The project at Boca Raton Community Hospital consisted of implementing an Electronic Document Management Strategy utilizing McKesson Horizon Patient Folder® and Horizon Business Folder. The first phase consisted of a Discovery Process to analyze current processes, decide on the project objectives, deliverables and an overall approach to the implementation of McKesson’s Horizon Patient Folder, Horizon Business Folder, McKesson’s Horizon Image Link Engine and FormFast. This phase also included an assessment of the organization’s readiness for change.

In Phase Two, BRCH prepared for the implementation of Horizon Patient Folder, implementing FormFast. Forms redesign included standardization of form templates with encounter and document bar codes. HPF reads both bar codes when the chart is scanned and indexed.

Phase Three included the implementation of McKesson’s Image Link Engine, which allowed Patient Access to scan registration, clinical and financial documents at the time of registration. The documents reside in the Horizon Patient Folder database, and can be easily accessed through STAR and Receivables Workstation. This implementation was coupled with Horizon Business Folder.

Phase Four consisted of the implementation of Horizon Patient Folder.

Major resulting benefits included increased physician and end user satisfaction, easy access to critical information for patient care, easy physician access to outstanding chart deficiencies, secure on-line access from home, office or hospital, transformation of the HIM department due to workflow automation benefits, improved compliance, elimination of lost charts, elimination of time consuming manual processes, expedition of the registration/admission process, and a redesigned floor plan in HIM department to increase efficiency of paper flow. The hospital looks forward to a reduction in Accounts Receivable days and increased revenue due to easy access.

RoseAnn Webb, RHIA, LHRM, Director of HIM and Privacy Officer for Boca Raton stated in reference to Deborah Caruselle, the ISH Project Manager for the implementation, “She surpassed my expectations of what a consultant can accomplish. She worked long and hard on our project, and made deadlines we never thought we would accomplish including the cold feeds needed to eliminate much of the scanning required. She had the team focused and organized and we were ahead of schedule with several of the cold feeds.”

Fremont Rideout Health Group was seeking more than an installation of document imaging software. They sought solutions that would support their overall operational requirements, business objectives and strategic plans designed to promote operational excellence and customer service. The organization chose McKesson Horizon Patient Folder® and Horizon Business Folder®, and turned to ISH to provide hands-on leadership in a Discovery process to provide the building blocks of a successful implementation. Utilizing their proprietary SMARTstart methodology, ISH performed a detailed workflow analysis of FRHG activities involving Health Information Management, Patient Access, Clinical departments, Patient Financial Services and other components related to the Clinical Electronic Record. Recommendations for moving forward included the establishment of a team of key stakeholders, the formulation of effective change management strategies, and a plan for strategic business process redesign.

According to Debbie Parapid, RHIA, Director of Health Information Management for Fremont Rideout,”We have been totally pleased with ISH as we complete the Discovery Phase and move onto the next steps. The Discovery Phase has provided a methodical and detailed approach to how we go about business presently and how we will do business in the future.”

About Boca Raton Community Hospital:
Serving the community since 1967, Boca Raton Community Hospital (www.brch.com) has 400 beds and more than 700 primary and specialty physicians. Areas of expertise include cancer, cardiovascular disease and surgery, minimally invasive surgery and women’s health, all of which offer state of the art diagnostic and imaging capabilities.
The Christine E. Lynn Heart Institute opened in 2006, eliminating the need for patients to travel potentially life threatening distances to receive comprehensive cardiac care. This was the first time in 22 years that a new open-heart program started in Palm Beach County. The Institute has performed over 300 open-heart procedures (98% off pump), over 2,400 cardiac catheterizations and over 800 angioplasties

About Fremont Rideout Health Group:
Fremont-Rideout Health Group (www.frhg.org) is a system of three acute care, not-for-profit California hospitals – Rideout Memorial Hospital, Fremont Medical Center and Biggs-Gridley Memorial Hospital -- the Heart Center at Rideout, the Cancer Center affiliated with UC Davis and a host of ancillary services including senior living, Alzheimer’s care, home health, hospice, durable medical equipment, located throughout Marysville, Yuba City and Gridley. The Health System employs over 2,000 employees and has approximately 240 physicians on the medical staff.

About ISH, Inc.
Headquartered in Fairfield, NJ, ISH Inc is a leading national provider of professional consulting services for healthcare including Electronic Document Management, Sterile Processing, Perioperative Services, Critical Care and Procedural Care, ED, Supply Chain, Finance, HR/PR, Time & Attendance, and Scheduling.

ISH’s Electronic Document Management initiatives provide enterprise-wide solutions that provide greater physician and patient satisfaction and increased revenue opportunities while moving your organization towards the 2014 Federal Mandate for a universal Electronic Health Record.

ISH has delivered business improvement solutions and IT implementations to prominent healthcare providers since 1989. With a staff of over 200 professionals, an extensive “best practice” library—SolutionSets?--developed from over 500 clients and a powerful program management methodology, ISH is positioned to deliver the results you need when you need them.

Contact: Mary Garland, 800-284-8018; ext. 336