Healthcare Technology Magazine

Procura Delivers HR Document Framework within its Home and Community Care EMR

Delivering another "first" to the Home Care, Community Care, and Hospice marketplace, Procura has announced the delivery of its Human Resources Documentation framework. Recognizing that the most valuable resource an agency has is its people, the framework provides a means to incorporate virtually any form of document as part of an employee electronic record, with appropriate security and workflow automation capabilities.

"We realize that the implementation of a 'top tier' HRIS system that provides electronic documentation capabilities is expensive and can be all consuming for an organization," reflects Bill Bassett, Chief Market Officer for the Procura Group of Companies.

"The HR Documents™ framework and related workflow engine permits an organization to incorporate many of their electronic record-keeping objectives while keeping their costs low. HR Documents provides an agency with the ability to incorporate their own content in a structured and reportable manner. Therefore, if you already have a robust collection of paper-based HR documentation you can use them as the basis for their electronic equivalent. This further reduces the costs given that the investment has already been made and employees are familiar with the documents."

"Our vision of Procura is to add value to all departments within a customer's organization, delivering more than just an operational and clinical solution that are typical of an EMR. HR documents can be used to manage employee-related recordkeeping for recruitment, performance management, and virtually any other documentation requirement. Coupled with our workflow engine, documents can be triggered to display when they need to, meaning that your work processes can be incorporated directly within the system," says Scott Overhill, CEO of the Procura Group of Companies. "We've had this for our clinical documentation for years, and on the HR side it is a natural extension of our already industry-leading Scheduling Genius™, attendance management, and mobile solutions."

ContinuLink Expands Revenue Cycle Management Module to Dramatically Improve Profitability of Providers

The ContinuLink Homecare Platform announces an expansion of their Revenue Cycle Management module for home health providers. ContinuLink, the leading web-based enterprise software system, has added more financially focused tools to assist providers in creating better financial workflows and obtaining billing efficiencies. The ContinuLink solution will help providers improve cash flow management and profitability. The new Revenue Cycle Management solutions will be showcased at the National Association of Home Care and Hospice Annual Meeting on October 19, 2014 at booth #801.

The new financial tools are unique in their ability to simplify the complexities of dealing with Medicaid and multi-payer environments. A hallmark of ContinuLink is the ability for the software to manage all of an agency's programs including Medicaid, Medicaid Waivers and Managed Care. The new Revenue Cycle Management enhancements include an automated scheduling and authorization tracking system integrated into the software. This enhancement helps providers maintain compliance with all Medicaid payer requirements for payment. Robust payer profiling and agency specific customizable work-flows support staff in managing the agency in a compliant and profitable manner. These new tools ensure that only properly credentialed staff members are assigned to cases and that no services are provided that are not authorized.

"ContinuLink has always been the best solution for working with multiple payers and was created by a home care team specifically to manage those issues," stated Scott Brashears, CTO, The Procura Group of Companies. "Our Revenue Cycle Management tools excel at providing operational, billing, reimbursement, risk and automated authorization support reducing the overall cost of managing the business and adding to the bottom line."

3.9 Million Healthcare Visits and Growing on Procura Mobile

The Procura Group of Companies announced today another new record has been achieved with their industry leading mobile healthcare solution securing their position as the most successful provider of mobile community and home care services worldwide.

Today, the Procura Mobile platform has successfully supported the delivery of 3.9 million visits. The Procura Mobile platform is growing faster than any other mobile solution with 1 million visits served every three months. The solution is now expected to surpass over 1 million visits per month by 2015 beating forecasts. One reason for this tremendous growth is the rapid adoption of the Shift-based Group Scheduling system to support supplemental staffing otherwise known as "Cluster" or "Building Designates." Home care providers need efficient ways of delivering personal support services and can be successful by reducing travel time and booking staff to one cluster for a defined shift.

The Procura Mobile solution permits employees to 'dovetail' services to multiple clients in a facility or any environment that has a large population of clients receiving care. The solution includes an access-driven function that keeps the shift open while permitting the employee to verify and document against the client services as they are delivered.

"The use of mobile devices is a critical component in the efficient delivery care," stated Bill Bassett, CMO, The Procura Group of Companies. "Today, our Procura Mobile smartphone solution is ideal for personal support services and routine nursing visits, and it will be the perfect tool as the vision of Population Health Management becomes commonplace."

Evolution1 – a WEX Company Selected by CBIZ as Preferred Partner

Evolution1 – a WEX Company – a leading provider of cloud-based, consumer-directed healthcare and defined contribution payments and technology solutions – continues to strengthen its partner base with the addition of marquee partners such as CBIZ, Inc. CBIZ is the largest U.S. benefits specialist and a top 20 broker of U.S. business (as ranked by Business Insurance magazine, 2014).

With nearly 100 offices and more than 4,000 associates in major metropolitan areas and suburban cities throughout the U.S., CBIZ (NYSE: CBZ) delivers top-level financial and employee business services to organizations of all sizes, as well as individual clients, by providing national-caliber expertise combined with highly personalized service delivered at the local level. Through the relationship, Evolution1’s industry-leading consumer directed healthcare administration platform will be available to CBIZ’s employer group clients through 1Cloud by Evolution1®.

“Evolution1’s simplified single end-to-end user experience stands far above the competition,” said Neal Devlin, director of operations for CBIZ Payroll. “We are excited to offer the most technologically advanced CDH administration software and benefits card to our clients, and we look forward to a long and mutually rewarding relationship with Evolution1, a true industry leader.”

Evolution1 converted CBIZ’s book of healthcare FSA and HRA accounts from CBIZ’s previous vendor. Evolution1 enables CBIZ to now offer a new integrated HSA solution as well as a true multi-account solution. Additionally, CBIZ will now bring mobile capabilities to its clients through the 1Mobile by Evolution1® app.

“CBIZ has built a powerful reputation by delivering on its mission to help its clients grow their business through successful employee benefits strategies,” said Jeff Brunsberg, chief market officer at Evolution1. “We are honored to become a preferred partner of CBIZ and to help further enhance the company’s best-in-class products and service.”

OhioHealth and Time Warner Cable Business Class Team Up for Telemedicine Solution

OhioHealth, a nationally-recognized, not-for-profit system of healthcare facilities based in central Ohio, is utilizing technology to connect patients with physicians. By using services from Time Warner Cable Business Class, the organization is able to remotely provide care to patients throughout the state.

While OhioHealth turns to TWCBC for a number of business solutions, including video, phone and data services, it’s TWCBC’s robust network that makes OhioHealth’s cutting-edge telemedicine program possible. TWCBC provides 100 Mbps point-to-point Ethernet Private Line (EPL) fiber circuits connecting 50 care sites, 300 Mbps Dedicated Internet Access (DIA) at their headquarters, plus up to 100 Mbps High Speed Internet Access service connecting the organization’s smaller offices. This gives OhioHealth the speed and capacity for applications such as streaming two-way audio and video.

“A patient and physician no longer have to be sitting together in the same room. A physician can provide evaluation and diagnosis through the technology that’s available today,” said Jim Lowder, system vice president, technology, OhioHealth, which has 11 member hospitals, more than 50 ambulatory and surgery centers, primary care and specialty practices. “Having a high speed, high performance, highly reliable, low latency network is absolutely critical to our operations. Time Warner Cable Business Class provides that network connectivity.”

One example is OhioHealth’s eICU. Skilled ICU “intensivists” at a central metropolitan facility can now remotely monitor critical patients in hospitals that lack 24-hour access to on-site specialized ICU staff. Another example is the OhioHealth Stroke Network, which connects emergency teams at community hospitals to specialists in critical care and stroke at OhioHealth’s facilities in Columbus, Ohio. TWCBC’s fiber-based EPL and DIA solutions have expanded the reach of the OhioHealth Stroke Network by utilizing real-time, two-way audio and video, as well as access to imaging, to ensure stroke patients quickly receive the appropriate treatment and interventions.

“OhioHealth is a true innovator and leader. The organization's use of technology to increase patient care effectiveness can help save lives,” said Jeff Greenberg, group vice president, mid-market, channels and alliances, Time Warner Cable Business Services.

TWCBC also provides support beyond the solutions. The company helps OhioHealth with requirements for system availability, disaster recovery and redundancy. The organization has implemented a redundancy solution that features true route diversity, separate entrance facilities and failover supported by ring architecture.

2015: The Year That Telemedicine Becomes Available to All Americans?

Election Day is almost here. On November 4th Americans will turn out to vote for the local, state, and federal candidates whom they believe will best represent their interests. And those interests for many, should be the future of their healthcare. One that CloudVisit(SM) Telemedicine believes will be in the limelight is the full integration of telemedicine and telepsychiatry via online video sessions into the broad array of health care services that should be available to all Americans.

"Telemedicine used to be the thing of science fiction, but thanks to digital media, today it's a fact of life," says Daniel Gilbert, president and CEO of CloudVisit Telemedicine.

American adults (age 18 and up) use the internet and/or their smart phones more than two hours every day. Many already use telemedicine solutions to work with their healthcare providers.

What's next for Telemedicine?

"We believe 2015 will be the year that government flattens the obstacles to country wide access for patients: lack of sufficient broadband in rural areas; Medicare's outmoded rules prohibiting the majority of reimbursements; and, divisive politics that get in the way of bipartisanship," says Gilbert.

Several factors are pushing momentum toward putting in place the necessary regulations and legal constructions for telemedicine to become available nationwide. Seventy percent of American adults have access to high-speed broadband connections at home. Broadband access is a prerequisite for telemedicine to work for both patients and providers. It is becoming evident that telemedicine can reduce the costs of health care, while at the same time improving patients' access to quality care, and positive outcomes. As we have seen with our CloudVisit Telemedicine clients, the demand is increasing for telemedicine services, particularly for providers' patients who need ongoing support. Growth in the telemedicine market reflects patients' wishes that health care services keep pace with technology to create better access, engage them in their own care, all with the level of convenience that telemedicine services bring.

The future of Telemedicine Legislation

Also moving in favor of telemedicine reaching its full potential is the current legislative cycle. The run up to the next presidential election is only a year away. Therefore, the coming legislative session will be the last before all eyes are on the candidates.

Lawmakers will want their constituents to feel well served by the people they elected, and telemedicine embodies all the elements that both sides of the aisle may be able to agree on:

Constituents are having positive experiences using the technology; it enables lowered costs while increasing patient access; and, it has nothing to do with the Affordable Care Act. Assuming neither party needs to walk away from the issue, there is tremendous opportunity for lawmakers from both blue and red states to work together to make full telemedicine access a reality.

AMD Global Telemedicine Announces AGNES-Ready Certification Program and Integration with MiiS horusScope

AMD Global Telemedicine Inc. (AMD), the pioneer of clinical Telemedicine Encounter Management Solutions (TEMS)™ announces the AGNES®-Ready certification program and integration with the MiiS horusScope® device.

The MiiS horusScope, a medical scope with interchangeable lenses used for telemedicine applications, is the latest product certified for use with AGNES telemedicine software. This partnership between AMD Global Telemedicine and MiiS was developed to blend two mutually beneficial technologies together that will support existing horusScope user requirements and expand the adoption of AGNES technology into new global markets.

AMD’s AGNES telemedicine software platform is used to aggregate data from various medical devices in real-time and deliver a patient encounter between a telemedicine attendant and the remote consulting physician. The AGNES-Ready program was put in place by AMD to test and certify devices from various third party manufacturers, to connect to the AGNES real time system.

The importance of the AGNES-Ready Program is threefold; it delivers positive proof of AMD’s commitment of AGNES being a ‘true’ open platform, it provides investment security in AGNES against an environment of evolving medical device technologies and lastly, it presents customers a unified service point in the event of technical issues instead of the potential finger pointing which often exists in multiple vendor/supplier solutions.

“The horusScope has captured the attention of quite a few telemedicine practitioners,” said Dan McCafferty, Vice President of Global Sales and Corporate Development at AMD. “We see the horusScope as a great fit for many telemedicine applications, namely ophthalmology because of the embedded viewing screen,” added McCafferty.

“The AGNES-Ready status for the horusScope sets the stage for cooperation in many markets, especially internationally,” said Stefan Cheng, President of MiiS. Other third party manufactures that have AGNES-Ready devices include Welch Allyn, Midmark, 3M Littman, Interson, and ProVision.

ATA Celebrates Halloween Telemedicine Treats for Medicare Beneficiaries

Yesterday, the Centers for Medicare and Medicaid Services (CMS) issued a rulemaking that includes significant additional coverage for telemedicine services.

Buried in an almost 1200-page rulemaking about 2015 Medicare payments to physicians and practitioners were provisions paying for remote chronic care management using a new current procedural terminology (CPT) code, 99490, with a monthly unadjusted, non-facility fee of $42.60. Also, Medicare will pay for remote-patient monitoring of chronic conditions with a monthly unadjusted, non-facility fee of $56.92 using CPT code 99091.

Prior to this, Medicare did not pay separately for such services, requiring that such billing be bundled with an "evaluation and management" code. Also in the rulemaking were seven new covered procedure codes for telehealth including annual wellness visits, psychotherapy services, and prolonged services in the office.

"It has been a long time coming, but this rulemaking signals a clear and bold step in the right direction for Medicare," added Linkous. "This allows providers to use telemedicine technology to improve the cost and quality of healthcare delivery."

Nine in 10 Health Care Providers Pursuing Telemedicine Despite Hurdles

Health care providers are actively pursuing telemedicine advancements despite reimbursement and regulatory challenges, according to a new survey of senior health care executives released today by Foley & Lardner LLP.

“The reimbursement landscape is already changing, and there are many viable options for getting compensated for practicing telemedicine,” said Larry Vernaglia, chair of Foley’s Health Care Practice. “The smartest thing organizations can do now is to continue developing programs, and be ready for the law to catch up -- because it will.”

The survey asked senior executives of for-profit and non-profit health care providers about the future of telemedicine and how their organizations are navigating regulatory and reimbursement hurdles, as well as other barriers to widespread adoption of telemedicine. Key findings in the 2014 Telemedicine Survey Report include:

Executives are Embracing Telemedicine

Industry leaders believe telemedicine has arrived. Why? For the majority of respondents, it’s simple – they believe telemedicine will keep patients healthier.

Nine out of 10 report that their organizations have already begun developing or implementing a telemedicine program 84% say that offering meaningful telemedicine services will be central to the success of their organizations. The majority of respondents already offer remote patient monitoring services (64%), store and forward technology (54%) and real-time interaction capabilities (52%).

The Affordable Care Act is Driving Telemedicine Advancements

As health care providers move from a fee-for-service model to one that reimburses based on positive patient outcomes, executives face increased financial pressure to keep patients healthy. Given that the Affordable Care Act penalizes hospitals for excessive numbers of readmissions and hospital-acquired conditions, remote touch points may be more profitable.

50% of respondents said the potential to improve quality of care was the primary motivator in adopting telemedicine. 18% ranked reaching new patients as their top motivation, demonstrating the potential for telemedicine to counsel and treat patients despite their physical location.

“In the post-Obamacare paradigm, providers bear a much greater responsibility for the sustained wellness of their patients,” said Nathaniel Lacktman, a partner and health care lawyer at Foley. “Telemedicine offers new ways for providers to manage this new level of risk and keep their patients healthy, happy and out of the hospital.”

Reimbursement is the Primary Obstacle to Implementation

Leaders were less confident about telemedicine’s imminent adoption, primarily due to reimbursement issues. Regulators and insurers have made it challenging to get paid for medicine practiced outside of traditional interactions. 41% of respondents said they do not get reimbursed at all for telemedicine services 21% reported receiving lower rates from managed care companies for telemedicine than for in-person care Nearly half (48%) expressed concern about educating physicians on telemedicine as a credible avenue for care

CareClix Telemedicine Addressing Ebola

With growing concerns regarding Ebola and other infectious diseases throughout the world, CareClix Telemedicine provides a secure, robust virtual solution to screen patients with medical illnesses and manage them remotely with experts in their fields.

A presumed infected or ill patient can be evaluated and history obtained remotely via video by a specialist physician, examined with medical devices like pharyngoscopes, otoscopes, or dermatoscopes, and labs obtained on-site for analysis. Such telehealth strategies would protect caregivers from exposure, permit a quick response to treatment, and protect the public from potential epidemics.

CareClix provides one of the most comprehensive telehealth solutions in the world, serving as a fully integrated, secure, and HIPAA-compliant platform to connect medical providers and patients worldwide. This revolutionary technology enables doctors to see patients in their clinical settings anywhere in the world virtually as well as at home via remote health monitoring.

CareClix also gives providers' access to a certified Web-based Electronic Medical Record system, e-prescribing, and lab testing—all in one integrated platform. CareClix Anywhere, CareClix Exam, and CareClix Home represent exclusive products powered by the core CareClix processor. This makes CareClix and its technology unique in that it is the only integrated telemedicine platform providing a continuum of telehealth services-telephone and video access to a doctor 24 hours a day, seven days a week, to the virtual examination room, and to the patient centered medical home.

In offering a comprehensive telemedicine solution, CareClix is changing the way patients see their doctor. The CareClix Telemedicine Solution provides physicians and their patients' access to medical care regardless of geographic location. The CareClix Telemedicine online solution will grant a competitive advantage and will allow access to a provider for quality, cost-effective care.

With the recent passing of healthcare reform, The CareClix Telehealth Platform helps organizations reduce their healthcare expenditures by providing access to medical ailments at the convenience of their home or workplace; this will result in significant savings associated with not having to physically enter a doctor's office or go to the emergency room.

In addition one can provide access to specialty care through our patent- pending platform. Our telehealth platform has already been successfully implemented with numerous physician/provider practices and health care organizations throughout the country to achieve their goals. CareClix is a comprehensive telemedicine solution and allows for the secure communication of medical information between physicians, pharmacists, providers, and patients anywhere in the world at any time to manage various medical conditions.

All of the systems are HIPAA compliant adhering to all industry standards for the secure transmission of medical data between providers and patients. The CareClix platform utilizes 128bit encryption to secure health data transmission and storage. CareClix can be accessed online through a personal computer or mobile device at any time resulting in improved access to network physicians, providers, and pharmacists, reduction in out of network utilization, improved quality of care, improved continuity of care and at the same time reducing medical costs.

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