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In the SUD, MH, & ED treatment industry, your KIPU operational systems are vital tools that must be meticulously maintained to ensure optimal performance. At Super Admin Solutions, we offer comprehensive EMR System Health Audits to keep your system in peak condition. Much like a living organism, an EMR system requires regular audits, monitoring, and maintenance to remain healthy and efficient. Here’s why our health audit is essential and how it benefits your facility.
An EMR System Health Audit is a thorough review of all the areas within your EMR system that accumulate data. If not kept clean, this data can lead to what we refer to as “documentation debt.” Documentation debt includes items such as doctors’ orders, templates, patient records, group sessions, and much more that need to be closed out, signed, or deleted to ensure the system runs smoothly. Additionally, we review all feature sets to ensure they are perfectly configured to help mitigate the accumulation of unhealthy items.
Why Regular Health Audits are Crucial
Super Admin Solutions provides an initial health audit immediately upon signing with us. This initial audit gives us a clear picture of the current state of your system and highlights the first set of tasks needed to restore your system to a healthy state. For most facilities, this may be their first comprehensive audit. For example, at a recent facility, we discovered 40,000 unsigned laboratory results, which of course was a shock.
Regular audits are essential for maintaining system health, yet many facilities neglect this practice. At Super Admin Solutions, our clients receive regular reports (weekly, monthly, quarterly) on their documentation debt, including specific user-related data. This enables leadership to take corrective action as needed.
An Example of Common Issues Found During Health Audits
One example of the common issues we encounter during health audits is unsigned group sessions. In the KIPU EMR, some of the most important clinical documents are known as billable items. These items trigger various other systems for billing services rendered. If a group session is not signed, it will not enter the clinical record. We have audited hundreds of facilities and have seen both exemplary and problematic practices. If group sessions are not regularly audited for completion and the documentation does not enter the patient’s record, any records request from a payor may omit these services. This can trigger a larger and more strenuous audit, potentially leading to substantial financial clawbacks. How many group sessions have you not billed for?
Impact on Compliance and Billing
Compliance hinges on meticulous documentation of all patient interactions. Unsigned laboratory orders and results are common issues that lead to hundreds of incomplete items. For instance, if a doctor orders a Urine Drug Screen but never signs off on the order (which is their attestation that they reviewed the results), it raises questions about the validity of the test. Regular health audits ensure that such compliance issues are identified and rectified promptly.
The Benefits of Partnering with Super Admin Solutions
By partnering with Super Admin Solutions, facilities can significantly reduce their incomplete items, often to near zero. This labor-intensive task requires regular attention, which we handle expertly. Our Health Audit is the first step in our comprehensive service offering and, combined with our Feature Set Gap Analysis, forms the foundation of our 30, 60, and 90-day plans for your facility.
That’s It!
An EMR System Health Audit is not just a one-time task but a continuous process of ensuring your system is clean, efficient, and compliant. Super Admin Solutions is dedicated to providing thorough and regular health audits to keep your EMR system in optimal condition. By reducing documentation debt and improving overall system health, we help your facility operate more efficiently, maintain compliance, and enhance patient care.
Ready to ensure your EMR system is running at its best? Contact Super Admin Solutions today to schedule a comprehensive EMR System Health Audit and start your journey toward a healthier, more efficient operation.
Learn the importance of regular EMR System Health Audits to maintain efficiency and compliance.
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