Tribal Health. Integrated Tribal Health Center Solutions Five Steps to Better Tribal Health Outcomes
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1 Tribal Health Integrated Tribal Health Center Solutions Five Steps to Better Tribal Health Outcomes
2 Join the Tribal Health leader Tap into the single, shared database of our EHR and practice management system and our suite of integrated tribal health center solutions. With 10 times the installed base of any other commercial-off-the-shelf (COTS) vendor, we are the tribal health center and urban tribal health center market leader. Start a new dialog now with our Director of Community and Tribal Health Centers. Tom Farmer at tfarmer@nextgen.com.
3 Tribal Health Center Solutions Good old days not good now Frustrating, inconvenient, and expensive The buzz is the same everywhere: Leaders at tribal health centers across the country are frustrated. The 30-year-old legacy system still used by many tribal health centers doesn t stack up in performance, usability, integration, and support compared with newer systems. Using a legacy EHR solution is like owning an old car (that leaks oil). It ll get you there but you ll spend more time, effort, and money to keep it on the road. Don t let yesterday use up too much of today. Cherokee
4 The Challenges of Healthcare Reform in a Tribal Health Center You need an integrated EHR and practice management system with a suite of software solutions that can handle the challenges of healthcare reform in a tribal health center. Which challenges are your biggest pain points? Waiting on the phone or for a callback from your current vendor s support department Working with different versions and pieces of systems that don t integrate Having a reactive entity the IHS as an HIT partner instead of a proactive HIT partner Knowing how to use your IHS allotment and tribal funds for the best possible HIT solutions Remaining compliant with your 638 contract while also seeking Section 330 funding as a FQHC Finding subject matter experts who can explain big picture HIT strategy and needs to elders Pursuing Meaningful Use EHR Incentive Program revenue and getting everyone on board Finding the impact of the yearly IHS budget? And what percent to use for HIT Wondering if the Office of Inspector General might audit your use of federal healthcare funds Engaging your tribal patient populations to help them take more responsibility for their health Integrating the uniqueness of tribal health into your EHR and practice management system Figuring out how to generate more reimbursement using the data you already collect
5 Now What? Learn from a qualified HIT partner how the changing payment landscape will affect your tribal health center. We ve broken it down into five easy steps. Follow them and position your facility to not only survive healthcare reform but also to thrive in its new, report- and data-heavy world.
6 Step 1: Integrate EHR/EDR/Behavioral Health/Practice Management Demand an integrated, single database solution. You ll streamline reporting, reduce maintenance costs, and simplify your tribal health center work. It s a critical step. Get a robust core with a suite of integrated, interoperable ancillary solutions. A comprehensive, integrated solution will help your tribal health center succeed in each aspect of healthcare reform, today and for years to come. And it will help you improve the outcomes and experiences of your unique patient populations. Streamline implementation Minimize training time Receive detailed reporting on combined administrative and clinical data Improve patient care and engagement Enhance care coordination Solve connectivity and financial challenges Manage population health Ease the path to quality incentive programs Reduce maintenance costs Speed payments and increase revenue
7 Tribal Health Center Solutions It s your move choose the right partner Your HIT partner should have a proven track record you can rely on for immediate improvement and an open interoperability, data sharing strategy for the future. We accompany our integrated, comprehensive suite of solutions with unmatched tribal health center expertise and EHR template design/data capture for tribal health center workflows. It s why more than 30 tribal health centers in the country already use NextGen solutions Specialty Director for Tribal Healthcare Single, integrated database Behavioral Content and NextGen Electronic Dental Record Multi-specialty templates and workflow Sliding fee schedules Diabetes Audit Report Government Performance and Results Act (GPRA) reporting First in KLAS for 2014 Ambulatory RCM Services Purchased/Referred Care (PRC) User Group/Client Exchange/ Tribal NextGen Health Consortium (TNHC)
8 Step 2: Drive patient engagementment Don t underestimate how much your communities use technology. Especially younger generations; tablets, smart phones, and mobile devices are everywhere! A patient portal gives patients (and their care givers) online access to the EHR and provides options to communicate with your staff. Patient portal also enables your providers and clinicians to proactively communicate back to patients and/or their extended care team. Plus, it s mandatory if your tribal health center is pursuing Meaningful Use (MU) and the incentive payments. NextGen Patient Portal is fully integrated with our EHR and practice management system. It s also very popular because building patient engagement becomes easier and doesn t disrupt core workflows. This step also empowers patients to take more responsibility for their own health and the health of their families.
9 Tribal Health Center Solutions Step 3: Achieve true interoperability Your tribal health center/urban tribal health center can t survive healthcare reform without the ability to share protected health information (PHI) with other systems in your community, region, and across the country. That s where interoperability comes in. Our Mirth open source interoperability solution is used in more than 100,000 settings worldwide. Mirth has set the standard for ease and speed to connect different and disparate systems. And it s what powers our integrated interoperability solution NextGen Share. Secure, integrated patient data sharing? Yes! NextGen Share helps tribal health centers safely, securely, and quickly query external systems, provide and manage referrals, and accurately exchange clinical content all without leaving the NextGen Ambulatory EHR. That ability simplifies work and improves care and communication, while reducing interface costs. NextGen Provider Sharing NextGen Healthcare Provider Network Provider discovery and messaging Integrated referral ordering Secure sharing of EHR documents Improved office efficiency N/A Nation-Wide Data Sharing Closed-loop referrals Third-party EHRs and Inpatient Clinicals CCDA exchange Discreet clinical data exchange with payers Data notification HISP DirectTrust Certified
10 It can help Tribal Health and FQHCs address a broad range of health reform goals from achieving meaningful use requirements and delivering accountable, coordinated care; to better transitions of care and making evidence-based clinical decisions more easily.
11 Step 4: Drive care coordination and accountable care To drive care coordination and accountable care, use best practice workflow protocols and data-driven concepts. These will help you improve patient outcomes and reduce costs. It s another reason the previous step interoperability is so critical. A simple, scalable, open system that s interoperable safely and securely unlocks siloed Protected Health Information (PHI) data. It can help Tribal Health Centers and FQHCs address a broad range of health reform goals from achieving meaningful use requirements and delivering accountable, coordinated care; to better transitions of care and making evidence-based clinical decisions more easily. All working towards better population health a broad goal of healthcare reform. While Tribal facilities have many unique challenges specific to each operation, NextGen continues to work with us on all of them. We are happy with our choice in adopting NextGen as our EHR. Scott Harding, IT Supervisor Greenville Rancheria
12 Step 5: Manage your population health Connecting with patients, open data sharing, and practicing collaborative, accountable care are the building blocks for successful population health management. Your responsibility for the health outcome of groups of patients requires using all the resources of the previous steps to manage your entire patient panel or discreet sub-sections of it. With them, your tribal health center can deliver the most appropriate preventive care and treatment based on the physical, dental, behavioral, social, and even cultural factors that affect your patient s condition, risk, and illness severity. To manage population health right you must offer meaningful intervention at all points of care and across all points of the disease and healing process, not just during care episodes at your tribal health center. NextGen Population Health lets you build comprehensive data-driven care management services and better outcomes with minimal technology overhead.
13 Tribal Health Center Solutions Population health without EHR integration = extra work Some tribal health centers use a legacy population health management solution that requires separate data entry into the EHR. That means if you reach out to 2,000 patients, you ll have 2,000 extra chart touches to document your patient engagement. A better solution is to integrate your outreach (using NextGen Population Health and NextGen Patient Portal) directly into our EHR/EDR/Behavioral Health/Practice Management platform. Every new activity, communication, order, etc., is input once, across the care disciplines, automatically. The required fields across your integrated NextGen Healthcare platform are all populated with the correct data ready for analytics, reporting, and secure sharing.
14 Unmatched Tribal Health Center Expertise NextGen Healthcare Guidance from tribal health specialty experts Tribal health user groups and education Multi-specialty templates and workflows Tribal health center reporting compliance A single medical, dental, behavioral, patient record Interoperability for community connectivity Access to a dedicated Tribal Health Director A path to quality incentive programs IT solutions for better tribal population health Revenue cycle management for tribal health Do what needs to be done for the good of all. Adapted from Native American Ten Commandments
15 Our Manifesto: We ll give clients more freedom to care for patients Providers deserve to be paid for what they do, in a timely way Clients should have expert service, delivered day in and day out: always available Clients should be able to Share data when and where they want We ll help clients grow, without limits: practice, service, or specialty Our Client relationships extend beyond go-live Clients shouldn t have to bear all the risk of reimbursement We ll work to be first to handle regulatory changes so clients can too
16 Take the Next Step. To learn more, please contact us at or Or start a dialog now with our Director of Community and Tribal Health Centers. Tom Farmer at tfarmer@nextgen.com. Contact us: EHResults@nextgen.com The NextGen Healthcare Difference for Tribal Health We re ready to help your tribal health center/ urban tribal health center thrive by helping you improve your clinical and financial outcomes, meet your MU goals, achieve patient centered medical home (PCMH) certification, and manage the health of your communities with caring compassion and measurable excellence. NextGen Healthcare Information Systems, LLC 795 Horsham Road, Horsham, PA p: f: nextgen.com Copyright 2015 NextGen Healthcare Information Systems, LLC. All rights reserved. NextGen is a registered trademark of QSI Management, LLC, an affiliate of NextGen Healthcare Information Systems, LLC. All other names and marks are the property of their respective owners. Patent pending. *This certification does not represent an endorsement by the U.S. Department and Health and Human Services.Eligible professionals and hospitals must use ONC certified EHR technology to participate in the Meaningful Use EHR Incentive Revenue Program. For a complete listing of NextGen Healthcare ONC certified health information technology please visit cchit.org. SP16-3/15
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