%

WHY??


Enabling Technologies Voice Recognition NLP (Natural Language Processing) Wireless

- iPhone - iPad

- Smart phones - Android Tablet

Cloud Infrastructure/ Hosted Environment EHRs What else…… ???


Voice Recognition Document Editing vs. Full Transcribing Integration into EHR platforms Key suppliers

Nuance M*Modal (MedQuist) InfraWare

Shorter Turn Around Times Less work for the MTs Different skills required by MT


Cloud Computing General Definition – Delivery of hosted services which are sold on

demand and are elastic (use as much as is needed).

Businesses will not need to have on-site infrastructure or expertise.

MTSOs and Hospitals can reduce the investment cost for servers & applications and focus on service efficiencies.

Can integrate the workflow tools that best suite their clients and staff.

Caters to the distributed workforce.

Security is more complicated.

Information resides off-site in a data center.


EHR Technologies Integration with MT software applications

Direct documentation into the product

Built in modules

Improved productivity for practices and hospitals


Financial Impact to Medical Practices and Hospitals

Technology investments

Transfer of cost from MT payments to EHR payments

Reduction in Medicare/Medicaid reimbursements beginning…2015

Reduction in private insurance reimbursements beginning…??


Let’s talk about the future


You Must be Ready…

Yesterday & Today

Today & Tomorrow


Predictions are dangerous, especially when you are talking about the future.

- Yogi Berra


Strategies for MTSOs Sell to the highest bidder or close your doors

Morph into a strategic partner of your client by offering other services

Refocus your skills to editing documents

Develop technical skills with the voice recognition, NLP, etc

Become an enabler of technology…Invest


Strategies for Hospitals Stay the current course and hope for the best

Outsource and require the vendor to integrate to your EHR

Accept the EHR transcription capability and develop skills to efficiently use the technology

Refocus your MT skills to editing documents

Develop technical skills with the voice recognition, NLP, etc


Is this half-full or half-empty?

Personality Test


Summary

The Medical Transcription Industry is not Dead …

It is Alive and maturing

Questions??


Thank You!

Anil Keswani

[email protected]

214-546-4608

www.EMRremedies.com


Documents

EMR Remedies AHDI - ACE 2011 Electronic Health Record Solutions Anil Keswani President August 20, 2011