Oncology EHR

Promoting Quality & Safety in Oncology Electronic Health Records

We are considering Centricity EHR (plus Intellidose) for our 3 phycian Medical Oncology practice in central Texas. We use Nucleus from ION to order,store and restock the chemo drugs.Does Centricity EHR (plus Intellidose) inter-phase with nucleus? I guess the real question is, will Centricity EHR (plus Intellidose) record the chemo drug as it is removed out of nucleus and tack it all the way though charge entry and claim submission. I use Centricity PM software for billing. Can it track drug wastage also? Is there an interphase between Centricity and Meditech?

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Hello:

We are a Centricity/Intellidose practice of 4 oncologists in Santa Monica, CA. We are also an Oncology Supply practice. Nucleus is not available in California yet. Intellidose is now interfacing with Lynx Mobile and plans on interfacing with Nucleus by 1st Q 2010 to my understanding.
We have built an HL-7 interface between Intellicharge and Centricity PM which drops our charges directly into the PM. We do not interface our Pyxis to the PM but rely on Intellicharge to send the charges. Our biller uses 2 screens, on one she has the Pyxis report indicating the units of drug removed for a patient and on the other screen the Intellicharge Post Charges screen which permits her to confirm that Intellicharge picked up the right amount of drug. The Intellicharge screen toggles to the eNurse note as well so she can confirm that the codes are correct. After review she send the charges to Centricity than transmits them. It is a very efficient system.
Before we went live with the billing interface, we did run paper parallels of Pyxis superbills and Intellicharge superbills. Whenever there was a discrepancy, it could be attributable to nursing using the wrong NDC code.When the nurses updated the Pyxis, the concordance was 100%. We went live when the drug and services concordance was >98%. Our biller has to make only occasional corrections.
Waste is tracked in Intellidose. We do not feed that data to Centricity as we bill for total drug used including waste in accordance with coding guidelines for our carrieres. The JW modifier was only intended, to my understanding, for coding the waste if CAP was elected by a practice.
I have looked into a Centricity/Meditech interface as our hospital is currently using Meditech. I have resources for you if interested. It has been done but is may be expensive and you may wish to have your hospital pay for it for you as they can under revised CMS guidelines. Our hospital is transitioning to Centricity Enterprise in 2011 so we decided against building the interface for such short term use.
Dr. Lee Drinkard is in Texas and a Centricity/Intellidose user and a member of the ASCO-EHR Centricity Oncology Users Group. You may wish to visit him. Our practice is a reference site and we could help you through a demonstration if you so choose.

Marilou Terpenning MD

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Thank you very much for this helpful info and advice. I will share it with my partners. Will it be possible for me to talk to you or the person in your office who handles your EHR.

Kumud Tripathy, MD
979-776-2000

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Hi Kumud,
I will tell you one thing that most Physicians think is necessary. Best way is to choose an Integrated EMR and SAAS, if you are looking or inexpensive but effective.

Our EMR is being evaluated by the Texas REC for use in major Govt hospitals and will be sold with subsidy by Texas state. Main feature is ease of use and fully integrated product. We have billing, PM, EHR, EMR and Patient Portal all integrated and all available in SAAS model as well as installed model.

We are replacing Centricity in many places due to its complexity of financial reporting, need of additional billing services and mainly very costly. If you don't mind spending t money than go for the big names, else same work and more can be done by many other EMR's also. We can provide many types of reports that centricity does not even touch upon.

I am in Irving, Texas itself and we can come down to show you the EMR and other products. Let me know or call me at 469-713-3520 x 110.

Regards,

Raj


Kumud S Tripathy said:
Thank you very much for this helpful info and advice. I will share it with my partners. Will it be possible for me to talk to you or the person in your office who handles your EHR.

Kumud Tripathy, MD
979-776-2000

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