Impact Advisors

EHR Hosting Strategies and Options
Today’s technology advancements and disruptive business models provide organizations with multiple infrastructure hosting options that should be considered before an EHR implementation or upgrade. This paper provides insights on the various options and key considerations to enable an informed decision.

ERP Becoming Strategic Priority for Healthcare
ERP being an afterthought in health delivery is quickly changing due to evolving market pressures, shortcomings of on-premise legacy ERP solutions, and – perhaps most importantly – the fact that major ERP vendors in healthcare are embracing a transition to the cloud. There is now genuine momentum at hospitals and health systems to make ERP a top strategic priority and real demand for today’s cloud ERP technology platforms, delivery experience and analytical tools. Read more about the need for change and new generation solutions in our newly released white paper.

The Future of EHR Implementation Post-COVID
This mini-white paper discusses some of the creative ways healthcare organizations with EHR implementations underway have pivoted amid the COVID-19 crisis and how these tactics might impact future implementations in positive ways.

Impact of COVID Telehealth Policy Changes
This document outlines recent telehealth policy / reimbursement changes in response to the COVID-19 pandemic and Impact Advisors’ point of view on the impact of these changes to healthcare providers.

Healthcare Trends & Implications – Part 1 of 2 | Healthcare Trends & Implications – Part 2 of 2
In a two-part series, Impact Advisors looks at the ten key trends shaping a rapidly evolving health delivery landscape – and the implications of each trend for provider organizations. “Part 1” covers disruption, alternative settings of care, the patient experience, M&A, and financial pressures. “Part 2” covers interoperability, cyber-attacks, IT regulations, innovation, and emerging technologies.

Implementation Considerations for Operational Change Management
As organizations transition to an Electronic Health Record (EHR), changes to clinical and operational workflows can be challenging. When defining the scope of an EHR implementation, an organization must consider clinical and patient safety benefits, regulatory requirements and impact on the revenue cycle, among other things. This white paper examines some of the more significant changes, the challenges they present, and strategies to socialize these changes prior to implementation.

Optimizing the General Ledger
Typically, the General Ledger is treated like the ‘ugly stepchild’ of Revenue Cycle optimization, often neglected until the last minute. Impact Advisors describes a new, proven approach, involving a different timeline and a different team.

Ensuring Effective Physician Engagement: Five Tips for an EHR Implementation
Physician involvement and preparedness are among the strongest factors influencing the overall success or failure of an Electronic Health Record (EHR) implementation. Without robust physician engagement and adoption, hospital leadership cannot fully realize the value of their substantial investment in the new enterprise clinical system.

Choosing High Value Optimization Projects: The IMPACT Clinical Performance Assessment
In early 2014, HIMSS released its HIMSS Leadership Survey results, in which CIOs reported that their primary focus was on meeting meaningful use and completing ICD-10 conversions, with a smaller emphasis on expanding population health and health information exchange (HIE) capabilities. Just 19% of CIOs at that time responded that their health systems had a significant focus on EHR optimization. A similar survey conducted in early 2017 showed that EMR optimization had moved to the top of the CIO priority list for capital investment over the next three years.

The MACRA Final Rule: Key Takeaways on MIPS and Advanced APMs
On October 14, 2016, CMS published a highly anticipated Final Rule that makes significant changes to the way ambulatory clinicians will be reimbursed by Medicare. The Final Rule implements two major provisions that were established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Merit-Based Incentive Payment System, or MIPS and Alternative Payment Models (APMs). This primer shares a summary of and the key takeaways on those provisions.

Realizing Clinical Benefits from EHR Investments
While most health systems have now implemented an electronic health record (EHR), a large percentage of organizations have failed to realize the expected benefits from EHR implementation. A late 2015 CHIME survey of health system CIOs indicated that 60 percent of health systems surveyed had not realized positive benefits from their EHR implementation and 70 percent have made realizing expected benefits from the EHR a top strategic priority for this year.

Cutover Plan: The Missing Link to a Successful Go-Live
Healthcare organizations today are spending months if not years planning for software projects. The project plan will always include build timelines, training, command center and staff support, as well as steps for optimization. This primer outlines how a well-designed, reviewed, and constantly adapted Cutover Plan will lead to a successful go-live and end-user satisfaction.

The MACRA Proposed Rule on MIPS and APMs: Summary and Key Takeaways
On April 27, 2016, CMS published a highly anticipated Proposed Rule that makes significant changes to the way ambulatory clinicians will be reimbursed by Medicare. Under the rule, payment “adjustments” to a provider’s Medicare reimbursement would begin in 2019, but those bonuses and penalties would be based on performance in 2017. The proposed rule addresses two major provisions that were established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): The Merit-Based Incentive Payment System, or MIPS, and incentives for clinicians to participate in Alternative Payment Models (APMs).

The primer, The MACRA Proposed Rule on MIPS and APMs: Summary and Key Takeaways, is focused on key findings and takeaways from those provisions.

Transforming Clinical Care: Why Optimization of Clinical Systems Can’t Wait
In January 2015, the Department of Health and Human Services (HHS) announced new goals for value-based payment. By the end of 2018 they expect 50% of Medicare payments to be tied to alternative payment models, and 90% of Medicare fee-for-service payments to be tied to quality. The announcement of these new goals signaled HHS’s desire to rapidly accelerate value-based payment, and they encouraged private payers to follow suit by meeting or exceeding HHS goals. This white paper explores what preparations organizations need to begin now in order to succeed in the new paradigm.

Components of a Comprehensive Legacy Data Management Strategy: Challenges and Strategic Considerations
Prior to go-live of a new enterprise EHR, there are many important decisions that need to be made about legacy data. Which data will be electronically converted directly into the new EHR? Which data will need to be manually abstracted into the system? How will the organization address archiving historical data from the legacy EHR to meet state and federal requirements? To minimize the disruption caused by an EHR replacement and ensure the transition does not jeopardize patient safety, Legacy Data Management strategies ideally need to encompass three distinct areas: Electronic Data ConversionManual Data Abstraction, and Legacy Data Archiving.

Healthcare Information Security Adoption Model (HISAM)

CLICK HERE to download the HISAM self-evaluation tool

Information security is a major concern for all healthcare organizations. The myriad of government and industry regulations make it hard to know where you stand in terms of information security and what improvements are needed to protect your organization against threats. Impact Advisors’ Healthcare Information Security Adoption Model (HISAM) is a tool that enables healthcare organizations to quickly measure current security posture, set goals and budgets for improvement, and track progress over time. A comprehensive assessment tool, the HISAM describes seven levels of security preparedness across three categories: Awareness, Technical and Behavioral.

Understanding Your Current Level of Security

Most healthcare organizations have already implemented a number of security related practices and technologies. However, potential exists for key elements to be overlooked. Impact Advisors’ HISAM is a roadmap to a well-rounded security program. It is used to quickly assess your security level and expose gaps that need to be addressed.

Prioritizing Your Security Budget

Information security budgets are not unlimited, so it is important to make informed decisions regarding security project funding. By defining the “big picture,” the HISAM framework helps you see what’s missing, evaluate risk and prioritize security expenditures.

Communicating with Executive Leadership

A key component in gaining the information security budget you need is communicating that need to executive leadership. Impact Advisors’ HISAM pinpoints your organization’s current security level, clarifies gaps and delineates next steps to improve security – all in a format that is easily consumable by executive leadership, including presentation-ready graphs.

How the HISAM Tool Works

Each of the seven levels has 10 questions related to security of your organization. Answering a yes or no for each question allows the tool to calculate your maturity level and show you how close you are at each level. Maturity level is cumulative, you must have all the items covered in lower levels as you move up the scale.

CLICK HERE to download the HISAM
self-evaluation tool


Summary and Analysis of the MU Final Rule: Modifications in 2015-17 and Stage 3 Requirements
On October 6, 2015, CMS finally published the highly anticipated Final Rule on meaningful use requirements. The Final Rule actually covers changes from two different proposed rules: the April 2015 proposed rule on modifications to meaningful use in 2015-17 and the March 2015 proposed rule on Stage 3 requirements. In terms of the changes to meaningful use in 2015-17, CMS largely finalized what it proposed in April 2015. In terms of Stage 3 objectives and measures (which would be required in 2018), CMS appears to have made some changes in response to public comments, but overall the Stage 3 requirements still look like they will be very challenging.

Realizing Value from an Enterprise EHR Investment
Amid new, value-based payment models, greater accountability for costs and quality, and increasingly complex regulatory IT requirements, there is no shortage of external pressures facing healthcare CIOs today. However, now that most hospitals and health systems have implemented an enterprise EHR, there is also growing internal pressure to realize value from that investment. Significant money has been spent on these systems, and executives now want to see the tangible improvements in clinical and revenue cycle outcomes that were promised.

Overview and Analysis of Proposed Changes to Meaningful Use in 2015-16
On April 10, 2015, CMS published a proposed rule that would make numerous changes to meaningful use requirements in 2015 and 2016. This white paper provides an overview and analysis of the changes being proposed which would impact the current MU reporting period.

Overview and Key Takeaways from the Proposed Rule on Meaningful Use Stage 3
On March 20, 2015 CMS released the proposed rule for Stage 3 of meaningful use. Given the widespread problems with certification in 2014 – and the difficulties providers faced meeting Stage 2 requirements related to patient engagement and health information exchange – the proposed Stage 3 rule has been highly anticipated by many providers, hospitals, and health systems.

Selecting a Population Health Management Vendor: Taming the Wave
As more organizations embrace population health management as a strategy to succeed in the emerging new paradigm of value-based payment, many are facing the next big question, “What tools do I need to support population health?” The latest white paper from Impact Advisors discusses the crucial elements that go into selecting a population health management vendor.

ONC Nationwide Interoperability Roadmap: “Driver’s Handbook”
A concise route summary to help navigate the planned construction and potential detours ahead.

Advocate Health Care Finds Trusted Advisor To Help Achieve Oncology Goals
Impact Adviors helps Advocate identify and implement new oncology software package to boost oncologists’ capabilities and patient safety .

Optimization: The Next Frontier
No matter where your health system is on the EHR implementation continuum, to get the most value out of your EHR, both for clinical and revenue cycle processes, it is critical to have workflows and build that eliminate waste, improve efficiency, improve user and customer satisfaction and improve the operational bottom line. In short, every organization should be continually looking for ways to optimize their systems.

Population Health Management Primer
A primer on strategies for effective Population Health Management and the elements required for success.

Healthcare Trends 2014: Pressure Rises and Delivery Organizations Respond
This market point-of-view document highlights not only the key trends we see impacting healthcare today but more importantly the IT implications delivery organizations need address to ensure they stay relevant and successful.

Overcoming a False Sense of Security in Healthcare
A primer that looks at how some health delivery organizations currently approach data breaches, and how a false sense of security can be overcome.

Revenue Cycle: Tactical Patient Access Considerations for Physician Practices
Patient Access in the revenue cycle begins with the initial contact between the patient and the physician’s office and continues through the point when the provider receives payment. This White Paper provides a summary of three important components in the Patient Access function of the revenue cycle, including: Staff, Processes, and Technology, and offers tactics for optimizing their efficiency and thereby maximizing revenue.