How You Benefit

Return on Investment

• Eliminate under coding - accurate and complete coding
• Eliminate redundancy - single sign on access
• Eliminate errors- real time data entry and storage
• Reduce Costs - increase speed of referrals, increase provider and staff efficiency
• Reduce paper costs and supplies
• Reduce or eliminate transcription costs - Dragon Medical 10 ready
• Increase reimbursements
• Shorten revenue cycle
• Improve office efficiency- intuitive user interface
• Collect PQRI – Pay for Performance Incentives
• Collect e-prescribing incentives
• Meet and Earn “Meaningful Use” Incentive Bonuses(FFS)
• Reduce Liability – complete Audit Trail

AZZLY Meets Objectives

Care Goals	Stage One Objectives Eligible Providers (EP)	Stage One Measures	AZZLY Delivers
Provide access to comprehensive patient health data for patient's health care team Use evidence-based order sets and CPOE. Apply clinical decision support at the point of care. Generate lists of patients who need care and use them to reach out to patients. Report information for quality improvement and public reporting	Use CPOE	For EPs, CPOE is used for at least 80% of all orders	PROVIDED Capable of electronic ordering of meds.labs,radiology,imaging and referrals Integrated evidence based order sets Tethered PHR
	Implement drug-drug, drug-allergy, drug formulary checks	The EP has enabled this functionality	PROVIDED Integrated medications database
	Maintain an up-to date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT ®	At least 80% of all unique patients seen by the EP have at least one entry or an indication of none recorded as structured data	PROVIDED ICD- 9 mapped to ICD-10 Snomed – CT vocabulary
	Generate and transmit permissible prescriptions electronically (eRx)	At least 75% of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology	PROVIDED Certified through Dr First to Surescripts
	Maintain active medication list	At least 80% of all unique patients seen by the EP have at least one entry (or an indication of “none” if the patient is not currently prescribed any medication) recorded as structured data	PROVIDED
	Maintain active medication allergy list	At least 80% of all unique patients seen, by the EP have at least one entry or (an indication of “none” if the patient has no medication allergies) recorded as structured data	PROVIDED CAPABLE
	Record demographics preferred language insurance type gender race ethnicity date of birth	At least 80% of all unique patients seen by the EP have demographics recorded as structured data	PROVIDED
	Record and chart changes in vital signs: height weight blood pressure Calculate and display: BMI Plot and display growth charts for children 2-20 years, including BMI	For at least 80% of all unique patients age 2 and over seen by the EP record blood pressure and BMI; additionally plot growth chart for children age 2-20	PROVIDED
	Record smoking status for patients 13 years old or older	At least 80% of all unique patients 13 years old or older seen by the EP have “smoking status” recorded	PROVIDED
	Incorporate clinical lab-test results into EHR as structured data	At least 50% of all clinical lab tests ordered whose results are in a positive/negative or numerical format are incorporated in certified EHR technology as structured data	PROVIDED LOINC CAPABLE
	Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, and outreach.	Generate at least one report listing patients of the EP with a specific condition.	PROVIDED Search and Sort Capability Ability to Report
	Report ambulatory quality measures to CMS or the States	For 2011, provide aggregate numerator and denominator through attestation For 2012, electronically submit the measures	CAPABLE Submitted Self Nomination Jan 2010 to CMS to test in 2010 for 2011 submission
	Send reminders to patients per patient preference for preventive/ follow up care	Reminder sent to at least 50% of all unique patients seen by the EP that are age 50 or over	PROVIDED Have capability to send by e- mail, post or phone
	Implement 5 clinical decision support rules relevant to specialty or high clinical priority, including diagnostic test ordering, along with the ability to track compliance with rules	Implement 5 clinical decision support rules relevant to the clinical quality metrics the EP responsible.	PROVIDED CDS provided through integrated ZYNX HEALTH Ambulatory Order Sets Complete Audit Trail
	Check insurance eligibility electronically from public and private payers	Insurance eligibility Checked electronically for at least 80% of all unique patients seen by the EP	PROVIDED Integrated Medical Claims Clearinghouses
	Submit claims electronically to public & private payers	At least 80% of all claims filed electronically by the EP	PROVIDED Integrated Medical Claims Clearinghouse
Provide patients and families with timely access to data, knowledge, and tools to make informed decisions and to manage their health	Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, allergies),upon request	At least 80% of all patients who request an electronic copy of their health information are provided it within 48 hours	PROVIDED Tethered PHR
	Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, allergies) within 96 hrs of the information being available to EP	At least 10% of all unique patients seen by the EP are provided timely electronic access to their health information	PROVIDED Tethered PHR
	Provide clinical summaries for patients for each office visit	Clinical summaries are provided for at least 80% of all office visits	PROVIDED In paper or CCD/ CCR format Tethered PHR
Exchange meaningful clinical information among professional health care team	Capability to exchange key clinical information (for example, problem list, medication list, allergies, diagnostic test results), among providers of care and patient authorized entities electronically	Performed at least one test of certified EHR technology's capacity to electronically exchange key clinical information	PROVIDED Built on Standards CAPABLE
	Perform medication reconciliation at relevant encounters and each transition of care	Perform medication reconciliation for at least 80% of relevant encounters and transitions of care	PROVIDED
	Provide summary care record for each transition of care and referral	Provide summary of care record for at least 80% of transitions transitions of care and referrals	PROVIDED CCD/ CCR Format Capable
Communicate with public health agencies	Capability to submit electronic data to immunization registries and actual submission where required and accepted	Performed at least one test of certified EHR technology's capacity to submit electronic data to immunization registries	CAPABLE IMMUNIZATION PILOT REQUIRED
	Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice	Performed at least one test of certified EHR technology's capacity to provide electronic syndromic surveillance data to public health agencies (unless none of the public health agencies to which an EP submits such information have the capacity to receive the information electronically)	CAPABLE PILOT REQUIRED
Ensure privacy and security protections for confidential information through operating policies, procedures, and technologies and compliance with applicable law. Provide transparency of data sharing to patient	Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities	Conduct or review a security risk analysis per 45 CFR 164.308 (a)(1) and implement security updates as necessary	PROVIDED

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