Special Report On A 5-Year Comprehensive Study
We’ve just completed a five year study of 1,300 addiction treatment facilities using Kipu through 400,000 episodes of care. The study revealed that KipuEMR clients grow 36% in the first 12 months after installing Kipu and an astounding 69% within 24 months of implementation. That’s pretty amazing, so amazing, in fact, that our accounting department audited and certified the numbers. It’s totally expected and there’s a very good reason why our clients do so well after implementing our technology.
“Being a startup on the smaller side, we were working with a limited budget and Kipu initially gave us a sticker shock. We shopped around and found that a lot of new employees would actually recommend Kipu as the best. We, in actuality, came back full circle and signed with Kipu. We just wished we had listened to our colleagues from the beginning. It would have saved a lot of time and effort.” -Vince Gurrera, Florida Addiction & Recovery Center
First, A Bit of History…
It’s no great secret that healthcare costs have been skyrocketing for decades. They jumped from $27 billion and 3.1% of GDP in 1960 to $3.35 trillion and 18.1% of GDP in 2016. It’s projected that the total will rise to 20% of GDP by the end of 2020. It’s out of control and unsustainable. We know that increased use of technology is the lever for lowering costs and increasing quality, but the execution doesn’t always work because it requires the right technology. A great example of this is the failed political experiment called “Meaningful Use” that was introduced by the Obama Administration in 2009.
The “Meaningful Use” Experiment
In 2008, only 9% of hospitals in America used EMR (Electronic Medical Records) Software. So in 2009, as part of the American Recovery and Reinvestment Act (ARRA), the government earmarked $35 billion (and actually spent $27 billion) to incentivize physicians and hospitals to implement EMR’s and demonstrate “Meaningful Use” of that technology starting in 2011. At the time, that made all the sense in the world, since a 2005 RAND Corporation Study predicted that EMRs would save the country $81 billion per year in health care. When one considers that the U.S. Government foots the bill for half of all health care spending (primarily via Medicaid, Medicare, and The VA), the EMR incentivization program was a no-brainer, projected to save many times it’s cost in the first year alone. The adoption incentives worked, and by 2015, 96% of all hospitals had implemented an EMR system. But the anticipated savings never materialized.
“I wanted to let you and your office know that we went to great lengths in choosing a EMR company. Over the last four months we used our due diligence and vetted a number of EMR including Zencharts, BestNotes, and Kipu. We were in last minute negotiations with one of the above mentioned EMR when Kipu after many phone calls and several meetings with Cliff and Jeffrey made a firm commitment to work with us and taking into consideration [that] we are a brand new IOP. I would like to say we are very much looking forward and happy to now be a part of the Kipu team.” -John R. Laus, Colonial Park House – The Best in Sober Living for Men & Women
What Went Wrong?
The problem stemmed from the fact that the Meaningful Use incentives created a landgrab with a limited time duration. The reimbursements ranged from $44,000 per physician and up to $2.2m per hospital. It phased down and ran out after a few years. So hundreds of old and lots of new EMR vendors flooded the marketplace with mostly “one size fits all” EMRs. The real problem is that ophthalmologists and otolaryngologists, podiatrists and psychologists all have varying needs in an EMR. Similarly, different departments in large hospitals have different needs, meaning that the clinic is different from cardiology.
One Size Does Not Fit All
EMR’s are not a “one size fits all” business, but if you want to go from 9% to 96% EMR penetration in a few years, you’re just not going to get many specializations.
You know what happened next, physicians and hospitals implemented new EMRs, sometimes kicking and screaming along the way, because those systems weren’t very easy or intuitive. Of the $81 billion per year expected in savings, much was attributed to “interoperability”, the ability of disparate EMR’s being able to “talk to each other.” That never materialized either. The problem’s best summarized by a Brookings Institute report stating that many EMR suppliers effectively operate as “protective silos, holding patient information for ransom.”
“Kipu eliminates the need for our staff to do a lot of manual processes. That gives us more time to concentrate of what we do best…treat our patients.” -Christine Long, Becker Treatment Centers
The Whole Thing Starts to Unravel
As a result of the rush to install, mismatch of EMR’s with users, and failure to achieve interoperability, the healthcare community is not getting the highest and best use of its human capital. The ARRA and it’s $35 billion of funding was well-intentioned, but it created a gold rush for EMR companies without enough consideration for installing The Right Technology™. A study widely publicized by Dr. Kevin Pho, MD, highlighted the failure of the broad-based EMRs. The study stated that “43% of an emergency physician’s time is spent typing into a computer with only 28% spent face-to-face with a patient and, in a typical 10-hour shift, that physician clicks a mouse over 4,000 times.” The old saying about the pendulum swinging too far is especially apropos here. Doctors are over-technologized and less efficient with the wrong technology. They then complain that it often takes five minutes to renew a prescription, something that used to take five seconds.
I remember reading a press quote from former Acting CMS Administrator, Andy Slavitt last year regarding the curtailing or canceling Meaningful Use incentives in favor of a whole new payment system tied to the quality of health and risk-based outcomes. The press quote said, “We have to get the hearts and minds of physicians back. I think we’ve lost them.” ARRA is out, and MACRA (the new payment incentive program) is in, but that’s a whole other subject.
Back to Kipu
We’re not a “one size fits all” EMR. We were built for addiction treatment centers in something called “agile development.”
Here’s What “Agile Development” Means
When we started in 2011, we got a couple of desks in a detox facility and built Kipu alongside the users. We created it the way they work, using their flows and their procedures. We invented new technology and new ways of doing things along the way, with visual queues, TJC, CARF, DHCS, and DCF requirements. Kipu is intuitive and easy, but powerful software written in the cloud, in modern, fast, versatile programming languages.
Then after a year in a detox facility, we went to a TJC accredited residential treatment facility where we again built more into Kipu, alongside a clinical staff that averaged 67 years of age. That’s partly why Kipu is so easy to use and intuitive; we needed to win the hearts of a clinical staff that was not and did not want to be computer savvy. And the story continues, our third client had all levels of care — both in and out of network, where we honed Kipu further to assist with urgent alerts. Today, we not only follow our roots of “Agile Development” but also deploy and implement in the same Agile Methodology. We work with your staff every step of the way so that the final customized implementation works the way you work, not the way some programmer somewhere imagined you’d work. We’re also the only broadly available software in addiction treatment that is highly specialized for addiction treatment. You just can’t expect practice management systems or behavioral health systems to work well in the highly specialized world of Addiction Treatment, because they don’t. That’s what went wrong with meaningful use, after all.
Finally, because we’re so intuitive and easy to use, staff turnover is reduced because the staff is happier. As you grow, you’ll find that training new staff on Kipu takes a few hours, not days. All that efficiency translates into better care. You’ll also have more time that your team can spend on treatment, instead of fighting with a computer or paperwork. In short, Kipu helps you grow!
It’s Cause and Effect, Not Coincidence
I was talking to an old friend the other day who is a therapist at a large, multi-facility treatment center who uses one of those “behavioral health” systems, which “faked their way into addiction treatment.” She said she spends all day re-typing things over and over in their clunky, “legacy” system — she said that leads to decreased job satisfaction, reduced efficiency, and increased turnover. She mentioned that she, like much other staff, cannot wait to move to a facility that uses Kipu.
Remember: lower staff turnover = better staff = better outcomes.
More than just an EMR, The Right EMR!
With Kipu, you end up with a system that works; it delivers the efficiencies that you expect. Kipu reduces admission time by 67%. It also reduces paperwork for group sessions through our Golden Thread®. Furthermore, it can help document “evidence-based treatment,” which accreditation agencies and insurance payors are increasingly requiring for payment. Even our UR System and VOBGetterSM software make you more efficient and help you collect more from invoicing, which helps you grow too!
Leading the Fight Against Addiction
At Kipu Health we are “all in” the fight against addiction. We built KipuEMR to provide a solution, not just a service, and we keep on improving upon it all the time. Kipu Messenger provides KipuEMR Telehealth and secure messaging. Additionally, InRecovery Magazine helps you to communicate with addicts and their families to reduce the shame and stigma associated with addiction. It also encourages more of the 27 million addicts and abusers to get help. We also rolled out Lab Interface 2.0. All that helps you grow. It’s all part of our commitment. We continue to innovate to stay one step ahead, not just because it’s good business, but because that’s what the fight against addiction requires. Together, working smarter, we can have the same kind of transformational impact general medicine is having to stem other chronic diseases.
CAN “THE WRONG TECHNOLOGY” HURT YOUR BUSINESS?
Would You Use a Rusty Wrench to Pull a Tooth?
Of course not. Then why would you use a CRM, practice management, or behavioral health system for addiction treatment?
There’s nothing like the pain of the problems caused by using “the wrong technology.” That’s the result you’ll find with EMRs that were not designed for the specific needs of treatment centers. That means a lot of struggling to work the way their software works, instead of working with an intuitive system that requires one simple training. It also means learning new systems and procedures, re-typing things all day long; Conversely, you could be using a system advanced enough to manage information for you. Using the wrong technology also means decreased efficiencies and lower outcomes, while placing enormous pressure on your staff, increasing turnover in your facility. That’s how “the wrong technology” can hurt.
Kipu is different, designed within treatment centers, for treatment centers. Kipu is also easy to use, so you can get started right away and powerful. It has got features that other systems haven’t even thought of yet. These features streamline, manage, and measure all levels of care. Your staff is happier, efficiencies skyrocket, UR increases, outcomes improve, errors are eliminated, and patients receive better care. That’s how The Right Technology™ helps you grow.
Bottom line: It’s the difference between technology, and The Right Technology™.
Kipu Not Only Pays For Itself. It Boosts Growth In Several Ways.
Reduced Turnover; Ask anyone.
Kipu’s intuitive design helps your staff get more done with far less effort. Job satisfaction increases and training and retraining are cut to a minimum. This results in improving the culture and DNA within your facility.
Reduced staff turnover and training time again results in greater profit to reinvest in the agency.
Improved Treatment Files
Kipu is actually fun and easy to use, so the staff interacts with it more. That means better record-keeping, more UR, and more collections. You get more complete patient files and The Golden Thread®. As a result, you’re able to prove evidenced-based treatment, which is increasingly required by accrediting agencies and insurance payors. Several third-party billers report that they are able to authorize more days (UR) and collect more for their clients running Kipu, versus other EMRs.
Interoperability means that your computer can use and communicate information with other systems. Kipu offers interoperability with over 1,300 other facilities and counting! This feature allows you to accept more referrals from other Kipu facilities without re-typing all the Facesheet data. This effectively decreases the time your staff spends on admissions.
KipuMessenger Messaging and Telehealth
KipuMessenger offers features for pre-admission, treatment, aftercare, and outcome measures. It is now fully integrated into Kipu so you can:
- Speed pre-admission through to admission with signatures, pre-assessments, VOB, and travel,
- Improve treatment with FIT, surveys, assessments, and more, Craft your own aftercare and outcomes measures system or use our RecoveryBound system (coming soon!),
- Comply with TJC and insurance requirements to have an outcomes measurement program in place in 2018
- 13 states (and growing) now allow you to invoice insurance for Telehealth which is estimated to double from 2016 to 2018
You can contact our full time dedicated Kipu Resource for anything you need, unlimited. Contact us any time, 24 hours a day, 365 days a week for support.
Free VOBGetter: Instant VOB Service
It’s well known that the first to accept a patient usually gets that patient. Faster VOB means more business intelligence, which leads to faster turnaround and decision making. And that means more admissions.
The “Better Mousetrap”
- Easy to use, intuitive, adopted, and loved by users and cult-like. When users move, they tell their new boss about Kipu.
- Kipu only spent $20k on advertising in its first four years. All sales were word of mouth, more evidence of Kipu’s cult status. Users take pride and feel ownership/invested in the process.
- A search of Indeed (job board) shows hundreds of listings where job hunters list Kipu as a skill, or employers require Kipu as a skill.
- With our Discharge Planning and AfterCare options, you can serve your patients better with Kipu. Those services will become more useful with Kipu Messenger.
- Better Reporting gives management verifiable business intelligence to help them make better decisions.
Built Exclusively For Addiction Treatment
- Built for those treating addiction, Kipu helps clinicians document need, care, and treatment planning. You can also list progress notes, group sessions, and more.
- It gives users a better demonstration of patient needs and more days approved.
- Demonstrates a better record of treatment because it’s easy to use, so clinicians document more.
- Lets clinicians work with patients instead of fighting with paper or primitive/inappropriate technology.
- That allows the clinician to patient ratio to increase so that the same number of clinicians can serve more patients, which drives growth and quality.
Our Guarantee of Success
Our personal commitment to your success: We vow to do anything within our power to make you a reference client for Kipu.
* “The Joint Commission” and “TJC” are a trademark of the Joint Commission on Accreditation of Healthcare Organizations. The trademark holder is not affiliated with Kipu and has not endorsed its product. The content of this page is not meant to imply any affiliation or endorsement, and no such affiliation or endorsement should be inferred.