About the Authors
Kristie Brown
Kristie Brown is the CEO who has over 15 years experience in IT with 10 of those years being in Healthcare. She has an Associate degree in Business Administration Management and a Bachelor degree in Information Networking Telecommunications. Her background in EMR systems includes SMS, PDS, MEDITECH, LSS, as well as several interfaced systems specific to hospital departments. Lately she has been studying social media marketing and promotions. She has a passion for helping people, but especially children. She is a volunteer for Big Brothers Big Sisters (has been for 20 years) and also volunteers a lot of time for Circles of the Heartland helping those in poverty.
Matthew Caravana
Matthew Caravana has been in the Medical Software industry for seven years, the first three spent in the Order Management and Enterprise Medical Record group at Meditech. He has been a Senior Consultant at Excel Healthcare for the past four years, specializing in CPOE implementations, migrations and updates. Matt attended the University of Massachusetts Dartmouth for Business Management and Columbia University for Higher Education Administration.
Marti Catron
Marti Catron has worked in the healthcare field since 1988. Many of those years were spent as an RN in the oncology field. Since joining Excel Healthcare Group, she has served as a Human Resource Generalist and is now Business Development Manager
Sharon Parks
Sharon Parks has over 25 years in healthcare, beginning as a part-time unit secretary in her freshman year of college and progressing to various positions in Admissions, Purchasing, Emergency Department and Surgical Services for a large multi-hospital system. She spent 8 years as Logistics Manager of the Surgery Department for the flagship hospital where she oversaw billing, payroll and supply area. During this time, she worked on the build, installation and maintenance of her first healthcare computer system that integrated all functions for the OR, including payroll, HR, scheduling/preference cards and purchasing/supply and device tracking. Sharon has been an IT consultant for the past 13 years, specializing in Meditech build, installation and go-lives for PHA, OE/OM, ORM and LAB modules including establishing interfaces to McKesson and Pyxis Pharmacy products, for the past 5 years. She believes that one of the greatest challenges faced in the healthcare environment today is making computers work to improve the life of people rather than have people working to improve the life of computers.
Noelle Quinn
Noelle Quinn has 12 years of healthcare experience with four years working within the hospital environment as both a Radiology Manager Assistant and a Systems Manager Assistant during her college years. Noelle then began implementing and installing Hospital Software with a focus on Therapies, Nursing, Respiratory, Radiology, and Physician Documentation (PDoc) all over North America. Noelle’s experience within the hospital and Implementing hospitals brings a broad range of experience to the clients. In the 1970’s Noelle’s parents migrated to Boston from the West of Ireland. They worked hard so that her and her brother could grow up in America and get a good education which they both did and made their parents proud. Noelle graduated Wentworth Institute of Technology in Boston with a Bachelor of Science. She majored in Computer Engineering Technologies and minored in Electrical Engineering Technology. She has a passion for people and working with groups and teams. She also loves to travel and meet new faces, but said she will never leave her beloved home town of Boston, not even to get away from the snow.
Brian Sullivan
Brian Sullivan has been in the Healthcare arena for 7 years. He attended Roger Williams University in Bristol, RI where he majored in International Business and minored in Communications. He started his healthcare career at Meditech and while he was there he managed Laboratory Implementations for clients throughout the United States and parts of Canada. Today, Brian is a Senior Consultant with Excel Healthcare Group and his responsibilities range from project management, sales, and participating in the information exchange program at Excel. Brian loves the fast pace environment that the Healthcare Marketplace brings and making new relationships with clients though out the country.
Pam Watson
Pam Watson is a Registered Nurse with a diverse background specialty in Clinical Informatics and Project Management. Pam has been engaged in many facets of healthcare and healthcare systems including; home healthcare, hospitals; inpatient, outpatient, clinics as well as being a Nurse Manager. This combined knowledge and experience allows Pam to strive to understand her client’s requirements on any task. Her skill set is primarily focused around, but not limited to strategic planning, building and implementation in MEDITECH Advanced Clinicals; Patient Care Systems (PCS), PDoc (PCM) and OM- with CPOE being her specialty. Most recently she was involved with assisting a hospital reach stage 6 HIMSS EMR adoption model and prepare for stage 7. Pam possesses many qualities including experience with project management, business analytics, and has led teams of 100+ employees through various positions. She is able to identify organizational needs relative to quality measures, best practices, adherence to regulations, and optimized reimbursement. She specializes in the assessment, build, and implementation of meaningful use, Dragon Implementation, Zynx Evidenced Based Order Sets and Care Plans, and custom report analysis.
Table of Contents
Intro……………………………………………………………………………………………………………………………………………………..6
Accountable Care Organizations (ACO)…………………………………………………………………………………………………7
Assessments…………………………………………………………………………………………………………………………………………9
Bring Your Own Device (BYOD)…………………………………………………………………………………………………………….12
Clinical Quality Measures (CQM)………………………………………………………………………………………………………….13
Health Information Exchanges (HIE)……….……..…………………………………………………………………………………….16
HIMSS Stages………………………………………………………………………………………………………………………………………..17
HIPAA Omnibus Rule…………………………………………………………………………………………………………………………….19
ICD 10…………………………………………………………………………………………………………………………………………………..22
Intelligent Medical Objects (IMO)…………………………………………………………………………………………………………23
Meaningful Use (MU or ARRA)……………………………………………………………………………………………………………..24
Optimization………………………………………………………………………………………………………………………………………...27
Patient Centered Medical Home (PCMH)……………………………………………………………………………………………..30
Physician Quality Reporting System (PQRS)………………………………………………………………………………………….31
Population Health Management Program (PHM)…………………………………………………………………………………32
Portals/Patient Access to Their Records……………………………………………………………………………………………….33
Revenue Cycle Management……………………………………………………………………………………………………………….34
Smart Clothes……………………………………………………………………………………………………………………………………….36
Social, Mobile, and Cloud Technologies……………………………………………………………………………………………….38
Telehealth/Virtual House Calls……………………………………………………………………………………………………………..40
Unintended Consequences of an EMR………………………………………………………………………………………………….44
Conclusion…………………………………………..……………………………………………………………………………………………….46