Healthcare IT Services

EHR Implementation

CareXeon offers specialized services to implement integrated EHR systems complete with PMS and RCM modules. EHR implementation is a complex task with full of challenges. It requires very best minds to architect rewarding EHR system that exactly fit your needs using the right EHR product that maximizes ROI.

We implement EHR for individual providers, group practitioners, small to medium hospitals offering ambulatory services, family & primary care, specialist consulting. We understand the intake forms, CPOE – Order Sets, in-house diagnostic device integrations, lab & pharmacy interfaces, coding & billing, clearing-house, insurance nuances, and the regulatory requirements like CQM / PQRS. We have years of experience in handling all of these issues.

EHR implementation impacts several Healthcare process and creates integration issues with business critical IT applications. Continuous winning or losing from EHR asset depends on crucial product selection and automating several processes. One has to be extra careful in choosing a EHR product. Often EHR vendors over promise and under deliver; they also tend to be indifferent in understanding Providers’ workflows and finding ways to automate processes. Numerous optional items add to overall cost of implantation and operating cost.

Midway thru an EHR project, one may realize that it is extremely difficult and time consuming to migrate old medical records as structured, actionable data at encounter level that could be searched, graphed in new EHR. Several providers face the hardship of not able to move from one EHR to another, simply because their EHR data cannot be meaningfully moved in a cost effective way.

CareXeon has an insider view of Providers. We reflect the providers’ views and architect best EHR system that exactly fit your needs using industry leading EHR products. We help individual Doctors, small, medium and community hospital to choose right EHR product to implement. We create and manage RFP process. Before RFP, we will review your business process, desired process transformation and automation, conduct use-case and gap analysis and develop requirements. We also develop best-fit Enterprise Architecture for the EHR. On behalf of you, we will screen vendors, compare different products, negotiate price. These services are provided as EHR Kick-Start or Jump-Start services with a well-defined SOW (statement of work) and deliverable in a time frame.

We offer ‘Project Management’ service to manage EHR implementation and Records migration projects. We ensure projects meets your requirements, goals, quality standards, and your team is well trained and supported. Our services also include old medical chart scanning, indexing and uploading data and images to new EHR platform of your choice. Most vendors do not offer services to scan old medical chart and index them comprehensively to extract historical data for evidence-based intelligent treatment options. We use on-site scanning and BPO logistics to handle high volume chart conversion.

Please contact us for more details.

Systems Modernization

Most often organizations literally follow the simple saying ‘if it is not broken, don’t fix it’, waiting for disaster to happen. Running outdated systems poses growth challenges, drains resources.  Now is the time to take advantage of new, cost effective technologies like virtualization, cloud, shared services etc.  Modernization offers ways to reduce operating cost, increases productivity and efficiency.

Organizations today rely on a diverse set of technologies and applications from different vendors. These technologies can span across hardware systems, storage, network devices, operating systems, and middle-ware, including legacy systems that are inefficient. To maximize efficiencies and to take full advantage of high availability and high performance, companies need a road-map to modernize IT environments. One of the top priorities for Hospitals should be to modernize their IT infrastructure to transform from the inefficiencies of siloed to a modular, efficient, standards based infrastructure. In-fact, procrastinating to modernize is a wasted opportunity.

Systems Modernization can be a challenge; CareXeon can assist you by guiding you through this process. We provide Infrastructure and Application Modernization advisory services,  Architecture and Configuration recommendations and implementation Project management services. We deliver highly engineered solutions to take your hardware and software to the next level of performance and manageability helping you to save on operating cost.

EHR Migration

EHR platform migration is a very tough and complex challenge. There is no easy way to migrate structured data and associated charts from one EHR to another.

Provider consolidations thru M&A, the induction of independent practitioners into hospitals, or IPAs, are all imposing complex EHR Migrations.  Furthermore, while implementing MU-II certified EHR, practitioners are moving up from one EHR to another.

Nevertheless, refraining from EHR migration means orphaned patients’ records, which will jeopardize the continuing patient care. Even worse, in order to comply with patients’ records maintenance regulation, some providers keep their old EHR systems alive even if they have started using new EHR.

The EHR data migration involves ETL, data normalization and moving the associated unstructured reports received from labs, imaging centers and so on. To properly handle this overwhelming and complicated process, CareXeon assigns a dedicated team of specialized professionals, trained and qualified to complete any size of EHR migration.

EHR Hosting & Support

EHR is a mission critical application that requires 24/7 running to support Patient
Portal, Appoint Management and constant HIPAA compliant information security management.

We provide a full range of application hosting, performance monitoring and on-going user and technical L1 to L3 support services that can be customized to fit your needs. Our Services allows organizations to focus on running their business while off-loading the IT intensive tasks of application setup, configuration and constantly upgrading or re-configuring them to meet your dynamic business requirements. These services ensure that your online business will run smoothly and error-free and are cost-effective, freeing you from maintaining expensive in-house support staff. Focus on Patients, not on hosting and administering your EHR.

Let us help manage your EHR so you can focus on what’s important.

We have years of application management experience servicing multiple customer environments. Our Application Hosting Services is much more cost-efficient than hiring, onboarding, and building your own team of tech gurus.  We can help customize your hosting needs. We offer best-fit hybrid cloud, combining dedicated hardware, virtual servers, private cloud, and high-performance AWS cloud. We also offer fully managed, single-tenant, dedicated server hosting for the highest level of security, high-performance and I/O intensive workloads.

Please contact us for more details.

EHR Workflow & CPOE Upkeep

The best outcome from EHR depends on automating several workflow processes used at the practice or hospitals. EHR could automatically conduct insurance verification, eligibility checks, on-line appointment setting, automated telephone or SMS reminders, kiosk-based check-in, intake forms processing, to directly interfacing with labs, pharmacies, diagnostic equipment, insurance companies etc. All of these functions require careful planning to rightly configure workflows in EHR.  All of these workflows often change to keep-up with business dynamics and changing regulatory rules.

Besides common workflows, EHR requires upkeep of CPOE (Computerized Physician Order Entry) Order Sets. These are clinical bioinformatics driven CDS (clinical decision support) knowledge engine that allows physicians to prescribe the best medicine or advice. CPOE at basic level checks drug interactions, allergies, etc. while prescribing medicines. While CPOE can improve patient care and increase efficiency, it is also difficult to implement and requires constant review and maintenance to ensure quality of care and safety.  Off-the-shelf, vendor-supplied CPOE systems like those available to most medium-to small-sized hospitals require customization and integration.

CareXeon has excellent track record of implementing EHR workflows and CPOE ordersets. We offer EHR Workflow and CPOE upkeep as a managed service.

E-Forms & Template design

Implementing EHR involves creating practice specific e-forms that are used online, on iPADs, as well as on Kiosks stations. Forms are both patient facing and partner facing such as lab, pharmacy, insurance, regulatory forms. Patient intake or admittance forms are specific to each practice depending on ambulatory settings, family & primary care, specialist practice etc. We understand the intake form creation and automating them to get the data in and out of EHR. Patient-facing forms require intuitive design and error checking.

To automate encounter level SOAP notes and to quickly write encounter reports, EHR uses many pre-formated and pre-filled templates and shortcuts. These templates need to be customized and optimized over a time. EHR vendors show how to create or customize these templates, but their inputs are shallow and providers end up using sub-optimal templates.

All of these e-forms and templates require careful planning to rightly deign and configure in EHR. All of these often change to keep up with business dynamics and changing regulatory rules. CareXeon has excellent track record of implementing E-Forms and Templates as a managed service.

Vendor & Device Interface Setup

EHR system interacts and gets integrated with several in-house applications and with external partners, ACOs, IPAs, vendor systems.  Further, EHR can directly interface with diagnostic equipment, labs, pharmacies etc. These integrations are complex, require teaming efforts. Data Governance, Data Provenance take center stage in planning these interfaces. Successful EHR implementation depends on establishing maximum automated data exchange interfaces. Again these interfaces constantly evolve, change to meet business dynamics.

Designing and implementing EHR interfaces involves using standards based (FHIR) data exchange, data normalization, data governance, data provenance.
To successfully handle this overwhelming and complicated process, CareXeon assigns a dedicated team of specialized professionals, trained and qualified to complete any size interface development tasks.

Interoperability Integration

CareXeon specializes in Interoperability Integration services that link many healthcare applications running across Payer, Provider, Pharmacy, ACOs, PHMs, HIE organization, as well as applications on partner networks running PMS, RCM, EHR. The Interoperability Integration solutions create highly effective cross platforms for improved productivity and enable faster care giving.

At CareXeon we have an in-depth understanding of the great importance of interoperability in the healthcare industry. Today healthcare applications process vast, non-conformal information and extensive longitudinal data for each patient. As a result, data management models are complex and require powerful solutions.

Harmonizing Smart Applications

With the prevailing HL7, FHIR, CCD use, the integration of healthcare applications becomes even more critical because they often reside on different operating systems, different databases, and written using different coding languages. In some cases they are even orphaned legacy systems. Linking all these applications is imperative. That’s why our teams work hard to proactively exchange data between different applications and automate business processes as much as possible, allowing existing processes and data structures to continue their normal operations.

Call us now to discuss your application integration needs, and watch your productivity grow!

Analytics & Reporting

CQMs, PQRs Reporting

Clinical Quality Measures (CQMs) are assessment tools designed to measure and monitor the quality of the provided healthcare services. CQMs use EHR data to measure health outcomes, clinical processes, patient safety, efficient use of healthcare resources, care coordination, patient engagement, and public health improvement.   The PQRS is one of several government reporting programs (including meaningful use) that utilize incentives and payment adjustments to promote the reporting of CQMs data. PQRS offers multiple reporting methods one of them is reporting using EHR.

Simplifying Complex Reporting

Reporting methods like CQMS and PQRS can be an exhausting and daunting task for every independent provider. Not only it requires both clinical and analytic skills, but also a whole army of information technology savvy scribers, coders and data security team members who will have to run MU-II EHR, PMS, RCM, and Patient Portal modules.

CareXeon offers CQM and PQR reporting as Managed Service. This is the best way to gain an in-depth understanding of each provider’s overall practice, which is imperative for CQMS, PQRS reporting. Our services can be used either on-demand, or on a continuing long term basis, depending on the client’s specific reporting needs. Our specialized team can handle manual processes, including data entry, custom scripting, and output formatting for graphical view etc.  Contact us now to learn more about our reporting services!

Health Records Scanning to EHR

Implementing EHR system involves daunting task of scanning all old medical charts and indexing them comprehensively to extract historical data for evidence-based intelligent treatment options. EHR is a WYPIWYG – What You Put In is What You Get out of the system; it is important to comprehensively index the charts. Many EMR vendors are taking the easy route of just scanning all pages in one chart into a single image file with just one index name. This approach is unfathomable.

We know hospitals and medical centers need their old charts, heath information to be properly indexed in order to create a specifically structured database that can suit their workflow processes and practices. CareXeon’s team specializes in indexing health records to create longitudinal and structured, actionable data. The process of data indexing is a semi-automated process where machine intelligence and inferences are validated by qualified health workers. CareXeon is in a position to completely index charts with hundreds of highly relevant indexes for each chart; all for less than the cost of what others are charging for scanning the chart alone. All of our medical indexing goes through zoned OCR keyword extraction and rigorous manual quality check ensuring high accuracy and relevance.

After our scanning and indexing, Patient Health Records are presented directly in your EHR as structured, actionable data. Select Patient’s historical vitals and diagnostic results can be viewed as longitudinal data in a graphical form, including data points that can be searched and compared for planning effective treatment.

Our scanning and indexing helps RWE (Real World Evidence) and Big-Data analytics companies. There is an enormous value in scanning and indexing old paper based charts. The data could be monetized thru Data Mining, Business Intelligence, Big-Data, RWE initiatives. Call us to discuss your project.

Online Medical Forms Processing

Healthcare industry though moving to e-froms and automation, few are still using paper forms. Extending our Medical Chart Scanning and Indexing capabilities, we provide automated online forms processing services under subscription based service.

We have developed tools to automatically capture data, handwritten or typed data, from several standard forms used in healthcare industry. Such forms include:

On periodic basis, you need to scan and upload forms. We will electronically ingest your forms, extract all required data and upload images and data directly to your designated EHR or business application. All done ‘online’ and almost instantaneously!  CareXeon uses zoned OCR to extract data and conducts manual quality checks to ensure high accuracy and relevance.

How it works

• Sign-Up for our service; Specify document type and quantity per month
• Provide sample documents, forms, fields to index
• Directly Scan, e-Mail or upload to our content collection server
• Our centralized Auto Index server instantly performs rule based zone OCR indexing
• For Quality and Accuracy assurance visual validation and optional double entry verification is applied
• Processed image and index are released (uploaded) to client specified application or location
• Highly secured, ripped and scrambled image and index handling
• No setup fee, month-to-month engagement
• Very low processing fee (80% saving over Chargeback and FTE cost)
• We provide following process specific Content Capture and data processing services for healthcare industry.

Online Medical Transcription 

EHR are extremely time expensive. They demand timely and comprehensive data entry. Physicians are forced to enter lots of data into the EHR. Furthermore, ever-learning novice coding and billing assistants constantly nag physicians for clarifications on EHR notes.

To solve this problem and relieve the burden from physicians, more and more healthcare centers outsource the scribing services to specialized providers like CareXeon. We offer outsourced medical scribing services that reduce the time wasting data entry physicians need to deal with, as well as streamlined coding and billing.  We provide iOS and Android Apps to dictate notes. Our backend process transcribes the data and posts it in EHR.

Don’t waste any more time, start working efficiently now! Outsource the challenging task of Revenue Cycle Management (RCM) responsibility to CareXeon and let your physicians enjoy the results!