HEALTH IT SOLUTIONS

BBA's Health IT practice assists mid-size hospitals and ambulatory clinics achieve the elusive goal of "meaningful use of IT".

To do this, BBA delivers customized solutions that represent the combined power of Health IT Effectiveness, Health Business Strategy, and Medical Expertise -- developed by leveraging BBA's multidisciplinary network of health services technology, business, and medical experts.

Health Practice Image

Evidence abounds that IT has underperformed in Healthcare.  As is often the case, the first adopters of technology end up with “bleeding edge” technology issues.  The small percentage of satisfied Electronic Health Record users among physicians attests to this fact in healthcare.  Some clear indications of the miss match between IT and Medicine include:

  1. Doctors required to act as data-entry clerks
  2. EMR generated charge-codes found indefensible when “scrubbed” by insurance company payers
  3. Automatically scripted patient-encounter reports found to be indistinguishable across patients due to lack of narrative detail
  4. Health services institutions withdrawing support from Health Information Exchanges (HIEs) due to competitive concerns and a lack of discernable ROI

Below, are four questions to ask before embarking on a health IT enhancement program:

Question: Why not just buy a solution from an IT vendor and have it installed?

Few health services organizations fit into the generic cookie-cutter molds for which most health information technology (HIT) solutions are created.

An obstetrics practice may require tight interoperability with the hospital at which its physicians deliver newborns while a nearby orthopedic clinic may be more interested in immediate availability of diagnostic-quality images and test results from remote labs. Moreover, the primary care physicians next door may instead need immediate access to patient histories and up-to-date insurance eligibility information for quick triage and referral of patients to appropriate specialists.

Two important lessons can be learned from a review of failed HIT implementations:

  1. Every hospital or clinic is unique -- system and process customization is instrumental for success, and
  2. Implementation programs need to fully take into account each target organization's readiness for change.

BBA's Health IT practice was developed to address these challenges.

DIFFERENT CLINIC? --> DIFFERENT SOLUTIONS
MORE TRIAGE WITH PRIMARY CARE, MORE IMAGING WITH ORTHOPEDICS...
Practice Matrix

Question: Should I go with one vendor or opt for an integrated solution from several vendors?

Although a single vendor solution is appealing from a simplicity perspective, the single vendor route may involve excessive compromise.

Many health organizations have already automated portions of their work flow and would prefer, if possible, to avoid re-automating those processes with a new system. These organizations may decide to maintain their existing systems and integrate them with a newer solution that addresses the rest of their needs. This option, however, may also fall short unless the newer solution can truly "manage the rest" of their requirements.

Physicians at a multipractice clinic recently evaluated several vendor solutions and found that one of them was superior at handling their billing issues, while another excelled at connectivity with the local hospital intensive care unit... leading them to seriously consider multi-vendor options.

BBA teams work closely with clients to prioritize IT needs, standardize processes, identify vendor solutions, and develop solution designs that optimize such trade-offs, especially in the areas of single vendor simplicity vs. integrated multi-vendor functionality and on-site solution management vs off-site ASP service delivery.

MULTIPLE NEEDS ADDRESSED BY VARIED SOLUTIONS
QUESTIONS: SINGLE VS MULTI-VENDOR; ON-SITE VS WEB SERVICES
Multi_Vendor_Architecture

Question: Should I conduct a big-bang implementation, or ramp up more gradually?

Numerous Health IT systems across the country remain unused by the very physicians they were installed to support. Some experts point to a lack of customization as the primary shortcoming. Others claim that too much functionality is introduced at once during implementation roll-out. In either case, physicians are too often asked to change too much, or change too much too quickly - leading many to fall back on paper-based procedures, an option that generates a wasteful mix of electronic and paper workflows.

BBA carefully crafts roll-out plans for near term delivery of tangible efficiencies, while minimizing disruptions to existing physician activities. An example first step for many clinics to consider is the introduction of an effective document management system that can leverage office staff time (without changing physician workflow) to quickly reduce chart-pull expense and enhance the timeliness and availability of patient information. Once physicians and staff perceive the positive side of IT introduction, it usually is easier to add functionality that requires more process change, such as the introduction of examining room tablet PCs to capture patient EHR information. An example sequencing of implementation steps is depicted below.

EXAMPLE STEPS FOR HIT IMPLEMENTATION
PHYSICIANS NEED TO PERCEIVE INCREASED PRODUCTIVITY AT EVERY STEP

Question: Should I use BBA?

Only BBA leverages a broad network of medical, business, process, and IT experts to provide clients with:

- A highly customized solution, tailored to the needs of a specific medical practice, work style, patient type, or business objective.

- Vendor-agnostic recommendations and designs that represent an optimal trade off between single versus multi-vendor solutions, on-site systems versus web-services, etc.

- Well-paced and expertly supported implementation programs that are constructed and delivered with industry-leading change management expertise.

Representative BBA experts are listed below for your reference - please click on the links to view their backgrounds, skills, and accomplishments.

MULTI-DISCIPLINARY BBA TEAMS
BBA TEAMS BRING MEDICAL, BUSINESS, AND IT EXPERTISE TO IT SOLUTIONS

Team_Experts