copyright © 2007 siemens medical solutions usa, inc. all rights reserved. assessing your needs and...

Copyright © 2007 Siemens Medical Solutions USA, Inc. All rights reserved.

Assessing Your Needs and Preparing RFPs…

Brian AndersonSoutheast Zone MedSeries4 Account Executive


Request For Proposal

FUNCTIONAL REQUIREMENTS

MetFully

Under Development

Not Available

General

Product Overview

Do you provide implementation services? Briefly describe.

Does your product support online help?

Does your product support online documentation? Briefly describe format.

Can users modify or customize the documentation?

Can users print the documentation?

Do you provide support 24x7x365?

How do users contact your support department?

Do you provide software and hardware support?

Do you have an escalation policy? Briefly describe.

Does your system provide a hosted (ASP) option? Briefly describe.

Has your system been CCHIT certified? Explain.

Can your software provide support the main tenants of HIPAA (e.g. code sets, transactions, privacy and security)? Do you support HIPAA auditing? Describe.


We hear you…

EHR Assessment Tool

Roadmap Tool

ARRA Calculator


HIMSS AnalyticsEMR Adoption Model℠ Trends

Stage 7

Stage 6

Stage 5

Stage 4

Stage 3

Stage 2

Stage 1

Stage 0

Stage Cumulative Capabilities 2007Final

2008Final

Medical record fully electronic; HCO able to contribute CCD as byproduct of EMR; Data warehousing in use

Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS

Closed loop medication administration

CPOE, CDSS (clinical protocols)

Clinical documentation (flow sheets), CDSS (error checking),PACS Available outside Radiology

Clinical Data Repository, Controlled Medical Vocabulary, Clinical Decision Support, may have Document Imaging

Ancillaries – Lab, Radiology, Pharmacy – All Installed

All Three Ancillaries Not Installed

0.0% 0.3%

0.3%

1.9%

37.2%

25.1%

2.2%

0.5%

19.3%

14.0%

35.7%

31.4%

11.5%

15.6%

2.5%

2.5%

EMR Adoption ModelSM

Data from HIMSS Analytics™ Database N = 5073/5166/5170 © 2009 HIMSS Analytics

2009Q1

0.3%

0.8%

3.6%

2.8%

37.0%

32.1%

9.0%

14.5%


EHR Assessment Tool

HIMSS RANKING

ApplicationSW Live /

Contracted Current VendorBeds:

101 - 200 Quality EfficiencySystem of

ChoiceEHR

Ranking

Cardiology & PACS Cardiology Information System

27% X X X 3Cardiology PACs

----- X X X 3

Clinical Decision Support

Clinical Decision Support (Rules Engine)

----- X X 3

Data Warehouse

----- X X 5

Emergency Department Emergency Department Information System (EDIS)

57% X X 3

Electronic Medical Record Clinical Data Repository

67% X X X 2Computerized Practitioner Order Entry (CPOE)

12% X X X 4Medical Terminology/Controlled Medical Vocabulary

5% X 2Order Entry (Includes Order Communications)

90% X X X 2Physician Documentation

12% X X X 6


MedSeries4® Roadmap (example)


Hospital Specific Benefit Calculator

Medicare Incentive for meeting ARRA criteria Hospital Specific Benefit Calculator(Results Assume Hospital Qualifies By 2013)

Enter hospital specific data for the most recent reporting period:

Total Discharges

Total Gross Revenue

Charity Care Charges

Medicare Inpatient Days Attributable to Parts A and C

Total Inpatient Days

Hospitals are given a $2 million base amount plus a discharge related amount, which is $200 per discharge for all discharges between 1150 and 23,000. Discharges 1-1149 and after 23,000 receive no additional payment.

The base amount plus the discharge related amount is then adjusted by a Medicare share ratio:

Medicare inpatient days / (total inpatient days*((gross revenue - charity) / gross revenue))

Calculations:

Base Amount $2,000,000

Qualifying Discharges -1,149

Discharge-related Amount 0

Revenue Ratio 1.000

Medicare Share Ratio #DIV/0!

Results:

Total Payment -- Year 1 #DIV/0!




Total Payment Over Four Years #DIV/0!Note: This tool uses the most current reporting period to provide a rough estimate of future payments from the ARRA. Siemens makes no guarantee of payment.

According to the American Recovery and Reinvestment Act (ARRA), qualified hospitals are expected to be paid the full adjusted amount in year 1, 75% of this amount in year 2, 50% in year 3, and 25% in year 4. Hospitals first qualifying after 2013 are subject to reduced transition factors. Hospitals that are not meaningful users by 2016 will receive no incentive payments. Penalties will be applied to hospitals that are not meaningful users by 2015.


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Questions & Answers

copyright © 2007 siemens medical solutions usa, inc. all rights reserved. assessing your needs and...

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