VALUE OF QUALITY LAB-EHR INTEROPERABILITY IN TODAY’S DYNAMIC IT LANDSCAPE

Keith C. Drake, Ph.D., Program Executive, Quest Diagnostics

J. Michael Hyman, M.T.(ASCP), Director, Vendor Business Solutions

Teresa C. Brannum, Manager, Vendor Implementation Team

March 2013

Quest Diagnostics

Quality Lab-EHR Interoperability

• Health IT Challenges faced by

Providers

• Lab EHR Interoperability – what it

really means to you

• Health IT Quality Solutions™ –

foundation of quality interoperability

for providers

• Best Practices – checklist of what

to look for in EHR-Lab relationship

Delivering Quality Solutions for Physicians

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Quest Diagnostics

Dynamic IT Landscape

• Providers faced with increasing IT

challenges: • Meaningful Use Stages 1, 2, 3, …

• ICD-9 and ICD-10, LOINC, SNOMED

• Other IT regulatory challenges

• Result: Providers increasingly demand

more from their IT Vendors: • Integrated, seamless, and painless

solutions

• Quality solutions they can rely on to

provide better quality health care

services

Increasing demands on Providers to meet IT challenges

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Quest Diagnostics

Provider Challenges

• Navigating a broad and growing

scope of IT offerings: • Selecting from wide array of EHR

solutions

• Selecting from wide array of

laboratory solutions

• Finding “Interoperable” IT Vendors

• Understanding government

regulations

• Meeting certification agency

requirements

. . . all while providing excellent clinical care

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Quest Diagnostics

Black Book 2013 EHR Survey

• Top “must haves” for EHR users

beyond basic functionality: 1. 84%―Vendor Viability

2. 83%―Provider Data Integration and

Network Data Sharing

3. 78%―Demonstrable Return on Investment

and Clinical Improvements

4. 75%―Adoption of Mobile Devices (e.g.,

tablets)

5. 66%―HIE Support, Connectivity /

Interoperability

6. 65%―Perfected interfaces with Lab,

Pharmacy, Radiology, Rehabilitation, Post

Acute Care

The message is clear: you want interoperability from IT Vendors

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Quest Diagnostics

Interoperability – Current Perspective

• Not merely streamlined flow of data

between EHR and Lab • Order submitted and Results returned

(data interoperability)

• But also how your IT Vendors work

together: • Streamlined implementation process

• Robust (and documented) support

process

• Active dialog between EHR Vendor

and Lab to enable planning for future

quality interoperability (vendor

interoperability)

Is there a true partnership between your preferred EHR and Lab?

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Quest Diagnostics

Interactive Advanced Beneficiary Notice

• Enhances provider-patient encounters

prior to placing lab orders by

supporting the need for dynamic, real-

time Advance Beneficiary Notice

(ABN) processing

• Allows EHR users to notify patients

when certain tests may be denied by

Medicare

• Generation of an ABN notice in real-

time provides clinical benefits: • Reduces volume of unauthorized lab

work

• Adds value to the provider-patient

encounter and reduces overhead

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Quest Diagnostics

Enhanced Reports

• Enhanced Reports augment test results with images and other graphical elements

• Many EHRs enable the receipt of Enhanced Reports from commercial labs

• More robust test result information enables more meaningful provider-patient encounters

Richer diagnostic information enhances patient experience

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Quest Diagnostics

Health IT Quality Solutions™

by Quest Diagnostics

• Certifies EHR solutions as Silver,

Gold, or Platinum based on the quality

of their interoperability with

commercial labs

• Certified Quality Solutions: • meet or exceed advanced industry

standards for lab orders and results

• provide a streamlined interoperability

solution with Quest Diagnostics

• Quality Solutions certification

demonstrates an EHR Vendor’s

commitment to quality and

leadership within the health IT industry

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Quest Diagnostics

Health IT Quality Solutions™ by Quest Diagnostics

EHR solutions certified by Quest Diagnostics ensure quality interoperability

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Aprima PRM

CompuGroup Medical Labdaq

eClinicalworks

Emdeon Clinician

HealthFusion MediTouch EHR

iSalus Healthcare OfficeEMR

Labsoft Lightning

Meditab IMS

Office Ally EHR

Orchard Software Copia & Harvest

Stratus EMR

Advanced Data Systems DocAssistant

Comtron Medgen EHR

CureMD

CyFluent

Data Strategies Mdsuite

Drchrono

E*Healthline Phoenix

Intivia InSync EMR

iPatientCare EMR

MDLAND iClinic System

Medical Transcription Billing EMR

NCG Medical Perfect Care EHRLite

OneTouch EMR

Tecnex Systems

TransMed Network Client Software

VIP Medicine SmartClinic

Vitera Intergy EHR

WEBeDoctor Physician Office

Our inaugural list of Platinum Vendors

will be announced soon.

Visit QuestDiagnostics.com/QualitySolutions for full Program information

Quest Diagnostics

Putting it together …

• Quality Lab-EHR Interoperability provides you with:

• Confidence in your selection of an EHR

• Reduced internal implementation costs and minimized support issues

• Streamlined and higher quality Quest Diagnostics / EHR Vendor interoperability

• Confidence in Meaningful Use compliance and other regulatory requirements

Meets your top Black Book “must have:” 84% -- Vendor Viability

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Quest Diagnostics

Ask your commercial lab …

• Do you interface to my preferred EHR solution?

• Is that interface Results Only, or does it also include the ability to send Orders and Billing information?

• Are you ready to help meet my requirements for Meaningful Use Stage 2?

• Do you have a dedicated business manager to oversee the relationship between your Lab and my EHR Vendor?

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Quest Diagnostics

Ask your EHR vendor … • Is your EHR certified for Meaningful Use Stage 1?

• What is your schedule for MU2 certification?

• Does your EHR provide advanced functionality such as:

– automated MLCP checking

– producing an Advanced Beneficiary Notice,

– ability to parse LOINC codes from result message, and store and

make them available within the EHR

– integrated patient scheduling with Labs’ patient service centers

– Only 10% of EHR solutions eligible for the HITQS certification

meet all four of these capabilities

• Does your EHR implement robust Ask at Order Entry (AOE)

questions to enhance the quality of the result?

• Can your EHR accept Enhanced PDF Reports to include

images and other graphical elements from the lab?

• Is there any special or unique functionality you provide with

specific commercial or hospital laboratories?

• What is the typical interface implementation time for my lab(s)?

• Is your EHR a Quality Solution certified by Quest Diagnostics

Health IT Quality Solutions™ Program?

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Quest Diagnostics

Recommended best practices to ensure

quality Lab-EHR interoperability

• Use the Interoperability Checklist

• Focus on the EHR Quality Solutions certified by our Program

• Use the current list of Quality Solutions as a resources, available at: QuestDiagnostics.com/QualitySolutions

Focus on IT vendors with strategic partnerships with one another

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