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Categories: Articles

If you’re thinking about changing your software you’re not alone. According to the Medical Economics 2017 EHR Report Card, 62 percent of physician respondents indicated that they had already switched EHR systems at some point.  High level physicians and admins almost always begin the transition process by asking “What are the best practices for switching EHRs?”

The marketplace has partially answered where to start with an EHR switch, practices are demanding more user-friendly EHRs that offer better interoperability. In other instances, practices are searching for specific functionality to help them thrive. Often, the need to switch EHRs is driven by frustration that your current software impedes rather than speeds your workflow.

Undertaking an EHR switch can feel daunting—after all, it’s a big investment. You may be wondering:

  • How do I identify the need for an EHR switch?
  • What steps should I take to find the right vendor for my practice?
  • How can I best prepare my practice to make this change?

To help you on your journey, the following are our best practices for switching to a new EHR.

Focus on your functional requirements

Consider your daily workflow. What types of capabilities does your practice need from an EHR? Of course, physicians want mobile capabilities, e-prescribing and integration with billing systems but it’s also important to look at the functional needs of your specific practice. List each functionality you want and create a scorecard to rate how well each vendor’s solution can meet your needs. Be sure to ask for input from people in a variety of roles at your practice.

Keep emerging needs in mind

Identify EHR software that helps you use data analytics to benefit both your patients and your practice. From population health management to merit-based incentive payment system (MIPS) reporting that helps practices receive reimbursement for value-based care, your EHR’s capabilities should offer both the tools and the interfaces that allow you to leverage the power of data. Your practice will also want an EHR with strong internal reporting functionality that allows you to create custom queries and leverage your data in the real world.

Be sure you’re in a position to Promote Interoperability

When evaluating new EHR software, ask how the candidate system operates with regard to interfaces with labs and hospitals in your area, how well it handles referral management, and does it support the newer initiatives evolving for on demand data requests such as Commonwell, Carequality, and Surescripts National Record Locator and Exchange.  This is important with regard to the CMS Promoting Interoperability, a component of MIPS, compliance guidelines.  You can read more about how we help our practices with MACRA/MIPS here.

Seek a vendor with a proven track record of success

Identify potential EHR vendors by reviewing published ranking lists and awards from third parties such as KLAS Research.  Insight from your peers is also valuable and can be attained by attending industry conferences, or talking to other physicians in your specialty.

Verify ease-of-use

An EHR that checks all the boxes on paper may not necessarily perform to your expectations in practice. When you demo the system, make sure it fits into YOUR workflow versus changing how you practice to accommodate the software. A great EHR is designed with the user in mind, helping you work the way you want to and reducing the time you spend on routine tasks.

Enlist a variety of power users to give the EHR a test drive

A system that works well for a physician may have shortcomings that only the administrative or billing staff can detect. Conversely, the same EHR that your office manager loves, may also be the EHR the physician loathes. After you’ve developed a shortlist of EHR products to test, gather people from different areas of your practice to test the EHR for issues. Be sure everyone is on board with the same EHR before making your final decision. Keep in mind that not everyone may get exactly what they want, a little give and take may be necessary in choosing the best solution overall for the organization.

Confirm the availability of responsive customer support

When you have questions concerning your EHR, you want answers as quickly as possible. Ask EHR vendors whether they have a U.S.-based support team available during regular office hours and, again, look at published lists and rankings that detail the vendor’s approach to support.

Don’t skimp on training

Proper training is essential for every EHR user. Not only can it help reduce the frustration of adapting to a new system, it can help users become proficient more quickly—lessening the impact on your practice and patients. The vendor you choose should offer robust training options to help you experience a smooth implementation. Although everyone who uses the system must attend training, it is also valuable to select a person or persons depending on the size of your practice to be a “super-user” who will cross train on clinical, billing, and admin capabilities.

Invest in long-term gain

Although switching your practice’s EHR system is a major undertaking, the gains achieved by increased interoperability, more easily sharing patient data and reducing administrative workload can reap long-term benefits. Find the EHR that’s the right fit for your practice and focus on the future. Also be sure to consider the experience of the potential vendors in assisting practices in making a change. The path to successful change can be bumpy, but experience and proven processes can avoid many of the potholes along the way.

Your next step is to add Aprima to your shortlist.  Our track record of industry praise, long-term client retention (98% of practices have remained customers after 10 years!), and expertise in helping practices switch EHRs make Aprima an EHR you should know!

Bart Segal is the CEO of Tri-Med Solutions, an award winning Gold Certified Value Added Reseller of Aprima EHR. He has over 20 years of experience in the EHR industry and loves talking about EHR’s. He can be reached at bsegal@trimedsolutions.net.

It’s In! SECURE Act Included in 2020 Spending Package

Categories: Articles

Landmark retirement reform bill tacked onto “must-pass” FY 2020 spending package by Congress; will be voted on this week by House and Senate

by Brian Anderson-December 16, 2019

in 401k Fiduciary, Regulation, Your 401k News

Talk about your nail-biters! After months of collecting dust in the Senate, the SECURE Act, the most significant retirement saving reform legislation since the Pension Protection Act of 2006, is finally on its way to becoming law after being tacked on to a larger mandatory spending bill introduced into the House of Representatives on Monday afternoon.

The Setting Every Community Up for Retirement Enhancement (SECURE) Act, passed by an unheard of 417-3 vote in the House back in May, became stalled in the Senate after a handful of Senators placed “holds” on the bill over various concerns, preventing the bill from being fast-tracked to President Trump’s desk by unanimous consent.

Both chambers of Congress worked through last weekend, frantically negotiating the details of this final wide-ranging, must-pass $1.4 trillion spending package for fiscal year 2020. Down to its last chance of the year at moving forward, the SECURE Act, with strong bipartisan and retirement industry support, made the cut to be included in the package.

“Including the SECURE Act in the FY 2020 funding bill is a big victory that will help ensure that all hard-working Americans have a chance to build a nest egg for their retirement,” said U.S. Senator Rob Portman (R-OH), a key backer of the bill. “Many of the provisions in the SECURE Act have been under consideration by the Senate for multiple years and multiple sessions of Congress, dating all the way back to the Senate Finance Committee markup in 2016. I’m particularly pleased that this legislation includes legislation I’ve introduced to help protect the retirement security of hundreds of thousands of dedicated older Americans who are at risk of losing future retirement benefits this year.”

Portman noted it also includes two provisions he’s championed to help expand access to 401ks and allow individuals choosing to work later in life to keep saving for retirement. “I look forward to the president signing this legislation into law quickly to strengthen the retirement security of the American people,” he said.

The SECURE Act includes Portman’s Retirement Security Preservation Act, which would reform pension nondiscrimination laws to prevent more than 400,000 Americans from having their pensions frozen through no fault of their own. Several components of Portman’s bipartisan Retirement Security & Savings Act, which he introduced with Senator Ben Cardin (D-MD), are also included in the SECURE Act.

In a statement released Monday afternoon, American Council of Life Insurers (ACLI) President and CEO Susan Neely lauded congressional leaders for including SECURE Act in the 2020 spending package.

“The SECURE Act is the most sweeping retirement security legislation to move through Congress in more than a decade. It would mark a significant step toward modernizing America’s retirement system for workers.

“Each day, 10,000 Americans turn age 65 and many can expect to live 20 years or longer in retirement. Yet, research shows that one-third of Americans approaching retirement have between nothing and $25,000 in savings to supplement Social Security income,” Neely said. “The SECURE Act makes important changes that will go a long way toward addressing the nation’s looming retirement crisis. One provision alone will get more than 700,000 small business employees nationwide to start saving for retirement. Another will make it easier for employers to offer retirement plans with lifetime income options through annuities.”

Wayne Chopus, president and CEO, Insured Retirement Institute, said in a statement Monday, “We have a first down and goal on the 1-yard line. Congress and the President are about to deliver a meaningful, positive benefit to millions of American workers by expanding opportunities to save for and achieve a dignified retirement.”

The spending bill is expected to be voted on sometime Tuesday in the House, and then sent on to the Senate, where it would also be expected to pass without snags due to the looming Dec. 20 deadline to approve the spending bill and prevent a government shutdown, not to mention the fast-approaching Congressional holiday recess. It could be signed by President Trump by the end of this week.

Big changes coming

Provisions of the SECURE Act will have a wide-ranging impact on retirement savings plans, and 401k plans in particular. Among the biggies:

  • The SECURE Act’s Section 204 gives fiduciary safe harbor to 401k plan sponsors who include annuities among offerings to plan participants, something long craved by insurers who offer annuity products. Many defined contribution plan sponsors have been reluctant to offer annuities in their plans due to the concern about fiduciary liability if the annuity provider becomes insolvent. Under Section 204, if an annuity provider chosen for a 401k plan were to go out of business or defraud plan participants, employees would not be able to sue the employer afterward.

MetLife released the following statement Monday from Graham Cox, executive vice president and head of MetLife’s Retirement & Income Solutions group, regarding Section 204:

“This legislation removes the long-standing regulatory barriers that prevent companies from including lifetime-income options in their employees’ retirement plans.

“MetLife is a strong supporter of these provisions and committed to ensuring that employees enjoy a secure retirement by having access to guaranteed income for life. Through the requirement that lifetime income estimates be included on annual defined contribution (DC) plan benefit statements, employees will gain a better understanding of how their savings translate into retirement income. The safe harbor provision, provided under the SECURE Act, increases workers’ access to solutions that will protect against the risk of outliving their savings. Both of these provisions provide valuable tools that will strengthen retirement security for millions of Americans.”

  • The SECURE Act will increase the tax credit for employers introducing new retirement plans from $500 to $5,000, and small employers that implement an automatic enrollment feature in the plan design will be eligible for an additional $500 credit.
  • The SECURE Act’s Open MEP provision will make it easier and more economical for smaller employers to offer retirement plans by allowing for the creation of pooled retirement plan providers. It removes the common nexus requirements and allows Open MEPs for employers that don’t share common traits to be administered by the pooled plan provider.

The provision also protects small employers in Open MEPs from penalties if other members violate fiduciary rules, also known as the “one bad apple” liability risk that a non-conforming member can pose to an entire plan. That issue has long been a stumbling block for MEPs.

  • Many part-time workers will be eligible to participate in an employer retirement plan under the SECURE Act.
  • The SECURE Act also pushes back the age at which retirement plan participants need to take required minimum distributions (RMDs), from 70½ to 72.

To pay for the estimated $389 million the SECURE Act would add to the federal budget over the next 10 years, the bill—in perhaps its most controversial provision—will effectively put an end to the popular estate planning tool known as the “Stretch IRA.”

As James Lange wrote in an article about Stretch IRAs on 401k Specialist earlier this year, under existing law, non-spouse heirs of an IRA owner can “stretch” or extend the taxable distributions of an inherited IRA over their lifetime. The benefit of protracting the distributions of an inherited $1 million IRA could mean as much as a million dollars to the heirs of the IRA owner over their lifetime. It’s all about how quickly taxes are or are not collected.

Under the SECURE Act, the entire IRA or retirement plan would have to be distributed within 10 years of the death of the IRA owner.

American Benefits Council applauds pension fix

“Among the many valuable elements of the SECURE Act is a measure that would address a glitch in the nondiscrimination rules affecting participants in frozen pension plans. The Council has determined that hundreds of thousands of participants could lose future pension benefits as of January 1, 2020, without a legislative fix,” said Lynn Dudley, senior vice president, global retirement and compensation policy. “We applaud the leaders of the committees of jurisdiction for their support and, in particular, Senators Rob Portman and Ben Cardin, for their bipartisan commitment to employer-sponsored retirement plans.”

“The bipartisan deal struck by congressional leaders is a victory for millions of Americans who receive health and financial security through employer-sponsored benefit plans,” American Benefits Council President James A. Klein added.

Article submitted by Joshua C. Harper, CFP®, ChFC®, CLU®, RICP®

3 Reasons to Explore Continuous Insulation

Categories: Articles

An article presented by Scott Zanardo, AIA, President of Zanardo Architects, PC, as originally printed in Architect, Posted on August 16, 2019

It’s time this under-loved energy-saving wonder received the credit it deserves.

Is it a silver bullet in cutting home energy costs? It comes close if it isn’t. Just consider all the ways this sometimes shunned and overlooked building component is changing home design and construction. For example:

  • Chapter 4 of the 2018 International Building Code (2018 IBC R402.1.2) makes clear the code community’s ringing endorsement.
  • Two vast and remarkably different homebuilding markets—California and Canada—have codified it by law into all future building practice.
  • It’s revitalized 2×4 framing by making it once again relevant and practical in a world of net-zero energy standards.
  • Much smaller, far less costly HVAC systems are now routinely spec’d.
  • Alternative energy sources like solar are finally viable because of the R-value punch of exterior wall assemblies.

We’re talking about continuous insulation. Today, continuous insulation is helping differentiate home energy performance across homes of all sizes, types, and budgets. Yet some architects resist the growing weight of evidence. They argue the incremental cost of continuous insulation outweighs all other considerations, including the environment, to which veteran residential energy conservation expert Charlie Devine replies: “Don’t drop a dollar to pick up a dime.”

48% Savings

Devine is the national accounts and energy adviser to OX Engineered Products, a leading U.S. building product manufacturer. Devine believes continuous insulation’s clear advantages are shortchanged by misleading short-term thinking.

“People talk about programmable thermostats, high-efficiency HVAC systems, and LED light bulbs,” Devine says. “Where can we really squeeze energy demand out of a house? Continuous insulation is the answer. In my state of Minnesota, homes built with a single inch of continuous insulation have reduced heating costs by as much as 48 percent.”

2×4 vs. 2×6

That’s just the beginning. Take 2×4 framing. Not so long ago, the framing standard looked like it might fade away with the rise of 2×6 framing. Not so fast, Devine says.

“It’s true the deeper 2×6 cavity and fewer studs helps improve energy performance. CI levels the playing field for 2×4 builders. If it’s cheaper to add an inch of CI than to spec 2×6 framing, you can bet homebuilders are going to do it,” he says.

West Coast Foreshadowing

In California, the net-zero energy focus of Title 24, with its mandated solar photovoltaic panels, is making headlines. Why should that bother architects in Minnesota, Missouri, or Maryland? “California foreshadows things to come everywhere,” Devine says.

“Building a Title 24 house doesn’t make sense without CI. It’s the only affordable way to meet code,” he says. Adding R-6 structural sheathing like OX-IS to the exterior wall still makes standard cladding standard possible, he says.

Why Wait?

Residential designers in the Midwest aren’t. Devine says top builders in Nebraska and Iowa are all-in on CI. They understand the true cost of OSB isn’t the panel. It’s labor, housewrap, and trips around the house. Structural insulated sheathing like OX-IS simplifies in ways no OSB panel can.

Devine believes we’ll soon look back on CI and wonder: “What took them so long?”

To learn more about all the ways CI can help with performance, economy, and quality, visit https://www.oxengineeredproducts.com/product/ox-is/.

 

Business Owners Need Help in Communicating 401k Advantages

Categories: Articles

New research from Nationwide finds employers understand the value of offering 401k plans, but need help to better communicate their benefits to employees

by Brian AndersonNovember 13, 2019

in 401k Client AcquisitionEducation and EnrollmentRetentionYour 401k News

Advisors can help business owners communicate 401k benefits to employees

 

It won’t come as a surprise that business owners view 401ks as advantageous both for their business and their employees. Yet, despite business owners seeing the advantages and value of 401ks, a gap exists in understanding how to effectively communicate 401k benefits to employees, according to a new survey from Nationwide.

And with the Bureau of Labor Statistics reporting 71% of all U.S. workers have access to retirement benefits (which include defined benefit and defined contribution plans), offering a 401k to employees has become necessary in order to competitively attract and retain talent in today’s strong, steady labor market.

Nationwide’s latest research, which surveyed 400 U.S. business owners with 11-500 employees that offer 401ks, finds business owners agree 401ks offer key benefits including attracting and recruiting top talent (88%); tax advantages for both one’s business and employees (88%); improving employee retention (86%); and employees viewing a 401k as a necessary benefit (84%).

The survey data also found that although nearly nine in 10 business owners report their retirement plan provider offers tools and resources to them to help encourage employees to participate, over half of business owners (53%) still struggle with communicating the benefits and encouraging participation among their employees.

This number increases to 60% when looking at female business owners and 65% for younger business owners (aged 18-34 years old). What’s more, 68% of business owners acknowledge it’s their role/responsibility to encourage employees to participate in a 401k offering.

“Our latest survey shows employers are struggling to communicate the benefits of a 401k and encourage participation among their employees, ultimately putting their business and their employees at a disadvantage,” said Eric Stevenson, president of Nationwide Retirement Plans. “This data illustrates that the industry has an opportunity to help business owners bridge this gap and make a meaningful difference in the retirement security of their employees.”

Business owners agree 401k benefits outweigh challenges

While 401k plans have become a standard of sorts as a retirement benefit, business owners still report the following challenges in offering a 401k to employees:

  • Financial cost: 45%
  • Encouraging and managing employee participation: 41%
  • Administrative headaches (i.e. paperwork for plan administration): 37%
  • Lack of knowledge around starting or maintaining a plan: 27%

Even with the challenges associated with offering a 401k, an overwhelming majority of business owners (92%) agree that the benefits of offering a 401k plan to employees outweigh the challenges. Business owners ages 35-54 years-old are most likely to agree with this perspective, with nearly all in this age group (99%) agreeing. Interestingly, over three in 10 business owners aged 55+ years-old say they don’t believe there are any challenges in offering a 401k plan.

Helping business owners encourage participation

Nationwide’s data shows nearly two-thirds (64%) of business owners feel it is their role/responsibility to provide details on the benefits of participating in a plan with employees, as well as share information on how to enroll (62%).

In order to cut through the jargon and effectively communicate the benefits of participating in a 401k with employees, business owners can look to their plan provider and advisor for additional guidance.

“A workplace retirement plan, such as a 401k, is among the most valuable employment benefits and a top gauge of retirement preparedness,” Stevenson said. “As such, it’s integral that employers feel equipped to effectively have these conversations with their employees. Talking to a financial advisor is a good first step to not only discuss the resources and benefits available to business owners from plan providers, but to also gain insight into how to thoughtfully distribute this information and material to employees.”

More from the research

Beyond details about helping employers communicate the benefits of a 401k to employees, the Nationwide survey of 400 business owners (with 11-500 employees and who offer a 401k plan) contained some additional noteworthy data regarding the SECURE Act and 401k matching contribution rates. From the study:

  • 59% of business owners surveyed believe the SECURE Act would make it easier to offer a 401k plan to employees
  • 77% of business owners think passage of the SECURE Act would allow them to offer a 401k plan that rivals those offered at large corporations

401k Contribution Matching:

  • 8% of business owners don’t match employee contributions at all
  • 31% match 1-3% of contributions
  • 43% match 4-6% of contributions
  • 19% match 7% or more of contributions

Article submitted by Joshua C. Harper, CFP®, ChFC®, CLU®, RICP®

Why Are Healthcare Organizations are Struggling with Infrastructure?

Categories: Articles

Healthcare organizations are starting to hop on the technology train moving into the 21st century, which is excellent! Information technology and the healthcare industry have been growing more intertwined over the past 20 years. Advances that include Electronic Health Records (EHRs), Electronic Medical Records (EMRs), Cloud Storage, and Telemedicine have are widely adopted for helping to enhance the quality of care for many patients. This increase in quality of care has also provided more funding for healthcare organizations through the MACRA and MIPS programs. All of this sounds great, but “What’s the catch?” you may ask. The answer is infrastructure.

A loose definition of information technology infrastructure in the healthcare industry is the hardware, software, networks, and facilities used to support, monitor, service, and support information technologies. You may think that your Managed Service Provider (MSP) should be able to handle the security, support, and growth of these systems. For the most part, you would be correct, but with the acceptance and integration of mobile devices as viable platforms to use for healthcare services support and security of these devices becomes more difficult for even the largest of MSPs. According to a set of two surveys done by Spok, one in 2011 the other in 2019, mobile device use for nurses grew from 53% to 79%.  Today in 2019, 90% of doctors use mobile devices to perform health-related activities. Most of these activities involve communicating with care team members, receiving actionable information, and delivering real-time clinical data.

We can see that mobile devices are not just used for casual phone calls in the healthcare atmosphere. More and more, these devices are being used to communicate critical time-sensitive information that can have a significant impact on the quality of care of patients. That being said, mobile devices are notorious for their lack of security protection, and the fact that they use wifi makes them more vulnerable. Pair this with a lack of importance put on mobile device policies, and you have a perfect storm that cybercriminals will exploit when given a chance.

So, what can you do? The use of mobile devices is inevitably going to grow. So the best thing you can do for your practice is to ensure you have a robust and secure infrastructure in place to help support these devices.

Here at Medicus IT, we specialize in creating IT solutions for healthcare organizations and understand the stringent security standards that are required for HIPAA compliance.  If you have concerns about the infrastructure of your healthcare organization, contact us today. We can perform a free network assessment to determine any security and compliance gaps your practice may have.

You Treat Patients. We Treat You.

By: Mike Jann
Medicus IT
www.MedicusIT.com
678-495-5908

MJann@medicusit.com

 

 

 

Meet Your Customer’s Changing Payment Needs

Categories: Articles

The true measure of success for a thriving business is their customers.  Therefore, it’s important to be in tune with your customers to offer the right products, services, location, and yes, payment options.  Customers may want your product, but they are more apt to buy it on their terms.  Meeting them at this point increases the likelihood of the sale and increases the sale amount.

Physical Terminal:

Do you have a physical terminal with the latest technology?  The traditional consumer has their credit card ready to pull out to swipe or ‘dip the chip’.  Younger generations are more likely to pay using their mobile wallet.  The physical terminal should have the capability for EMV chip processing as well as NFC (near field communication) such as Apple Pay, Android Pay, or Google Wallet. These features not only allow convenience but also speed and PCI (payment card industry) compliance to limit fraud.

Recurring and/or Installment Payments:

Larger purchases require more flexible payment solutions.  Today’s consumers want to buy now and pay later.  By allowing the customer the instant gratification they desire, merchants meet their customer’s desire and make the sale.  Setting up recurring or installment payments through a virtual terminal is a simple process to capture the sale.  Virtual terminals offer flexible options to collect payments weekly, bi-weekly, monthly, quarterly, and more.  So, payments can be captured after customers are paid or in-between other bill periods.

Through recurring processing or installment payments, merchants can also extend their relationship. Customers don’t visit just once, they return and build loyalty. Using a subscription model for services, such as monthly lawn service or unlimited treatments for a monthly fee, merchants can collect payment before providing their services.  It creates a predictable cash flow and higher customer retention. Additionally, merchants reduce late payments or chasing down outstanding balances.

Electronic Invoicing and Web Payments:

Electronic invoicing is a hassle free way for merchants to collect outstanding payments.  Sending an invoice via email or text where the customer can simply click, enter their card information on a secure server, and payment complete.  It’s convenience for your customers and faster payments for the merchant.  No more sending paper statements every 30 days waiting for the customer to send in their payment.  Customers can click and pay when they first see the invoice, whether that be 9am or 2am.  The merchant can receive an email when payment complete or review reports.

Similar to electronic invoicing, the merchant can have a ‘Make Payment’ button on their website to collect payments from customers.  The button brings the customer to a secure payment server hosted by the processor gateway to ensure proper encryption.  The customer enters their payment amount, invoice number or other custom fields, and card information to complete the payment.

Mobile Processing:

If your business takes you away from the office, you can collect payments on your smart phone or tablet.  An app from the payment processor provides easy to use and secure payment collection on the go.  Bluetooth devices can be added to utilize EMV, swipe, and/or NFC payments similar to the physical terminal. Being ready to take payments when away from the office help to secure the sale as well as meet the customer where they are.

By utilizing a suite of payment options, your business will be ready for the various types of customers.

 

Jennifer Autian is the founder of TCA Business Solutions and an independent representative of merchant services.  To learn more about expanding your payment processing options, connect with her at 678-523-8760 or by email at Jennifer@tcabiz.com.

What’s Your Threshold?

Categories: Articles

Thresholds, what are they and why do they matter to practices?

If you said, “thresholds are a strip of wood, metal or stone forming the bottom of a doorway”, well…. you’d technically be right, but I’m not talking about that kind of threshold.

No, I’m talking about time (or count) thresholds as they relate to inbound calls in your practice. These are pre-planned values that are used as part of key performance indicators (KPIs) to benchmark against internally, and ideally to trigger operational processes or employment of resources to positively influence the overall delivery of patient experience.

Why it Matters

These threshold levels can be very important in assessing a practice’s service level. At the most basic level, we all know what happens when calls take too long to be answered, right? They hang up. Thresholds in this example can be setup around your longest wait time in queue for your current interaction to help ensure a minimal amount of calls/patient interactions go unanswered before a predetermined amount of time passes, and they are abandoned.

When used properly, thresholds can be a fairly accurate early indicator of when calls are likely to be abandoned. The key is having the tools to analyze, continually, if your thresholds continue to make sense. Is it a threshold that is helping to keep abandoned calls to a minimum? Reporting & Analytics software can help you leverage your data to determine when thresholds should be set and adjusted to make sure calls are answered before the average call is abandoned.

What About the Patient

Another way to think about thresholds is from the perspective of your patient: Thresholds are great when used as a KPI, (Key Performance Indicator) but ultimately, they are there to ensure a better experience for your patients. They should be used to trigger interventions within your practice to minimize wait time, ensure the right skilled resources available for your call volume to certain skilled queues, etc. Remember, if a call waits too long it likely means worse than an increment against your Abandoned Calls %… it more than likely translates to a lost appointment or a future mutually beneficial relationship with that patient.

How About an Example?

You’re a practice Manager. It’s been a busy Monday morning and you are constantly putting out fires. You look away from your dashboards to answer some emails or talk to a coworker. Your team is busy, and the calls are coming in faster than they can be answered, we’ve all been there. You’re quickly approaching your configured threshold limits and there’s a chance you miss the visual warnings and alerts that are telling you something is wrong. Fortunately, with proper tools like Brightmetrics software you’re able to configure audio alerts in addition to the visual alerts that tell you when calls are approaching your threshold. This will allow you and your team to proactively manage and redistribute workloads to get the calls answered before you exceed your service levels.

But Wait, There’s More!

And if you’re a Real Time Dashboard user, thresholds can play a pivotal role in how you provide top notch patient service. If you’re trying to deliver the best experience for your patients, it’s likely that your dashboards are the first thing you look at in the morning and the last thing you see before you leave; your eyes are always on them.

And because we know you’re busy and want your data easily digestible, thresholds can be configured to be highlighted in On-Demand Reports in a visual format so you can quickly see the calls that exceeded the predetermined threshold and why it might have happened.

For questions on how your practice can take advantage of these types of Reporting and Analytics tools, contact Paul Mancini with Clear Choice Telephones at 678-387-3200 or paul@clearchoiceinc.com

 

 

Assessing Telehealth ROI

Categories: Articles

Telehealth has been a buzzword lately in the healthcare industry. With all this talk about how telehealth can help improve the quality of care and overall revenue for your practice, there comes the point when it merits serious consideration. The real question is, “How do you track your Return On Investment (ROI) from implementing telehealth systems.”

Unfortunately, calculating ROI for telehealth systems is different from practice to practice. Luckily, Manatt Health Strategies has been working on a solution. Manatt did a case study on one rural healthcare organization and one more urban healthcare organization to determine who to decide which factors should be included to define the ROI from a new telehealth system. They identified four different institution types that have unique considerations they should consider. (Table 1)

Along with these clearly defined institution types and unique considerations, there are seven general considerations that every healthcare organization should look at when deciding how to determine their ROI. Each of these general considerations has a vital aspect they test, but you have to think critically and ask the right questions to see their value. First, Patient Acuity Mix, Cost Savings, and Reimbursement or Contract Revenue all have to do with the revenue stream of your healthcare practice. By analyzing the changes in these three considerations, you can determine how your telehealth system has impacted your revenue. Next, New-Patient Volume and Patient Retention reflect how your patients are responding to your telehealth system, potentially how telehealth is enhancing the quality of their care. Last, Technology, Program and Program Management, and Staffing help define costs and staffing requirements of your telehealth system. These directly impact the overhead of your practice. Comparing these three segments to one another can give you a clear view of the ROI for the telehealth system and where you need to think about improvements.

Keep in mind that this is just two case studies from one healthcare strategy group, and as telehealth becomes more widespread, more refined systems to calculate the ROI of your telehealth system will begin to show up. Don’t get lost in the data and remember that the ROI of your telehealth system should always be defined by unique considerations for your specific practice. Only you and your patients can determine is telehealth is helping or hurting your practice.

By: Mike Jann
Medicus IT
www.MedicusIT.com
678-495-5908

MJann@medicusit.com

A US airport is the latest place to ban plastic water bottles

Categories: Articles

It’s just the beginning of fixing the airline waste problem.

By Terry Nguyenterry.nguyen@voxmedia.com  Aug 21, 2019, 4:40pm EDT

Since the advent of air travel, airlines and airports have provided passengers plastic-wrapped items to be used once and tossed away. Rather than make the switch to sustainable goods and packaging, which tend to be heavier than plastic, the aviation industry has kept at this — and annually generates millions of tons of plastic waste.

In recent years, however, sustainability has grown into a larger talking (and selling) point for customers, who care about green travel options. On August 20, 2019, the San Francisco International Airport (SFO) started banning plastic water bottles smaller than one liter from being sold at concession stands, lounges, restaurants, or vending machines. It’s the first major airport in the US to issue such a policy, a step toward its goal to be a zero-waste hub by 2021.

Each guest that comes through the airport produces roughly half a pound of trash, an airport spokesperson told CBS News, and around 10,000 bottles of water used to be sold daily. San Francisco International already requires vendors to provide certified compostable utensils, food service accessories, and reusable cups.

As progressive as that sounds, there is a caveat: The plastic bottle policy only applies to water (not other beverages like seltzers, juices, or sodas), and doesn’t affect how airlines independently serve passengers. Airport vendors will still be able to sell water in presumably single-use aluminum and glass containers, which are arguably not much better for the environment.

Plastic water bottles have a notorious reputation in our waste-obsessed world: They’re flimsy, disposable, and most likely won’t be recycled, since research shows that only 9 percent of plastic waste ever generated are reused. They’re also manufactured from petroleum, which is extracted by oil drilling.

While glass and aluminum certainly seem more sustainable (both can be recycled again and again), manufacturing cans and bottles out of these materials, not to mention shipping them, requires lots of fuel, according to Grist’s Umbra Fisk. Completely banning single-use disposables — or even all plastic bottles, in this instance — would be a radical step for the airport, but could lead to a number of problems. It could cause confusion for passengers not aware of the policies, and according to SFO’s spokesperson, there are not enough non-plastic alternatives for teas, juices, or sodas.

In comparison, San Francisco International’s push to completely ban plastic water bottles seems positioned to actually reduce waste. (Now if only it could do the same for plastic Coca-Cola bottles or aluminum La Croix cans!) But conscious change, especially in a space thousands of transient people pass through daily, happens slowly.

San Francisco International Airport (SFO) started banning plastic water bottles smaller than one liter from being sold at concession stands, lounges, restaurants, or vending machines. It’s the first major airport in the US to issue such a policy, a step toward its goal to be a zero-waste hub by 2021.


Added by article submitter:

First it was plastic straws, now its plastic water bottles. It might be time to start thinking how we can all do our part. There are tons of options when it comes to re-usable tumblers, simple plastic ones and stainless versions with vacuum sealed interiors to keep liquids either hot or cold. All can be imprinted with a company logo. Now that we know for sure passengers will be carrying something other than plastic bottles through the airports, it might as well be some sort of device with YOUR logo on it.

Sheila Fox-Lovell

Shandy Creative Solutions

Shandycreative.com

sheila@shandycreative.com

Is Your Company at Risk for Occupational Fraud?

Categories: Articles

As a business owner or Managing Partner with a large corporation, you want to trust your employees, and this includes upper management, as well. You interviewed, tested, and helped train the best candidate available who eventually became a part of your business. After roughly 16 months, you find yourself looking at a case of Occupational Fraud. How did this happen? Oversight. Weak internal security accounts for almost half of the fraud instances.

According to the “Report to The Nations: 2018 Global Study on Occupational Fraud and Abuse,” publication, 2,690 real cases of occupational fraud were reported from 125 countries in 23 industry categories with $7 billion total losses. Small businesses generally suffer the brunt of monetary losses in  an approximate period of 16 months per case. Employers need internal controls and a trained resource for prevention. An internal audit is generally a good place to start and this can be done by an independent third-party source such as Stellaris Group Human Resources in Roswell, Georgia, by a CPA firm, or by management.

It’s difficult to know where to even begin to start when it comes to preventing occupational fraud in the workplace, but with a few steps you can ensure your company can be safe:

  • Have a system in place where employees can anonymously report or tip you off that someone in the company may be stealing from you in one form or another. Internal tips are the number one method of detecting occupational fraud over other methods and accounts for approximately 40% of the cases reported.
  • An Internal Audit is another way to detect someone who may be cooking the books or outright stealing from you. Some signs might include an employee showing up at work all of a sudden with an expensive new car or wearing designer clothes that you are certain are outside of their salary range.  Or maybe they are having financial problems such as too much debt or a gambling problem. The reasons are endless.
  • Conduct a Management Review and delegate. Preventing one person from managing all of the accounting responsibilities such payroll, accounts payable, receivables, bank reconciliations, financial statements, etc. These responsibilities should be shared among several employees in order to prevent the temptation of occupational fraud.

Overall, implement a Hot Line for employees, vendors, and competitors to tip you off if they suspect fraud. Have a good anti-fraud plan in place. Small businesses suffer greater losses because they sometimes lack the resources larger corporations have in place. If you do not have a Human Resources department, hire one to independently review your current anti-fraud plan for recommendations or guidance.

Dawn Stastny, SPHR, SHRM-SCP is the Managing Partner and Founder of Stellaris Group, LLC. To learn more about Human Resources Outsourcing and Consulting, connect with her at 678-935-6001 or by email at Dawn.Stastny@Stellaris.Co

References:

https://s3-us-west-2.amazonaws.com/acfepublic/2018-report-to-the-nations.pdf

 

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