Project Kickoff

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Agenda

• CareSelect Background

• Project Goals

• PAMA / Appropriate Use Criteria (AUC) Background

• Project Teams & Resources

• Project Overview

• Communication to your Providers / Open Access Portal

• Next Steps

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NDSC and CareSelect imaging background

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Procedure Mapping

• By mapping your procedures to CareSelect procedures, we can associate CareSelect indications and scoring with your procedures.

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CT Head or Brain w Contrast[ACR] CT, Head, w iv

contrastCT Head or Brain w Contrast

CareSelect™ Imaging Goals

Cost Savings

Educate providers on imaging appropriateness

Efficiency gains in radiology <> physician communication

Ensure compliance with CMS mandate beginning Jan 1, 2020

✓ Avoid unnecessary exams for DRG-based reimbursements

✓ Make evidence available in alerts

✓ Standardized Indications

✓ Robust AUC for Priority Clinical Areas, Data Monitoring, User Feedback

✓ Reduced patient out-of-pocket costs

✓ Distribute supporting clinical evidence

✓ Fewer calls and changed orders

Improved Quality of Care ✓ Right exam for the patient

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Creating a Successful CDS Program

Alerts

Analytics

Education

Implementation Strategy

o Focus on high value AUC

o Minimize physician burden

o Measure for results & accountability

o Share data

o Expand scope following successful

adoption

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Appropriate Use Criteria (AUC) Program Background

National Decision Support Company LLC – Confidential 8

CMS AUC Fact Sheet - Basics of AUC Program

National Decision Support Company LLC – Confidential 9

Proposed Implementation Team

Operational and clinical involvement is key to the

successful adoption of CareSelect Imaging

Role

- Sponsor(s) (Application Director, CIO, CMIO, Physician Champions)

- Project Lead/Project Coordinator

- Subject Matter Experts (Radiologists, EMR admin.)

- Trainer

- Technical resource (Network Analysist, or a third-party integrator)

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NDSC Users’ Site

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Implementation Overview

Project Management Oversight

MEDHOST Technical & Application Configurations

Application Configuration Training

End user Training

Go Live Support

Education resources available on the MEDHOST Community https://community.medhost.com

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Implementation Plan

Export / Pre Kickoff

• MEDHOST to export spreadsheet of Procedure File to NDSC

Identify

• NDSC and customer determine project scope

• Customer relays scope decisions to MEDHOST

Configure

• MEDHOST to configure selected procedures and HSC in application

Validate

• Collaborate with NDSC for validation

Train

• Remote application configuration training

• Remote end user training

Go Live

• Prior to Go Live, configure payor plans

• Remote support

This Implementation process should take ~3-4 weeks.

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Implementation Plan

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NDSC Kick off

Pre-Kick off• MEDHOST to export Procedure File

to NDSC• Review Demo Videos• Determine your project team• Ensure your organization is at the

correct MEDHOST Version• Start to develop communication and

training plans

Pre-Kick off Communication, Training & Testing

Go-Live

1 week 2 weeks 1 week

Kickoff and Scoping call• MEDHOST to configure selected procedures

and HSC in application• Attend remote MEDHOST training session• Determine initial procedure and

provider scope• Begin testing

30 days

Training• Create and execute on training and

communication • Demo NDSC free site for referring

providers

Go-Live• Prior to Go Live,

configure payor plans

• MEDHOST Remote support

• NDSC Customer Success plan

3-4 weeks

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Week 1

Week 1

Review webinars on:

❖ Kick-off project overview❖ Application configuration

Your output:

❖ Schedule training sessions with MEDHOST

❖ Begin testing (after training sessions)❖ Confirm scope of procedures to

trigger AUC❖ Complete Project Team document

Week 1

12 hours

Items to complete:

Connectivity and Interface Testing: Within the training or production environment you will test sample procedures with test patients. Include Ordering Clinicians/Radiologists in this process. Documentation on how to complete testing can be found on the MEDHOST Community site.

Attend Training Sessions: MEDHOST will reach out to your organization to schedule application configuration and end-user training.

Application Configuration: MEDHOST will work with you

on your CareSelect Imaging configuration for items such as:

facility, financial classes, registration type, etc.

Project Team Document: Please fill out, and send back to NDSC PM.

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Week 2

Week 2

Review webinars on:

❖ Connectivity and Interface Testing for Sample Procedures

Your output:

❖ Continue testing and execute on communication & training. CRITICAL: Ensure scope of procedures and go-live date have been established.

Week 2

10 hours

Items to complete:

Continue Testing

Communication & training: Users who attended MEDHOST led

training sessions will create communication and training plan to

send out internally.

Referring Providers: Tools to aide in creation of a Training plan can be found on the Implementation website. NDSC offers a free website for ordering physicians to use (priorauth.org)

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Week 3 & BeyondWeek 3 & Beyond

25 hours

Week Beyond

Review:

❖ Go-Live Migration and Support Plans

❖ Content Updates

Your output:

❖ Complete testing❖ LIVE

Items to complete:

Support Plan:

MEDHOST will train customer on how to configure application going

forward (I.E. How to turn on AUC for additional procedures)

NDSC: The AUC releases updates semi-annually. Depending on your

organization’s structure and needs, you can choose to take content

updates every six months or update on a different schedule. When the

time comes to upgrade, your NDSC representative will help guide you

through the process and build changes.

Go-Live Migration: An overview of what you need to do to prep for your go live day.

Go Live!

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Communication Tips

• “Benefits of the project are numerous, including more accurate ordering of radiology studies to match the appropriate diagnosis, ensuring that patients will receive appropriate care and reimbursements for those studies will be approved as a result of the accuracy of these studies.”

• What methods will be used to raise awareness about the project (i.e. Physician Advisory Meetings, Super User Huddles, Workflow Walkthroughs, etc.)

• Who is responsible for the communication of the project to end users?

• Make sure you include training dates and Go Live dates

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Training Tips

• EMR specific trainings

• Use the PAMA Mandate document (implementation website)

• Use the CareSelect overview (implementation website)

• Use the Open Access Web Portal document and video for referring providers

• Identify one or more individuals who will triage questions before and after the product is Live (this is key)

• Schedule the training sessions or create training video

• Communicate out the Go Live date

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Open Access Portal forReferring Providers

http://qcdsm.nationaldecisionsupport.com

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MEDHOST Claims Information

• MEDHOST R1 2018 needed for integration with NDSC

• MEDHOST R1 2019 needed for claims information

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Next Steps

– Schedule configuration training session w/ MEDHOST PM

– Send Project Team Members document to your NDSC PM

– Determine your procedures, user, and application scope

– After you are connected in Test you should work to set your Go Live date out 45-50 days

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Questions?

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