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Keystone Beacon – Information Session
Agenda
Background
Approach
Timeframes
Pricing
Questions
Background – Needs
Transitions of CareAcute discharge to skilled nursing facility (SNF)Acute discharge to home health agency (HHA)Nursing home discharge to home healthNursing home transfer to emergency department
Electronic information barriers for post-acuteMajority nursing homes with no EHRNursing homes with EHR, but no HIE interfacesHIE interfaces, but no standard CCD (SNF and HHA)
Background – Opportunity
Skilled Nursing FacilitiesRequired to submit Minimum Data Set (MDS) to CMS• Contains patient assessment information
MDS is unusable by cliniciansMDS is an XML structured documentAHIMA/ASPE work to codify MDS as a CDA document
Home HealthRequired to submit Outcome and Assessment Information Set (OASIS) to CMSSimilar usage to MDS
Total Addressable Market (19,399)12,565 - Medicare Skilled Nursing Facilities6,834 - Medicare Home Health Agencies
Background – Dissemination
Creating a national standardStandards and Interoperability (S&I) Framework • Longitudinal Coordination of Care Workgroup• http://wiki.siframework.org/Longitudinal+Coordination+of+Care
Balloting with Health Level 7 (HL7)• Implementation Guides
Why a Web service?Mission for wide-scale implementationLimited support for open source toolsEase of use
6
MDS or OASIS Clinical Summary
6
Transform™ (Formerly the “Gobbler”)
HL7 Balloted. Nationally available Web service.
LTPAC HIE
Background – LTPAC to HIE
Copyright 2013 Keystone Beacon Community
Agenda
Background
ApproachTimeframes
Pricing
Questions
Approach – High Level Concept
KeyHIE Transform™ is an all-inclusive, web-based service that provides for the following features:
Register and pay
Download and configure
Monitor MDS or OASIS files
Transform into HL7 CCD and ADT registration message
Return CCD and registration message to Customer
Publish CCD and registration message to KeyHIE for Direct delivery
Customer tools and support
Approach – Website
Features
Education about service
Pricing & Sign up
Support• Self-service troubleshooting• Phone & e-mail• 3 hours /yr. included
Approach – Sign up Online
Easy sign up processProvide Account InformationConfigure service• Submit manually or scheduled, Archive data, etc.
Approach – Sign up Online
Select service subscription optionsPayment via credit card• Payment options: Annually, Semi-annually, Quarterly
Download KeyHIE Transform™ Connect• Link provided via e-mail after order confirmation
Approach – Installation
Installation Considerations
Where to install• Ex. MDS Coordinator’s desktop / server
Microsoft Windows based
Installation StepsIntroductionChoose Install FolderChoose Shortcut FolderPre-Installation SummaryInstalling…Install ResultsInstall Complete
Approach – Configuration
Simple Configuration StepsLogin• Using account credentials from the sign up process
Configure• File locations & Transformation options
Test
Approach – Dashboard
Client Self ServiceView service status, history; Manage account, configurationConfigurable e-mail notificationsStep-by-step online troubleshooting
Approach – Integration Points
Agenda
Background
Approach
TimeframesPricing
Questions
Dec ‘12Vendor selected
Dec ‘12HL7 Approval
Jan ‘12Development & Testing
Feb ‘13Early Adopters
Mar/Apr ‘13General availability
Timeframes
Agenda
Background
Approach
Timeframes
PricingQuestions
Pricing – Skilled Nursing Facilities (SNF)
Small
$ 499 /yr.
0 – 49Residents per SNF
≈ $ 40 /mo.
Average
$ 699 /yr.
50 – 199Residents per SNF
≈ $ 60 /mo.
Large
$ 899 /yr.
200 – 399Residents per SNF
≈ $ 75 /mo.
* For Facilities with more than 400 Residents, contact us for special pricing.
Pricing – Home Health Agencies (HHA)
Small
$ 499 /yr.
0 – 99Medicare Patients
per HHA
≈ $ 40 /mo.
Average
$ 699 /yr.
100 – 299Medicare Patients
per HHA
≈ $ 60 /mo.
Large
$ 899 /yr.
300 – 499Medicare Patients
per HHA
≈ $ 75 /mo.
* For Agencies with more than 500 Medicare Patients, contact us for special pricing.
$ 100 /yr. per additional KeyHIE Transform™ installationEx.: Agency with multiple branches running independent OASIS software.
Questions?
BridgeGate
International
BridgeGateIntl.com
Geisinger
System Services100 North Academy Avenue
Danville, PA 17822-4307
Phone: (570) 214-8833
Geisinger.org