document imaging - 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.”

In 2003 Pat Latimer, the former project manager, led the effort to implement a 118-user Laserfiche system in the agency’s centralized scanning bureau. Staff began migrating and adding patient histories and signature forms for use in conjunction with patient records, which were being generated from Avatar by Crystal Reports and then scanned into Laserfiche.

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.

More recently, McElfish says clinical staff have once again expressed interest in being able to access to information from Avatar and Laserfiche Document Management Software at the same time, even going so far as to revisit the idea of using Avatar’s add-on imaging module. “After much consideration, our clinical staff felt that would put us no further ahead in our goal for a true, single database to model our EHR from,” McElfish says. “The reality is that Laserfiche is designed to manage unstructured data, so in that respect it’s closer to that single database because we are able to include unstructured data, such as lab reports and doctor’s notes.”

Document Management - Ramsey County Revamps Case Management

According to Rochelle Waldoch, Compliance and Records Manager at Ramsey County, the need for more efficient paper-based business processes drove the county to investigate enterprise content management (ECM). “The Human Services Department had always been a paper-heavy department, but as caseloads grew, we started having difficulty with sharing paper files. In addition, client information was siloed, so employees had to collect the same data over and over again. It wasn’t an efficient process, and it needed to change.”

She notes, however, that the county wasn’t interested in deploying a departmental ECM Document Management solution. “If the Information Services Department was going to invest the time and resources in implementing ECM, the solution we chose needed to provide a standard systems architecture and methodology for managing all types of documents across the county—not just in one department.”

Needs Analysis and Selection Process

To that end, Waldoch and Toyia Arvin, EDMS Business Analyst, worked with county staff to analyze business processes and document needs in every department. This analysis included:

Interviews with more than 500 county employees.

Document inventories completed by each department.

A review of each department’s network shared folder directory structures.

An inventory of software applications used by each department.

Armed with the results of the needs analysis, Waldoch and Arvin authored the county’s RFP. “Prior to implementing Document Imaging Software by Laserfiche, we were using the DocuWare system to store a variety of document types, but it didn’t have the advanced workflow or capture functionality necessary to streamline business processes enterprise-wide,” explains Waldoch.

In terms of the selection process, Arvin says, “Laserfiche was beyond impressive when we were doing our RFP. Laserfiche Rio offered a familiar, Windows-like interface of Document Management for our users; included all of the components we needed to achieve ECM success across the county, including Workflow, Records Management and unlimited servers; and received excellent recommendations when we did our reference checks.”

Efficient Case Management Commences

Implementation in Human Services, which started out with a 75-user pilot project (including 28 case managers), has taken a little more time. “Elections is a small department with a limited number of document types,” explains Waldoch. “Human Services, on the other hand, is a huge department with hundreds of users and hundreds of forms requiring Document Management—and a heavy need for Workflow.”