GlobalNews - Summer 2007

Global Works is a Gold Sponsor of Allscripts Client Experience 2007!
	Don't Miss St. Vincent's and Global Works' Presentation: "Implementation Partnership - How Expertise and Preparedness Made One Client Achieve Early Success" Stop by Global Works' Booth #4 to Preview One Look!^TM Talk to Global Works About Our v11 Services and Enter to Win an iPod Nano!

Global Works to Participate in GEHC User Summit 2007!
	Don't Miss Global Works' Presentation: "Centricity Business Solutions Advanced Web Deployment - Deployment and Training Planning" Stop by Global Works' Booth #315 to Preview Our Array of Software Products and Enter to Win an iPod Nano!

Practice Management Case Study

Leveraging Best of Breed Solutions Means Success for Virginia Premier Health Plan

Issue
Since 1995, Virginia Premier (VPHP) has been working to ensure their members receive the highest quality medical care at affordable costs. In an effort to increase their ability to effectively manage cases, VPHP chose to implement a new best of breed case management system from McKesson called CCMS. The staff at VPHP were excited by the functionality available to them from CCMS but wanted to ensure the integrity of their core GE Centricity Managed Care application, where all claims were processed and paid. The true challenge of this project was how to implement bi-directional integration in the middle of a GE Centricity (IDX Flowcast) system. Until the introduction of GE�s Healthcare Objects technology, it was difficult to leverage an external system like McKesson CCMS.

The VPHP team members included Nick Newsome, Systems Manager, who was involved from the beginning and continues to monitor system success. As the Manager of Systems Development, David Summers was responsible for the project scope and specification. Derrick Lee handled the client side development tasks during the interface design and build stage of the project, working with all partners involved and the latest GE technology.

Solution

GE Centricity Healthcare Objects
GE Healthcare�s Healthcare Objects (HCO) is an integration technology offered to Centricity Business clients that facilitates application building and integration. VPHP chose GE�s Healthcare Objects as the best platform on which to build this business-critical integration. With HCO, GE provided VPHP the opportunity to improve their care management process by leveraging two best of breed solutions.

�Global Works understands our data, we know their work ethic
and are familiar with the quality of their work. It was an easy choice for us.�
--Nick Newsome

Global Works and Healthcare Objects
As a first step in moving forward with this project, VPHP contacted their long-time solutions partner Global Works Systems, Inc. to assist them in developing the required interface needed to make this combined solution a success. In selecting Global Works, Nick stated that: �Global Works understands our data, we know their work ethic and are familiar with the quality of their work. It was an easy choice for us.�

Global Works Product Developers Ed Wasserman, Justin Eatinger and Jeff Cunico participated in all stages of the implementation and installed the latest version of the Global Works Interface Framework - Open IF - for use with the Healthcare Objects technology.

Challenges
Because of the scale of the project and the inherent complexity of integrating two significant systems, there were challenges along the way. David Summers identifies testing as an area where others can learn from VPHP�s experience. �One of the bigger challenges was being able to test the full cycle flow before going live. We did not have enough data to do a full cycle test prior to going live.� David recommends that organizations create full cycle test environments in order to work out kinks prior to going live.

The project marked the first full-scale implementation of Healthcare Objects for both VPHP and Global Works, and therefore became an iterative process as both organizations learned how to leverage the technology. Beginning with a kick off meeting in the spring of 2006, the McKesson implementation team consisting of Global Works, VPHP and McKesson personnel gathered to identify the key data elements that would be required by the GE Centricity Managed Care application to process the referrals being created in McKesson CCMS. Mapping the data between two robust systems would prove to be one of the first and ongoing challenges presented by the project.

Since referrals would be created outside of the Managed Care system, it was essential that the right data elements be sent from CCMS to the GE Centricity MCA system. Initial efforts did not incorporate all of the required data elements and the team needed to track the interface activity on a regular basis, locating missing data elements or catching ones that did not transfer accurately between systems.

Global Works Open IF is an integration tool built using Microsoft�s .Net technology that is designed to configure and manage data transfers between systems. As implemented for these CCMS/MCA interfaces, Open IF streamlined the interface definition process and provided monitoring and error handling that helped VPHP manage the various challenges that arose in integrating these disparate systems. For instance, the Open IF Error Report is automatically generated and can run daily to proactively provide detailed information about data elements that don�t successfully enter the GE database.

The Open IF Interface Monitor, a Web User Interface, also provides valuable information to the members of the VPHP team; �The Global Works Interface Monitor allowed us to look at the interface code and to see what was happening and what was being filed. It helped tremendously to be able to see both the error report and to monitor the activity in the interface on a timely basis.� states Nick Newsome, Systems Manager.

�With the Healthcare Objects and the Open IF we were able to create a system that is scalable not only for the referral and case management process. We see a lot opportunity for the future since these tools have created a seamless integrated solution.�
--David Summers

Results
The Healthcare Objects interface and Open IF have been live since September 2006, sending referrals data from CCMS into the Managed Care module where the claims are then processed and paid. The members of the VPHP team are pleased with the results and enjoying the advantages of using multiple best of breed solutions.

Nick Newsome is very positive about the systems they leveraged to achieve success; �The Open IF and Healthcare Objects are wonderful tools that have let us do what we wanted to do with CCMS. They have empowered us to use the CCMS application to its full utility. Anything that helps us do what we want to do is a wonderful thing.�

David Summers is thrilled with the system that they have created and sees a future of expanded opportunities for his organization: �With the Healthcare Objects and the Open IF we were able to create a system that is scalable not only for the referral and case management process. We see a lot opportunity for the future since these tools have created a seamless integrated solution.�

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Allscripts Case Study

Enterprise-Wide EHR Implementation and Deployment at Washington University School of Medicine Improves Operations and Advances the Delivery of Care

In 1999, one of the goals of the newly formed faculty practice, which streamlined the clinical operations of 13 academic departments, was to move patient records from the paper age to the electronic age. Over the years, many electronic patient systems were evaluated, but none met the criteria set by this complex faculty practice. The search ended in 2003 when the faculty practice determined that Allscripts TouchWorks offered the best set of benefits to work across the entire clinical enterprise.

With only about 14% of all medical practice groups nationwide using EHRs, this implementation was a significant investment in the future.

Washington University School of Medicine (WUSM) is a distinguished academic practice whose clinicians are the medical staff of Barnes-Jewish Hospital and St. Louis Children�s Hospital. Known as Washington University Physicians, they are the 4th largest medical practice among academic medical schools, consists of more than 1,500 medical faculty, 976 of whom provide clinical treatment in 675,000 clinical visits per year. They represent more then 50 specialties and subspecialties. In addition to the two hospitals, the physician group treats patients in 35 other sites � from single office to day case surgical setting.

�The Global Works team has been a valuable and integral part of the implementation of TouchWorks to Washington University School of Medicine...their extensive experience with TouchWorks contributed to their ability to offer creative solutions to our unique needs.�
--Troy Burrus

After completing the initial pilots of TouchWorks, it was clear that implementing TouchWorks enterprise-wide would be a large and potentially long-term endeavor. WUSM needed to bolster their implementation team to accommodate the project�s scale and meet more aggressive time lines.

Having previously implemented Global Works software and having worked with their professional services team in the practice management realm, WUSM was comfortable enlisting clinical consultants Chad Kerr, Bob Stark, Leasa Tvedt and Kristin Pulliam to help design and carry out an EHR implementation and deployment strategy.

Global Works and Allscripts enjoy a strategic partnership designed to deliver services to healthcare enterprises at all stages of EHR implementation. Chad, Bob, Leasa and Kristin are well-versed in functional, clinical and Allscripts 3D implementation strategies.

After an initial organizational assessment, it was obvious that WUSM has an enormous user base, many with disparate systems, processes, and workflows. In conjunction with smaller implementations for the various divisions and specialties, an enterprise-level approach was required to maintain continuity across the user base. As Troy points out, �it was necessary to balance the need for standardization of TouchWorks design and structure while allowing adequate flexibility for departmental use.�

Washington University formed the TW Design Task Force to work with Global Works, representatives from the university leadership to review and recommend EHR policy decisions. Together, they help set guidelines for the smaller groups.

Because Global Works consultants are experts with TouchWorks software, they were able to use their experience and creativity to solve many functional problems.

With an organizational assessment and overall design strategy in place, Global Works and WUSM teams set about to bring positive change to each specialty group. Using the guidance of committee decisions, the implementation teams worked with multiple specialties at a time to assess environments, design workflows, and build TouchWorks to each group�s specifications.

The diversity among departments created some unique challenges and opportunities for the implementation team. Kristin mentions, �the operational differences between various surgery groups was unexpected. TouchWorks allowed us to creatively address group needs while streamlining workflows.� Bob adds that �WUSM�s team was able to identify inefficiencies in workflow and eliminate them during the EHR implementation, which improved overall patient care.�

Bob noted drastic operational improvements from clinic to clinic. For instance, just prior to bringing the Diabetes Center�s EMR live last July, the office was a full paper system. Now, physicians document their visit notes during the patient�s appointment on PCs located in the exam rooms. Phone calls are handled via TouchWorks call processing, instead of using paper message notes. Lab results are interfaced into TouchWorks and outside records are scanned, providing a complete electronic record for the clinical staff. Also, prescriptions are faxed through TouchWorks directly to local pharmacies.

�WUSM�s team was able to identify inefficiencies in workflow and eliminate
them during the EHR implementation, which improved overall patient care.�
--Bob Stark

Leasa noted the efficiencies brought to the Department of Neurosurgery. Typically, neurosurgeons each have administrative staff. �Going live on the EHR meant that certain clerical tasks could be eliminated, allowing secretaries to perform more meaningful duties.

At this stage in the project, Troy affirms, �The Global Works team has been a valuable and integral part of the implementation of TouchWorks to Washington University School of Medicine. They contributed to the overall design and development of the TouchWorks installation, and provided training for this novel system introduced to and used by many departments of the Medical School. Their extensive experience with TouchWorks contributed to their ability to offer creative solutions to our unique needs.�

As the roll-out continues, the WUSM clinical practice finds itself well on the path to improved record-keeping, patient care, and clinical efficiencies. The results to date include the successful implementations of EMR over 12 Divisions, with at least 1,000 unique users per day. Looking ahead, the team hopes to have 2,000-3,000 users up by next year.

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GE Centricity Business Tips and Tricks Enterprise Task Manager (ETM) Tips and Tricks from Patrick Paulson
*Patrick Paulson*	Enterprise Task Manager (ETM) is a tasking system that makes working a patient�s account as easy as following step-by-step instructions. Currently claims edits, rejections, insurance follow-up, payer processing and reimbursement auditing can all be worked from ETM. And word on the street is TES is soon to come, making ETM a one-stop-shop for working an account. ETM makes working the patient�s account an easy process by giving instruction lists and links for each task to be worked. Instruction links are used to move users around the system and to areas outside the system � such as payer website links - that complete the task. Because creating instructions is such an important part of setting up ETM Tasks, I've included some tips and tricks that I find helpful. Hopefully you'll enjoy setting up ETM as much as I do!
Instructions are HTML based. Find a good HTML editing "cheat sheet" resource on the internet, such as webmonkey and experiment with customizing your instruction code. Simple tags that control font and colors, table information and hyperlinks can really make the instruction easier to follow for the end user. Pulling information from dictionaries really saves time on maintenance. For example, instead of adding a payer website to an instruction hyperlink � add it to the FSC dictionary and set your link to pull that field in the dictionary. That ensures that when the dictionary is updated the instructions are current as well. Instructions follow the task until it is completed. When the instruction is built, it should have guidelines for the primary user, but also contain necessary instruction for any possible user. Let�s suppose a task goes to a coder to work, but the coder needs to reassign it to insurance follow-up for a FSC question. The instructions needed by the insurance follow-up person also should be taken into consideration. A key note when building instruction links to other applications on the user�s computer is to make sure that the application is loaded in the same location for all ETM users. For example, if an application link is used to open a document and the user has the document located in a different directory � that link will not work. Keeping instructions generic in wording allows them to be applied to multiple tasks, thus making the instructions dictionary more manageable and universal. To learn more about Global Works ETM services, contact Erin Waters at 802-846-2550, x515, or email: . back to top
Partnership News Medical College of Wisconsin maximizes the value of its payor contracts with MPV Situation When it came to determining accurate reimbursement for medical claims, Medical College of Wisconsin (MCW) had little confidence it was being paid exactly what it was owed. �We didn�t know if we were getting paid appropriately because of the complexity of the payor payment policies in conjunction with contract terms,� said Marion Livingstone, executive director of clinical practices services, Medical College of Wisconsin. In 2000, the group began exploring possible ways to tackle this challenge, and first turned to an in-house solution for tracking payor contract compliance. While this method did help MCW to flag some potential payment variances, it did not provide the functionality the group needed to achieve the level of financial performance it desired. In particular, the program � which relied on fee schedules loaded by the practice � lacked the sophistication required to value a claim based on the numerous variables and payment policies stipulated in a payor contract. �There wasn�t any logic based on things like modifiers or specialty-specific rates,� Livingstone said. The process was also inefficient and often caused staff members to research more claims than necessary. Challenge In 2003, MCW began looking for a new solution that would not only further automate the process of monitoring payor contract performance, but would also provide a more efficient means to file appeals and track the group�s success. It also wanted to partner with a vendor that had experience in the physician group practice market, specifically one with a track record of success with other academic practice plans. One of MCW�s main criteria was finding a system that would provide intuitive and easy-to-use reporting tools for all staff members. �We wanted something comprehensive that would not create a lot of unnecessary work for our staff,� Livingstone said. Solution After a thorough search, MCW selected MPV because �it became clear that MPV had the unique combination of technology and services that could get things accomplished in the time frame desired with the bulk of our business,� Livingstone said. In particular, MCW wanted to take advantage of MPV�s expert contract definition and modeling services, which would allow the group�s billing and contracting staff to determine accurate payment for medical claims based on a complex mix of payment variables, fee schedules and policies. MCW also liked the fact that MPV Phynance is delivered as a Web-based application, which minimizes the time and expense associated with implementing and maintaining the system. As a result of this automation, staff members are able to monitor many more payments than it could in the past. �It is a much better process,� Livingstone said. �The majority of payments flow through Phynance.� While MCW�s main focus is on identifying contractual underpayments and tracking appeals, it also uses the reporting capabilities available in Phynance to monitor individual contract performance. Additionally, when a new contract is renewed, MCW utilizes Phynance to ensure it is being reimbursed in accordance with the latest contract terms. �In the past, we did not have a mechanism in place to track payor performance, so we might not have noticed these issues until eight or nine months down the road,� Livingstone said. �Now we know right away.� Results By partnering with MPV, MCW has been able to effectively maximize the value of its payor contracts. Additional benefits include: Recovery of $950,000 in 12 months Increased productivity for billing and contracting staff Ability to more accurately value medical claims according to complex contract terms In addition, MCW has been able to strengthen its relationships with payors because appeals now point to specific payment methodology. �MPV does a great job of explaining the reasons why an underpayment exists and why it is a variance. When we tell our payors we�ve been underpaid, we are confident,� Livingstone said. In the future, MCW plans to further expand its use of the contract analysis module to help the group assess the implications of new contracts. �We are beginning to use the tool during our negotiations with payors, especially when it comes to modeling proposed terms and their financial impact by department,� Livingstone said. MPV adds $950,000 in one year Medical College of Wisconsin, July 2005 � June 2006 Recoveries from successful appeals $950,000 About MPV and Global Works Global Works and MPV formed a strategic partnership in 2000. Global Works provides the MPV client base with the MPV Interface for practice management systems and the client side consulting services to assist clients in their implementation and use of the MPV Phynance solution. For more information about MPV Phynance, visit: www.mpv.com For more information on Global Works Integration technology send an email to: or go to Global Works Interface Framework. back to top
Allscripts Services Update Global Works Introduces Allscripts V11 Service Packages
	Global Works Consultants have received training on TouchWorks V11 and participated in early adopter installations and are ready to assist clients making the move to V11. The following are service packages designed to ease the upgrade transition and provide the additional value to the upgrade process. For more information on our Allscripts Services, click here or contact Erin Waters: .
Upgrade Readiness Assessment - Designed for clients who are scheduled for their V11 upgrade Upgrade Potential Assessment - Designed for clients who are considering a V11 upgrade V11 Training Packages Project Team Training Best Practice Workflow Training End-User Training Custom Training Materials V11 Implementation Services Workflow redesign Basic level build and Order/Result build CareGuide template consulting Note build consulting and assistance V11 Deployment Services - Go-Live support, Post Go-Live support and Help Desk staffing V11 Technical Services - Assistance with upgrade, WCR and issue management back to top

Company News Global Works Welcomes New Employees Global Works clinical, technical and business services continue to experience strong growth. We've expanded our professional services and client management teams and we're happy to welcome:
	Denise Green-Hudson, NR-CMA joined Global Works in June 2007. She has over 13 years of experience working with several medical specialty groups and possesses vast knowledge of all aspects of the practice, including office management and administration. Denise is a Nationally Registered Certified Medical Assistant, has a BS in Healthcare Administration and holds certifications in Project Management and CPR Instructor-Training. She is also a Medical Assistant Advisory Board member for Keiser University. Over the last 8 years, Denise worked for a large pediatric practice in Florida, where she was heavily involved in all phases of the design and implementation of GE�s Centricity-EMR. Denise lives in Florida with her husband of 10 years and 16 year-old daughter. In her spare time, she enjoys taking care of the family pets (2 dogs, 1 cat and a pot-bellied pig).
	James (Jim) Traub joined Global Works Systems in June 2007. His 15 years of IT experience includes publishing, telecommunications, retail and healthcare related software systems. In the ten years of working for software development firms, Jim held positions such as technical support, software systems implementation, hardware installation, project lead and training. Jim has also worked for GE Healthcare as a Level Two Centricity PM Technical Support team member for three years. While working for GE he also completed an MBA with a concentration in IT Management at Walden University. Most recently, Jim was a member of the 20 person project team responsible for the successful data center migration of Baylor Healthcare's EMR systems to an EDS data center hosting solution. Jim currently resides in Dallas with his wife Rehnuma.
	Kevin Dunbar joined Global Works Systems in June 2007. He has 14 years of software implementation experience and spent the last 5 of those years working in Healthcare IT. Kevin's knowledge of EMR software consists of certifications from Misys Healthcare Systems, Allscripts and NextGen. He has successfully implemented EMR systems in mid-sized physician practices, served as EMR Project Manager for a 55 doctor, multi-specialty clinic in Salt Lake City, Utah and has been instrumental helping other clinics throughout the western US adopt EMR systems. Kevin currently resides in West Jordan, Utah with his wife and three young sons.
	Robin Sharp joined Global Works in May 2007. She has worked in the healthcare industry for approximately 13 years. She is skilled as an analyst with GE Centricity (IDX Flowcast) has spent many years using the system at different levels. Her training began as a claims processor, then advanced to a supervisory capacity handling reporting, management and training. She completed the circle applying her skills to the role of analyst. Robin is also certified in Cadence (scheduling) through EPIC for their 2006 and Spring 2007 releases. Robin enjoys doing small home improvement projects and spending time with her family.
	Patrick Paulson started with Global Works Professional Services team in June of 2007. He worked with University of Minnesota Physicians as part of a team to implement and support Flowcast. He headed up the development of ETM (Enterprise Task Manager), TES, and PCS applications as well as working with DBMS reporting, FDL support, and claim logic support over his years of service. His hobbies are playing guitar, running, biking, basketball, and being a self-proclaimed computer geek.
	Laurene Edge has worked in healthcare for many years in various capacities, and has experience with multiple healthcare practice management systems. Her background includes extensive time working on systems implementations. As a Manager at University of Minnesota Eye Clinic, Laurene was involved with the IDX practice management implementation. She's implemented GE Centricity (IDX Flowcast) � Sched, Reg, VM, HPA and BAR. Her responsibilities have included: system configuration, physician schedules, and dictionary maintenance. Most recently, she held the position of IS Site Manager, managing staff consisting of business analysts, clinical analysts, and LAN analysts and her most recent implementations include EPIC practice management and Epicare. Laurene lives in northern Minnesota with her husband and 2 cats.
Global Works is Hiring! Global Works is seeking talented, team-oriented professionals to help our clients achieve their goals. In addition to offering a challenging and satisfying working environment, we provide our employees with a competitive salary and benefits package. We're currently seeking qualified candidates for the following positions: Clinical Services Consultant - Leverage your knowledge of EMR/EHR systems, assuring clients successful implementations and deployments Flowcast Services Consultant - Help our clients maximize their investment in their practice management system back to top

Software Solution Highlights

Global Works Form Letter System for Scheduling CONTINUES to gain steam in the ge centricity (IDX Flowcast) market with two new clients going live this summer

Clients are using Global Works Form Letter System to address challenges with the quality of their correspondence. By using the MS Word functionality they are able to have flexibility with their letter formatting and create customized correspondence for all their patients. In addition, the system enables clients to automatically pull letterheads, images and maps into letters creating visually pleasing and easy to read letters.

"We selected Global Works Form Letter System because it lets us merge letters created in MS Word�complete with graphics, columns, tables, font attributes, and watermarks�with IDX data. The result is a professional, quality image which we�re proud to have bear our physicians� names..." - Lisa Harris, OSU Physicians Special Projects Analyst

The automated processes available within the Form Letter System provide clients with significant benefits including the ability to implement scheduled automation for letter and form creation that is customized to a department�s specific workflow. And the Form Letter System�s real-time automation automatically prints documents based on trigger events in the Scheduling system.
"Our users are extremely happy with the seamless incorporation of document handling into their workflow." - Lisa Harris, OSU Physicians Special Projects Analyst

Some clients have actually purchased the product with the primary intent of increasing their market share by providing timely and accurate communications. Clients using the tool to reach out to their patient population are implementing Timely reminders, confirmations and instructions in order to reduce no show rates and improve patient compliance. They are also implementing Automated preventative care notifications directed at specific patient populations in order to address specific concerns and communicate effectively with their community.

"The implementation was extremely successful, the FLS Editor provides the flexibility needed by the diverse groups the IPA services. The front offices are happy!" - Christian Gomez, Business Analyst, Brown and Toland Medical Group

Solution Update: One Look Expands beyond MS Exchange - Looking for Development Partners for Lotus Notes and Novell GroupWise

Global Works One Look currently integrates MD schedules from GE Centricity with departmental and personal schedules in Exchange/Outlook. Global Works is extending the One Look product to additional groupware platforms including Novell GroupWise and Lotus Notes. Global Works is seeking development partners for this new release. If you are interested in participating in this development project, please contact Erin Waters, for more information.

Check out some of the comments from existing clients!

�We were having difficulties getting the docs to use the Patient Keeper on the PDA (for charge entry) but now that they can see appointments and Sched data, they are much more enthusiastic about using PDAs." � Global Works One Look Client

"They�re loving it!! One Look is being rolled out to more docs every day..." - Global Works One Look Client

"The best system that I�ve seen in terms of making doctors happy. I put it on their desktop...I love watching it populate their calendar." � Global Works One Look Client

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Global Works Patient Statement System Pays for Itself at University of Utah Health Sciences Center

(reprinted from 2003 Newsletter)
The University of Utah Health Sciences Center was receiving 8000 calls a month from patients wanting to discuss their statements. Says Karen Wilson, Director of Patient Financial Services, "Statements have always been a source of complaint from our patients. We had made as many modifications as possible without doing a complete overhaul, but our volume of calls indicated that we needed a clearer statement."The quest for a vendor and product began, and ul-timately, Global Works� Patient Statement System (PSS) was chosen. "Global Works offered us more say in the statement design, such as what we wanted to include and suppress on our statements," notes UUHSC System Analyst Brenda Densley. "We also liked that PSS is already integrated with IDX and that Global Works people know IDX products well."

Return on Investment
Eight months later, PSS has paid for itself with a drop of $10,000 a month in production costs and a five percent increase in patient payments.

Several factors contribute to the lowered production costs. With the statement redesign, Billing Services is now sending out fewer information-only statements,combining the info-only and regular statement files. Patients are also paying on earlier statements, necessitating fewer successive statements. As a result, UUHS has been able to reduce its volume of monthly statements by 30,000, or about twenty percent.

Click here to read the rest of the case study!

Click here to see sample of one of Utah's statements!

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Enterprise Security View (ESV) Helps Clients Migrate to the Web

Global Works developed Global Works Enterprise Security View as a reporting platform and compliance tool to help clients better manage user security configuration and access to patient information. In deploying the product at client sites, Global Works has found that ESV can provide significant additional benefits to clients during their migration to the Centricity Framework.

For clients planning to migrate users to the web, Global Works recommends a phased implementation of ESV to achieve maximum benefit from the product.

In Phase One, the focus will be on User Configuration and Management, beginning with analysis of the existing security configuration. Upon completion of this analysis and the design of the new user roles and rights, the Security Configuration Toolkit will be used to create or update Security Plus users and create Web Framework users and their workplaces. The use of these ESV components assures a complete and consistent design of user privileges and saves many hours of manual effort in configuration.

In Phase Two, with security configuration now in maintenance mode, the focus changes to analysis and monitoring of events. The ESV data model facilitates comprehensive reporting on data access events, by use role, by individual or by patient. This will satisfy the need of IT to proactively verify the appropriateness of user role definitions, HR to inquire about individual employee behavior and the Compliance Office to respond to a patient�s request regarding PHI access. Phase Two may also include the expansion of the view of Configuration and Events data sets beyond Centricity to include EHR, Active Directory and other enterprise applications.

ESV provides both short term benefits during web deployment and the long term value in its comprehensive reporting on user configuration and events.

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Global Works Data Exchange Continues to Offer a Comprehensive GE Centricity Data Model

Offering additional modules and advanced data modeling to facilitate our clients' Business Intelligence environments. Make sure you have the most current and comprehensive data available to achieve success with your BI environment.

Check out the Modules available for Data Exchange:

Billing and Accounts Receivable (BAR)	Reimbursement Analysis Charges, Payments and Rejections Payer Contracts Fee Schedules Case Management Open Referrals RVUs
Scheduling (SCHED)	Access and Productivity Analysis Patient Appointments Provider Schedules
Transaction Editing System (TES)	Coding and Error Analysis Edits and History
Paperless Collection System (PCS)	Workflow Analysis
Managed Care Application (MCA)	Risk Analysis
Enterprise Security View (ESV)	Security Analysis User Configuration User Events