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esMD Pilots Workgroup
April 30th, 2015
Meeting Etiquette
• Please announce your name each time prior to making comments or suggestions during the call
• Remember: If you are not speaking keep your phone on mute• Do not put your phone on hold – if you need to take a call, hang up
and dial in again when finished with your other call – Hold = Elevator Music = very frustrated speakers and participants
• This meeting, like all of our meetings, is being recorded– Another reason to keep your phone on mute when not speaking!
• Feel free to use the “Chat” or “Q&A” feature for questions or comments
NOTE: This meeting is being recorded and will be posted on the esMD Wiki page after the
meeting
From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute
2
Agenda
3
Topic Presenter
Announcements Neil Saha
Enrollment Status Neil Saha/ Pilot Sites
Site Progress Updates Neil Saha/Pilot Sites
Opie Software LLP Pilot Presentation Paul Prusakowski,
Scott WilliamsonDiscussion / Next Steps esMD Leads/
Pilot Sites
Announcements
• Opie Software eClinical Template for LLP Demo (Presentation Today)
• No upcoming presentations scheduled for now
Pilot SitesPilot Site Provider
RegistrationDigital
SignaturesE-Clinical Template
for PMDE-Clinical Template
for LLPActive Sites
1 PAHISP LLC & NHDS X X X2 IBEZA LLC X3 MEA X X4 MaxMD X X X5 Quality Outcomes X6 DigiCert X X7 Strategic Healthcare Solutions X X X8 Numotion X9 University of Pittsburgh X
10 Colonial Medical X11 MediProfit X X12 Syracuse Prosthetic Center X13 MedAZ.Net, LLC X X14 Opie Software X15 Inpriva X X
Inactive Sites1 Secure Exchange Solutions X X2 eSolutions, Inc. X X X3 qliqSOFT X4 Monroe Wheelchair X5 MedStar National Rehabilitation Hospital X
Pilot SitesOrganization POC Email Pilot Work Streams Type of Organization
Provider Profiles
AuthenticationDigital
SignaturesE-Clinical
Template for PMD
E-Clinical Template for
LLPHIE HIH RHIO HISP EHR PHR
CMS Contract
or
DME/Suppli
erProvider Org
Secure Exchange Solution Dan Kazzaz [email protected] X X X X X PAHISP LLC & NHDS Peter Bachman [email protected] X X X X X X
IBEZA LLC Victor Beraja [email protected] X X X
MEA Vijay Patel [email protected] X X X X X X
Inpriva Ginna YostDon Jorgenson
[email protected]@inpriva.com X X X
MaxMD Bruce Schreiber [email protected] X X X X
eSolutions, Inc. Greg Beech [email protected] X X X X X X MRO Corporation &
DigiCertDavid Borden
Scott [email protected]
[email protected] X X X X X
Strategic Healthcare Solutions Dr. Mark Pilley [email protected] X X X X
Numotion Mike Gohr [email protected] X X
University of Pittsburgh Brad Dicianno [email protected] X X
Colonial Medical David Bruinsma [email protected] X X
Monroe Wheelchair Doug Westerdahl [email protected] X X
MedStar National Rehabilitation Hospital Ginger Walls [email protected] X X
Med A-Z Gita ReddyVijaya Vasu
[email protected]@medaz.net X X X
Opie Software Sean Dodds [email protected] X X X
Quality Outcomes Scott Williamson [email protected] X
qliqSOFT Krishna Kurapati [email protected] X
MediProfit Mark Kimmel [email protected] X X
Syracuse Prosthetic Center Michael Mahar michael@syracuseprostheticc
enter.com X
Pilot Site Progress Status • Activation:
• Shown interest in working as a pilot site• Registered for pilot through esMD Pilots website• Scheduled kick-off meeting with pilot leads
• Start-up: • Determine pilot stream(s) for participation• Forming partnerships• Developing ecosystem and timeline• Regular meetings schedule with pilot leads
• Development: • Actively working on pilot process• Resolving issues/barrier• Working with pilot partners (if applicable)• Meeting regularly with pilot leads
• Production Ready Capability: • Pilot complete• Completed an end-to-end production product• Scheduled final meeting with pilot leads
Pilot Site Progress Status Pilot
StreamPilot Status
PMD
MediProfit Production Ready Capability
UPMC/Numotion Development
MedAZ/Colonial Medical/DigiCert Development
PAHISP/NHDS Development
MaxMD Start-up
Inpriva/DigiCert Activation
Hoveround Activation
LLP Opie/QO/SPC/MEA Development
Discussion / Next Steps
• LLP Presentation by Opie Software & Quality Outcomes
• Lessons Learned• Next Steps• Questions, General Discussion
Workflow Diagram 1Original workflow without a second physician involved. This is the ideal scenario from an efficiency standpoint, but in practical experience, it has typically not resulted in documentation that meets CMS requirements because it relies on the treating physician to have the time, knowledge and motivation to perform a functional level assessment and provide the necessary documentation to support the prosthetic intervention.
Diagram from OPIE Software’s esMD LLP Pilot Report
Workflow Diagram 2Alternative model in which a second physician, typically a physiatrist, is consulted by the treating physician to perform a comprehensive functional level assessment and collaborate with the prosthetist and the treating physician in determining and documenting the appropriate prosthetic intervention for the patient.
Diagram from OPIE Software’s esMD LLP Pilot Report
Workflow Diagram 3A variation on the functional assessor model in which the physician performing the functional assessment takes over the long term care of the patient at the request of the original treating physician.
Diagram from OPIE Software’s esMD LLP Pilot Report
