Stark Bill Reversal: Making Hospital-Centric

RHIOs Possible

February 13, 2006

What is a Hospital-Centric RHIO

The Hospital Becomes the Central Point for Clinical Information for Resident Physicians

Patients See the Hospital as the Point for Information

Contact Point for RHIO and NHIN

Why Should a Hospital Be Concerned?

Quality Improvements

Physician Loyalty

Patient Loyalty

P4P Requires Complete Medical History

Pay for Performance (P4P)

More Payers Starting Programs

Creates Need for More Complete Information

Physician Loyalty

Create Reason to Come to Hospital

Provide Relevant Information

Add Value to the Physician's Practice

Communicate with Providers

Clinical Data Required From Physicians

Keep Physician Engaged With Facility

Central Point of Contact

Integration with a RHIO

Hospital System Connects to RHIO

Larger Point of Presence

Representation of Physicians

Integration with the NHIN

Point of Presence for NHIN

Distributor of Data

Disaster Recovery Facility

Status of Stark Bill Reversal

Draft Published October 11, 2005

Final Regulations Expected in Late 2006

What Will Reversal Allow Me To Do?

Facilitate Access to ePrescribing Systems

Donate Necessary EMR Services to Physicians

Provide Technical Training and Education

What Can I Do Today?

Enhance Web Site Services Related to Hospital Service Delivery

Provide Services for a Fee Equivalent to Cost

Create Separate Organizations for Services

What Services Should I Offer?

ePharmacy• Drug History

eLabs• Internal & External Lab Information

eAdministration• Eligibility• Claim Services• Claim Status• Banking

Complete EHR System

Now is the Time

Prepare for P4P Develop Connectivity Options

for RHIOs and NHIN Break out of the Silo and

Become Part of the Community Provide Physicians Tools To

Better Interact with the Hospital, Community and Nation

Challenges with Providers

Independency!

Non-Technical Capabilities

Technical Education & Training

Limited Web Business Connectivity

Challenges with Data

Format Implementation Standards, Limited Implementation Guides

Lack of Communication Standards

Inconsistent Applications of Codifying Data

Where Can I Save Money?

No Duplicate Testing – Payers Starting To Reject

Laboratory Data Distribution

Improved Patient Quality

How Can I Improve Quality of Care?

Complete Medical History

Reduce Drug Interactions

Verified Patient Information

Next Steps

Ensure a Clinical Web Site

Add Pharmacy Functionality to Web Site

Add Patient Verification

Provide Centralized EMR on a Per Seat License