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HYLAND HEALTHCARE SOLUTIONS Empowering Better Outcomes Across the Healthcare Enterprise Hyland Healthcare Solutions give your healthcare organization access to accurate, timely and complete information, increasing quality of care and service and lowering operational costs. “AHA’s due diligence process confirms that Hyland Software is dedicated to delivering the best ECM solution for healthcare, supported by the organization’s extensive technology and healthcare industry knowledge and experience.” - Anthony Burke, CEO, AHA Solutions In any given department, there are documents and data not managed by a core application, which means clinicians and staff don’t always have the information they need at the moment they need it. This unmanaged information is known as “unstructured content” – it’s the paper, faxes, forms, photos, images and more that come from a wide variety of sources (devices, patients, referring physicians, etc.) and that often aren’t handled well by your EMR, HIS, billing system or ERP. Hyland Healthcare Solutions use the OnBase enterprise content management (ECM) suite to take your unstructured content and make it securely available from the systems clinicians and staff work in every day. Not only that, OnBase automates redundant, predictable tasks that do not contribute to patient care or safety. By investing in OnBase, clinicians and staff make more informed decisions, improve patient care and see better outcomes. With 1,400 lifetime healthcare customers and more than 20 years of ECM experience, we listen to our customers so we understand what they need. That’s why 98 percent of our customers renew maintenance every year. And it’s why we are exclusively endorsed by the American Hospital Association (AHA) and the only ECM vendor with a healthcare focus to be named a ‘Leader’ in Gartner Inc.’s Magic Quadrant for Enterprise Content Management*. Clinical *Gartner, Inc., Magic Quadrant for Enterprise Content Management, Mark R. Gilbert, Karen M. Shegda, Kenneth Chin, Gavin Tay, October 13, 2011. Revenue Cycle Administrative Healthcare & Enterprise Content Management Expertise Providing ECM with a healthcare focus “OnBase is a giving tree that we will go back to, a technology that you’ll go back to and you can utilize for a whole host of present and future needs.” Enterprise content management (ECM) isn’t just a technology, it’s a strategy for your entire healthcare organization. But without knowledge of the challenges the healthcare market faces, developing a strategy that truly meets your organization’s needs is impossible. Hyland dedicates resources solely to the healthcare market to effectively develop solutions, provide services and support our healthcare customers. We hire industry experts (CCHIT and CCHIM certified professionals, healthcare IT managers, CPAs, RNs, RHIAs, etc.) to better understand the complete healthcare organization. Combine this with 1,400 lifetime healthcare customers, and Hyland is not only an authority on ECM, but on healthcare as well. Because of this expertise, OnBase is the first and only ECM solution endorsed by the American Hospital Association. Dedication to managing your content True ECM expertise goes beyond the product. ECM expertise is about understanding how to improve a customer’s organization and its processes. With more than 20 years of ECM focus and 10,900 lifetime customers, Hyland Software has the experience and know-how to help your organization manage content. Since our inception in 1991, Hyland has had one product, OnBase. With a pure focus on ECM, we commit 100 percent of our software development to creating the broadest set of ECM solutions. As a true enterprise solution, OnBase improves processes and decision-making in clinical, administrative and revenue cycle departments. That’s also what helped lead Gartner Research to name Hyland a ‘Leader’ in the Gartner Magic Quadrant for Enterprise Content Management, 2011*. Creating a foundation for strategic initiatives today and tomorrow Because documents and data are at the foundation of your strategic initiatives, your ECM solution will be an important part of your long-term roadmap. That’s why our customers see their ECM solution as a mission-critical, tier-one IT application. As the only vendor that has both healthcare-specifc knowledge and ECM expertise, Hyland will partner with you to develop a strategy that meets your needs now and in the future. *Gartner, Inc., Magic Quadrant for Enterprise Content Management, Mark R. Gilbert, Karen M. Shegda, Kenneth Chin, Gavin Tay, October 13, 2011. - Patrick Hale, chief technology officer Sparrow Health Systems Our Expertise • More than 10,800 Lifetime customers • Hyland was named a ‘Leader’ in the Gartner Magic Quadrant for ECM in 2011 • 50 percent of healthcare organizations who achieved ‘Stage 7’ on the HIMSS EMR Adoption Model use OnBase by Hyland Software • Integrations with over 500 different applications, including your EMR, ERP or accounting systems, and other HIT systems An Enterprise Approach to ECM Case Management Provides a longitudinal view of a patient encounter across the care continuum. Electronic Health Record Integrates content (paper, faxes, forms, photos, images, etc.) with your EMR to create a complete patient record. Revenue Cycle Management Captures and manages data and documents and automates payments, postings, exceptions and denials. Accounts Payable and Human Resources Automates manual, paper-based processes like invoice processing or employee reviews. Health Information Management Accelerates and automates deficiency completion, coding and release of information while increasing security of patient information. Diagnostic Solutions Consolidates patient information, clinical images, video, discreet data and more to give clinicians a streamlined reporting system with graphical analysis of findings and physician recommendations. Financial Close and Reporting Delivers real-time management of close processes and adapts to a company’s unique reporting and closing activities. The Six Components of OnBase The foundation of your solution With the OnBase enterprise content management (ECM) solution from Hyland Software, critical information and content in your organization is stored in one central location and is easily accessible everywhere. OnBase is a single solution, but it is made up of several different components. These components are like a framework, used to create a solution specifically tailored to meet the needs of your organization and deploy it the way you want – from a single department to an enterprise-wide solution. OnBase Integrates with: • Electronic medical records (EMR) and other clinical applications The modular design of OnBase provides the maximum value for your investment. You only pay for the solutions, or modules, you need. And as your needs change, you can add OnBase modules, including healthcare-specific solutions and integrations, to make your technology investment grow with you. • Enterprise resource planning (ERP) or accounting systems There are six components that form the framework for your OnBase solutions. Whether you choose to deploy one or all of these components, they work to improve processes throughout your organization. • Human resource (HR) systems • Many other healthcare information technology (HIT) systems Capture: Get your critical information into OnBase Store: Securely store, retain and dispose of your documents • Reduces physicians and staff time spent hunting down documents • Provides complete control over all your documents and information • Allows multiple employees to view the same document at once • Manages the security requirements specific to the healthcare environment and your organization • Improves compliance by creating one place to manage security and document retention options • Simplifies and automates retention and management of documents Integrate: Integrate OnBase with your other business applications • Provides clinicians with a more complete patient record when they are in their EMR • Connects with your mission-critical clinical and non-clinical IT systems and extends their value • Provides access to clinical and financial content normally outside core HIT applications • Reduces change management challenges and increases usage, acceptance and physicain adoption Access: Access your information • Allows employees to access content in OnBase from within their familiar business application screens Process: Make more informed decisions • Automates your processes to make them more efficient and effective • Improves patient services by giving users instant access to the content they need to answer questions on the first call • Lets users keep processes moving from anywhere in the world from computers, tablets and smartphones • Provides staff with instant access to content and information, whether they’re in the office or on the road • Shows staff what content is missing so they can proactively resolve issues Measure: Assess and report on the health of your business • Increases visibility into your processes • Provides real-time access to your business data with interactive dashboards • Produces reports to analyze the health of your organization to make better business decisions • Creates queries that correlate data from other systems to provide new insights Impact Across the Organization Deploy ECM in the way that fits your organization OnBase offers multiple deployment options so you have the system that best fits the needs of your healthcare organization – on-premises or through a hosted solution. No matter how you choose to deploy OnBase, you get the same dependable solution that serves as a tier-one IT application across your organization. On-premises: Deploy your solution within your infrastructure so your IT department and internal resources can maintain and evolve it. An on-premises deployment means you can become the in-house expert on your OnBase solution, and changes and enhancements to your solution are at your fingertips. Hosted: Also called “the cloud,” we deploy OnBase in our fully redundant environment, while you manage your solution. You tell us the features and functionality you want and we supply access to your solution in the cloud. You don’t have to worry about buying hardware. With a secure, audited infrastructure and 99.9999 percent historical uptime, your documents and data are always safe and available with Hyland’s hosted solutions. You also have the choice to purchase the software and host it with us or subscribe to OnBase in a software-as-a-service (SaaS) model. Regardless of how you choose to deploy OnBase, you get the solution your organization needs today and can rely on in the future. And as your needs change, so can the way you deploy OnBase. You can move between on-premises and hosted solutions at any time, ensuring you always have a solution that best suits your needs. Choose a solution for your type of healthcare organization Because every kind of healthcare organization has to manage content, whether you’re an IDN, community hospital, ambulatory center, physician practice, home care, hospice or behavioral health facility, Hyland has solutions created specifically for each of these areas. With a solution that works for the size and function of your organization, you’ll connect content across your organization to give staff and clinicians a more complete patient picture. Not only that, but you can securely share that content with facilities that are within your healthcare network or outside of it, so you help your patients get more informed care no matter where else they need to be treated. OnBase in Healthcare A global presence in healthcare The Hyland Healthcare team has experience with solutions across the globe – from the US to Europe to AsiaPac and many places in between. Although these customers have their own unique healthcare systems with diverse processes, varying security needs and a host of other differences, the flexibility and versatility of OnBase gives them a solution that helps them collaborate and make more informed decisions. We leverage this experience from around the world to broaden our knowledge and understanding of healthcare so we can give you a solution that lets your organization work better and faster. Support the continuum of care across and outside of your healthcare organization Because supporting the continuum of care is an increasingly important part of both patient satisfaction and healthcare regulations, you can use OnBase to share content across and outside of your healthcare organization. To ensure caregivers have the information they need to provide the best care, OnBase lets you securely share patient documents, clinical images, billing statements and more. By managing and sharing this content with OnBase (rather than in disparate systems, mailing them out or couriering them over to different facilities), healthcare organizations store information in a single application and present it securely on the web through their EMR or OnBase itself. This way, patients and providers have the information they need, no matter where the patient receives treatment. “The ideal goal is interoperability. That is really the best opportunity for optimal care. With OnBase, the information is at the right place, at the right time, for the right person.” – Robert S. Juhasz, D.O., Associate Medical Director Cleveland Clinic Exchange information and support interoperability Across communities, healthcare systems, facilities and departments, OnBase securely shares information within and outside of your organization. Because true interoperability transcends hardware and software systems, OnBase helps healthcare organizations reach beyond simple data exchange to collaborate and share information regardless of location or facility, vendor or machine, file type or origin. Use OnBase Throughout the Patient Encounter Clinical Information Systems 2. 1. Initial Contact Referral for Scheduled Services Verification 010101010 010101 0101010 01010101 10 101 1010 101 1011 10110 101101 1011011 10110110 101101101 0 10 01 10 01 10 010 01 101 0 011 01 110 101 01101 01 0101 01 0101 010 10 0 01 011 0110 01101 011011 0110110 0 01 010 0101 Ambulatory and Inpatient Coding Charge Reconciliation Denials Management Retrospective Audits Audit Compliance Management 0101011011010110101010101010101101101 0110101010101010101101101011010101010 1010101101101011010101010101010110110 1011010101010101010110110101101010101 0101010110110101101010101010101011011 0101101010101010101011011010110101010 1010101011011010110101010101010110100 11 7. 3. 6. 4. 5. 10 8. . . Continuum of Care 9. Interoperability Across the Globe Health Information Management OnBase documents are now available across organization 24 Hours 0101011011010110101010101010101101101 0110101010101010101101101011010101010 1010101101101011010101010101010110110 1011010101010101010110110101101010101 0101010110110101101010101010101011011 0101101010101010101011011010110101010 1010101011011010110101010101010110100 Patient discharged Chart sent to HIM Chart Chart Chart prep scan/index QA Accelerate and augment your health information management processes Chart coded: OnBase provides simultaneous access to charts Deficiency completion: OnBase lets physicians electronically sign charts from anywhere OnBase integrates with: • Epic OnBase gives health information management (HIM) departments the tools they need to provide caregivers with immediate access to patient information. By removing the manual processes and paper HIM relies on, OnBase creates efficient and accurate departmental tasks. • Allscripts With OnBase, you keep coding and billing processes swift to reduce AR days while maintaining compliance with HIPAA, The Joint Commission and CMS standards, as well as other regulatory and retention policies. • McKesson Create a complete and secure patient record With OnBase you can capture your unstructured content – like paper, forms, faxes, photos, etc. – and make it instantly available within your EMR or any other application. This allows your clinicians and staff to immediately retrieve the information they need from the screens they already use, giving them the complete patient picture. As a result, patients receive more informed care and staff are more productive. By storing all of your unstructured content in one place, compliance efforts with organizational and industry regulations, such as HIPAA, are simplified as well. With OnBase, you can limit who sees documents so only those who need to use them have access. Additionally, OnBase keeps an audit trail of anyone who viewed a document and what changes they may have made, making clinicians and staff accountable. • Cerner • Meditech • GE Healthcare • NextGen • Siemens Chart completed Release of information: Content stored in one central location to find information quickly Speed and automate the deficiency completion and coding processes Going beyond simple document management, OnBase speeds and automates the processes unique to HIM. OnBase automatically pushes charts to the right staff to analyze deficiencies and assign them to physicians. Physicians then access the deficiencies directly from the EMR or email and sign the chart electronically or provide the missing information. Because this is all done electronically, it can be securely completed from a home office or a mobile device. As a result, charts close more quickly, reducing delays in billing and lowering discharged not final billed rates. Based on your organization’s business processes or rules, OnBase also automatically sends charts to the appropriate coders, ensuring no single coder becomes overwhelmed. Additionally, because more than one person can access the chart at once, coders don’t have to wait for deficiencies to be completed. Coders can also query physicians electronically with any questions on a chart, shortening the time it takes to get answers. And, with one chart stored in a single, central location, they always know they are working from the most current version. Coders can also work remotely, easily accessing all the necessary content through OnBase or the EMR. Complete release of information requests With OnBase, all of your content is stored in one central location, allowing your staff to quickly and efficiently find the requested content – freeing up time to focus on higher-value tasks. When patient information is held in multiple silos and formats, completing release of information requests becomes much more difficult and time consuming. OnBase ensures that every piece of requested documentation is available and keeps a complete audit trail of who made the request, what information was requested, and what type of request it was. Clinical Solutions Integrate and access clinical content for a more complete patient record OnBase integrates with: • Epic By integrating with OnBase enterprise content management (ECM), you take the content and information your clinical departments rely on and make it easily accessible across your organization and from within your EMR. • Allscripts Even at organizations with a fully implemented EMR, at least 25 percent of the patient content is generated outside of the EMR system, including paper, forms, faxes, clinical images and discreet data. This makes it difficult or impossible for your physicians and clinicians to quickly find critical information. • McKesson With OnBase, you take all of that content and let authorized clinicians access it directly from the EMR. With a simple mouse-click, they are presented with a list of content directly related to that patient screen. Not only is more information available, it’s more relevant information. Without waiting on and searching for patient content, clinicians have more time to focus on what’s really important – the patient. • Cerner • Meditech • GE Healthcare Create diagnostic content to keep physicians on the same page OnBase doesn’t just integrate content; it also creates it. Diagnostic reporting solutions for areas such as maternal fetal medicine or gastrointestinal departments allow physicians to evaluate prior exams, capture clinical images and create reports with findings and recommendations for treatment. OnBase then automatically integrates the report into the EMR and sends it to the referring physician. Specialty and referring physicians have secure access to the patient’s most current information without waiting for printed copies or faxes. • NextGen • Siemens Build instant access to clinical content from down the hall or across the globe By integrating OnBase with your EMR – like Epic, Allscripts, Cerner, Meditech, McKesson, etc. – and other clinical applications, you not only create a more complete patient record, you make content more accessible to your clinicians and staff. Whether it’s a clinician down the hall or one across the globe, they have secure access to the content they need. Physicians don’t even need to be at the hospital to view patient information. OnBase grants access to patient content over secure Internet access and through mobile applications. Physicians can complete work like signing deficiencies or making time-sensitive, clinical decisions while in their home offices or traveling, allowing daily tasks and patient care to be more responsive and effective. Prior exams, clinical images OnBase creates report with findings and recommendations for treatment Report integrated into EMR Report sent to referring physician Revenue Cycle Management Keep your cash moving with OnBase Revenue Cycle Management The revenue cycle starts at patient registration Capture at Patient Registration: Captures patient documents (insurance cards, identification, etc.) and integrates them into your EMR. Documents are securely stored on record each time the patient presents. In addition, OnBase captures and posts patient copays, deductibles and any funds that remain due. By collecting payments at the beginning of the revenue cycle, you collect cash faster and prevent payment delays. OnBase Revenue Cycle Management (RCM) integrates both document and data capture into your revenue cycle process and updates your existing patient accounting systems to give staff the information they need, when they need it. That means your organization reduces reliance on manual, error-prone work processes, enhances your existing technology investments and receives reimbursements faster. Automated Payment Posting: Captures and indexes all incoming paper and EDI remittance transactions in a single step, reducing manual data entry. OnBase RCM then “scrubs” the data before automatically posting payments to the patient accounting system, reducing the number of exceptions to work and automatically routing those that do occur for timely resolution. Use a single platform to manage all of your outstanding receivables Lockbox Reconciliation: Automatically matches data from the business office, bank and patient accounting system to reconcile payments faster. Instead of manually rekeying reconciliation data, staff spend time resolving exceptions. The solution also integrates with your general ledger to keep it accurate and up to date, and helps your organization stay compliant with today’s stringent audit requirements. OnBase RCM provides one place to address all of your accounts receivables (AR), whether you’re using one or multiple patient accounting systems. It creates a comprehensive AR platform for account adjudication by category and streamlines collection activities. Staff quickly appeal, resolve and collect on open accounts requiring attention. The solution also exchanges information with your business systems, providing seamless workflow so all activities automatically post to the correct patient accounting system. Denials Management: Automatically routes denied payments through the denial process based on your specific business rules so there’s no delay in getting it appealed and quickly resolved. It ensures that the process is managed and audited for each denial. Business Analytics: Provides visibility into your revenue cycle with all of your revenue cycle data in one place so you can make more informed financial decisions with real-time information. “Cedars-Sinai went from 100 days net AR to the high 60s with the help of OnBase RCM. In an organization this size, that’s phenomenal.” – Sambasiva Panditaradyula manager, Cash Management Cedars-Sinai Medical Center Capture at Registration Automated Payment Posting Lockbox Reconciliation Denials Management Audit Compliance Management Business Analytics Administrative Departments Increase visibility and control over your administrative processes If there is one thing the administrative departments at your healthcare organization rely on, it’s information. Unfortunately, that information is usually found on paper, slowing departmental processes and increasing costs. By implementing the OnBase enterprise content management (ECM) solution, you remove the paper and increase transparency into your administrative processes. Add visibility into your AP processes OnBase integrates with: • Enterprise resource planning (ERP) systems like: • Lawson • SAP • Oracle/PeopleSoft • Accounting systems • HR systems Strengthen transparency and automate employee tasks in your financial close process OnBase delivers real-time management of financial statement close processes, adapting to a company’s unique reporting and closing activities. With complete visibility and control over the close process through management dashboards, you have a high-level view into how tasks fit together and can make continuous improvements to the close process. The OnBase Accelerated Financial Report Management (AFRM) solution helps you streamline your financial statement close process from start to finish by capturing close supporting documentation, automating task status/notifications and actively or historically tracking assignments for each monthly, quarterly or annual reporting cycle. By documenting and performing tasks in one place, OnBase automates the organization, performance and tracking of financial close process tasks. REMOT E CAPTURE INTERN AL CAPTURE OnBase captures incoming invoices regardless of what format they are in – from paper to PDFs to EDI. Then, OnBase automatically indexes them and helps automate the invoice transaction creation in your accounting or ERP application. No more typing invoices into your system. By automatically routing invoices to the right people, OnBase speeds up invoice validations and approvals. OnBase can also automatically identify exceptions and route them accordingly. It tracks the status of each invoice so you can see where it is in the process. This grants visibility into your processes so you never get caught off-guard by a missed payment. By also integrating OnBase into vendor portals, your vendors submit invoices and view their status online. You not only cut down on the paper coming into your AP department, you build better relationships with your vendors. Create a more secure and efficient HR department OnBase allows you to securely organize all of the HR employee documents – applications, resumes, payroll, health record information and more – and keep them in one, central secure location. OnBase integrates with HR systems, making documents and virtual employee folders available to staff from within their everyday applications. Because you set rules and restrict access to only those who require access to a document, employee files remain confidential and you avoid any security breaches. With OnBase in HR, retrieving documents becomes a simple task. By pulling up an employee file on the screen, HR staff has instant access to all of their documentation. You can quickly create a report that shows the specific documents each file is missing, so you stay compliant with regulators, agents or internal auditors looking at employee file completion. Build a Foundation to Grow on Today and Tomorrow As your organization grows and evolves, a powerful ECM strategy will be a crucial component for your healthcare organization. Content is at the foundation of many healthcare initiatives – from providing a complete electronic medical record to recognizing payments sooner in the revenue cycle to creating more efficient business processes in administrative departments. OnBase provides a solid foundation for success. OnBase meets your immediate needs of today, helping you to provide the best patient care possible and realizing positive financial outcomes. Current strategic initiatives, such as meeting Meaningful Use standards, joining accountable care organizations (ACOs), supporting the global Integrating the Healthcare Enterprise (IHE) initiative and more, all benefit from a robust healthcare-centric content management solution. Just as importantly, OnBase is a solution that will meet your needs of tomorrow. In two, five, even 10 years down the road, you’ll still need to manage the content related to your strategic initiatives, whatever they may be. OnBase gives you the flexibility to meet them. Not only that, but Hyland regularly releases new versions of OnBase so you’re sure to have a solution that supports your ongoing needs and integrates the latest and greatest IT applications. By looking at ECM as a strategic, mission-critical solution from the very beginning, you’ll create a solution that will advance your organization today and tomorrow. “ OnBase is a long-term, strategic application at MetroHealth. Year after year, we’ve turned to OnBase to help support our organization’s key initiatives. Maybe even more importantly, we trust that OnBase will continue to empower us to meet the needs of tomorrow.” – John Cromer, project manager Metro Health Hospital 28500 Clemens Road Westlake, Ohio 44145 440.788.5000 [email protected] Hyland.com/Healthcare Empowering better outcomes across the healthcare enterprise. Hyland.com/Healthcare