When did ACES launch?
Adventist HealthCare officially launched the ACES Program on May 11, 2010. The launch event, held in Rockville, Maryland, brought together more than 300 physicians to help them understand the upcoming changes with EMRs and to offer an easy and affordable way to implement EMR and Practice Management (PM) systems at their practices.
Of the attendees, almost 200 physicians were interested in joining the program immediately. Based upon this response, ACES is planning to implement EMRs for 100 physicians in 2011.
What EMR solution is Adventist HealthCare rolling out to its physician community?
Adventist HealthCare has partnered with eClinicalWorks and Allscripts, to offer three EMR/PM options. From eClinicalWorks, Adventist HealthCare is offering its integrated EMR/Practice Management suite and, from Allscripts, Adventist HealthCare is offering MyWay EMR/PM and Professional EMR/PM.
Why is Adventist HealthCare offering more than one EMR?
While understanding that there is no "one-size-fit-all" solution, Adventist HealthCare wanted to offer practices two state-of-the-art solutions so that each practice can choose the solutions that best suits it.
Early in the selection process, Adventist HealthCare realized that practice needs vary due to cost, size and specialty, specialty-specific content, scalability needs, and usability. By offering three solutions from two vendors, Adventist HealthCare is able to satisfy the EMR needs of close to 90% of its ambulatory physician community.
What process did Adventist HealthCare undergo in selecting its EMR partners?
Adventist HealthCare did extensive due diligence to select its vendor partners. The ACES Team led a detailed RFI process which covered nearly 15 categories that were examined for both the EMR and Practice Management System.
Adventist HealthCare also conducted extensive demonstrations which included participation from clinical leaders with extensive EMR/PM experience. All included staff with revenue cycle management and practice management experience. Adventist HealthCare also did many reference calls and site visits, which included the New York City Department of Health and Mental Hygiene, which implemented eClinicalWorks to more than 2,000 physicians, as well as other practices in the area who are using Allscripts.
What kind of subsidy does Adventist HealthCare provide to its affiliated physicians?
Adventist HealthCare is subsidizing the EMR/PM for a period of 24 months from the initial go-live of the EMR/PM. Federal legislation requires that, in order to receive the complete 24-month subsidy from Adventist HealthCare, physicians must go-live by December 2011.
How does Adventist HealthCare’s EHR/PM pricing compare to others pricing options?
Adventist HealthCare has negotiated a very good package from its vendors - eClinicalWorks and Allscripts. Currently, the pricing that Adventist HealthCare is offering to its physicians is the lowest that these vendors are offering in the area.
Last year, eClinicalWorks started offering their solutions through Sam’s Club (Wal-Mart) at a discounted package offering with Dell. Adventist HealthCare’s pricing is lower than that offered by Wal-Mart.
What additional benefits are there to participating in ACES program?
As part of participating in the ACES Program and to be eligible for the Adventist HealthCare subsidy, physicians become participants in CareEx, the Adventist HealthCare Health Information Exchange. CareEx is a network that connects Adventist HealthCare’s affiliated physicians to patient information including physician visits, medications, allergies, problem lists, laboratory results, immunization histories, radiology reports, health plan information, pharmacy data as well as information from Adventist HealthCare’s inpatient EMR.
Does Adventist HealthCare plan to participate with the statewide Maryland Health Information Exchange (HIE)?
Adventist HealthCare currently participates with – and will continue to participate in - the Maryland HIE. However, the statewide HIE – the Chesapeake Regional Information System for our Patients (CRISP) – will not be the primary way for us to connect our care providers. We are creating and providing CareEx as the primary infrastructure that will support our affiliated physicians to share essential healthcare data to improve the overall continuum of care. To be eligible for our significant subsidization, physicians would need to participate in CareEx.
Does this mean that Adventist HealthCare does not totally rely on the statewide HIE for its Clinical Data distribution and connectivity?
Are you ready to sign on that many providers that quickly?
Based on the good partnerships we have with Allscripts and eClinicalWorks, we have the teams ready support our affiliated physicians who wish to be part of ACES.
Who signs the contract with the vendors?
The physician and practice signs the agreement with either eClincalWorks or Allscripts. ACES seeks to act as a “matchmaker.” We have negotiated the pricing, and done the due diligence on our vendors. It is up to the physician to decide on the solution and sign the contract with the vendor they choose.
Will the physician be eligible for the Federal Stimulus (ARRA) for the EMRs that Adventist HealthCare is rolling out?
All three EMR / PM solutions that we have made available as part of the ACES program guarantees “Meaningful Use,” which is criteria to be eligible to receive the Federal stimulus.
How can I find out more about the ACES Program?
What is an MSO?
Management Service Organizations (MSOs) have emerged as a way to address the challenges associated with provider adoption of electronic medical record systems (EMRs). MSOs are tasked with supporting its physicians in meeting Meaningful Use criteria so they may receive financial incentives through the Meaningful Use Incentive Program. Receiving the MSO designation from the Maryland Health Care Commission (MHCC) means that an organization has met MHCC benchmarks for security, confidentiality and accountability.
MSOs enable physicians to access patient records wherever access to the Internet exists. MSOs are represented by hospitals, health care technology companies and other health care organizations that are qualified to address the challenges associated with provider adoption of EMRs.
What are the advantages to joining Adventist HealthCare’s ACES MSO?
Because of our commitment to providing a “continuum of care,” the Adventist HealthCare ACES MSO is open to all physicians of all specialties who are looking for an EMR solution. In addition to providing all the benefits of competing MSOs, the ACES MSO also seeks to provide connectivity with the most utililzed lab and radiology services at no additional cost. Not only do other MSOs not include this connectivity, but practices may also be expected to pay $1,000 or more for each of these important “point-to-point” connections if they want to have access to them. In short, the ACES MSO provides practices with more connectivity for no extra cost.
Unlike other MSOs, ACES is also offering physicians a subsidy toward the purchase of their EMR. Physicians credentialed at an Adventist HealthCare hospital - who join ACES before December 2011 - are eligible to receive up to $4,800 over the first two years of their EMR implementation.
Adventist HealthCare’s ACES MSO offers some of the most competitive pricing in the area and offers a choice of multiple, high-quality EMR solutions through two nationally recognized vendors, eClinicalWorks and Allscripts. These proven solutions cover the needs of a full spectrum of practice specialties for practices of all sizes.
Our ACES MSO team members have successfully implemented EMRs for thousands of practices nationwide including: North Shore Long Island Jewish Health System, Hospital Corporation of America and Beth Israel Deaconess Medical Center
In addition, the ACES MSO will also provide seamless integration with Adventist HealthCare facilities through the CareEx Health Information Exchange. By acquiring an EMR through ACES, physicians will able to access patient records from Adventist HealthCare facilities - including inpatient records - from within their ambulatory EMR. The Adventist HealthCare CareEx Health Information Exchange seeks to provide integrated care throughout the continuum of care.
How will the ACES MSO be connected to CRISP?
The Chesapeake Regional Information for our Patients (CRISP) has been designated as Maryland’s statewide health information exchange (HIE) to develop infrastructure to support the flow of health information among all Maryland providers. While the ACES MSO will use CareEx as a “mini-HIE,” CareEx will connect to CRISP as required by all MSOs. In addition, the ACES MSO seeks to leverage advantages of having local, tight integration within the CareEx HIE while maintaining the benefits of being connected with CRISP - and, eventually, a National Health Information Exchange.
How do I choose an MSO?
When choosing an MSO, it is important to understand how the enrollment process and pricing may work. Enrollment may generally be free. However, some MSOs may offer free resources prior to enrollment including a readiness assessment and resources to educate providers about subsidy programs and health information technology. Other MSOs may require that a provider enroll in their program first, and then after that, offer free services.
It is important to also know that there will be a cost associated with the purchase of an EMR solution from an MSO partner. Also, all MSOs provide pre-negotiated prices for the purchase of an EMR.
What are the advantages to joining an MSO?
Because MSOs provide local technical assistance, guidance, outreach and education to support providers in achieving Meaningful Use, physicians can be assured that they are receiving support from an organization that is familiar with their needs and the local health care landscape.
In addition, MSOs focus on providing services that are external to a practice’s core services, for example, ensuring data meets necessary privacy and security standards as well as uninterrupted service. In short, MSOs enable providers to focus on practicing medicine rather than dedicating staff to support technology.