Keeping Community Hospitals Thriving and Independent
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Keeping Community Hospitals Thriving and Independent
Reed LigginVP Sales, athenahealth
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100%
90%
80%
70%
60%
50%
50%
30%
% o
f Reg
ister
ed
2011 2012 2013 2014
33%
61%
84%
66%
83%
93%
95%94%
EHEP
Source: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/October2014_SummaryReport.pdf
Virtually all physicians and hospitals intend to adopt an EHR to help coordinate care
Those intentions aren’t translating into results
87% of physicians can’t exchange information electronically with others outside their organization
of eligible hospitals attested to Stage 1 MU
of eligible hospitals have attested to Stage 2 MU
85%
34%
41% of EHR adopters can’t even enter lab and imaging orders or request a consult electronically
72% of adults can’t access their online medical record
Source: http://www.healthit.gov/facas/sites/faca/files/HITPC_CMS_DataUpdate_2014-12-09.pptx http://www.healthit.gov/FACAS/sites/faca/files/HITPC_InteroperabilityUpdate_2014-08-06.pdf
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And the hospital business model is under assault, necessitating new operating
platforms
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Source: http://www.tha.com/blog/Default.aspx?pid=17
5.0%
0.0%
-5.0%
-10.0%
-15.0%
-20.0%
-25.0%
Total Hospital Medicare Margins by Year
20032004
20052006
20072008
20092010
20112012
20132014
20152016
20172018
2019
Community hospitals have been hit especially hard
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Between 2013 and 2014,
14 CAHs closed in 10 states.
Of the 2,000 community hospitals open in 2012,20 filed for bankruptcy in 2014.
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More than 60% of the nation’s hospitals are now part of larger hospital systems
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Since the passage the ACA, total mergers rose from 50 in 2009 to more than 100 in 2012.
‘05 ‘06 ‘07 ‘08 ‘09 ‘10 ‘11 ’12
50 54 60 60 50
7693
1053841
36
162222
323467
52
40343838
2216
Total Deals
For-Profit
Buyers
Non-Profit
Buyers
Hospital mergers and acquisitions
Source: New York TImes
And yet community hospitals have some key advantages in the market
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• Long history and deep experience with community health
• Well-established relationships with patients and providers
• Smaller size makes it easier to adapt to change and standardize processes
• Experience in looking across the continuum of care
• Increased payments from those previously uninsured
• Experience running lean
My health care journey started as a hospital pharmacist
Our success formula requires an experience that feels native to athenaNet
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We are building a national health information backbone.
We build trust with health care providers, helping them do well by doing the right thing.
VISION
MISSION
athenahealth’s award-winning services can help you thrive through change
13“2014 Best in KLAS Awards: Software & Services,” January, 2015. © 2015 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com
#1 Practice
Management System
(1-10, 11-75 physicians)
#2 Practice
Management System
(over 75 physicians)
#2 EHR
(over 75 physicians)
#2 Patient Portal
#2 Overall
Physician Practice Vendor
2014 Best in KLAS
• 62,000+ providers on athenaNet®
• Clients ranging from 1 to 5,000+ providers
• 50 states and 112 medical specialties• $14 billion in client collections per year• Acquired Epocrates March, 2013
The Cloud-based Service
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Perfo
rman
ce &
visi
bilit
yHIGH
HIGHConnection to Outcomes
Software
ASP
SaaS
Cloud-Based Service
The Cloud
Both RazorInsights and athenahealth were leaders in bringing the Cloud to health care
Ready for fee-for-value
Open platform Easy, automatic
updates
Rapid, low-costimplementation
Best in KLAS usability#1
No capex
Designed first for mobile
Single patient record across the continuum of care
RESULTS
Visibility, insight & performance coaching Interoperability-as-a-service
Software | Knowledge | Work
By joining our network you are clinically integrated with the care continuum
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• 170,000+ Interfaces• 65,000+ Trading Partners• 7,000+ new interfaces
created per month• Less than 0.01% message
processing error rate• 62,000+ Providers• 60 million patients• 350+ Imaging Centers• 39,000+ Pharmacies• 1000+ Labs• 320+ hospitals, IPAs, HIEs• 47 Registries
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Network services Population health managementAggregates data, identifies gaps in care, contact patients and coordinates care.
Patient access and care coordinationEnsures seamless transitions of care for patients and less work for staff. We take on your order and referral management work.
Ambulatory servicesRevenue cycle managementAutomated intelligence and back-office teams take on your administrative busywork.
Electronic health records Keeps providers focused on care. Delivers measurable quality and efficiency improvements.
Inpatient services
Electronic health recordsConnects care in hospital and across your community, via single inpatient information system. Includes all patient encounters from admission to discharge.
Revenue cycle managementProvides comprehensive financial management information. Delivers a real-time view of your hospital financials.
One platform to coordinate care across all care settings
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What you can expect that no one else can deliver:
Immediate Results:
We implement and start
seeing results within 6 months.
Minimal investment
: No upfront
costs ensure immediate
benefit with no risk
Seamless updates:
without costly upgrades
Partnership: Perpetual monitoring, sharing and
implementation of best practices