document management - Paperless and Purposeful

Northern Michigan’s Muskegon County Community Mental Health Services (MCCMHS) implemented its Avatar practice management system back in 2003 to automate electronic health records (EHR). Although the Avatar system had a document imaging module that could digitize the patient histories, lab reports and documents that would always require doctor and patient signatures, several of the county’s non-clinical departments—including HR and Finance—were also contending with overflowing file cabinets and rising storage and handling costs.

Rather than implementing separate solutions for the clinical and non-clinical sides of the house, MCCMHS officials recognized that enterprise content management (ECM)/document management software would be the most efficient and cost-effective way to answer its document-related challenges.

ECM Supports EHR

MCCMHS’ search brought the organization to Jeff Nelson of Bolt Document Management, a Laserfiche reseller based in Elkhart, IN. “Initially the objective was for the Laserfiche system to act as a bridge between legacy information and future digital content,” Nelson remembers. “At the same time, implementation of Laserfiche allowed MCCMHS to address areas where working with paper was simply inefficient.”.

Dave McElfish, Director of Technology, says that although the original idea was for clinical staff to simultaneously access patient information from Laserfiche and the practice document management system, “the reality was, even though we purchased Avatar with the idea of integrating it with Laserfiche, when we explored it further, it was going to be cost prohibitive on the Avatar side of the project.”

In the meantime, Laserfiche deployment had been extended to MCCMHS’s HR and finance departments, which likewise began migrating backfiles to ease storage costs and give staff the ability to retrieve information on command. System use has since grown to the point that the Laserfiche repository now houses over 800,000 documents.

Going Mobile

“We know that allowing staff to access information from Laserfiche on iPads in the field would be a huge boost in our productivity,” says McElfish.

An Avante upgrade would provide lot of potential for automation as well. McElfish notes that Nelson and Bolt have recently been discussing implementing distributed capture processes for paperless faxes and digital signatures via virtual rubberstamps, all routed by Workflow through the agency’s central scanning office for oversight.

Looking ahead, he is understandably pragmatic. “Although Laserfiche is not our primary practice document management system, it represents a critical and necessary content management tool that complements Avatar.

Document Management - How Workflow Turned Tax Season into ROI Season

By 2010, HFG files containing 10 years of data were simply too big to manage and too hard to find. “We’d already added a scanning clerk and a designated file clerk, but it was quickly becoming an operational nightmare, with more staff to manage and more documents getting misplaced,” Mroue remembers.

The irony is that when the firm’s search for a proper enterprise content management (ECM) Document Management solution brought Mroue to Laserfiche, it was not the first time. “We first looked into Laserfiche in 2006, but back then, we weren’t looking at ECM in terms of business process automation or any bigger-picture operational improvements,” he says. “We just wanted to get rid of the paper.”

“Plus, we required that Laserfiche integrate with our Microsoft Dynamics CRM and Intuit Lacerte tax software, as well as send Microsoft Office documents directly to Laserfiche. We wanted everything to mesh together, other systems either didn’t integrate, or if they did, it was going be complicated and expensive.”

Ease and familiarity of use speeds an already speedy deployment

HFG purchased a 15-user Laserfiche Avante system with Web Access (for deployment to its Ventura County office) and Audit Trail in December of 2010. With April 15 on the horizon, initial deployment focused on the tax preparation side of HFG’s business, beginning with a substantial backlog conversion of paper files. “Considering the holidays, it took around 30 days to deploy, customize and integrate the system. We had one day of training for full-time staff. And it took me 30 minutes to train the part time staff on how they’d be using Laserfiche,” Mroue recalls. The ease of deployment was significant, he adds—based in no small part on Laserfiche’s ability to mirror the firm’s familiar paper filing structures. Tax worksheets are automatically sent to Laserfiche’s Document Management system with a single click from Microsoft Office programs, while all forms from the Intuit Lacerte system are sent to Laserfiche using Snapshot.

Workflow makes a $20,000/1,000 hour difference

The jumping-by-itself, Mroue continues, is the result of implementing Laserfiche Document Management Workflow. “A file used to jump between seven sets of hands, from client meeting to the client delivery,” he begins. “File clerk/ front desk staff/preparer/checker/scanner/processor/mail clerk, and back to the file clerk.”

Coincidentally, the firm’s Laserfiche Document management installation and training took place right around the time of the annual Empower 2011 Laserfiche Institute Conference in January, inspiring an even quicker adoption. “Everyone from our office agreed the Conference was pretty amazing in the amount of knowledge provided,” Mroue adds. “I was actually able to continue writing the Workflow automations for our tax preparation process at the Conference.”