Exhibit 99.2
Best Practices:
Clinical Automation at George Washington University Medical Faculty Associates
Steve Badger Chief Executive Officer September 8, 2005
Overview
Background on George Washington University Medical Faculty Associates
What Do Senate Majority Leader Bill Frist and Senator Hillary Clinton Have in Common?
From 0 to 100 in 28
Results, Results, Results
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Background
Medical Faculty Associates
Largest Multi-Subspecialty Physician Practice in Washington, DC
Affiliated with George Washington University
Over 1,500 Patients/Day
41 Specialties
Over 300 Healthcare Providers Over 400 Residents/Fellows Over 700 Support Staff
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Background
Key Points
Healthcare is Behind in IT
Call to Action
Implementation Can be Fast
Impact on Patient Care is Significant
Significant Opportunity for Patients/Providers/Staff
State of the Union Address Led to Acceleration
100 Physicians in only 30 Days
The EHR is a Medical Instrument
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Background
EHR Strategic Objectives
Provide Information Access (Reliable, Fast, Easy, Remote) Improve Efficiencies (Resulting in Cost Savings) Allow for Enhanced Risk Management and Compliance Facilitate Research Mission of MFA
Approach Incrementally
Centralize Information Technology
Maximize current investments Security control Reduce long-term support and training
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Background
Selecting an EHR
Why Allscripts?
An EHR is a Journey, Not a Destination – Needed a Trusted Long-Term Partner
Ability to deliver enhancements Responsiveness Innovation
Modular
Ability to integrate/interface (IDX)
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Formulary Identification in e-Rx
PA =Prior Auth.
Non Formulary
TouchWorks looks at the patient’s pharmacy benefit Preferred Formulary information to determine the appropriate formulary.
2nd Tiered Formulary
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Formulary Alternatives
Prior Adverse Reaction Warnings
TouchWorks looks at the patient’s reported allergies and compares it to the requested medication.
A medication allergy will trigger warnings for the entire class of medications.
Drug Utilization Review
TouchWorks looks at the Active Medication list to determine potential drug interactions within the list, as well as with new medications.
TouchWorks also provides Duplicate Therapy warnings.
Medication Reporting
Patients using recalled medications can be identified immediately
SnapShot
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Accelerated Implementation
Full EHR for Department of Medicine
Intense Team Environment Moving Towards Common Goal
Removed obstacles as they arose
Functionality Deployed
Implemented Charge, ePrescribing, Note, Results
Enabled Multiple Note Entry Types (Structured
Templates, Text Templates, Dictation, Voice Recognition)
Deployed Patient Online
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Accelerated Implementation
Full EHR for Department of Medicine
Training Approach
“Command Center”
Physicians benefit from one on one training
Staff training based on roles and workflows
Plan schedule well in advance – expect changes
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Accelerated Implementation
Full EHR for Department of Medicine
Challenge: Multiple Specialties, Short Time Period, Drive Utilization
100+ Physicians: Robust Users of TouchWorks EHR
Full Roll Out to Department of Medicine
Internal Medicine 36 MDs (Hospitalists – 4 MDs)
Infectious Disease 7 MDs
Endocrinology 9 MDs
Cardiology 16 MDs
Rheumatology 7 MDs
Pulmonary 5 MDs
Renal 8 MDs
Gastroenterology 8 MDs
Podiatry 3 MDs
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Impact of EHR
Process/Economic Efficiencies
Areas of Impact:
Figure 3. Five Year Impact of EHR
$12,000,000
$10,000,000 Higher Coding Levels Due to Improved Documentation
$8,000,000 Transcription Expenses
$6,000,000 Chart Related Staffing Expenses
$4,000,000
$2,000,000
FTEs = Reduction of 25 FTEs in Medical Records Coding = $2,000,000 Transcription = $1,800,000 Chart Related Expenses = $6,000,000 DSO = Reduction from 71 to 56
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Impact of EHR
Quality of Care
Recalls: MFA was able to query all patients on Vioxx and automically send a letter
Error Avoidance: Rxs electronically sent to pharmacy, improving accuracy/avoiding errors
Triage: Reorganized telephone messaging … real time to physicians (cut by 3 days)
Refills: Refills for “bridge” prescriptions (Rx+) 24 hour turnaround (no longer 5-7 days)
Access to Chart: Dramatic reduction in chart pulls (10 fold decrease)
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Impact of EHR
Patient Satisfaction
Communication : Tasking facilitates triage, personal contact and improved physician/patient communication
Information: Access to their records and lab results in exam room during visit
Follow-up: Patients receive letter with status of their test results vs. calling on multiple occasions
Facilitation: Connect providers and patients
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Impact of EHR
Provider Satisfaction
Information: Information accessible anywhere, anytime
Flexibility: Physicians handle tasks remotely and can use multiple options for documentation
Access: Direct lab interface for results and direct radiology interface from hospital for x-ray and procedure results
Reporting: Develop reports to monitor status of errors
Clinical Advances: Providers and clinical staff see abnormal lab results and can address in real-time
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Summary
The Time is Now (Quality and Cost Drivers)
The Results are Very Real and Very Significant
This Is Changing How Healthcare is Delivered in the U.S. Right Now
This is the New “Standard of Care”
It’s a Journey, Not a Destination (Why the Right Partner is Mission Critical)
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Open Discussion and Questions
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Best Practices:
Clinical Automation at George Washington University Medical Faculty Associates
Steve Badger Chief Executive Officer September 8, 2005
