Customer Profile: OrthoTexas Orthopedics and Sports Medicine (NEW)

The Baseline
Across the country practices of all sizes and specialties are merging to form larger entities and serve the patients in their surrounding cities and towns. For four orthopedic practices in the greater Dallas area this happened back in January 2011. The newly merged practice was named OrthoTexas, and today is one of the largest orthopedic groups in the state. With twenty-one practicing physicians, seventeen mid-level providers and six rehab clinics, OrthoTexas sees approximately 80,000 per year. OrthoTexas proudly employs 200+ employees and offers comprehensive and compassionate orthopedic care, therapy services, access to on-site imaging services and on-site outpatient surgery.

Coincidentally, all four practices were using Centricity Practice Management when they merged back in 2011. Even though scheduling and billing workflows may have been different, it was very helpful that the staff all knew how to use Centricity Practice Management. At the time OrthoTexas selected another 3rd party EMR, but over the years realized that using disparate systems was not ideal and duplicate work was occurring in parts of the practice. In late 2017 the practice made the decision to move to a fully integrated system. OrthoTexas knew that Centricity PM was a stable product and the relationship with Quatris was good therefore the likely choice was Centricity EMR.

The Process
OrthoTexas acknowledged early on that for the implementation to be a success it was going to require that the entire practice be on board and be willing to embrace the change. Some of the implementation initiatives included creating a Core EMR Team that consisted of 3-5 users from various locations, as well as Physician EMR Champions from five different specialties. As a result of creating the teams, there was accountability and leadership was on the same page”, Rachael Daniels, Software Support Director for OrthoTexas.

Over the course of the ten-week implementation through to the live date of August 1, 2018, the OrthoTexas teams met regularly with the Quatris implementation team. It was beneficial to all in understanding the implementation time line, setting training expectations, documenting accomplishments and understanding next steps. “The implementation was very structured and detailed and we liked that because we always knew what was expected. As a result of creating the teams, there was accountability and leadership was on the same page”, Rachael Daniels, Software Support Director for OrthoTexas.

All locations and departments successfully went live on the same day. “Our EMR go-live was a non-event. We can honestly say that forty-eight hours after our go-live the office was quiet, and employees had embraced Centricity EMR”, said Daniels. The OrthoTexas teams even had a little fun with the EMR implementation and coined the hashtag #noemrtantrums, to remember the task at hand yet have a laugh.

The Result
“We are sixty days into using Centricity EMR and we are so much more efficient. It was the best thing we ever did. Physicians are finishing their notes must faster and not having to  complete charting in the evening. They often comment on how much easier it is than the previous EMR.” said Daniels.

OrthoTexas is always looking for ways to be more innovative and efficient.

Customer Profile: St. Elizabeth’s Health Center

The Baseline.

St. Elizabeth’s Health Center (SEHC) is a faith-based
community health center that supports the healthcare needs of
the uninsured and underserved individuals and families in
Southern Arizona. The Center is in Tucson, Arizona and was
founded in 1961. Over the years the Center has transformed
from a volunteer-run free clinic as a part of the Catholic
diocese, to an independent organization. Based on its
geographical location approximately 60% of the patients seen
at SEHC are Spanish speaking (all staff are bilingual), and
50% of the patients pay on a sliding fee schedule.

Because the need for medical care from infants to the elderly
in the area is essential, there are two other large Federally
Qualified Health Centers nearby. Although relatively small
compared to the other Centers, SEHC has developed a strong
presence in the area and a unique physician staffing model
that meets the needs of the community served. The physician
staffing model deploys both on-staff as well as contract and
volunteer providers that provide additional part-time primary
care and specialty care services at the lowest cost possible.

In 2017 SEHC received the PCMH Level 3 accreditation. “St.
Elizabeth’s was able to utilize our robust PCMH dashboards
and we provided step by step guidance to help them achieve
this high level of recognition”, said Patti Adams, National CHC
Director for Quatris.

The Process.

SEHC is committed to providing high quality healthcare to meet
the medical needs of the population. In an effort to better
manage the care of its patients, SEHC implemented Centricity
Practice Solution PM and EMR in 2007. It was decided early on
that they didn’t want to run disparate systems, and opted to
implement a fully integrated practice management and
electronic medical record system at one time versus stagger
the implementation. A few years later the Center added a
comprehensive UDS Dashboards tool, a dental component and
an analytics solution. All of these are complementary, fully
integrated into Centricity and come from Visualutions, our
FQHC development partner.

Over the years the Center has also actively used the Quatris
Podio resource, which is a library of documentation and
support resources (including recorded webinars) and is
available anytime online. Podio is complimentary for all
Quatris customers and a great resource.

In an ongoing effort to improve communications amongst
its patients, the Center implemented the ezAccess Patient
Portal in 2016. Although portal engagement has increased
since it was implemented a few years back, the Center
continues to promote the benefits. Since most patients and
family members have smart phones, it’s easier to
communicate versus calling or having them come into the
Center. In 2017 they had 10% of their patient base actively
using the portal, and in 2018 that has risen to 20%.

Lastly, SEHC decided to move to the Quatris cloud vs
maintaining an in-house system. Since moving to the
cloud the Center no longer needs to have an on-site IT

The Result.

For over ten years SEHC has enjoyed working with the
Quatris staff. “Quatris is easy to work with. Not only are they
friendly but the staff is responsive, knowledgeable,
understanding and always willing to share tricks and tips.
We have also benefited from using Podio so that we can
easily share information and train our staff”said Heidi
Kurgat, Director of Operations at St. Elizabeth’s.

Regarding their move to the cloud the Center had this to
say, “Since migrating to the Quatris Cloud we have been
pleased with the service and performance, and it has
enabled our resources to be reallocated to other areas”, said
Heidi Kurgat.

“We are always looking for ways to improve the services we
deliver to our patients, and the Centricity system supports
that”said Mark Schildt, MD, Chief Medical Officer at St.