Newsroom

April 21, 2017

Summary
Most anesthesia practitioners participating in the Quality Payment Program in 2017 will participate in the Merit-Based Incentive Payment System (MIPS). This eAlert offers a guide for eligible clinicians on how the MIPS composite score will be calculated, including an explanation of the scoring system’s four thresholds, a description of the four categories in which clinicians can earn points and suggestions for optimizing your scoring potential.

The Medicare Access & Chip Reauthorization Act of 2015 (MACRA) marked the end of Medicare payment’s fee-for-service model and the beginning of a performance-based payment system, the Quality Payment Program (QPP).  Understanding how participation in the QPP will impact your payments begins with understanding the scoring system.

Scoring in the QPP is impacted by the eligible clinician’s (ECs) choice of one of two tracks: the Advanced Alternative Payment Models (APMs) or the Merit-Based Incentive Payment System (MIPS).  

This eAlert explains the scoring system for MIPS from a high level, including the following:

  • The scoring system’s performance thresholds, laying out the points needed for positive payment adjustments
  • The categories in which clinicians can score points, including an explanation of the benchmark scoring for Quality that is 60% of the clinician’s score
  • Suggestions for how to plan your MIPS strategy within CMS’s new “pay for performance” model

MIPS’ scoring system is on a scale of 0-100.  The score will impact how the Centers for Medicare and Medicaid Services (CMS) calculates payments, trailing two years. A good score in 2017 means a positive payment adjustment in 2019, and so on.  The MIPS score will be used to calculate payment adjustments on a sliding scale from a 4% positive or 4% negative payment adjustment based on 2017 scores (paid in 2019) ramped up to +/- 9% scored in 2020 and paid in 2022.  Payment adjustments will be on a linear scale, so every point earned will mean a larger reimbursement.

Four Scoring Thresholds

The MIPS scoring system has four distinct thresholds.  As 2017 is the transition year for clinicians to join the new program, CMS has tried to make the scoring system as friendly as possible to those just beginning to participate in MIPS.  Not participating at all means a score of zero points, but even modest participation will translate to a score above the positive payment threshold of three points, thereby reaching the neutral payment adjustment.

  • 0 Points: Clinicians who do not participate in MIPS at all will receive zero points and a negative 4% payment adjustment.
  • 3 Points: Even modest participation in MIPS, commonly called the “test pace” option, will earn three points and qualify for a neutral payment adjustment (neither a positive nor negative change in payment).
  • 4–69 Points: This is the range where clinicians can begin to see modest payment adjustments.  Positive payment adjustments will be assigned on a linear sliding scale, with higher scores bringing clinicians closer to the maximum 4% positive payment adjustment.
  • 70–100 points: This group is eligible for the exceptional performance bonus, which will use additional funds to boost positive payment adjustments for top performers.

These thresholds will change in subsequent years, but during the 2017 transition year, the QPP provides a large range of positive payment adjustments for enrollees who earn between 4 and 100 points.

The sliding scale for payment adjustments will depend on several factors, ranging from the available money retained in negative payment adjustments to the scores of participating clinicians.  CMS will take scores in the 4-100 range and apply an adjustment factor that takes these factors into account.  For those scoring in the exceptional performance range of 70-100 points, additional funds are available for a minimum 0.5% performance bonus, possibly scaling as high as a 10% bonus.

Four Performance Categories

In order to earn points, ECs can choose to participate in MIPS' four performance categories: Quality, Improvement Activities, Advancing Care Information and Cost.  The amount that each category contributes to the MIPS final score will change over time, but in 2017, Quality comprises 60% of the MIPS score, Improvement Activities 15%, Advancing Care Information 25% and Cost 0% (to ease the transition to MIPS).  The methods to earn points in each category are unique:

  • Quality (60%): the Quality category is scored by reporting on six quality measures for the full reporting period.  For at least half of the episodes in the reporting period, ECs need to record their performance. (In future years, this reporting rate will increase.) Those of you who have participated in past CMS programs will recognize this as the successor to the Physician Quality Reporting System (PQRS).
  • Improvement Activities (15%): Reporting Improvement Activities requires selecting activities from CMS’s list, which contains over 90 options.  Each activity is either a high or medium "weight," and ECs will need to attest to CMS some combination of four mediums, two highs or a high and two mediums.  Some groups can earn double points, reducing the number of activities they need to attest to for full credit.
  • Advancing Care Information (ACI) (25%): To participate in this category, ECs or groups must complete four or five base requirements with a 2014 or 2015 Certified Electronic Health Record (EHR), respectively.  ECs may then score additional performance and bonus points.  ACI’s component measures will be familiar to those who have participated in the Meaningful Use or EHR incentive programs, but ACI's modular scoring and greater flexibility are different from those programs.
  • Cost (0%): The Cost category measures resource use, and is the only category that does not require ECs to report anything.  In 2017, CMS will calculate Cost scores from submitted claims. CMS will give ECs feedback through the Quality and Resource Use Reports (QRURs), which were previously used as individualized feedback for the Value Based Modifier.

CMS intends to adjust the score weights and nature of these categories every year to adapt to providers’ changing performance.  In 2017, the transition year, CMS has tried to make scoring points as achievable as possible by weighting the categories toward familiar activities (such as quality reporting).  CMS has also tried to provide accommodations for non-patient facing and hospital-based providers and providers in rural or small settings.  Finally, for 2017 only, providers only need to participate for 90 days to be eligible to score in the 4-100 point range.  Earning a positive payment adjustment for 2019 is achievable, with the right registry, EHR and management approach and as long as you are registered and begin collecting data by October 1, 2017.

Most category scoring has a direct relationship between a provider or group's performance and the score earned.  For instance, Improvement Activity scoring is based on a simple attestation: if you perform the activity, you have earned the points.  However, the Cost category (in future years) and the Quality category both have competitive or relative scoring methods.  In 2017, the Quality category's performance scoring method is important to fully understand, since Quality makes up fully 60% of the final MIPS score.  The category's performance scoring system is based on benchmarks derived from previous years' performance data.

In the Quality category, the scale for scoring points varies by measure because each measure has its own benchmark.  An individual quality measure has a scoring potential of 0-10 points.  To assign points, CMS looks at historical performance on that quality measure to establish benchmarks.  The top 10% of a benchmark will earn 9-10 points, the next 10% will earn 8-9 points and so on.  This decile scoring system means that it is possible to perform 95% on a quality measure, but if that is only "average" for the measure (the middle 50% of people reporting that measure had 95% performance), then CMS will award only five points for a 95% score.  Think of this as the equivalent of "grading on a curve."  For measures with very high historical performance, performance rates are so high that only perfect performance can earn the full points, and even 99% performance may only equate to four or five points (CMS refers to these as "topped out" measures).

Optimize Your Scoring Potential

While the Quality category has high standards for benchmarked measures, nearly half of all quality measures do not have benchmarks.  For quality measures without a benchmark, CMS has established a "floor" of three points (out of 10) for measure scores.  This means that, in 2017, it is possible that anesthesia providers selecting measures applicable to their practice may have no applicable measures with benchmarks.  If no submitted measures have benchmarks, a provider's Quality category score will be 18 out 60 points.  CMS will be working to benchmark measures for future years, but in this transition year, many quality measures will only have a three point (out of 10) scoring potential.  To review this year's benchmarks, visit the QPP site's Education page to download the Quality Benchmarks.

QPP Education Page: https://qpp.cms.gov/resources/education  
Quality Benchmarks: https://qpp.cms.gov/docs/QPP_Quality_Benchmarks_Overview.zip

Anesthesia providers wishing to maximize their Quality performance score have some options to increase their Quality category scoring potential.  First, they should work with a specialty registry to help select measures applicable to their practice and take care to consider measures with benchmarks (there are some anesthesia-specific measures with benchmarks).  Secondly, providers should consider submitting as many outcome and patient experience measures as possible.  There are many outcome measures in anesthesia, and each measure submitted past the first required measure is worth two bonus points.  Although capped at 10%, ECs can even submit additional measures past the required six measures to earn the bonus points for supporting high priority measures.

The Quality category reveals CMS's general MIPS strategy.  The MIPS scoring system is designed to reward ECs who are deliberate in strategizing about how to improve patient care over time.  Providers who seek high priority measures focused on patient outcomes and experience will earn higher scores.  By incentivizing these activities, CMS hopes to help providers improve their care.

For the overall MIPS score, CMS has set the performance threshold at only three points for the QPP’s transition year.  They will raise the minimum next year (increasing the number of ECs who will receive a negative payment).  In subsequent years—2019 and beyond—the performance threshold will be the mean or median score, as required by MACRA.  Ultimately, a higher minimum performance threshold will mean larger rewards for good performance and deeper negative payment adjustments in the coming years.  The best way to prepare is to start participating now, and to develop a meaningful strategy to ensure the highest quality care.

Questions?  Contact This email address is being protected from spambots. You need JavaScript enabled to view it. or the MACRA MadeEasy hotline at (517) 962-7301.

 

Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed provider of anesthesia information management systems (AIMS), is pleased to announce Sunbelt Anesthesia Services, LLC (SAS), a veteran-owned and operated anesthesia staffing and management company, chose to implement its anesthesia EMR software in multiple ambulatory surgery centers (ASCs) around the Jacksonville, FL area.  The region’s busiest multi-specialty, state-of-the-art ambulatory surgery center was the first location to go live with Plexus TG’s anesthesia solution. Additional surgery centers and office-based locations are scheduled for implementation later this year.

“As not only the CEO but an end user myself, we have found Plexus TG’s comprehensive solution, Anesthesia Touch™, to be an intuitive, easy-to-use iPad-based anesthesia documentation system that offers complete customization of reports and supports quality data capture essential for operational decisions,” reports Dr. Nicholas Kalynych, CRNA, co-founder of SAS.  “Additional notable benefits reported by our clinicians include the system’s ability to automatically capture physiological data and integrate with the surgery center’s EHR in order to access scheduling data and patient demographics all from one system.”

“The combination of Plexus TG’s ease of use, and the robust functionality it provides on a portable device like the iPad, bring many of the benefits of the EMR’s used in big hospitals, to the ASC and office-based anesthesia environments,” comments Dr. Jonathan Pabalate, DNP, CRNA and Chief Informatics Officer of SAS. “The ability to harness a robust, yet easy-to-use reporting platform with an emphasis on useful actionable data within the first week of going live was a game changer.”

SAS was focused on finding an AIMS vendor that understood the value of partnering for long- term growth and one that was willing to accommodate the specific needs of a growing, independent CRNA practice. With Plexus TG, they found not only an anesthesia solution that met all their needs, but also a partner that supports their commitment to excellence, as they expand their services throughout the region.

“We value our partnership with Sunbelt Anesthesia and we support their commitment to delivering exceptional patient care and incorporating innovative AIMS technology into their clinical workflow,” explains Tony Mira, CEO of Plexus Technology Group. “Our implementation team continues to work closely with Sunbelt Anesthesia to ensure a smooth transition for the remaining ASCs, as well as future projects.”

As an iPad-based anesthesia documentation solution, Anesthesia Touch's KLAS rating demonstrates Plexus TG’s commitment to providing complete AIMS functionality for their clients. For more information, visit www.klasresearch.com.

About Sunbelt Anesthesia Services
Sunbelt Anesthesia Services, LLC (SAS) is a veteran-owned and operated anesthesia staffing and management companyservicing the greater Jacksonville area and the surrounding counties of North Florida. SAS partners with ambulatory surgical centers and surgeons with individual office-based practices throughout the greater Jacksonville area and the surrounding counties of North Florida. Their partners and contractors have extensive experience in all aspects of general anesthesia, regional anesthesia, sedation and department operational management. In addition, their diverse backgrounds include military, academia, trauma, flight medicine, critical care, obstetrics, and pediatrics. SAS provides comprehensive anesthesia and perioperative services in a variety of surgical environments and delivers the highest level of clinical quality and patient safety. For more information, visit www.sunbeltanesthesia.com

About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.

Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed provider of anesthesia information management systems (AIMS), is pleased to announce it's working with Interface People (IPeople), a premiere healthcare integration provider, to offer a discrete controlled-substance reconciliation feature that is available to all Plexus TG clients.  This powerful functionality provides advanced integration from MEDITECH’s Pharmacy module (PHA) to Plexus TG’s anesthesia EMR, Anesthesia Touch™, including formulary synchronization.  

Plexus TG recognizes controlled-substance reconciliation is a major responsibility shared by pharmacists and anesthesia. By integrating dispensing information with drug administration information, reconciliation is easier for all users. Anesthesia Touch can remind providers in real time to document drugs and Pharmacy can see the combined information in complete medication reconciliation reports. Sharing data allows all users to compare the controlled-substances that were dispensed from the medication cabinets with the given amounts recorded in an AIMS.

In addition, Plexus TG and IPeople will continue to offer enhanced bi-directional integration from MEDITECH’s EHR to Plexus TG’s anesthesia EMR, Anesthesia Touch, which includes preoperative data import. This functionality of preoperative data into MEDITECH and discrete data from MEDITECH is available for customers that are on MAGIC, Client/Server (C/S) and all 6.x versions including EXPANSE.

“We are excited to work with IPeople to expand our capabilities and provide another option for controlled-substance reconciliation to our extended client base. Working together on the preoperative imports will significantly enhance the integration capabilities between Plexus TG’s Anesthesia Touch software and our client’s MEDITECH EHR systems,” comments Tony Mira, CEO of Plexus Technology Group.

About IPeople
As a premiere healthcare integration provider, IPeople combines innovative solutions with in-depth industry knowledge for smarter, easier access to data. IPeople's HCIS expertise takes them to the next level of building reliable and efficient bi-directional interfaces that organizations can trust. For the last 15 years, IPeople has earned a solid reputation for providing robust and reliable interface solutions to the healthcare community. The IPeople team is committed to continually improving the quality and efficiency of your experience with your data. For more information, please visit www.ipeople.com.

About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.

Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed provider of anesthesia information management systems (AIMS), is pleased to announce they will be showcasing their pre-operative assessment and anesthesia documentation software at the 2018 International MUSE Conference held at the Gaylord Palms Resort and Convention Center in Orlando, FL from May 29th to June 1st. Medical Users Software Exchange (MUSE), a non-profit organization of facilities that use the MEDITECH EHR, is the largest independent MEDITECH users group in the world. 

Plexus TG’s latest product offering Touch PreOp IQ, a pre-operative assessment software system that fully integrates with its electronic anesthesia documentation solution, is now available as an add-on module to Anesthesia Touch™.

Touch PreOp IQ completely digitizes the journey, offering huge value, clarity and efficiency for the care team and patients. In addition, the platform includes decision support to drive quality and consistency up and avoidable harm down. By implementing a digital pre-operative assessment into their workflow, Plexus TG customers are able to reduce cancellation rates, improve staff utilization, increase patient throughput and reduce unnecessary pre-operative testing.

“The 2018 International MUSE Conference provides a great opportunity for us to launch our newest product, Touch PreOp IQ, and to demonstrate our fully integrated anesthesia perioperative solution. This is one of our favorite events each year, as it really showcases our customers’ success integrating the Anesthesia Touch platform with their MEDITECH systems,”said Tony Mira, CEO of Plexus Technology Group. “The seamless flow of information to and from the anesthesia record is a win-win that benefits both the facility and the anesthesia practice.” 

Attendees look forward to the annual MUSE conference to learn from their MEDITECH peers and peer organizations that have already faced—and solved—familiar challenges.  Educational sessions and presentations describing real-world product experiences are among the most popular events.  

As an exhibitor, Plexus TG will demonstrate Anesthesia Touch, an easy-to-use, scalable AIMS solution that simplifies how today’s providers must document to realize improved quality, increased efficiency, streamlined billing and optimal CMS Quality Payment Program reporting

To learn more about the solutions offered by Plexus Technology Group, please visit booth #432 at the Gaylord Palms Resort and Convention Center.

About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.

Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed provider of anesthesia information management systems (AIMS), announces a strategic partnership with Synopsis Healthcare, a leading supplier of digital pre-operative assessment for National Health Service (NHS) and private hospitals in the UK. By merging their technologies and software expertise, together they will deliver a state-of-the-art anesthesia perioperative solution unlike anything available on the market today. Both companies will market, sell and implement Plexus TG’s innovative electronic anesthesia documentation and medication management solutions, Anesthesia Touch™and Pharmacy Touch™, as a fully integrated solution with Synopsis Healthcare’s pre-operative assessment software system, Synopsis iQ, to improve workflow efficiencies and enhance the overall perioperative experience.

“Programs such as Enhanced Recover After Surgery (ERAS) and other foundational programs in the area of perioperative medicine have been established for some time in the European theater.  The power of Anesthesia Touch and the Synopsis iQ platform are that we are bringing to market a collaborative platform incorporating the best practices of the United States and the European Union,” remarks Bryan Sullivan, COO of Plexus Technology Group.  “The power of this platform versus other options on the market is that it utilizes deep clinical and administrative data analysis to recommend therapies and risk profiles with patients based on regional, therapeutic and established clinical pathways to drive patient outcomes.  We couldn’t be happier about the partnership.”

“We are delighted to partner with Plexus TG. Both businesses have collaborated closely with each other over the past few months to bring together our best-of-breed products to offer a fully integrated anesthesia perioperative solution,” comments Ian Carr, CEO of Synopsis Healthcare. “This is a wonderful opportunity for all our clients and together we will continue to innovate and lead the market in offering solutions that evolve to meet the needs of providers and patients.”

Synopsis Healthcare built their platform to deliver perioperative care and business processes. Synopsis iQ completely digitizes the journey, offering huge value, clarity and efficiency for the care team and patients. What’s more, the platform includes decision support to drive quality and consistency up and avoidable harm down. By implementing a digital pre-operative assessment into their workflow, Synopsis customers are able to reduce cancellation rates, improve staff utilization, increase patient throughput, reduce unnecessary pre-operative testing and reduce risk from litigation.

“This partnership represents a new market of enhanced sophistication for the entire perioperative continuum that improves patient satisfaction and outcomes.  While we are experts in the field of intraoperative workflows and documentation, we recognize the power of collaborating with a leading solution and company such as Synopsis to better manage patient care,” notes Tony Mira, CEO of Plexus Technology Group. “We are thrilled with the potential our organizations bring together and the collaborative solutions now available for our clients.”

About Synopsis Healthcare
Synopsis Healthcare is the UK’s leading supplier of digital preoperative assessment and anesthetic charting solutions for National Health Service (NHS) and Private hospitals. Based in the UK, with offices in London and Glasgow. ISO9001 (Quality) and ISO27001 (Security) accredited and registered with the UK Information Commissioner’s Office (ICO). Synopsis Healthcare supplies best-of-breed digital preoperative assessment and anaesthetic charting solutions to NHS and Private hospital providers. Synopsis is specifically designed to communicate with other IT systems in health. Synopsis offers the only proven digital preoperative assessment solution in the UK that integrates with PAS, EHR, Theatre, Labs and any other hospitals system. For more information, visit www.synopsishealthcare.com

About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.

Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed provider of anesthesia information management systems (AIMS), is pleased to announce Cody Regional Health, a national leading acute-care state-of-the-art facility in Cody, Wyoming, chose toautomate their anesthesia record, transitioning from paper records to Plexus TG’s anesthesia EMR, Anesthesia Touch™. By integrating Anesthesia Touch with the hospital’s MEDITECH EHR, they are streamlining the anesthesia documentation process and bringing greater efficiencies to their perioperative workflow.Cody Regional Health (West Park Hospital), recognizedfor implementing electronic health records throughout its organization, received Health Care’s “Most Wired Hospital” designation in 2017. The Most Wired List is based on a survey conducted by Hospitals & Health Network and the American Hospital Association.

“We chose Plexus because we were looking for a cost-effective system that provided full functionality for our anesthesia department.  Plexus met and exceeded all of our physician’s needs.  The sales team was great to work with and were very knowledgeable and addressed all of our questions,” explains Arek Shennar, Director of Information Services at Cody Regional Health. “Within a couple weeks of agreement signing, the implementation team was on site and ready to help us move forward with the project.  The implementation team was very helpful and addressed all our provider, billing and integration questions.”

The EHR interfacing and monitor connectivity will provide the anesthesia clinicians with access to scheduling data, patient demographics, lab results and physiological data, all from one integrated system. This allows the providers to quickly document events and clinical actions during surgery, resulting in complete documentation which flows seamlessly into the patient chart and results in a complete, accurate, billable anesthesia record. In addition, Anesthesia Touch will simplify their billing process by electronically delivering complete documentation to the provider’s billing office. The billing integration will save time and increase efficiency with more complete diagnosis documentation, built-in smart reminders to prevent missing case data and electronic record transfer. 

“We are delighted to partner with Cody Regional Health and applaud their commitment to excellence by incorporating information technology throughout their hospital,” commentsTony Mira, CEO of Plexus Technology Group. “Our highly qualified implementation team is working very closely with Cody Regional to ensure the system is carefully configured to meet their facility-specific requirements and to achieve a seamless transition.”

As an iPad-based anesthesia documentation solution, Anesthesia Touch's KLAS rating demonstrates Plexus TG’s commitment to providing complete AIMS functionality for their clients. For more information, visit www.klasresearch.com.

About Cody Regional Health
Cody Regional Health (CRH) is a national leading critical care 25-bed acute-care state-of-the-art facility. CRH employs and partners with over 60 physicians and offers over 20 different services, with an adjacent long-term care center licensed for 94 beds, a 16-bed chemical dependency center, 8-bed hospice house, regional cancer center, satellite physicians’ clinics and urgent care center. CRH abides by the Planetree philosophy as a model of health care. The Planetree model strives to enhance patient comfort by personalizing, humanizing and demystifying the health care experience. For more information, visit www.codyregionalhealth.org


About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.

Jackson, Mich.,—Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed anesthesia information management systems (AIMS) provider, today announced that Capital Anesthesia Solutions has selected Plexus TG’s comprehensive anesthesia documentation solution, Anesthesia Touch™, to  streamline their workflow at Berger Health located in Circleville, OH. Capital Anesthesia Solutions, an anesthesia services provider in the Midwest, strives to create a partnership that delivers on leadership and efficiency while enhancing patient and surgeon satisfaction.

Capital Anesthesia Solutions selected Plexus TG’s iPad-based anesthesia documentation system because it’s user friendly, easily configures to their workflow and has everything they need in an anesthesia EMR solution.  Major benefits identified by their clinicians include its superior portability, automatically capturing physiological data and integrating with the surgery center’s healthcare system. Anesthesia Touch simplifies their documentation process by giving the clinicians access to scheduling data and patient demographics, allowing more time to focus on the patient.

“We are looking forward to leveraging Plexus TG's AIMS platform to drive further insight and analytics with our hospital partner,” explained Chris Copley, Owner of Capital Anesthesia Solutions.

In addition, Capital Anesthesia Solutions selected Plexus TG’s sister company, Anesthesia Business Consultants (ABC), as their billing provider to maximize the synergy between the two companies. Integrating the electronic anesthesia record and billing system delivers an even greater level of automation designed to improve productivity and accelerate the billing and collections process.

“We value our relationship with Capital Anesthesia Solutions and are delighted they chose to partner with both Plexus TG and Anesthesia Business Consultants. In addition to streamlining their anesthesia documentation workflow, they are simplifying their billing process by electronically sending billing data directly to ABC,” explains Tony Mira, CEO of Plexus Technology Group & Anesthesia Business Consultants.

About Capital Anesthesia Solutions
Founded in 2007 by anesthesia clinicians, Capital Anesthesia Solutions employs nearly 50 anesthesia providers. Their turnkey anesthesia services solution is exceeding expectations in partnerships with hospitals, surgery centers, and office-based practices across the Midwest. They have a particular focus in providing top performing anesthesia care givers that maintain a service-oriented attitude to the patients, clinicians, and facility partners they serve.  Their philosophy is to create a partnership that delivers on leadership and efficiency while enhancing patient and surgeon satisfaction. For more information about Capital Anesthesia Solutions, please send inquiries to This email address is being protected from spambots. You need JavaScript enabled to view it..

About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.

Jackson, Mich.,—Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed anesthesia information management system (AIMS) provider, is pleased to announce they will be attending the PRACTICE MANAGEMENT™ 2018 hosted by the American Society of Anesthesiologists (ASA), held January 26-28 at the Hyatt Regency in New Orleans, LA. This event is the premier business event for physician anesthesiologists and practice administrators.

Per the ASA, attendees can explore the latest products and technology in the practice management industry, including state-of-the-art advances in practice management and networking with colleagues and experts in the field.

Plexus TG’s AIMS solution, Anesthesia Touch™, delivers clinicians an easily searchable coding module with full access to ICD-10 and CPT with crosswalks to ASA anesthesia codes. By having the option to select codes at the point of care, providers can ensure they are capturing the level of specificity needed for accurate charging and full reimbursement. Beyond being an anesthesia recordkeeping system, Anesthesia Touch ensures compliance with MACRA legislation by collecting the required metrics for the Quality, Advancing Care Information and Improvement Activities categories. Successful long-term compliance with MACRA involves submissions through a Qualified Clinical Data Registry (QCDR) to support the unique requirements of the anesthesia specialty, which is easily achieved with the Plexus TG platform. Anesthesia Touch is currently deployed in over 500 operating rooms and is utilized by more than 3,000 users.

 “We are seeing more and more interest from healthcare organizations and physician practices as they recognize the substantial benefits associated with implementing an AIMS. By automating the anesthesia record, billing offices not only receive a complete anesthesia record, but hospitals and clinicians increase their availability and quality of patient data for research and analytics, compared to limited availability offered by paper records,” says Tony Mira, CEO of Plexus Technology Group.

Please visit Plexus TG at Booth #130 during the PRACTICE MANAGEMENT 2018 conference in New Orleans.

About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.

Jackson, Mich.,—Plexus Technology Group, LLC (Plexus TG), a market-leading, best-of-breed provider of anesthesia information management systems (AIMS), is pleased to announce the Quality Touch software application is now available for participants in the MiraMed QCDR registry. MiraMed registry participants can use the application to complete their quality documentation electronically instead of documenting on paper, making it quick and easy to capture the necessary data in real-time.

MiraMed registry participants may access Quality Touch from iOS devices, Android devices and web browsers. This is beneficial to the registry participants that may not have Anesthesia Touch™ installed at all their anesthesia locations, as well as the registry participants who are still documenting their anesthesia record on paper. Quality Touch removes the need for paper quality documentation where Anesthesia Touch isn’t available.

“Quality Touch leverages our entire technology platform to create a pleasant user experience for the clinicians that aren’t utilizing Anesthesia Touch,” said Doug Marcey, Plexus Technology Group’s Chief Technology Officer. “They can easily scan barcodes or take photos of patient information to perform case matching. And, of course, our passion for exceptional ease-of-use makes this faster and more accurate than working with paper. They simply tap through the application to enter the quality documentation for each case.”

“Quality Touch represents our commitment to powerful yet elegant solutions for clinicians. MiraMed can uniquely offer a first-class user experience of this sort with the combined capabilities of Anesthesia Business Consultants, the MiraMed QCDR registry and Plexus TG,” commented Tony Mira, CEO of Plexus Technology Group & of Anesthesia Business Consultants (ABC). “The MiraMed registry is an anesthesia-focused, specialized registry that leverages ABC’s considerable knowledge and experience in data analytics. Quality Touch incorporates Plexus TG’s technical platform and focuses on ease-of-use to make it even more accessible.”

Quality Touch is available now for MiraMed registry participants. Once the registry participant downloads the application and completes the verification process, their registry measures will immediately become available within the application. 

About Anesthesia Business Consultants
Anesthesia Business Consultants (ABC), established in 1979, is the nation’s largest billing and practice management company dedicated to the complex and intricate specialty of anesthesia and pain management. The heart of our perioperative suite of products is ABC’s proprietary practice management software F1RSTAnesthesia.  F1RSTClient, the premier client portal, allows clients’ secure and seamless access to ABC’s applications.  F1RSTAnalytics, our powerful suite of dashboards and reports, provides “Insight at Your Fingertips” offering real-time data prowess and providing the data to aid in operating your anesthesia practice as an effective clinical organization and successful business. Our solutions provide accurate, prompt and complete billing and revenue cycle management.  Our exclusive focus improves your cash flow and profitability.  Visit ABC at www.anesthesiallc.com.

About MiraMed Global Services
Headquartered in Jackson, Michigan, MiraMed Global Services stands as the premier global provider of business process outsourcing solutions to healthcare organizations nationwide. MiraMed partners with hospitals, health networks, physician practices and related industry service organizations to provide a broad portfolio of customizable solutions, uncover and capitalize on hidden financial opportunities, improve productivity and ultimately increase profits. For more information, visit www.miramedgs.com

About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
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Jackson, Mich.,—Plexus Technology Group, LLC (Plexus TG), a fully KLAS-rated, market-leading, best-of-breed provider of anesthesia information management systems (AIMS),  is pleased to announce they will be exhibiting at the ANESTHESIOLOGY® 2017 annual meeting in Boston, MA. Held October 21-25, 2017 at the Boston Convention and Exhibition Center, the event includes special lectures, hands-on workshops and panel discussions that attract upwards of 15,000 attendees from around the world seeking to learn the latest science and technology about the specialty of anesthesiology.  

Plexus TG will be demonstrating its intuitive, easy-to-use anesthesia documentation software, Anesthesia Touch™, for both iPad iOS and Windows platforms. Anesthesia Touch integrates with facility’s electronic health records (EHR) and healthcare IT systems to provide a charting experience optimized for the anesthesia workflow. The app gives clinicians access to surgery schedules, patient demographics, preoperative information, lab results and physiological data, so they have the information they need when they need it.

“Plexus TG and Anesthesia Business Consultants are teaming up at the ANESTHESIOLOGY® 2017 to strategically exhibit the synergy between their unique product offerings. Integrating the electronic anesthesia documentation with our billing system offers an even greater level of automation to improve productivity and deliver value to our clients,” commented Tony Mira, CEO of Plexus Technology Group & Anesthesia Business Consultants.

In addition, Plexus TG will be showcasing Pharmacy Touch™, an add-on module that makes medication management simple with its intuitive, easy-to-use system. Pharmacy Touch delivers anesthesia providers and their pharmacies an integrated solution with controlled-access cabinets, barcode syringe labeling, closed-loop reconciliation and automated charging.

“The ANESTHESIOLOGY® 2017 annual meeting is a great venue for highlighting the many strengths of Anesthesia Touch, including how it supports compliance with MACRA legislation by capturing the required metrics for quality reporting as part of the clinical workflow and the tools to have a comprehensive MIPS strategy in all categories,” said Joe Gentile, Senior Vice President at Plexus Technology Group. “Successful long-term performance in MACRA’s MIPS track involves submitting quality documentation to a Qualified Clinical Data Registry to support the unique requirements of the anesthesia specialty, which is easily achieved with the Plexus TG platform.”

As an iPad-based anesthesia documentation solution, Anesthesia Touch's full KLAS rating demonstrates Plexus TG’s commitment to providing complete AIMS functionality for their clients. For more information, visit www.klasresearch.com.

To learn more about the solutions offered by Plexus Technology Group, please visit Booth #1735 at the Boston Convention and Exhibition Center.


About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch™ is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch™ a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 


Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.

Jackson, Mich.,—Plexus Technology Group, LLC (Plexus TG), a market-leading, best-of-breed provider of anesthesia information management systems (AIMS), is pleased to announce a new tool in the Anesthesia Touch™ suite, Touch Track. This web application uses real-time information from integrated hospital electronic medical records (EMR) and anesthesia documentation systems to provide an updated view of patient status in PreOp, the OR and recovery room.

Touch Track automatically captures information from hospital integrations and real-time documentation to provide visibility to OR staff about room and procedure times (such as in room/out of room and surgical closing). By automatically updating from the electronic anesthesia record, no additional effort is required to communicate key events to all OR staff. OR nursing staff can also update case information or add additional events to help manage OR efficiency in a single tool.

“Anesthesia Touch—by virtue of the anesthesia record—has real-time information about how a case is progressing in the OR, which is incredibly useful. Combined with streaming vitals and schedule information from hospital systems, Touch Track provides incredible insight into what’s going on in the perioperative environment right now,” said Vice President of Technology, Doug Marcey. “This represents some of the unique functionality we can provide in the perioperative space because we capture structured information from so many sources, from our library of interfaces to our proven charting user interface.”

In addition to the visibility Touch Track provides to hospital staff, it also has an anonymized version of cases’ status for patient’s family members. From a web browser, patient-facing staff can check patient progress or the board can be displayed for family members to view directly and use with an automated, anonymous patient ID. Touch Track presents a filtered view of case status that helps family members track their loved one’s arrival in recovery.

“Touch Track shows how having a foundation in usability and interoperability can unlock real value from healthcare IT,” said Tony Mira, CEO of Plexus Technology Group. “These strategies allow us to build powerful tools without increasing caretaker’s documentation burden, be it custom analytics or real-time status. Having a dashboard showing OR use throughout the hospital is both operationally transformational and empowers more engaged patient care.”

For more information about Touch Track, please visit plexustg.com/touch-track

About Plexus Technology Group
Plexus Technology Group, a subsidiary of MiraMed Global Services, is a leading provider of anesthesia information management and medication management systems.  Anesthesia Touch is a full-featured AIMS for both Windows and iOS platforms that supports concurrent charting and automatically records physiological data. It is easy to use, enhances patient safety, provides comprehensive anesthesia documentation and is certified as a full EHR for meaningful use.  Pharmacy Touch a modular add-on to Anesthesia Touch, automates controlled substance reconciliation, eliminates duplicate documentation, reduces drug errors and delivers charge capture and decision support at the point of care. 

Contact Info:
Jennifer Dixon, Director of Communications
781.915.0221
This email address is being protected from spambots. You need JavaScript enabled to view it.