Although the doctors’ attention is devoted to delivering excellent patient care, they recognize that if the medical group’s finances aren’t in order, their ability to continue serving patients is compromised. Therefore, they’ve charged their business office with employing the best people, processes and technology to optimize the revenue cycle and ensure the profitability of the practice.

Recession Brings Reimbursement Challenges

“The tough economy and changing California regulations have made it more and more difficult to collect payment in a timely manner,” explains Sue Kruger, Office Manager at Tri City. “Medicare and Medi-Cal pay only a fraction of the fee for emergency services, people who’ve lost their jobs and their health insurance oftentimes can’t pay for their care and private payers sometimes drag their heels.”

She notes that the group’s physicians treat an average of 6,000-7,000 patients a month. In terms of Tri City’s revenue:

• 27% comes from Medicare patients.
• 17-18% comes from Medi-Cal.
• A little over half comes from private insurers and self-pay accounts.

“Our employees have to work much harder to collect the same percentage of payment they did three or four years ago,” says Kruger. “If we didn’t have a paperless system, we’d absolutely have had to hire more staff.”

Integrating Content Management with Practice Management

After transitioning to a new practice management system—CPU’s MED/FM—in 2003, Tri City began thinking about how to get even more value out of that system. When CPU introduced an integration with Laserfiche enterprise content management (ECM), Tri City jumped on board.

“Handling paper was a big expense that slowed our staff down,” says Kruger. “Our doctors recognized that purchasing Laserfiche would pay off in terms of staff productivity.”

J.R. Juiliano, Tri City’s IT Manager, explains, “We scan everything that’s related to patient encounters into Laserfiche. This includes demographic information, dictations, EOBs and correspondence from insurance companies.”

He notes that the hospital sends information to the medical group via an FTP site. “In the past, we just printed everything onsite.”

This, of course, was problematic on many levels:

• It was expensive.
• It was difficult to store.
• It was tough to retrieve in a timely manner.

“We have to keep patient information for seven years,” says Juiliano. “We used to rent four storage units at a facility that’s ten miles away. We kept a year’s worth of records onsite in a big filing room, but somebody had to go over to the storage units at least once a week.”

Kruger adds, “Efficient medical billing depends on keeping people in their seats so they can be productive. Manual tasks like retrieving paper records just aren’t the best use of employees’ time.”

Today, Tri City automates the document capture, indexing and filing processes with the following tools:

• Laserfiche Snapshot converts the electronic documents from the hospital’s FTP site into TIFF images and processes them using Laserfiche Quick Fields, a high-volume document capture and processing tool that automatically extracts metadata from the documents and files them in the Laserfiche repository—no printing or scanning required.
• Laserfiche Quick Fields also scans and processes paper EOBs and correspondence from insurance companies. Using optical character recognition (OCR), Quick Fields converts the scanned images into editable and searchable text, extracts metadata and files the documents in the repository.
• Laserfiche Import Agent captures and processes electronic faxes.

Verifiers, coders and payment entry staff work with dual screens, so they’re able to view a document on one screen while performing data entry into MED/FM on the other. With the MED/FM integration, documents are automatically attached to the appropriate patient records in the practice management system. When employees type a number into a specific field in MED/FM, Laserfiche opens the corresponding document. This ensures that employees don’t have to launch Laserfiche or toggle between screens to retrieve the documents they require.

Kruger explains that the integration keeps her staff in their seats. “Laserfiche makes our staff so efficient that we haven’t had to hire more people. In fact, we haven’t even replaced everyone who’s left.”

Visibility = Productivity

Documents—whether scanned or electronically imported—are time-stamped when they enter the Laserfiche repository so that the management team can measure staff productivity. Kruger explains, “If something comes in at eleven but doesn’t get finished until 4:30 pm, I can go to the person and ask, ‘What were you doing for those five and a half hours?’”

Juiliano appreciates how easy it is to run and store reports in Laserfiche. With Laserfiche Audit Trail, a monitoring and reporting tool, Tri City can create summaries of all actions taken on a particular document or record, making it much easier to prove compliance with HIPAA. “We can see who changed what when, where and why,” he explains.

In terms of other types of reports, Juliano says, “We run a lot of reports—collections reports, month-end reports, weekly reports. Even if we don’t run the report in Laserfiche, we store it there, which makes it easy to access and compare historical data with present trends.”

Lisa Newland, Tri City’s Assistant Manager, notes that the group’s RAC audits have gone smoothly thanks to Laserfiche’s instant search-and-retrieval capabilities. “Being able to instantly pull the information the RAC auditors want to see makes life so much easier than digging through filing cabinets or storage boxes.”

All in all, says Kruger, “Laserfiche is a great product. I don’t know how we ever got along without it.”

As the second largest deathcare provider in the United States, Stewart Enterprises safeguards contracts pertaining to every aspect of funeral or cemetery services, from memorialization and property purchases to inscription details. In the past, when people passed away, contracts from funeral homes and cemeteries were permanently added to the millions of pages of records in each of the company’s regional storage centers.

Although Stewart Enterprises initially considered implementing an enterprise content management (ECM) solution in 2005, it failed to anticipate that its documents might incur damage. Unfortunately, when Hurricane Katrina struck later that year, the company’s New Orleans Records Management Center was hit and tens of thousands of documents were submerged for over a week.

“The hypothetical doomsday scenario became a reality for our organization,” says Pellegrin. “Unfortunately, we were not as forward-thinking at that time as we are now. Rather than accepting an initial ECM proposal for $175,000, we spent $1.5 million recovering and restoring our documents.”

Setting a Document Standard

Despite the loss, the disaster gave the organization the forward velocity it needed to go digital with Laserfiche ECM. “When implementing a new functional area, as soon as I put the Katrina pictures up, everyone is on board,” says Pellegrin. “When you talk about buy-in, it isn’t a hard sell.”

As a direct result of Hurricane Katrina, the company first digitized the records in its New Orleans Records Management Center. Before implementing ECM enterprise-wide, Pellegrin started discovery by physically walking through various company facilities and taking stock of employee processes, paper piles and organization structure—a preliminary step he recommends for anyone beginning a Laserfiche project.

“The sheer volume of documents involved in digitizing a record center astonished me,” he says. “Walk through a variety of departments and ask yourself, would it would be beneficial to management to see the documents and to have real-time tracking for every step in this process?”

These discoveries allowed Pellegrin to seize the opportunity to standardize records management across the company by upgrading to Laserfiche Rio. He rolled out digital archiving to the company’s other records centers in Miami, Dallas and Orlando, as well as individual facilities and corporate offices in 25 states and Puerto Rico.

Configuring Laserfiche Rio across multiple departments and integrating Laserfiche Quick Fields with the company’s contract number system and reporting systems transformed Stewart Enterprises’ Laserfiche ECM system from a simple disaster recovery plan to a flexible, yet central, point of control.

“We’re not looking at an individual person or process, we’re thinking enterprise-wide,” he says of the company’s IT strategy. “What we have noticed as a result of implementing Laserfiche is not only a more efficient process, but a structured workflow that can be implemented nationwide.”

Centralizing Contracts

Because Stewart Enterprises juggles different regulations on its contracts and facilities for every state in which it operates, Pellegrin sought a standard workflow that could track and store documents in compliance with these regulations while still offering fluid access to documentation when adjusting a client’s file.

Laserfiche Rio allowed the company to greatly restructure the contracts workflow. Using the Laserfiche SDK, Pellegrin configured Laserfiche Quick Fields to draw information between the company’s .NET point-of-sale applications and Laserfiche. This integration, along with standardized scanning methods and better quality control, led to much faster processing:

• 750 field employees now image documentation as .TIFF files onto a national network drive using Canon scanners.
• Laserfiche Import Agent then transfers those documents from the drive into the Laserfiche repository automatically, day and night.
• Laserfiche Quick Fields runs a real-time SQL search against the company’s account receivable contract system based on individual contract number.
• Laserfiche Quick Fields then indexes each document by geographic location, sorts and routes it to separate workflows depending on values identified in the SQL lookup.
• Users across the regional centers and corporate headquarters can route, process and update contracts using Laserfiche Workflow and Laserfiche Snapshot.

Prior to Laserfiche, these records centers contained vaults full of filing cabinets and shelves of manila folders that a contract research team mined during contract retrieval requests. With this system in place across all facilities, the company has already scanned more than 30 million pages from its document centers into Laserfiche’s digital repositories, repurposing filing cabinets into valuable real estate and saving thousands in paper costs. Now the company can scan, monitor and check the quality of its financial transactions, such as deposits, to better ensure compliance with each state’s regulations.

Enterprise-Sized Gains

Unlocking critical contract information from paper forms brought an unprecedented level of enterprise visibility to the company, which Pellegrin lauds as Laserfiche’s main asset. When Laserfiche Workflow creates a permanent record for storage, it also makes the contracts available for real-time access to over 1,000 employees nationwide via a Laserfiche WebLink Web portal.

Now, users ranging from executive vice presidents to customer service representatives can research the contracts and their indexes and status information with the click of the Laserfiche icon on their desktop.

“Giving real-time, simultaneous access to a variety of functional areas and hierarchies brought immediate value and efficiency to our organization,” explains Pellegrin.

For example, read-only access to contracts for the company’s audit department has eliminated travel costs during audits. The audit group may perform a facility audit without the facility knowing about it, right from their own computers.

“Laserfiche has allowed us to not only standardize our processes, but to easily monitor them as well. We now have access to empirical data about employees indicating efficiency, accuracy and completeness on a real-time basis,” notes Pellegrin.

Stewart Enterprises truly leverages the full scale of Laserfiche Rio, using it for everything from conversion and storage of microfilm records to streamlining and enhancing internal audit processes across the entire company.

“Prior to implementing Laserfiche, I was virtually in the dark with respect to ECM. I didn’t have the slightest idea of the impact this one system could have throughout the organization. We’re changing the culture of our company in a span of three to six months at each record facility.”

Heartland is an active manager, seeking out those few companies from the broad market they believe fit the criteria of its investment discipline, embodied in Heartland’s Ten Principles of Value Investing™. This discipline is grounded in rigorous fundamental analysis, and has been exercised for over a quarter century. Each stock Heartland is potentially interested in is subject to a thorough review of multiple variables, resulting in a rich legacy of information and understanding of thousands of individual securities. This legacy also results in many pages of information and data!

In addition to research, the Firm has built a substantial file of client related material, going back to the Firm’s inception.

By 2010, decades of paper records had accumulated—much of which, for compliance purposes, required locked cabinets. “Any time we had a company visit, analyst research notes, quarterly company earnings reports, news articles or anything impacting an active company, paper was placed in a general location for administrators to file manually,” explains Mike Riggs, Senior Vice President and CTO of Heartland.

The pile of paper accumulated weekly and could require full days of filing by administrative staff. “We’d already gone through the 20 years’ worth of research, but we were still looking at 1,600 active companies for which we needed to maintain records,” he adds.

The Challenge

While the Firm had a fully developed and tested disaster recovery process for its mission-critical electronic information system, there were limited procedures in place for its paper-based stored files. “Both systems maintained single copy masters which took a large amount of floor and file cabinet space—and a lot of manual paper filing,” Riggs says. “We actually had a legacy scan-and-file system that was not being used because it added to the work load of users.”

Riggs led the Firm on a search for a more comprehensive electronic content management (ECM) system with two directives in mind—function and friendliness. As Riggs puts it, “We needed an intelligent forms processing system where we could develop a forms library to identify and process client-related paperwork, but it also had to be user-friendly.”

The Solution

In 2010, the Firm acquired a Laserfiche ECM system and began an extensive backfile conversion project using Laserfiche Quick Fields for advanced document capture. “For our client filing system, we were able to back scan all of our legacy files into Laserfiche according to form type and then organize the data according to client account code,” Riggs says. Using the Affinity integration tool, the Firm linked its CRM system to the digitized files in the Laserfiche repository using the client access code.

In the past, a sales administration representative would have to leave the phone call or schedule a call back with a client, go to the file cabinet and check out the file data. Now, with online access to the system, they can stay on the call and pull up client data using the shared client access code right from the CRM interface.

At the same time, Riggs notes, the flexibility of Laserfiche allowed him to grant remote, read-only access to staff who need to view files offsite for client servicing issues. “We have only one office but several executives who spend time at remote locations. Laserfiche gives them the opportunity to retrieve files when connected to their computers via a remote session.”

The process that saw the most operational improvement, however, was research. “We used Quick Fields to back scan our rich legacy of stock research, and we used Workflow to develop a way for research and portfolio managers to file directly to the Laserfiche repository,” Riggs says.

Here’s how it works:

• By utilizing a research template, analysts can drop files into a Workflow starting rule folder to kick off the template to select the research media type.
• Workflow then routes it to the proper security and media filing type.
• The workflow will run an SQL query to match the template security with an in-house security holding system to identify the full company name to place on file and route it to the proper Laserfiche research file folder.

“Now compliance, analysts and portfolio managers have ready access to research wherever they are, on-site and remote.”

Going with the Workflow

Heartland is now using Laserfiche and Workflow to deploy an accounts payable processing system that will scan in invoices from vendors, have operations staff identify cost centers and allocations, and then route them to department managers for approval. After the approval is routed back to the operation admin, it will then be posted directly into the accounting system for check processing.

Likewise, Riggs is also using Workflow to develop an automated system for approving marketing material that will handle markup and approval from multiple team members, as the content needs to be monitored for FINRA and SEC guidelines. “It’s a very time and paper intensive process that requires group participation,” Riggs says.

More recently, the Firm upgraded to a Laserfiche Rio enterprise system. “This allows us to have multiple Laserfiche servers, which means we have a mirrored Laserfiche server environment running at our disaster recovery site pointing to a backup copy of our production repository that is replicated to the disaster recovery site daily.” Riggs says he’s also looking forward to deploying Laserfiche Mobile to enable Heartland staff to use iPads to access data securely via Web Access.

By using Laserfiche ECM, the Firm is confident it will achieve its goal of limiting paperwork. Says Riggs, “We hope to build custom Web forms to avoid paper-based system processes that pop up as people develop templates for a variety of management tasks.”

• Colorado Division of Forestry.
• Colorado Division of Parks and Wildlife.
• Colorado Division of Reclamation, Mining, and Safety.
• Colorado Division of Water Resources.
• Colorado Geological Survey.
• Colorado Oil and Gas Conservation Commission (COGCC).
• Colorado State Land Board.
• Colorado Water Conservation Board (CWCB).

According to Susan Lesovsky, Application Support Manager for the CWCB, the DNR purchased a Laserfiche enterprise content management (ECM) system in 2005 to replace a legacy IBM system that lacked an out-of-the box Web interface, optical character recognition (OCR) functionality and the ability to automate business processes. “Our old system was pretty much limited to search-and-retrieval,” she explains.

She notes that a top priority for implementing Laserfiche was making it easier for citizens to stay informed about government activities. “Ultimately, our customer is the public, and our success is measured on how we provide and process information for them,” Lesovsky says.

To that end, the DNR upgraded to Laserfiche Rio in 2009. According to Lesovsky, “Laserfiche Rio has allowed us to increase the transparency of information to the public, and it’s done it in such a way that we don’t have to worry about connections or cost.”

In particular, she describes the benefits of upgrading to Laserfiche Rio as:

• Greater public access to information through the WebLink Public Portal, which provides unlimited connections.
• Scalability through unlimited servers and volume discounts on user licenses to accommodate future growth.
• The bundled functionality of Web Access and Workflow.

Laserfiche Rio Enables Citizens to Cut through Red Tape

Lesovsky notes that Colorado Governor John Hickenlooper recently called for every department in state government to reduce red tape. Good government, he says, is characterized by “efficiency, effectiveness and elegance.”

“As one of only two recommended content management systems for the state, Laserfiche epitomizes all three E’s,” Lesovsky says.

She explains how easy it is for citizens to access documents such as the CWCB’s meeting documents:

• The current year’s materials are available on the Board’s Website in a table that provides direct links to PDFs stored in Laserfiche.
• Archived materials are accessible through a custom search box (created using the WebLink Designer) on the lower right side of same page or through this link.
• The custom search box is limited to three fields (title, date range and document type) to streamline access and reduce user confusion. (Custom search components have been included throughout the CWCB’s Website to help direct the public’s search for Board-related documents.)

Colorado’s Decision Support Systems Website also includes custom search boxes throughout its Website, such as the one at the top of this page that searches according to document type and a few other parameters, while a set of “Google-like” search results based on document type displays below thanks to an encoded URL string.

“We used the WebLink Designer to create custom searches because we noticed that our users would get overwhelmed when presented with a long list of templates and fields,” says Lesovsky. “Each custom search focuses on a particular program area or topic and uses a limited set of search criteria within the associated template.”

Quick, easy and efficient searches support Hickenlooper’s goal of driving the “three E’s” into government operations. Lesovsky explains, “In the past, people had to come to our offices to request information. Laserfiche WebLink provides a simple and elegant way for the public to get immediate access to the information they need whenever they need it.”

Integrations Make ECM “Mission-Critical”

By integrating Laserfiche WebLink with other software applications, the DNR has been able to make information even more accessible. For example, by integrating Laserfiche with ESRI ArcGIS, staff can click on a stream and retrieve associated court documents, while public users can quickly access information associated with flooding and flood hazards in the state.

To see the public-facing integration in action:

• Visit Colorado’s Flood Decision Support System page.
• Click on the Flood DSS Map Viewer.
• Agree to the disclaimer.
• Click the Documents tab in the top menu.
• Enter your search criteria in the pop-up window. For example, select:
  • Group: Historical Flooding.
  • Document: Historical flood photographs.
  • Type: Photographs.
• Hit the search button.
• A new window displays the results (produced on-the-fly by an encoded URL string) in a grid format.

It’s the integrations with applications like ESRI ArcGIS that make Laserfiche “mission-critical.” According to Lesovsky, “When you integrate Laserfiche with business-specific systems, you embed it into your existing workflow processes and it becomes integral to how you operate.”

ECM Enables Electronic Forms Processing

Laserfiche Rio has been a particularly effective ECM solution for the DNR because different divisions can configure it to meet their unique needs. For example, the Oil and Gas Conservation Commission (COGCC) uses Laserfiche to enable an eForm application that provides an interface for oil and gas operators to enter and submit permit forms and supporting documents. There are currently six active forms and three in development.

According to Ken Robertson, Application Developer for the COGCC, “Uploaded files are stored in our production Web server. Once the operators submit the form to our internal server, we export the attachments to Laserfiche.”

He explains that the public can view the files directly from the production Web server or wait until the files are imported to Laserfiche and use WebLink to access them. Furthermore, he outlines how the COGCC has used the Laserfiche SDK to create customized Laserfiche scripts and programs.

Robertson says, “For those attachments still sitting in our production Web server, we created a Windows service to check queued files in the Web server every 15 minutes and use the Laserfiche Toolkit [SDK] for .NET to import files to the Laserfiche repository server. In the meantime, we also collect the Laserfiche reference numbers in our attachment table so that system (eForm) can provide a WebLink download page for users to view the attachments.”

He notes that there is a separate application that allows oil and gas operators to upload well logs, which are imported into Laserfiche using Laserfiche Import Agent, a tool that captures and processes electronic documents. Scanning staff members use Laserfiche Quick Fields to index other types of electronic documents.

The biggest benefit of processing permits and well logs with Laserfiche is time. Robertson says, “We used to shuffle files from one person to another until they were approved, and then we scanned everything into the system. Having the operators upload their attachments to their documents saves an average of 15 minutes of scanning and indexing time for our staff, not to mention the time saved on data entry.”

He goes on to explain that having everything available electronically at the beginning of the process allows multiple people to work on the same forms simultaneously, further reducing processing time.

“Not only do we save time,” Robertson says, “but the approval process is now more transparent for the public.”

Lesovsky adds, “Laserfiche is powerful, flexible and easy to work with. Even though all our divisions use the same system, we can all use it a little differently.”

Looking Ahead

Lesovsky is particularly excited to use Laserfiche to harvest data across organizations. She explains that the CWCB has already conducted a feasibility study and has a grant in place to make it happen.

“Colorado State University has an ECM solution other than Laserfiche but a healthy collection of water information. The Colorado Water Resources Development & Power Authority and the Colorado River Water Conservation District currently use Laserfiche, with repositories of useful water documents. By hooking our systems together and using common metadata, we’ll be able to search for information across all four entities and gain a more complete picture of accessible water information in the state.”

She says that the DNR is also working on integrating Laserfiche and SharePoint. “Most of our divisions use SharePoint for their external Websites. Right now, people have to conduct separate searches if they want to find content stored in both Laserfiche and SharePoint. What we’re looking to do is enable searches that return results from both systems at the same time.”

All in all, she says, “Laserfiche Rio is a great tool. The bottleneck now is just finding the time to make it do everything we want it to do.”

The company faced four major challenges:

• Storage: Lack of space in the office for filing cabinets cost the company $650 a month to rent storage sheds. Temperatures inside the sheds often topped 110 degrees, degrading documents and discouraging retrieval by accounting employees.
• Decentralized Files: Every vehicle tow resulted in the creation of documents by multiple departments, each with their own filing methods—which meant accounting employees had to contact at least three departments to complete a vehicle file. From gathering vehicle photos from the sales department and inspections from the vehicle storage facility to tracking down titles in the title department, staff spent more time searching than billing.
• Security: Transferring files among departments compromised security and led to a proliferation of outdated copies.
• Customer Service: Spread-out storage and misfiled contracts made it difficult to deliver towing contracts to customers by 2:00 p.m. on the day following a tow, as outlined in vendor contracts.

“The vehicle could sometimes be moved to another storage or auction facility, and sometimes the files would not get to the new vehicle storage location,” notes Sheila Gallegos, project manager at United Road Towing.

The company put out a request for proposals for an enterprise content management (ECM) product that could:

• Quickly and easily scan documents.
• Read vehicle barcodes and file documents with minimal human effort.
• Perform quality checks on barcoded scans.

After reviewing RFP responses, United Road Towing saw that Laserfiche could easily set a company-wide standard to transition it away from inefficient paper-based processes.

“Laserfiche was the easiest to understand and the most user-friendly by far. Quick Fields and Workflow sessions were doing most the work, instead of our staff,” says Gallegos. “Most importantly, Laserfiche was an enterprise software solution, whereas the other vendors had to piece together other products to create the solution we were looking for.”

Gallegos led a three-month installation and in-depth training process which brought 73 employees in seven departments and seven locations—as well as 23 vendors—onto the Laserfiche system.

“Laserfiche has helped us streamline our processes, and it also helps us make sure that the processes are standardized from location to location,” she says.

Giving the Green Light to Better Records Management

The first step for United Road Towing was standardizing the documentation process from the time a vehicle hitches to a tow truck to when it leaves the tow lot—which brought immediate improvements in customer service and employee efficiency.

A custom integration between Quick Fields, Workflow and the company’s towing software now takes data from vehicle barcodes, driver invoices and customer-submitted documents across many departments for cradle-to-grave records management.

Because the towing software doesn’t contain an open database, the company worked with Laserfiche to create a custom Workflow script with an HTTP post. The script automatically pulls information from the towing software to fill in additional data in Quick Fields.

As outlined below, records management is now much simpler and more consistent:

• When the company tows a vehicle, the truck driver places a barcode sticker on the vehicle to identify it in the vehicle inventory and places a barcode sheet in the storage reports.
• Storage facility staff scans the barcode sheets into Laserfiche.
• Quick Fields reads the barcodes, places the inventory number into a field and saves the storage report in the Laserfiche repository.
• The custom Workflow script runs a session that searches the towing database using the barcode. Quick Fields then fills in additional template fields with retrieved information about the vehicle, such as the vehicle’s make, model, year and VIN number, as well as customer information and invoice and payment dates.
• When all fields are complete, the Workflow session electronically files the documents by tow date.

With the automated system, the average user can process five documents a minute. Each day, the company as a whole can easily process 1,500 customer documents and 500 driver invoices.

WebLink Revs Up Customer Service

The integration has also improved the availability of customer documents within the contractual one-day grace period. Prior to Laserfiche, one employee would collect 200 documents a day from the accounting department, scan the documents into a network folder, rename all the documents, move the documents to an FTP folder and then make the documents available to customers on a Website in PDF form. This time-intensive process often resulted in late documents and $75 in vendor fines for each delayed delivery.

With Laserfiche WebLink, an automated process ensures that customers can view documents on the same day of the tow—many hours before the deadline.

• When a towed vehicle is added to the storage inventory, storage facility employees scan documents from the drivers along with customer-supplied paperwork like driver licenses into a network folder.
• From the network folder, Quick Fields brings the documents into the Laserfiche repository and identifies the documents by reading their barcodes.
• The custom Workflow session retrieves the vehicle information from the towing software using the barcodes, and Quick Fields completes the template fields.
• The accounting office then e-mails digital invoice copies to customers.
• Quick Fields files the documents and automatically makes relevant documents, such as storage reports, driver licenses, private party impounds and pre-tow pictures of the vehicles, available for customers via WebLink.
• Customers can view the files related to their tow with an assigned, secure login.

This fast flow of information empowers United Road Towing as well as the customer. The customer may view the document on the same day as the tow, and United Road Towing now:

• Saves half a pallet of paper (50 boxes) per month.
• Eliminates $650 a month in off-site storage costs.
• No longer needs to train storage employees on a formerly laborious customer service process.

“In the past, a dedicated staff person spent eight hours completing this process. Now, it only takes 30 minutes to verify all the documents that were scanned,” says Gallegos.

Overhauled Processes Bring Big Benefits

United Road Towing counts centralized data as the most basic gain from Laserfiche, which has completely eliminated the company’s reliance on a carrier to move documents from remote sites to the main office.

The rewards multiply when it comes to customer satisfaction. “Now anyone who answers the phone can answer inquiries about the status of a vehicle by doing a simple search in Laserfiche,” notes Gallegos. “We used to have to transfer calls to the storage lot where the vehicle was stored.”

The company’s five storage facilities follow the same procedures, but the company can shift tasks around depending on the available employees and their skill levels. For example, when a customer calls requesting paperwork from their insurance company to release the vehicle to a body shop or the police department inquires after proof of ownership forms, dispatch staff can now look up the related information in Laserfiche instead of relying on lot staff.

More employees can be cross-trained to complete work in multiple departments. Whenever the staff has downtime, employees input and check metadata in Laserfiche from any documents that don’t include barcodes. Recently, the company even changed its file clerk positions into quality assurance roles.

With Audit Trail, Gallegos can run a report that outlines which employees have accessed certain documents. Every month, she uses the report to check productivity and conduct any back-training
for employees based on their efficiency.

United Road Towing is close to completing an expansion to the corporate office in Illinois. Instead of spending money on overnight mailing costs, the company will now digitally send Department of Transportation documents to corporate employees via WebLink.

Other plans for growing United Road Towing’s Laserfiche system include:

• Using the Laserfiche Mobile iPad app to digitize the signed agreement binders that tow drivers currently carry in paper form. Capturing and storing the most current authorization forms will ensure that drivers remain in compliance with local regulations.
• Working with municipalities to write laws that standardize the authorizations needed to tow a vehicle and giving cities access to signed agreements via WebLink.
• Expanding the Laserfiche system to 11 additional sites to further standardize procedures and bring cradle-to-grave records management to the rest of the company.

“Laserfiche has helped to ensure that processes are consistent throughout the company while allowing us to improve processes and gain efficiencies,” Gallegos says. “It’s one of the best investments we’ve ever made.”

Although both Arkansas’ supreme court and court of appeals have recently begun broadcasting—and archiving—live oral arguments on their Website, it is the courts’ use of enterprise content management (ECM) technology that has caught the Supreme Court’s eye.

“We’d had a document imaging system in place for several years, but it hadn’t been used much,” says Frederick. “Only a few techs even knew how to access it, and the search and retrieval capability for records wasn’t particularly useful. We had to ask ourselves, ‘Why scan anything if you can’t use the system?’”

He continues, “Our principal selection criteria for an ECM solution included the ability to manage content, automate processes, enable easy access to records and raise visibility for the legal community and the public.”

He notes that, ultimately, it was the unlimited servers included with Laserfiche Rio that won over the courts’ IT Department. “Both courts issue opinions of high interest that are heavily accessed, so we wanted to make sure we had failovers and test servers in place to accommodate that.”

Laserfiche Enables Electronic Opinions

In 2009, Arkansas became the first state to establish electronic reporting as the official medium for appellate court opinions. Substantial cost savings resulting from the transition provided the opportunity to implement Laserfiche.

“Before that, the appellate court opinions had always been officially reported in bound volumes,” says Frederick. “However, the volumes were produced and distributed approximately four times a year, which meant there was significant lag time between issuance of an opinion and its appearance in its official format.”

With declining subscription rates, higher production costs and advancing technology, the court determined that its current method of publication was no longer acceptable. “Although court systems in general have been slow to enter the digital age, we have to remember that we work for the public, and they’re used to finding information quickly on the Internet,” explains Frederick.

“One of the driving forces that led to the implementation of Laserfiche was to provide the official version of the opinions to everyone free of cost. The substantial savings realized by terminating the bound volume method was also a considerable advantage,” he says.

Using Laserfiche WebLink, a Web portal that provides instant, read-only access to documents over the Internet, the Arkansas Supreme Court and Arkansas Court of Appeals publish their latest opinions in PDF format on their Website.

“Most court records and paper copies of opinions are retained indefinitely,” notes Frederick. “In addition, we are required by statute to keep three copies of each bound volume; the final published volume count was 375 when we made the transition. From that standpoint, the storage of electronic records is far more efficient.”

In terms of search and retrieval, “metadata is a gift,” Frederick says. The Reporter of Decisions established the courts’ file structure, templates and fields, which allow anyone to access the opinions using one or more of the following criteria:

• Date.
• Court.
• Order number.
• Justice/Judge.
• Session.
• Session term.

Current Integrations, Future Plans

After enabling live video streaming by implementing a Granicus software solution, the court integrated it with Laserfiche to enable the public and legal community to access archived video footage along with a copy of the opinion tied to the case in question. “We’ve made great efforts to become more transparent,” says Frederick. “By integrating Granicus with Laserfiche, we’ve created a comprehensive digital public record that’s accessible to anyone over the Web.”

The court is currently working on integrating Laserfiche with its court management system (CMS) so that court personnel can access documents stored in Laserfiche when they’re viewing a particular case in the CMS.

Although the courts haven’t yet taken full advantage of Laserfiche Workflow, a business process management tool included with Laserfiche Rio, they may use Workflow to route drafts of their opinions to:

• The deciding panel (court of appeals, typically three judges) for review and annotations.
• The Reporter of Decisions for editing, publication and retention.

“Flow is a big buzzword right now, so knowing that we can use Laserfiche to automate more of our processes presents tremendous possibilities,” says Frederick.

Change Management Methodology for Curing “Parchment Disorder”

“One thing I’ve noticed after working in IT across a variety of industries is that the public sector is a little more cautious when it comes to adopting new technology,” says Frederick. “Some people still get comfort in being able to touch a piece of paper, so educating and training everyone on the value of Laserfiche has been interesting.”

In terms of change management, Frederick’s philosophy is that history always denotes the future. “As we were moving to electronic publication, we focused on the input from the Reporter of Decisions and the parameters set by the supreme court. Full integration would have been more easily put in place had we also gotten input from the court about the opinion writing process upfront.”

As Frederick and his team prepare to use Laserfiche to enable attorneys to e-file briefs and other documents that make up the appellate court record, they are training the judges, judicial clerks and administrative assistants first. “The better we understand what each court needs, the more successful the transition will be,” he says.

Frederick explains that e-filing will eliminate the need for lawyers to bring 16 copies of their briefs to court. More importantly, it will allow both courts to quickly find specific pieces of information contained within those briefs, thanks to chapter and marker breaks within electronic briefs, as well as Laserfiche’s sophisticated search capabilities.

“Digitizing will lower our costs and increase our clearance rates,” says Frederick. “Training people ahead of time is a key factor for recognizing the value that Laserfiche has to offer.”

Located just outside of Los Angeles, CA, the City of Long Beach turned to technology to cut costs—and create innovative ways to improve citizen service delivery. In fact, Long Beach has been so successful at leveraging technology that it has just been named one of the top ten digital cities in the U.S. with a population of 250,000 or more by the Center for Digital Government.

“The City of Long Beach takes great pride in our use of technology to be more efficient and make City Hall more accessible and responsive to the community,” says Mayor Bob Foster.

According to Curtis Tani, Director of Technology Services, the effort to reduce costs without compromising service delivery has been three-pronged:

• Consolidate information and communication technology (ICT) services.
• Increase transparency and collaboration across the enterprise.
• Digitize processes, forms and workflow.

“The Mayor, the City Council and City staff understood the value that technology could bring the city and were open to change at the foundational level to allow Long Beach to become a technology leader,” says Tani. “They understood that the shortfalls in our budget challenged operational efficiencies and gave the Technology Services Department the freedom to lead initiatives to make Long Beach a digital community.”

IT’s Strategy: Consolidate and Standardize

Long Beach has worked hard to consolidate technology functions to create budget efficiencies while still providing enough flexibility for each department to run efficiently. “By bringing our IT staff into one office and centralizing IT oversight, we’ve been able to decrease overall staffing costs as well as the number of overlapping technology investments,” Tani explains.

For example, in 2009, Long Beach chose to replace its existing IBM FileNet system in various departments with a Laserfiche enterprise content management (ECM) system that could be used across the city. “We selected Laserfiche to create more consistency, efficiency and transparency, while saving the city many thousands of dollars in equipment and maintenance fees,” Tani says.

In fact, by implementing a single Laserfiche system, the city cut its annual ECM support costs by 50%. “Our strategy is to implement shared services to capitalize on existing funding and consolidate services,” explains Tani. “Our ECM system is just one example of this.”

Other cost-saving IT consolidation efforts include:

• A new, enterprise-wide Internet-based phone system expected to generate $165,000 in annual savings.
• Virtual servers and workstations expected to generate $100,000 in energy and hardware savings over three years.
• Cluster databases that have reduced licensing and hardware fees.

ECM and Open Government

In April 2011, the Long Beach City Council adopted an open government policy identifying transparency as a core function of local government. To that end, making information more accessible by staff and citizens alike has been a top priority.

“Long Beach is dedicated to fostering and promoting open and transparent government where everyone in our community can easily participate and be engaged,” explains Long Beach City Clerk Larry Herrera. “As one of the largest cities in California, we are committed to exploring best practices, adopting new technologies that simplify and speed up all work processes and providing a level of customer service that is unmatched.”

Herrera notes that the City Clerk’s office uses Laserfiche to streamline paperwork and processes, helping the city deliver higher service at a lower cost. “In 2002, we needed 28 people to provide the public with quick, accurate and effective answers to their questions about our community. Today, with a staff of 17, our level of customer service is better than ever before.”

Over the past year and a half, the city has spent approximately $120,000 for offsite record storage. Staff had to manually retrieve paper records to answer requests, leading to delays in service and extra costs. As more and more records are added to Laserfiche, information access is improved and storage costs are expected to decrease.

On a daily basis, the City Clerk’s office scans thousands of records into Laserfiche. Just a few of the document types available in Laserfiche include:

• City contracts.
• Campaign finance reports.
• Statements of economic interest.
• Council agendas and staff reports.
• Election ballots.
• Sample ballots.
• Voted returns.

Last spring, the city made all city contracts executed as of the first of the year available to the public through Laserfiche WebLink, a read-only public portal. With 24/7 online viewing access, city residents, contractors and employees no longer have to submit public records act (PRA) requests for these items, simplifying access and saving time for both requestors and the City Clerk’s staff.

ECM across the Enterprise

In addition to the City Clerk’s office, the Long Beach Police Department (LBPD) relies heavily on Laserfiche, using the ECM system to make information such as gang injunctions, citations, restraining orders, field interview cards and accident reports available to officers in their patrol cars.

LBPD Police Chief Jim McDonnell notes that since implementing an improved gang injunction system using Laserfiche, gang violence in Long Beach has decreased. In 2010, the first year of using the new gang injunction system, gang-related murders dropped by 53.8%. “By pairing technology with optimized policies and procedures, we’ve been able to reduce violent crime in the face of severe budget constraints. Our officers were able to spend less time on administrative tasks and reinvest this time to keeping the streets safe.”

According to Jonathan Stafford, Administrator of LBPD’s Records and Technology Division, “We were delighted when the city decided to standardize on Laserfiche. We were confident that the simplicity and flexibility of the system would enable us to be more efficient by streamlining our processes.”

Other departments that have undergone concerted efforts to digitize paper processes include:

• Financial Management.
• Human Resources.
• Development Services.

For example, in 2011 the city expanded the types of permits and licenses that can be obtained online via the Website to include garage sale permits, temporary preferential parking permits, oversized vehicle parking permits and pet licenses. Technology Services also developed an interactive Fees and Charges Web application that allows the public to easily search for fees based on department, activity or keyword.

Long Beach began streamlining its accounting processes by integrating Laserfiche with its business intelligence (BI) system. Through the integration, images of the accounts payable invoices managed in Laserfiche are available to authorized users through the BI interface. This streamlines the process of researching expenditures by eliminating the need to manually pull the physical copies of the invoices.

Long Beach City Manager Pat West explains, “Our goal is to virtualize and streamline the access and flow of records and information within the city, while ensuring security. We have been pleased with the Laserfiche system, because it easily expands and adapts to the technological and human factor needs of various departments while providing central control that is needed to ensure accountability.”

Elements of Success

According to Tani, “All the right elements were aligned for the success of our technology initiatives. City leadership, staff and citizens were onboard with the transition and willing to go above and beyond to make our efforts to centralize and standardize Long Beach’s approach to technology successful.”

In addition to the Laserfiche projects outlined above, a few of the innovative ways the citizens of Long Beach can now use technology include:

• Submitting service requests for sidewalk, graffiti and pothole repair through Long Beach’s Website or via the city’s iPhone and Android apps.
• Watching live and archived City Council meetings on the Internet, iPhone or iPad.
• Obtaining time-sensitive information such as road closures or missing persons from the police via Web, social media, live text and/or e-mail alerts.
• Using social media to access enhanced content including traffic and construction alerts, videos, news, pictures and other information.

Tani also notes that having buy-in from the community was essential to the city’s IT transformation. “We had overwhelmingly positive responses to different application launches—both from the media and end users.” He explains that the media provided ample coverage of different applications and technology tools for both public safety and general city services, and that the community was willing to try the new applications and processes and provide their feedback.

“Ultimately, increasing the dialogue between city officials and the community is what has given the city’s technology initiatives energy and poised them for success and sustainability,” he says.

As a result of the collaboration between city leadership, staff and citizens, Long Beach has used technology to position itself as a leader for the future.

With approximately 150,000 residents, Franklin County comprises 52 different departments, including the Commissioners’ Office, Human Resources, Human Services and Risk Management, to name just a few. Yonker notes that these departments “operate like 52 separate businesses under the same umbrella.”

In this kind of environment, it’s especially important to establish enterprise-wide IT standards to promote consistency and cross-departmental collaboration, Yonker says. However, it’s often difficult to find technology that’s agile enough to meet the needs of many different departments and flexible enough to adapt quickly and cost-effectively to changing conditions.

“It’s hard to convince all the different departments that they can all use the same system,” says Yonker. “Because of that, we didn’t start out thinking Laserfiche was going to be enterprise technology. But after the enterprise content management seed was planted in one department, suddenly all our departments wanted to know more.”

The Beginning

Franklin County first purchased Laserfiche back in 2001. “We had some younger Commissioners come in, and they were more familiar with technology and the benefits it could have for Franklin County than previous Commissions had been,” explains Jean Byers, deputy chief clerk in the Commissioners’ Office. “They selected Laserfiche for its instant search capabilities, as well as the fact that we could install it directly on the computers already in use.”

She continues, “We immediately realized tremendous benefits from Laserfiche. Documents that used to take days to find became available with the click of a button. It used to take hours to find specific text within meeting minutes that were hundreds of pages long, but with Laserfiche it only took seconds.”

The new technology also made it easy to share documents with colleagues, and due to a similar look and feel as Windows, Laserfiche quickly became popular with both management and staff.

The Evolution of an Enterprise Standard

As Laserfiche took root in the Commissioners’ Office, other departments began to take notice. With their focus on compliance and prudent financial management, both the Fiscal Office and the Controller’s Office deployed Laserfiche in 2004.

“Laserfiche is great for accounts payable (A/P) functions and auditing,” says Yonker. “For A/P, instant document retrieval speeds and simplifies the review and approval of invoices. And with electronically stored documents, employees can quickly and easily pull the files needed to satisfy an auditor’s request, with no need to spend hours digging through file cabinets. That’s a pretty impressive efficiency boost right there.”

Yonker notes that rolling Laserfiche out to additional departments was an easier sell than other system expansions because there was buy-in from the top right from the start.

“Whenever County purchases exceed a certain amount, they need to be approved by the Commissioners,” he explains. “Because the Commissioners were already very familiar with the value of using Laserfiche, they never hesitated to give the go-ahead when other departments wanted to get on board.”

The next departments to raise their hands and ask for Laserfiche were Human Services, which was particularly excited about Laserfiche from a disaster recovery standpoint, and Human Resources. Both departments implemented the software in 2006.

Human Resources

The first thing the HR department did after implementing Laserfiche was to start scanning personnel files into the system. It took some time to develop an appropriate folder structure that separated employees’ employment records from their confidential medical records and discipline files, and then it took about a year to get everything scanned in.

“We probably spent between 4-6 months in the planning phase, but getting those personnel files into Laserfiche properly has had an enormous payback for us,” says John Aguirre, Director of HR at Franklin County.

A few of the benefits include:

• Reduced paper consumption. “We used to photocopy 100,000s of pages of job applications a year for review by our elected officials,” says Aguirre. “We almost never make hard copies of documents anymore since our officials have access to everything they need in Laserfiche.”
• Instant search and retrieval. “The ability to locate documents quickly is great for me,” explains Aguirre. “Not a day goes by that I don’t get a request from one of our directors for material from an employee’s personnel file for various purposes. Laserfiche makes it easy for me to satisfy their requests and quickly e-mail them exactly what they need to see.”
• Higher staff productivity. “With Laserfiche, we can do more with less and accomplish more functions with the remaining staff, which is important in this economy. When one of our part-time HR reps left the County, we didn’t need to find a replacement because Laserfiche makes everybody more efficient. Retrieving documents is as easy as opening a Web page.”
• Reduced need for document storage. “Prior to implementing Laserfiche, we had a large ‘Electreiver’ file cabinet in the office that stored approximately 1,500 files and rotated them on chains. It was always breaking down and causing us headaches. Once we started digitizing our documents, we were able to get rid of that monster, along with five standing file cabinets. We now use that space for our receptionist’s desk and our Laserfiche scanner, so our office is much less cramped,” says Aguirre.
• Easier audits. “Auditors love Laserfiche because it’s so fast and easy to use. It’s also clear to them that we’re meeting compliance mandates with regards to our folder structure and the security surrounding confidential medical records, etc. In addition, my department no longer has to stop working in order to organize for the audits.”

Aguirre notes that in addition to managing personnel files in Laserfiche, his department has also added recruitment documentation and union and arbitration files to the system, which has led to quicker resolution of some grievances. In addition, HR is currently most of the way through scanning employees’ benefits files and leave of absence documents into the repository, and it has recently started on payroll documentation.

“Laserfiche is so secure in terms of access rights and privileges that we’re comfortable using it for everything we’ve got,” Aguirre says. “For example, I’m the only person in the HR Department who can view the union files, and I’m also the only one with deletion rights. I know that unauthorized staff can’t see confidential information, and I know that no one’s going to tamper with our files. The role-based security provides real peace of mind.”

Laserfiche Rolls across the Enterprise

With some technologies, organizations hit a tipping point for enterprise adoption. For Franklin County, that tipping point for Laserfiche was the implementation in HR.

“After HR deployed Laserfiche, everybody started to ask for it,” Yonker recounts. “People saw how successful the HR implementation was, and they began to talk about what the benefits for their departments could be.”

As Laserfiche was adopted by more and more departments, the types of content stored in the system grew more and more diverse:

• Emergency Services uses Laserfiche to manage notes from its 911 calls and cases.
• Franklin County Jail stores inmate records and requests in the Laserfiche repository.
• Planning, which is tasked with fostering the proper growth of communities within Franklin County, manages new development records with Laserfiche.
• Open Records, with its goal of making government transparent to County citizens, makes plans, drafts and studies stored in Laserfiche available to the public.
• Real Estate manages audit reports and past voting results using the ECM system. It is also able to respond to 13,000 queries a week in a fast and efficient manner thanks to Laserfiche’s ability to e-mail digital documents.

With 26 departments already using Laserfiche, Franklin County recently upgraded to Laserfiche Rio to bring 24 additional departments onto the system. According to Yonker, “Court Administration will be the last big department to make the transition, and we’re going to integrate Laserfiche with the state’s case management system for them.”

Although the IT Department had not initially planned to implement Laserfiche as the county-wide standard for ECM, it’s now grateful to have that consistency in place. “We got rid of a couple departments’ antiquated imaging systems in order to move them onto Laserfiche, which makes my staff more efficient because it only has to administer the one ECM system. It’s also easier from a user training perspective, since everybody’s using the same thing,” Yonker says.

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 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 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 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.”

Central Control, Departmental Flexibility

Ramsey County implemented a 2,000-user Laserfiche Rio system in the summer of 2010. It is supported centrally by a four-person team within the IS Department. To date, the team has transferred more than eight million documents stored in the old DocuWare system to Laserfiche and brought a variety of departments onboard, including:

• Administrative
  o Boards and Committees. Documents such as agendas, ordinances and proclamations are OCRed and stored in Laserfiche, streamlining search.
  o Budgeting and Accounting. Using DataNOW Affinity, Laserfiche is integrated with ASPEN (PeopleSoft) accounting software. Users can locate transactions in ASPEN and then automatically index, store and/or retrieve associated documents.
  o Human Resources. Personnel files are managed in Laserfiche. Laserfiche security restricts file access to authorized users.
• Elections. Laserfiche allows the department to save staff time and money on tasks such as making copies, redacting private information and responding to public data requests.
• Human Services. Laserfiche streamlines case management for divisions such as Child Care, Financial Assistance Services and Workforce Solutions.

Waldoch and Arvin note that the Elections and Administrative implementations have gone smoothly. “Because there was an election recount coming up, Elections employees did their homework before their initial meeting with us. They brought a lot of document samples and mapped out what kind of folder structure they wanted, which documents would need to be barcoded, what information would need to be redacted and so on,” says Arvin.

“Because of that, we were able to get them up and running in a week,” she adds. “Working with Crabtree, we’d do a build, show it to them that day, and then tweak it based on their feedback. They’d been thorough upfront with their planning, so there weren’t a lot of changes that needed to be made.”

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—and a heavy need for Workflow.”

To determine how to configure the Client repository that Human Services uses, Arvin sat down with key Human Services employees to better understand their processes. “Subject matter experts in each of the three areas of the pilot analyzed their current folder structure by reviewing case files. Together, we analyzed the tabs contained in the paper files and came up with a nine-sided file structure that could meet the needs of all the various Human Services divisions,” she says.

“The goal of implementing Laserfiche within Human Services is to allow case workers to collect information from clients once and share it electronically throughout all program areas,” explains Waldoch. “Electronic client files decrease delays in processing benefits since case workers have, via Workflow, near-immediate knowledge of document receipt.

“In addition, supervisors have greater visibility into the workload and productivity of their employees. With Laserfiche, they’re able to run queries showing them what’s being processed and what’s still waiting in the queue.”

Also adding to the department’s increased efficiency is an integration using LincWare’s LincDoc to create a Case Creation Form for the Client repository. “LincDoc makes two calls—one to a State system (SMI) and one to a County system (CAFÉ) —to pull the information needed to create a new case in Laserfiche,” Arvin says. “Automating this process saves staff time.”

After a case is created, it goes through the following steps:

• The case receives “Appointment Pending” status in Laserfiche. When the client arrives for the appointment, CAFÉ alerts the worker to the arrival. An intake worker assigns the case to him- or herself by changing a template field, and Workflow routes the file to that person’s New Cases Queue.
• The intake worker meets with the client to collect additional information. Once the information has been captured into Laserfiche, Workflow routes the case to Case Assignment, where a clerk assigns the case to the ongoing case worker.
• Workflow sends a New Case Notification to the ongoing worker, who “acknowledges” the case by changing a template field. The case is then visible in the worker’s Active Cases queue. The worker then manages the case for ongoing benefits.
• Once a case is closed, its status is changed from “Active” to “Closed,” and the case is routed to the Records Department for long-term retention.

Arvin notes that creating workflows for Human Services wasn’t as simple as she’d first imagined. “The biggest lesson I learned is that you shouldn’t try to replicate paper processes in an electronic workflow. We built a workflow this way only to find out that a chunk of it was unnecessary, so we had to ask the Laserfiche engineers to go back and build it again.”

In terms of additional functionality, the IS team is currently in the process of enabling electronic signatures, electronic forms and barcoding, all of which will simplify working with Human Services clients.

In terms of additional Human Services divisions, the team is working to:

• Transition 340 Financial Assistance Services employees from read-only to full-client users, allowing them to expand their use of the system beyond search and retrieval.
• Integrate Laserfiche (via DataNOW Affinity) with MAXIS, the state-based case management system.
• Integrate Laserfiche with vxVista, the Mental Health Center’s electronic health system, so that users can automatically retrieve information from Laserfiche while looking at patient cases in vxVista.

“Although we have a long way to go before we’d consider Human Services a mature Laserfiche implementation, we’re definitely on the right track,” Waldoch says.

Change Management Methodology

“A lot of counties have to force content management into their departments, but we don’t have that problem here, due in large part to our extensive training program,” Arvin explains.

For the Human Services Department, the Laserfiche team involved all pilot participants in the project from early on. “The more involved people are in designing their own solutions, the more bought-in they’ll be when it comes time to use it,” she says. “We also had some strong advocates who’d previously worked in other counties that use ECM, so that was certainly a stroke in our favor.”

Once the Laserfiche pilot had been implemented, non-pilot employees started receiving information from Laserfiche on disk so that they’d become familiar with the way information was organized and presented. The team also created a lot of training documentation (available online), including videos of how to perform tasks in Laserfiche featuring the cast of The Flintstones. “Just because something is technical doesn’t mean you can’t have fun with it,” Waldoch says. “If people are laughing, they’re paying attention.”

In-person training classes are conducted by unit, so that employees see the information and steps that are relevant to them. When needed, the Laserfiche team conducts individual training sessions as well. The Laserfiche team also plans to create a county-wide Laserfiche User Group to facilitate knowledge sharing between departments in the future.

Future Plans

Although Laserfiche is currently being used by several departments to enhance internal productivity, in the future, Ramsey County wants to use Laserfiche to directly help its citizens as well. It plans to do this by making information available to its constituents via a public portal, increasing transparency, and also by giving constituents the ability to complete and submit forms online. “We’re here to serve the public,” Waldoch explains. “We want them to get as much benefit from Laserfiche as our staff does.”

In conclusion, Waldoch says, “Laserfiche is a powerful enterprise system that’s already having a great impact in a number of departments.”

Rather than implementing separate solutions for the clinical and non-clinical sides of the house, MCCMHS officials recognized that enterprise content management (ECM) 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 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 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.”

Going Mobile

McElfish adds that MCCMHS has been speaking with Nelson and Bolt to explore ways to simplify and streamline how data is entered and accessed between Avatar and Laserfiche. McElfish says staff is especially encouraged by the release of Laserfiche Mobile, which could be used to grant clinical staff in the field comprehensive access to patient data via Web Access. He says several options are being considered, including taking advantage of the Laserfiche Q3 Promotion to upgrade the agency’s current system to Avante and receive Web Access (which is required to use the Laserfiche Mobile app) for free.

“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 management system, it represents a critical and necessary content management tool that complements Avatar.

“We’ll continue to have paper and documents that need signatures, and the simplest, most cost-effective way to incorporate them into our EMR strategy is to use Laserfiche. There are digital signature solutions and other options, but Laserfiche lets us use what we already have,” McElfish adds. “Our goal was and is to have a single database to model our EHR from, and Laserfiche has provided us with the portability and flexibility to move forward with that goal from a solid foundation.”

“The staff was really good in sitting down and critically looking at how they do business with their documents,” Filippi says. “Because of that, they were able to come up with the identifying fields that process 95% of their documents.”

In a series of narrated screen shots, Filippi provides an overview of the process, along with some best-practice advice:

1. Avoid inputting information from the same document at the same time.
2. Use best practices and practical needs to manage metadata.
3. How the Property Transfers Division configured their template.
4. 67 database fields shared across 26 document templates.
5. “People love stamps here.”
6. Processing ‘Claims for Reassessment Exclusion’ forms.
7. Extracting data from the form.
8. Create templates first to help determine fields.
9. How tokens use fields to name documents.
10. Include the document type in its name for future associated use.
11. Can’t find something? Check the folder path.
12. Use Zone OCR to extract data from a specific area of a document.

*****

1. Avoid inputting information from the same document at the same time.

“When you first open Laserfiche Quick Fields, it tells you the recent sessions you already opened based on your log-in ID. If someone is using that session, you can’t open it—which is good because you’re avoiding the cross-scanning, as I call it,” says Filippi. “You might have people trying to input information from the same document at the same time. Some users don’t like it because they say, ‘Well, it cuts down on productivity,’ but you have to think of the bigger picture here: We want to make sure we have accurate document data in our repository. That overrides everything else, so I’m glad Laserfiche considered that in the software’s design too.”

2. Use best practices and practical needs to manage metadata.

“Metadata management is a good source of one-stop shopping for us to identify what we’re using, what we have as far as templates and fields, and where we can cross reference data and information in our document repository,” says Filippi. The Assessor Recorder’s 26 templates below were developed in-house working with department staff to determine their respective best practices and practical needs. “Everything you see is what we’ve created internally going through the processes, testing and then streamlining.”

3. How the Property Transfers Division configured its template.

“Property Transfers has decided to do ‘one-stop shopping,’ so this is their template,” explains Filippi. “All the field names on the left are common to every single document type they use. What’s really important is on the right under ‘required.’ When staff scans these documents through Quick Fields, the only field that needs to be inputted at the time of capture is the document number. Good or bad, that’s how they’ve maximized their efficiency. They’re identifying their best business processes to help them sort and go to these documents.”

4. 67 database fields shared across 26 document templates.

The Assessor Recorder’s Office uses 67 different types of fields to process and index documents—social security numbers, permit numbers, names, notice dates and so on. “Laserfiche has hundreds and hundreds of field capabilities you use to name your documents or manage your repository with,” Filippi says. “Pretty much everything in our repository that is searchable has a field and is listed here.”

5. “People love stamps here.”

In addition to fields and tags, departments use stamps electronically affixed to a document that employees have customized to their needs and preferences. “As you can see, there’s quite a few of these. I’d like to see less,” Filippi laughs, “but people love stamps here.”

6. Processing ‘Claims for Reassessment Exclusion’ forms.

‘Claim for Reassessment Exclusion’ forms are required by Proposition 58, which exempts a property from tax reassessment when it passes between parents and children. On the left, the ‘Page Processing’ list displays the ‘menu’ of adjustments and refinements that will be made to the document. This session, for instance:

• Runs optical character recognition (OCR – see slide 12 below) to capture the assessor’s parcel number.
• Rotates the document upright.
• Removes blank pages.

“You only have to do this once—when Quick Fields identifies this document type, it will process it according to that configuration,” Filippi says. “Laserfiche has given us a lot of options on how to process documents at the time of capture.”

7. Extracting data from the form.

Says Filippi of the ‘Fields’ highlighted on the right, “When the users created this document, they identified that these pieces of information—the year, the document number, the APN and so on—are all critical to identifying, processing and efficiently moving this document through their business processes.”

8. Create templates first to help determine fields.

Before determining fields, Filippi recommends, “The first step is to create a template for a particular document type,” or a ‘blueprint,’ as he calls it. “Then, from those templates, you get an idea of your fields,” he says. “The important thing is to understand the document types first, which are identified by your templates. And then, what fields you need in each of those documents to make them do what you need them to do.”

9. How tokens use fields to name documents.

The specific metadata fields in the ‘Property Transfers’ template will be used to name the document via a token, seen here in the ‘Default document name’ window ‘Fields.’ “When you see the ‘%’ sign, this is an actual script format that Laserfiche recommends to capture what you’re seeing right now. For ‘document number,’ the syntax is ‘%, bracket, field, doc number.’ Every time we run a session, we tell it, ‘capture this information in the document so our people don’t have to key it.’”

10. Include the document type in its name for future associated use.

“When you look up the document, you’ll see that it’s named according to the document number, the year and ‘Proposition 58.’ Now, the reason we do this—and this is just our business process—is to get to a point that whenever you type in a document APN, that eight-digit number will get every associated document that comes up with it, including a Prop 58. Some people say, ‘Why are you putting the name in again?’ Well, that’s why we do it,” says Filippi, adding, “Whatever fields you have, you can include up here. But this Division, in this document type-case, has decided only to put document number, year and the name.”

11. Can’t find something? Check the folder path.

When a file can’t be found, Filippi says check the ‘Properties’ column, a “one-stop shop for diagnosing problems,” as he calls it. “If you can’t find your document when you scan or capture, this ‘Properties’ tab on the right is the first place you should look. Most of the time, the folder path is wrong.”

12. Use Zone OCR to extract data from a specific area of a document.

Zone OCR is what allows ASR to pull data from a specific area of a document type, in this case the assessor’s parcel number (APN). Filippi says there was “some trial and error involved initially” with how big an area to OCR, eventually reducing the zone from the entire document to just the APN. The Department has since reduced its error rate from 20% to about 3%. “So if you know that your critical data is always going to be in one area of a given document, then I would suggest you maximize that ability,” he says. “Our clerical staff doesn’t have to key this information.”

Filippi points to this as another example of how Quick Fields is “really well thought out from a user perspective—you can tell it which pages to OCR. Again, it all depends on how you want it to work to suit your processes in-house. The critical components of the software have been really well thought out. But, you’ve got enough options to really make it your own. And that’s why it’s really been so huge for us here!”

During tax season, staff regularly doubles from 15 to 30, owing to the sheer volume of work—and paperwork—associated with tax preparation. But as HFG’s businesses steadily grew, the firm had also steadily outgrown what Chief Operating Officer Ali Mroue calls its “Stone Age document management system.”

In 2004, the firm had implemented the proprietary and non-SQL based system, which was an add-on module for the firm’s Intuit Lacerte tax preparation software, “purely for storage,” he says. Data transfer to PDF was difficult and error-prone, and “we were essentially scanning to create a back-up for the actual physical file. But that was unreliable—we lost data once, and it had no security or audit trail of any sort.”

From just paperless to purposeful: An ECM vision takes shape

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) 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.”

Working with Patrick Welsch of Laserfiche reseller Cities Digital, Mroue began to see how integral ECM deployment was to not only keep up with, but also anticipate, Hewitt’s projected growth. “We looked at a few solutions, and they all did things in their own way. Only Laserfiche offered the flexibility to develop our own folder structures and templates—and we’d be able to change them depending on requirements without calling in a consultant,” Mroue says.

“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 with a single click from Microsoft Office programs, while all forms from the Intuit Lacerte system are sent to Laserfiche using Snapshot.

“We were able to mimic our exact process in the Laserfiche system. Nothing changed for staff; I told them, ‘The client file doesn’t exist—it’s now a client folder.’ That made it easy for the employees to understand the change. Instead of people getting up and moving files from cabinets, it ‘jumps’ by itself,” Mroue says.

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

The jumping-by-itself, Mroue continues, is the result of implementing Laserfiche 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.”

“Now, using Workflow, the front desk sets up the appointment and creates the file for the preparer, and it’s just ‘click’ the field, ‘approve,’ ‘approve,’ ‘approve,’ all the way through the process. If something isn’t approved, it is sent back automatically with a ‘sticky note’ on the document in Laserfiche. Nobody has to leave their desk, and I can monitor the whole process and see where everything is so I know what’s getting done. It just raises the level of efficiency and accountability,” he adds.

“Operationally, we had the best tax season ever, especially for me since I could monitor every detail of the business and everyone’s performance from my screen,” Mroue says. “We delivered content on a CD instead of paper, so we used five boxes of paper instead of 50, plus we saved a lot on postage. We also saved the cost of our part time clerks—which is about $20,000 a year. We made our ROI in the first year alone. But the biggest savings was the preparers’ time—at least 10 minutes for every hour. When you add that up, that’s literally a thousand hours our staff can spend working with more clients.”

Coincidentally, the firm’s Laserfiche 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.”

Expanding deployment, saving more clicks with image-enablement integration

As of June 2011, the firm has extended scanning to Al Hewitt, Inc., its RIA firm. “Our goal is to eliminate all the files in our office by the end of August—which will free up a big space,” Mroue says.

For next tax season, Mroue says HFG will utilize Cities Digital’s Unfetterfiche to image-enable their Lacerte system with a single hot key. Deployment for the Al Hewitt, Inc./RIA side of the business is also being mapped out. “Each client file has about six folders, so that transition will be immensely beneficial,” he says.

“We’re taking things step by step,” Mroue adds. “One thing we’ve learned from this process is that in order for the transition to a totally paperless environment to be successful, users have to accept it and want to use it. Laserfiche has the flexibility to make that happen.”

For his part, however, Mroue is very satisfied. “From an IT standpoint, Laserfiche is easy to maneuver and to develop and change. You’re not going back and asking the VAR for help all the time, so it won’t cost you money down the road,” he says. “We’re already thinking about upgrading the system and adding more users.”

When Eastmont Towers’ Health Care Administrator Beth Nelsen RN, CHPN, began exploring enterprise content management systems, she soon discovered that “paperless” meant a lot more than just empty file cabinets. “First, we looked at outsourcing to a company that would scan our records onto disks,” remembers Nelsen, “but we were concerned about how we’d be able to use the information once it was digitally stored.”

Not to mention, outsourcing may have gotten rid of the paper—but it created an entirely new set of compliance concerns. Nelsen next began to explore solutions the agency could configure, use and administer in-house.

Quick Fields and Workflow: impressive possibilities

Kathy Gentile of Laserfiche reseller Bishop Business Equipment had worked with Eastmont Towers as an MFP hardware provider. Gentile, Bishop’s Laserfiche Document Management Specialist, invited Records Management staff from the agency to attend a workshop to see Laserfiche in action. Nelsen and her staff saw how Laserfiche Quick Fields could create files on the fly. Once files were created, Workflow could then notify decision makers of pending approvals and track those approvals throughout multiple business processes.

Nelsen was impressed. “We fell in love with Workflow,” she says, citing how it could help the agency:

• Transmit insurance information to the billing office.
• Send lab results to physicians.
• Route medication orders to the pharmacy.

“We’re a multidisciplinary team caring for people across a continuum, so that ability to share documents between departments, reduce paperwork and improve communication would greatly increase efficiency and positively impact patient care,” she adds.

Thus inspired, Nelsen and her team purchased a 30-user Laserfiche Rio pilot system and have spent the first half of this year preparing to roll it out. “Laserfiche Rio made the most sense in terms of meeting our immediate needs. It includes Workflow and the Records Management component to work with our EMR, as well as unlimited servers.

“As we progress, we can just add users to grow the system to meet our future needs and goals. Scalability was a big factor in choosing Laserfiche Rio,” Nelsen explains.

Goodbye filing cabinets, hello automated patient charting

Eastmont Towers’ medical records staff is now halfway through a backlog conversion process that Nelsen anticipates will eliminate at least four filing cabinets by the end of the year. Meanwhile, Nelsen and her staff have been analyzing business processes to guide the upcoming implementation. “After we had our initial training, we sat down to map out what exactly we do with our documents, where they are sent and why,” she says.

Initial focus has been on automating the patient charting process to compile and distribute client records and information as they enter Eastmont Towers from hospitals and other healthcare agencies. “We have several departments we need to route various information to, so we needed a way to streamline and simplify everything coming in and have it work with our EMR so staff could find everything in one place,” explains Nelsen.

Eastmont Towers is currently working with Gentile and Laserfiche consultants Our Support Services to automate and streamline the patient charting process:

• When a patient transfers to Eastmont’s Skilled Nursing facility, Quick Fields generates a chart by recognizing document types from an Excel spreadsheet.
• Quick Fields then populates metadata template fields according to patient name and ID number.
• Quick Fields then builds the folder structure out according to what documents fall under respective chart headings.
• Workflow then notifies the pharmacy and dietician according to document type (nutrition information, etc.).

Prior to implementing Laserfiche, paper files all had chart tab dividers. Every time a document was added to that tab, all documents had to be removed from the file so new information could be filed in the appropriate spot, then documents would be replaced in the folder and the folder refiled. A new feature in Laserfiche 8.2, dynamic fields, greatly simplifies this process, Gentile explains.

“When a ‘tab’ item is selected from the ‘Chart Tab’ field drop down, the ‘Chart Doc Type’ drop down list automatically populates to correspond with the documents that fall under that ‘Chart Tab’ category,” she says. “It’s saved staff a lot of time.”

Immediate practicalities, limitless possibilities

As Nelsen and her team continue to come up with ideas for future process automation, she sees even more potential for Laserfiche. “We wanted something that was would be fairly easy for the end user to learn but that also could streamline our processes better, and Laserfiche has met and exceeded our expectations,” she says.

Next up, she says, are integrations with the agency’s Keane clinical and financial software to support current EMR deployment and refine and automate processes in the Accounting Department. “We see a lot of value in having an ECM system that’s flexible and adaptable enough to meet clinical and non-clinical needs throughout our agency,” Nelsen adds.

“We have a lot of time and resources invested in our existing technology, so it’s important that Laserfiche enables us to build on the progress we’ve already made without interrupting the ways we’re used to working. Plus, the way Rio’s set up, we can keep building with it, which is very appealing to us. Technology’s always changing and Laserfiche is a great tool to adapt along with it.”

Screenshot of Eastmont Towers' table used to populate the template's dynamic fields by chart type.

The drop-down menu where users select Chart Doc Type to automatically populate the list with specific documents, instead of having to manually sort through tab dividers to find the paper file.

At the same time, Chelsea had been experiencing what Hyland terms “a slowdown” with some departments—IT and the Inspectional Services Department (ISD) among them—facing staff reductions of up to 15–25%. For Joseph Cooney, Director of Inspectional Services, servicing the FOIA/public records requests his department received every week from real estate agents and lawyers was affecting overall service levels. “We’re down enough staff that to devote one or two people to spend a whole day finding and copying paperwork to fulfill requests was just brutal,” says Cooney.

Filling a need, launching a vision

In 2009, Chelsea IT and ISD combined efforts to go before the Chelsea City Council to propose implementing an enterprise content management (ECM) system to address the problem. “It was a pretty easy sell,” recalls Hyland. His vision was to acquire a system that eventually all departments would use, with ISD leading the way. “ISD had the immediate need and the 100-year-old documents that made the case for digitization that drove the project.”

Out of the three vendor responses to the city’s RFP, it was the Laserfiche Avante ECM system proposed by Mike McDonough of area reseller Duplitron that met all the city’s requirements the most cost-effectively. “Several cities in our area were also already using Laserfiche,” Hyland notes. Faced with his own staff reductions, Hyland was especially encouraged by the idea of using Web Access to deploy, administer and eventually expand the system. “We have a virtualized environment, so the Web-based client made the most sense for us,” Hyland says. “The less desktop installation we need, the more resourceful it is for my staff, and Web-based deployment means more users can use the system from any browser in our intranet.”

For his part, Cooney was won over when Chelsea’s Deputy City Manager, a resident of neighboring city Peabody, showed him how that city’s Laserfiche Web Portal made public information instantly searchable and available from its website. “He literally typed in his name and every document came with his name in it came up right away. I was like, ‘That’s awesome. I’m sold.’”

Searchable, viewable, sendable

In April of 2009, the city purchased a 10-user Laserfiche Avante system with Import Agent and Web Access. Initial deployment targeted the ISD’s overflowing storerooms. Cooney’s staff began scanning in the 45 filing cabinets of building, electrical, zoning, etc. inspections, ranging from bulky legal size file jackets to 3×5 cards. Laserfiche in turn made all the documents, regardless of size, age or number of pages, immediately searchable by address and viewable as a series of thumbnail images. The improvement for Cooney and his staff was immediate. “We could literally be on the phone with a request, type in the address, ask, ‘What’s your email?’ And ‘Boom, boom, boom, see ya later’—it’s sent and done,’” says Cooney. “All our inspection notices coming in now are scanned in. We’re not bogged down at all.”

Building on the ISD’s initial success, deployment has followed to the City Clerk’s office, which has merged with the Licensing office to further consolidate and optimize departmental functions and systems. Planned implementations include the city’s Law Department, which, like ISD two years ago, has nowhere to go but the attic of City Hall with its file cabinet overflow. Hyland expects more to follow. “We envisioned the system to be something more and more departments will be using,” he says, noting that this makes sense not only from an IT resource perspective, but also in terms of establishing a single point of control for governance. “Our next step would be to securely open up our information to the community.”

Turning ‘physical ROI’ into a practical framework for increased efficiency and governance

To that end, Chelsea is considering a potential upgrade to Laserfiche Rio, which would include a WebLink Public Portal, similar to the one used in neighboring Peabody. With the ISD success as a cornerstone, he says, the idea at least has a fighting chance. “The reality is that using Laserfiche has given us a ‘physical ROI’ in terms of getting rid of hundreds of filing cabinets, so we have that foundation and momentum to work from.” With modest IT resources and city staff often wearing many hats (City Clerk Deborah Clayman also serves as de facto Records Manager, for instance), a Rio upgrade would offer Chelsea bite-sized benefits of an ECM strategy (incremental deployment/licensing; increased governance; simplified records management; test server environments) without the city—or Hyland’s modest staff—biting off more than they can chew.

The possibilities are many—from simply having a single, centralized repository for documents generated by all city departments to replacing its current PDF-based online documents available with links to view documents (with appropriate redactions) right from subdirectories in the Laserfiche repository. There are also other potential projects, from image-enabling the Police Department’s CAD/RMS system through its current SharePoint deployment to linking the city’s cloud-based GIS system to the centralized Laserfiche repository. Hyland is as hopeful as he is realistic. “Right now our concept of ‘workflows’ are limited to file-sharing,” he says. “But I think when once we get all the departments online, we’ll be able talk about how that will work for us and what ECM can do project by project.”

Challenge: Document management efficiency

Located across three campuses, Indigo North Health operates on a tight budget, balancing the provision of quality services with a streamlined yet highly efficient staff and infrastructure. Not surprisingly, internal efficiencies that contribute to improved services are a high priority for the organisation’s CEO, Cameron Butler; and high on the agenda in late 2009 was document and file management.

“We rely heavily on suppliers and contractors,” Cameron says. “So it’s important for everyone that the flow of information, whether in the form of general correspondence or finance-based documents is incredibly efficient. Unfortunately, this wasn’t the case; and with the business having doubled over the past five years, we were in the position of having to identify and implement a more efficient means of managing our documents and files.”

Answer: A Laserfiche solution

In partnership with Copy Print Scan (CPS) Albury, a Ricoh Business Partner, Indigo North Health sought to evaluate the suitability of a Laserfiche and Ricoh MFD (Multi-Function Device) solution. Following an extensive evaluation process, Cameron gained approval from the organisation’s board to partner with CPS on the solution’s implementation.

“The first and most important aspect of our document management on which we worked with the CPS team was our accounts payable invoice approval process,” Cameron says. “And by the first of July 2010, we had a streamlined workflow that’s nothing short of fantastic.”

Saving a day every fortnight

Streamlining the accounts payable workflow for invoice distribution and approval has delivered an immediate saving of eight to ten hours every fortnight. On that alone, it’s a saving that represents a near full return on investment in barely 12 months.

So where does that saving come from? Firstly, as invoices are received—either electronically or in hard copy—from suppliers and contractors, they are immediately transferred to the organisation’s Laserfiche system where they are assigned to a particular cost centre. At this point, the customised workflow developed by the CPS team kicks in and an email is automatically sent through to the cost centre’s manager.

The savings realised up to then are through:

• Eliminating the manual distribution of invoices.
• Reducing the instances of having to request misplaced invoices from suppliers.
• Removing the need to manage a large number of paper-based accounts payable files.

Next, it’s the Laserfiche-based approval process that adds even greater efficiency and savings. With the e-mail received, cost centre managers receive an embedded link to the invoice, which, when clicked, displays the invoice on their screen along with the ability to approve or deny the payment, specify an expense code and add notes for the accounts payable team if required.

Once closed, the approved or denied invoice is sent immediately through to the accounts payable team who then take the appropriate follow-up action. Again, the savings accumulate. This time, though, through:

• Streamlining the invoice approval process.
• Achieving instant transmission of approvals from the cost centre manager to accounts payable.
• Fully eliminating instances of invoices lost in transit.
• Dramatically reducing the “chasing up of approvals” by accounts payable.

“Laserfiche has delivered even more in cost and time savings than we initially expected when it comes to the accounts payable workflow,” Cameron states. “For cost centre managers, invoice management has become a simple and straightforward process, and for the accounts payable department, there are new high levels of accuracy, accountability and time efficiency.”

A well-defined audit trail

What then of purchase orders that relate to the invoices? “Quite simply, we have a Laserfiche folder containing invoices and another for purchase orders,” Cameron explains. “When the invoice is filed, it’s matched with any corresponding purchase orders so when the invoice is sent through, the cost centre managers are immediately able to verify its details against those stipulated in the purchase order.”

A key enabling factor in the matching of invoices to purchase orders is the advanced and highly accurate OCR (Optical Character Recognition) capabilities of the Laserfiche solution. Whether invoices are scanned in at the MFD or received by fax, the solution automatically scans and translates each word on the document, then updates an integrated index database.

“When we need to locate any document, whether it’s an invoice, purchase order or anything else that we’ve filed in the Laserfiche system, it’s a simple case of entering a supplier’s name or any other search criteria into the search field, and it’s there immediately,” Cameron says.

“The time this is saving everyone is definitely one of the key reasons this solution is being so well accepted and utilised by our organisation.”

An extended application

Having recognised the document and file management benefits of the Laserfiche solution, Cameron was quick to take the lead within Indigo North Health and initiate Laserfiche filing of business correspondence, patient records, and Board documents and meeting minutes.

“We’re a relatively small organisation, and even as the CEO I don’t have the luxury of a personal assistant,” Cameron states. “For my correspondence, one of the admin team uses the Ricoh MFD to scan in everything and drop it into my correspondence folder. From there, I’m able to browse through it all, search for any related documents and file it into my own Laserfiche file folders.

“For the admin team, all that’s required is to stack the correspondence into the MFD’s document feeder, press a couple of buttons and that’s it,” Cameron continues. “In a matter of a minute or so, all my daily correspondence is scanned, filed and available online.”

Understanding the business

It’s well worth noting that while the Ricoh MFD and Laserfiche are the two core elements that have supported achieving those early savings, the equation is significantly more than being simply the sum of the two. It is the tight integration existing between the two technologies, along with the high levels of customisation and integration that enabled the CPS team to create workflows that have proven to be precise matches for Indigo North Health’s business needs.

“When the project commenced, we had in our minds what we wanted to achieve,” Cameron explains. “But then, there are workflow requirements that are specific to our business and to the industry in which we operate. Bringing our ideas and goals to reality was only achieved through committed work from the CPS team to understand our business, talk to our administration staff members, thoroughly document the manual processes and then apply that knowledge to the solution.

“It’s that same commitment and expertise that we fully expect will underpin the growing range of applications we have in mind for the solution. For us, the Ricoh MFDs, Laserfiche, support and expertise are fundamental to our ability to improve efficiencies and deliver even better services to our community.”

• Copying and filing checks, purchase orders and invoices.
• Filing bank and vendor reconciliations and journal entries.
• Answering daily open records requests from vendors and departments district-wide.
• Making records available for auditors from internal, local and state agencies.

By 2008, file cabinets were taking up more and more space—and staff trips to look up records were taking up more and more staff time. Sheryl Davis, Superintendent for Business and Support Services, decided to do something about it. Davis had seen how different document types could be scanned, sorted, indexed and filed according to a customizable set of template fields using Laserfiche at a workshop held at the Region 12 Education Service Center (ESC Region 12). ESC Region 12 held the workshop in conjuction with their Laserfiche reseller, Bryan/College Station-based SMARTfiles, to introduce Laserfiche and its benefits for ISDs.

Davis was encouraged by the fact that ESC Region 12 (which serves WISD) was already successfully utilizing Laserfiche, and contacted SMARTfiles about acquiring a similar system in the WISD Accounting Department.

A scan in time saves nine

Initial implementation focused on automating how AP staff captured vendor information, and key to that was integrating Laserfiche with the District’s SunGard e-Finance software (formerly Pentamation). Utilizing Laserfiche Quick Fields advanced capture software, staff could now schedule regular processing sessions to automatically create Laserfiche files using the purchase order (PO) numbers, which then automatically fill-in vendor information from the SunGard system. The efficiency, says Cindy Shaver, Accounting and Payroll Coordinator, was immediate. “It saves us time because we don’t have to scan in the POs and create a file,” she says. Then, after paying the invoice, the scanned check and other supporting documentation are likewise added to the file—which is all accessible from a desktop.

WISD found that user adoption is not without its hiccups—or its remedies. “We had an employee that did not want to scan at first, as she thought it would consume her time,” Shaver recalls. “Once she saw the value in retrieving documents at her desktop and not having to retrieve them from a file cabinet and/or boxes from off-site, she became more willing to scan.”

Shaver admits she herself took a little time acclimating to the idea of paperless information automation. “When I first came on two years ago, I thought we’d need to create a full-time position to scan in all these documents, but that hasn’t been the case,” she says. After every check-run, the Accounts Payable Specialist scans in the checks and supporting documentation by PO, adding them to the file already created in Laserfiche. “It takes some time and monitoring to ensure that items are being scanned in weekly, but the result is this overall efficiency,” she says. “It’s absolutely wonderful to have this information on our computers versus going to a file cabinet, or a person’s office, or finding a missing document.”

The scanning process itself benefitted from some refinements. Initially, Shaver says, staff scanned in by invoice. “But one check could pay 30 invoices, which took time. So we reevaluated the process and started scanning by POs.” Now, almost three years later, the department has seen consistent long-term benefits. “We are able to retrieve documents quickly and are able to move files off-site sooner, which has freed up space in our department.”

As a principal end-user, AP Lead Gloriana Murry credits a short but optimistic learning curve with contributing to both the success of initial adoption, and leading to a broader scope of Laserfiche use. “It’s a very easy-to-use system,” she says. “It didn’t take much to open my eyes to what else we could use the system for.”

WISD’s Laserfiche reseller, SMARTfiles, intially provided staff with an eight-hour training session, followed by annual refresher courses. In addition, monthly newsletters and tips-and-tricks e-mails keep users up-to-date with new ways to increase efficiency. Staff have also taken advantage of online training courses available through the Laserfiche Certified Professional Program to further increase their knowledge base.

Shaver credits the flexibility of Laserfiche to add and customize template fields with expanding its use for more detailed audit information and accounting functions, including journal entries, bank reconciliations and documents/reports for outside auditors. “I created a template for journal entries very easily. I simplified the template to include ‘Journal Entry Number,’ ‘Description,’ ‘Period’ and ‘Year,’” she says. “Since I’m scanning them in, I no longer have to keep an actual file folder for them.”

Paper-free means headache-free audits, records requests and reconciliation

The comprehensiveness and convenience of having vendor and other financial information in single, searchable repository has significantly impacted two major processes-slash-pains: answering open records requests and making information available to auditors. “Every day you’re bombarded with phone calls from people needing information from you,” says Murry. “In the past you had to get up and go to a file cabinet to look it up—if it was misfiled, you were on your own. Now I just save a copy to PDF and e-mail it off. It went from taking 15 minutes to less than two minutes. I’ll have campuses call and I’ll have them on the phone and say ‘Okay, it’s in your e-mail right now.’”

Shaver shares this story: “I had an open records request for all invoices that were paid to this one vendor for the last five years. For the first 2 ½ years—from before we implemented Laserfiche—for those, we had to track them down in off-site storage and then pay to have those files delivered. We then had to un-staple them and stand by the copier machine to make copies,” she says. “For the invoices from the 2 ½ years since Laserfiche was implemented, I searched by vendor, highlighted and saved it to a file and sent the file electronically, which saved paper, toner and valuable time.”

Between internal, local and state agencies, WISD’s financial records are subject to regular audits—at least 12 times a year—often without more than a few days lead time. “Our auditors usually provide us a list of maybe 200 invoices they wanted to review for testing purposes.” Shaver says. “We used to either pull the items for them or they would go through our files to pull it themselves. Now, I set them up with viewing-only access in Laserfiche, so they can review their selections in Laserfiche.

“They can also save paper by saving their selections to file versus printing as they, too, are trying to go paperless,” she adds. “I had one auditor comment how simple the process was for him to review and how much it sped up the process. Some of the auditors were fighting over the computer as we had stored all information for them in a special “Audit folder”—perhaps next year I will need to ensure they have another computer with Laserfiche so they don’t have to wait until the other auditor is finished with their testing.”

Another process that Shaver says significantly improved is reconciling the WISD fixed assets system with its SunGard system. “If there’s anything missing in our fixed asset program or SunGard, I just use Laserfiche to research the asset in question and make any corrections,” Shaver says. “It’s so easy, and I’m doing it from my desk.”

Now, she says, she can’t imagine life without Laserfiche. “If you take it away, it’s like you’re taking away my computer. It’s like going back to the Stone Age.”

Hello Payroll, goodbye nine filing cabinets

More recently, Shaver’s departmental duties have expanded to include the WISD Payroll Department—and all nine file cabinets worth of its personnel files. “One of the Account Payable Specialists was promoted to Payroll Specialist II position—she’s a strong advocate for Laserfiche and is looking forward to utilizing it for Payroll,” Shaver says. The department, she adds, is preparing to input personnel files into Laserfiche, including:

• Action sheets.
• Direct deposit forms.
• Payroll deduction forms.
• W-4 forms.

For her expanded duties, however, Shaver is already using Laserfiche. “Currently, I am scanning in all the payroll redistributions that I have prepared, because it enables me to keep track of the redistributions as well as to retrieve the documentation for the redistribution,” she says.

She says what has made Laserfiche so versatile for WISD has been its ease-of-use. “I’ve seen similar programs to Laserfiche, but nothing as simple to use,” Shaver offers. “We can set it up similarly to how we’re used to keeping out documents on our desktops.

“It’s so easy to use that when I joined the department as the system administrator, I picked it up right away. I think it says a lot about our success using Laserfiche that it is so easy and intuitive, because you can set it up however works best for you.”

“Rodney recognized that although SharePoint could do many great things for our organization, DoD 5015.2-certified records management wasn’t one of them,” says Ellis, who today is a senior web analyst for the Port Authority.

“SharePoint,” she explains, “with all of its many features is so much more robust than a network drive. In particular, the Port Authority uses document workspaces heavily, because they make it easy to collaborate on works in progress such as contracts. However, once you go beyond about 10,000 documents, you’ve got a real mess on your hands.”

According to Ellis, the Port Authority didn’t want to lose the collaboration features inherent in SharePoint, nor did it want to take a familiar interface away from the staff, so it needed to make sure that the ECM solution it selected had a seamless SharePoint integration. “I was the lead on the team that built our RFP,” Ellis says. “In the end, we had more than 400 requirements and 24 vendors vying for our business. The SharePoint integration was our top concern.”

Other important selection criteria included:

• Robust records management functionality.
• The ability to electronically store a wide range of file types, including AutoCAD drawings.
• Open architecture allowing integration with line-of-business applications such as CRM.
• Availability of workflow functionality for process improvements—and a reduced paper flow.

“Before we implemented Laserfiche, our records management plan was very inefficient,” Ellis explains. “We’d print out documents, process them by hand and then file them in cabinets. We had a whole warehouse dedicated to file storage, containing all kinds of old documents in Bankers Boxes stacked nearly to the ceiling that we didn’t have time to properly manage.”

Laserfiche + SharePoint = Transparency

By integrating Laserfiche with SharePoint, the Port Authority now has the ability to collaborate on documents, retain them electronically, and efficiently manage and dispose of digital records—all while giving users access to content through the SharePoint interface.

“Laserfiche has dramatically reduced the flow of paper throughout the organization,” says Ellis. “It’s opened up space for new offices and enabled us to tear down an entire warehouse for profitable use!”

But the cost and space savings aren’t the most significant benefits the Port Authority has realized as a result of its Laserfiche implementation. By acting as integrative middleware, Laserfiche allows users at the organization to access information in the environment with which they’re already familiar: SharePoint.

“The Port Authority’s had SharePoint for close to ten years, so people are pretty familiar with it,” says Ellis. “Most of our users won’t even know they’re using Laserfiche. With the integration, our content is searchable on an enterprise level, and the results are returned to users transparently through SharePoint. It enables us to access all our information from one central location without having to train our users on a new system.”

Laserfiche + SharePoint = Operational Efficiency

With Laserfiche in place, the Port Authority has started using it to streamline business processes. First on the list? The RFP and vendor selection process.

The Port Authority was established in 1952 as a political subdivision of the Commonwealth of Virginia for the purpose of stimulating commerce in the ports of the Commonwealth, promoting the shipment of goods and cargoes through the ports, improving the navigable tidal waters within the Commonwealth, and in general to perform any act or function which may be useful in developing, improving or increasing the commerce of the ports of the Commonwealth. As such, it contracts with dozens of vendors each year.

In the past, the RFP and vendor selection process was manual and paper-based:

• Proposals were submitted in hard copy and photocopies for each member of the selection committee.
• After a contract had been finalized, paper copies were made for the Contracts and Finance Departments, and also distributed to the contract administrators.
• Because copies of the contracts documents weren’t centralized, it was difficult to locate the most current version of any given contract or amendment.

With the help of Unity ECM, the Port Authority’s Laserfiche reseller, the organization has transformed the entire process as follows:

• Proposals are submitted electronically and automatically routed into SharePoint.
• Proposals are posted to a workspace in SharePoint for contract evaluation, scoring, changes and selection.
• Once the collaboration phase is finished and the contract is finalized, it is automatically pulled into Laserfiche, where it is retained according to contract retention schedules.
• From SharePoint, users can access the contract by clicking on a URL that takes them directly to the document stored in Laserfiche. The URL placeholder in SharePoint ensures that the data is synchronized between the two systems, simplifying version control.
• When searching for a contract, users run a search in SharePoint that seamlessly provides results from both the Laserfiche and SharePoint repositories.

“Even employees who aren’t technologically inclined appreciate the efficiency of our new process,” says Ellis. “In general, having real-time information available in a central location has been one of the most important process improvements our organization has received as a benefit of this project.”

Overcoming Implementation Hurdles

One implementation hurdle that Ellis hopes to help other people avoid when integrating Laserfiche with SharePoint has to do with Kerberos, a network authentication protocol that, according to Ellis, is “widely used but poorly documented.”

The Laserfiche/SharePoint integration tools are optimally designed for a single-server deployment, but according to Ellis, the Port Authority “has Laserfiche and SharePoint set up on a multi-server farm that consists of five different servers: the Laserfiche Application Server, Laserfiche SQL Server, SharePoint (MOSS) Server, SharePoint SQL Server and a server for Laserfiche Web Access. Prior to implementing Laserfiche, we didn’t realize that—because we have multiple servers—the integration wouldn’t work without a great deal of manual configuration and without using Kerberos. We had a few frustrating days before we figured that out.

“In the end,” she adds, “we had to enlist a senior network administrator to assist us by adding the SPNs on the domain controllers, since adding them to the Laserfiche or SharePoint servers doesn’t solve the issue.

“My two big pieces of advice for other organizations that want to deploy the Laserfiche/SharePoint integration are to get to know your Active Directory and SharePoint experts really well (if you’re not either one) and use the Laserfiche Support Site. Read those Knowledge Base articles!”

Even the hassle surrounding the Kerberos issue, however, didn’t dampen Ellis’ enthusiasm for Laserfiche. “If I had to do it all over again the same way, I’d do it all over again, hands-down,” she says. “Both our users and our executives are impressed with the efficiency and effectiveness the Laserfiche/SharePoint integration affords the organization. Putting a secure, centralized and powerful Laserfiche repository behind SharePoint has given everybody much better access to the information they need to do their jobs well.”

The confidential information contained in a special education student’s file is vital to CSISD’s special education teachers. “It’s important that those working with students in Special Services understand what modifications need to be in place and what each student needs to succeed in class. That information resides in our students’ files, so maintaining them properly is a top priority for us.”

With an overflowing amount of paperwork, stored offsite as well as taking up space onsite, keeping these confidential records organized, secure and easily accessible was a massive problem. “I used to get paper cuts and a strained neck from sorting through boxes for hours to satisfy a request for information,” says Boller.

Costly Paper Trails

“We’re required to keep our students’ files for seven years after they leave our district,” Boller explains. As a result, the department housed thousands of inactive files in offsite storage—costing several thousand dollars a year.

“Annual placement review meeting reports alone can be anywhere from 10-30 pages long. Some students are in the district from age three until age 22, so they get reviewed 18 or 19 times,” Boller explains. “The bulk of content we have to manage, just in our inactive files, is incredible.”

In addition to yearly placement meeting reports, each student’s file includes federally protected information such as:

• Special Education testing (required every three years).
• Medical records.
• Disciplinary information.

To satisfy requests for information, Special Services staff used to go to the warehouse and search through boxes, or, in some cases, warehouse staff would bring 10-15 boxes from the offsite storage room to the department so that staff could sort through them to find the requested information. Once located, the department made copies of the entire file (sometimes hundreds of pages) and paid to mail it to the requesting school district. “At $5 or $6 a package, the cost adds up,” Boller says.

Transition to Technology

After learning about Laserfiche enterprise content management (ECM) software from an employee in the purchasing warehouse, the Special Services Department acquired bids from two other content management providers and then evaluated the software during demos and presentations. “We needed a solution that would not only keep our records safe and accessible, but would also be easy to use for a variety of staff. Laserfiche was the best fit for our needs,” Boller says.

“At first I was a little skeptical,” she admits, explaining that some of the long-time employees were especially hesitant to switch to digitized content. “But we received lots of help from SMARTfiles, our Laserfiche reseller. Scanning in all the files was faster and easier than I expected, and the end results of using Laserfiche make it well worth the investment of both time and money.”

Secure Access Saves Time

One of the biggest benefits of deploying Laserfiche for CSISD’s Special Services Department is that content is both more secure and easier to share with authorized personnel. “When a dyslexia specialist or a special education teacher needs to access an active record that was previously stored in one of 40 boxes, she’s now able to access that information online, right from her classroom,” Boller explains.

Because only authorized personnel can access the files stored in Laserfiche, confidential information is secure and protected. Plus, Boller says, “With student information in electronic format, it’s so much easier to provide it to new schools and districts if the student moves. The transfer of information is prompt, so students’ services aren’t interrupted.” She notes that smooth, continued service is particularly key to accommodating student needs.

CSISD uses the Texas Education Agency’s state-wide record request system, Texas Records Exchange (TREx), to send and receive student information across the state’s educational system. “We’re now able to export files from Laserfiche to PDFs, then upload them to the TREx system for delivery. We no longer have to scan in pages one by one. It’s so much faster and easier—and it doesn’t tie up the Xerox machines all day!”

In addition, CSISD uses Laserfiche Audit Trail to ease the burden of complying with federal record retention regulations and mandates. “The government can come in and audit us at any time,” says Boller. “Electronic records are much easier to locate thanks to the organized file structure, granular search capability and secure access we get through Laserfiche.”

Prepared for the Unexpected

While Laserfiche is able to reduce CSISD’s paper clutter and provide instant, secure access to student records, Boller brings up another interesting benefit of implementation. “In our region, we have to keep in mind that natural disasters occur. For instance, some schools lost all their paper records when Hurricane Ike came though.”

In order to create new or replacement files for special education students, the students must be retested. Retesting can take anywhere from four to 12 hours—not including the time it takes to do the paperwork. To get a child into the Special Services system, Boller says it can take as long as 60 days.

“Digital files aren’t as fragile as paper,” Boller says. “With Laserfiche, we don’t have to worry that our students will lose ground after a natural disaster.”

Future Plans

Although CSISD’s Special Services Department currently uses Laserfiche mostly for inactive records management, Boller says the department is moving toward managing all active files in Laserfiche. “After seeing what Laserfiche can do, we can’t wait to take it to the next level. Laserfiche has made our jobs more efficient, which in turn helps students—and that’s our main priority.

“Laserfiche allows us to better manage the sheer volume of paperwork we have, but our added needs for confidentiality and easy access make the system essential for Special Services,” she concludes.

A committee was promptly formed to review content management solutions. Ralph Stephens, Executive Director of Strategic Sourcing & General Services at TAMUK, knew that some of TAMUK’s sister schools had turned to Laserfiche with similar content management challenges.

In fact, nearly 1,200 staff in 10 different departments and divisions within The Texas A&M University System’s members were already benefitting from Laserfiche, including:

• Texas A&M University at Corpus Christi, to comply with records management retention schedules, improve document security and decrease the cost of handling paper.
• Texas A&M Health Sciences Center, to digitize all internal documents, reduce overnight shipping, eliminate office storage and improve document access and security.
• Texas A&M’s Department of Entomology, to securely store digitized documents, automate business processes and eliminate the need for file cabinets.

Stephens spoke with colleagues about the benefits of using Laserfiche and learned that Texas A&M AgriLife had also recently implemented Laserfiche to eliminate the need to print records and to automate document matching across 86 locations. The TAMUK committee contacted Laserfiche reseller SMARTfiles, which had worked with several TAMUS accounts, and arranged several demos to see how Laserfiche could fit their needs.

“So many records and copies were being created that security became an issue, especially for upper administration,” explains Vicki Bienski of SMARTfiles. “Sensitive information such as social security numbers and travel vouchers were being manually transported between offices.” Implementing Laserfiche would allow multiple departments to access and share information from a single, secured repository, rectifying confidentiality issues surrounding certain records while also allowing multiple departments to instantly access the information they needed.

The committee decided that Laserfiche was the right choice for TAMUK, with users across the board agreeing that the system was not only user-friendly, but also scalable enough to grow as needs changed. “Although we needed Laserfiche to solve our document storage issues, its breadth of capabilities also played a large part in our selection process,” explains Stephens.

Updating by Automating

Implementation began late that June and by the end of the summer, 15 employees in six departments were using the system, paving the way for campus-wide deployment that fall. Initially, the school chose administrative offices to serve as beta sites for developing procedures, testing processes and eventually training other departments to use the system. The beta sites included:

• Accounting.
• Accounts Payable.
• Budgets.
• Human Resources.
• Physical Plant.
• Procurement.

Once the beta sites proved successful, campus-wide deployment began. A significant part of this expanded deployment was to change the scope of Laserfiche use from archival storage to day-forward capture of active business documents, the idea being to input, organize and access old and new files across multiple departments, all from Laserfiche. “We liked that Laserfiche could be a repository for any document—image files, Word documents, PDFs, e-mails— not only scanned images,” Stephens says.

To automate such a high volume of document capture and processing, TAMUK turned to Laserfiche Quick Fields, which pulls data from incoming electronic documents, to automatically create, sort and file records in the Laserfiche repository. Managing certain business documents like purchase orders or payment vouchers, however, required a more elaborate solution.

Utilizing FabSoft Integration to Optimize Functionality

While Quick Fields could easily scan documents and file them appropriately from the university’s legacy system, those records were then sent to the University College Station remote mainframe, where information is electronically housed, before they were sent back to TAMUK and printed—up to a staggering 4,000 pages of vouchers and purchase orders a day. In order to eliminate both the need to print such a large volume of paper, as well as to eliminate the extra steps it took to input this paperwork and deliver it to the departments requesting it, TAMUK worked with Laserfiche engineers to integrate FabSoft with Quick Fields to create detailed electronic forms unique to the information at hand.

FabSoft places the print data from the mainframe system onto a new form, and that key information is extracted by Quick Fields, then organized and stored in the Laserfiche repository. From there, TAMUK departments selectively print only the purchase orders or vouchers they need, bypassing the remote mainframe. Response time to inquiries—both internal and external—has been greatly reduced. Multiple departments are able to access information simultaneously.

“We can quickly look up images of the purchase order or payment voucher and provide either copies or specific data elements in seconds rather than hours,” says Tina Livingston, Director of Budgets. “Previously, we had to go to file cabinets (sometimes in different offices), pull folders and make copies. Now, we look them up in Laserfiche and e-mail them to the customer.”

With such a successful integration of systems, Stephens says, “Several of the other A&M schools have expressed interested in following suit and implementing their own Laserfiche-FabSoft integration.”

Enterprise-Wide Results

Today, 200 users have access to Laserfiche, with approximately 45 users accessing the system on a daily basis—which is only 25% of TAMUK’s projected use. While TAMUK is saving on paper, labor, mailing and storage costs, the real benefit of using Laserfiche, Stephens says, has been in changing the mindset of TAMUK’s staff and administrators, inspiring the adoption of new ways of working.

“Laserfiche can do so much more than we first envisioned,” he says. “We’ve been able to expand it from a simple storage repository to a system that controls the workflow of our documents and maximizes efficiency.”

Though Laserfiche is now primarily used within Administrative Services and offices within departments, Stephens says that collaborative content management is the next phase—and TAMUK is looking to Laserfiche Workflow to drive it. “Workflow is going to be the real tool for efficiently managing documents between departments. It’s going to deliver huge benefits,” Stephens says. He predicts that TAMUK will see exponential growth in process change.

As for his take on the Laserfiche Run Smarter® Philosophy, Stephens offers this advice to new users: “For TAMUK, Laserfiche has been a business-process change agent—it showed us solutions to problems we hadn’t even considered before. Think of Laserfiche as an initiative, not just an application.”

She ticks off a few of the benefits that give Laserfiche a leg up on the competition: “First, Laserfiche is easy to use, because it looks and functions like Windows and Google. Second, it’s stable and easy for the IT Department to maintain. Third, it has an open API that makes it easy to integrate with our other applications.”

These benefits, Duckett notes, are vital to Shakopee, which has a two-person IT Department supporting approximately 125 city staff in nine different departments. In fact, if Laserfiche wasn’t easy to use, maintain and integrate, the city wouldn’t have considered shaking up its approach to enterprise content management (ECM) by upgrading from four concurrent users to a 50-user Avante system.

Leading Up to the Upgrade

“We first implemented Laserfiche in 2005, using it to manage building permits through an integration with our PIMS building permit software,” Duckett explains, outlining how the process works:

- “We print barcoded permits that our records clerk scans into Laserfiche Quick Fields, which is an automated data capture solution.
- “Within Quick Fields we have an ODBC connection that connects to the PIMS database.
- “Quick Fields pattern matches the permit address, permit type and permit ID and automatically archives the document in the Laserfiche repository.”

She also notes that the city has long used Laserfiche to manage council agenda packets and other miscellaneous items, some of which are made available to the public through Laserfiche WebLink, a Web browser-based thin client that provides read-only access to public information.

The desire to upgrade the system came last year, when the Police Department hopped on the Laserfiche bandwagon. “In October 2010,” Duckett says, “the Police Department started using Laserfiche for evidence photos, and we integrated Laserfiche with New World, the PD’s case management system, to enable officers to automatically open photos that pertain to specific cases.”

The integration works as follows:

- Officers access an incident report in New World.
- By right-clicking on the New World screen, a box with a “Search Laserfiche” button pops up.
- Clicking the button launches Laserfiche and automatically takes the user directly to the right case folder, where he can view the evidence photos.

Jennifer Boudreau, Shakopee’s Police Records Technician, explains that one way the PD leverages the integration is to track graffiti, making it easier for officers to identify all instances of a tagger’s work so the city can recoup clean-up costs.

She also notes that Laserfiche allows officers to access photos in the field from their squad cars, which is something they couldn’t do in the past. “It’s an officer safety issue,” she says. “For example, if the officers come across a tagger with a known gang affiliation, they can treat that individual with more caution.”

Boudreau notes that in the past, search options were limited. With Laserfiche, officers can search photos by case number, but they can also search based on the metadata associated with each photo. This makes it easier to discern patterns that might not have otherwise been apparent.

Now that Shakopee has upgraded to Laserfiche Avante, the Police Department is looking forward to scanning all case files into the system. “Right now, case documents are contained in a paper file, which eliminates collaboration and the ability to work on the case at the same time as someone else,” says Boudreau. “As a result, we end up doing a lot of photocopying, which wastes paper. It can also get confusing to have so many copies of the same document floating around, because you never know which is the most current, complete version.”

Further, she explains that Laserfiche will be able to store more than copies of paper documents; where applicable, electronic case files will also contain audio files, squad car video and so on.

Since the Upgrade

Less than a month after implementing its 50-user Avante system, Shakopee has already brought the Finance Department onboard. It now uses Laserfiche Quick Fields to scan barcoded accounts payable documents into the repository, where they’re instantly searchable from the desktop.

“With the upgrade to Avante, which for us included the ‘Barcode and Validation’ and ‘Real Time Lookup and Validation’ packages, we can now use the pattern matching feature in Quick Fields, which automatically creates the folder structure in Laserfiche,” explains Duckett. “This creates a more efficient and seamless process for the users who scan documents into the system.”

She adds that once the Police Department starts using Laserfiche for its case files, it will use Quick Fields for its scanning, as well.

The next department to start using Laserfiche will likely be HR, which wants to use the system to digitize employee records and automate the hiring process using Laserfiche Workflow, a business process management tool that automatically performs specified actions (such as document routing) based on organizations’ unique business rules.

According to Duckett, this is just the beginning. “We hope to have every department using Laserfiche by this time next year.”

Additional Integrations

With the New World integration well underway, and the integration with the city’s PIMS building permit software already in place, Shakopee has big plans for linking Laserfiche to additional city applications. “Next, we plan to integrate Laserfiche with GeoLink, our GIS/mapping application,” says Duckett. “When you click on a land parcel, you’ll be able to launch Laserfiche and pull up all the documents associated with that particular piece of land.”

This functionality will be useful for multiple departments, including:

• The Police Department, which will use it for crime mapping.
• The Fire Department, which will be able to quickly retrieve building plans during emergencies.
• The Public Works Department, which will gain easy access to sewer information.

She goes on to explain that the city is also looking to integrate Laserfiche with JDE, Shakopee’s finance, payroll and HR software. “By integrating these two systems—and taking advantage of Laserfiche Workflow—we’ll be able to simplify the payment cycle with electronic invoices and purchase orders that can be automatically routed through the approval process. Once we digitize our HR records, we’ll be able to automate the hiring process as well.”

From Duckett’s perspective as an IT professional, the best thing about the planned integrations is how easy they’ll be to set up. “Because Laserfiche is used across so many cities and government entities, there are a lot of proven, pre-built integrations available to us at no additional cost.”

Avante = Affordability

In terms of cost-effectiveness, Duckett also appreciates how affordable it was to upgrade to Avante. “If we’d stayed with a concurrent user system and simply purchased the additional functionality and users we needed, it would have cost us $40,000 more than the upgrade to Avante,” she explains. “Plus, our named users now have 24/7 access to information, which is important from a productivity standpoint.”

She concludes, “Although it’s early in the implementation process, we’re starting to see financial and efficiency savings in the Finance, Building and Police Departments. Once we extend Laserfiche to all city departments and start creating workflows, we expect to save a lot more on paper and printing costs, and we also expect to greatly enhance employee efficiency.

“It’s our goal to have Laserfiche installed on every desktop in the city. We envision that it’ll be used as often as our e-mail client, providing instant access to records, streamlining business processes and allowing us to move data across multiple platforms.”

The Facilities Services/Plant Management Department was using Laserfiche to digitize content like electrical drawings and floor plans, but other departments still relied on third-party storage and manual search methods. Filing, storing and locating records were not only extremely difficult processes, but also very time consuming.

“Managing primarily paper records in an organization of our size was often a slow, arduous and expensive task,” says Hiltz. “We were forced to rely on outside storage facilities, and manual workflow processes were extremely inefficient.”

In addition to eliminating the need for paper storage altogether by building a digital records repository, HWDSB also needed to improve its ability to readily locate records—both for faster customer service and easier compliance with government regulations.

Compliance Complications

The Ontario Ministry of Education requires a student’s records to be kept for five years after the student graduates, while other information is to be held for 55 years, including:

• Student transcripts.
• Special education information.
• Disciplinary records.
• Copies of diplomas and certifications.

In a district of 50,000 students and 7,000 employees, this amounted to an enormous quantity of records that were on paper, CD-ROMs or microfilm—often stored in boxes in basements of schools that had the extra space. “If someone graduated in 1960 and contacted us for a copy of their diploma, we had to take the time to manually search through each box until we found the record,” Hiltz explains.

Overhauling Old Methods

In an effort to overhaul its paper-based approach to content management, streamline processes in multiple departments and ease regulation compliance, Hiltz pushed for change. “The IT Department began an education campaign around content management. We held information sessions and group discussions to figure out how additional departments could use Laserfiche and if it was the right choice across the board.”

Turns out it was: Citing ease of use as the number-one selection criteria, Hiltz says that the scalability of Laserfiche allowed HWDSB to roll it out at a workable cost, expanding use by one department at a time.

“The biggest user of Laserfiche is the Director’s—or Superintendent’s—Office,” he says. There, the Director and other senior officials use Laserfiche on a daily basis, not only as a mechanism for storing records, but also to manage:

• Committee meetings and minutes.
• Trustee meeting agendas.
• Ontario policies and procedures.

Hiltz’s own IT Department also uses Laserfiche to manage its forms, invoices, purchase orders and records. Rather than wait for other departments to respond to information requests—which entailed locating the information, making necessary copies and then sending them over—now Laserfiche allows authorized users to retrieve records themselves from the Laserfiche repository. “All of the departments working with Laserfiche are eliminating storage and getting rid of excess paper, but we’re also focusing on improving interdepartmental access to records and making them faster to retrieve.”

In addition to IT, Facilities and the Director’s Office, HWDSB deployed Laserfiche in Business Services as well. “Accounting, Payroll, Purchasing—they all use Laserfiche now. When it comes time for audits of our invoices and purchase orders, everything we need is easily accessible,” Hiltz explains. “Previously, we had to send this information to offsite storage, which made retrieval extremely difficult.”

Winning Results

HWDSB was pleased to see several immediate benefits after expanding its Laserfiche implementation, including:

• A reduction in the need for offsite storage.
• Optimization of office space.
• Easier compliance with government mandates and a streamlined auditing process.
• More efficient use of staff time.
• Quicker searchability and accessibility of records.

“Laserfiche has become a part of how people do their jobs on a daily basis,” Hiltz says. “It’s evident people are committed to using it—it’s just a more efficient way to operate.”

A substantial amount of paper has been removed from HWDSB’s offices as files can now be accessed from the secure Laserfiche repository, both optimizing much needed office space and allowing the staff to work more efficiently.

“Laserfiche has allowed our staff to work more productively, saving our Board money and providing us with the confidence that we can quickly access critically important documents when needed,” Hiltz continues. “Staff is able to complete tasks in a fraction of the time and reduce the possibility of lost or late arriving documents.”

Positive Projections

In addition to using Laserfiche for enterprise content management, Hiltz says that HWDSB is also working to develop a SharePoint Enterprise Portal, with plans to use Laserfiche as the ECM component to provide content management, search and retrieval and Workflow automation. The integration will enable staff—and eventually students and their parents—to access documents stored in the Laserfiche repository right from the portal, eliminating the need to launch Laserfiche separately or toggle between screens. Staff-related documents types will include:

• Staff benefit statements.
• Vacation requests.
• Professional development portfolios.
• Mileage requests and reimbursement claims.

Staff will be able to log into the portal from anywhere and search information stored in Laserfiche. “One of the keys to this integration is the ability to instantly search for documents. Laserfiche makes it so easy,” says Hiltz.

Although HWDB is still at the beginning stages of implementing Laserfiche Workflow, Hiltz says that the organization is planning to use the full range of BPM functionality. The Director’s Office is eager to use Agenda Manager, while the HR department is very interested in using Workflow to automate processes for job applications, benefits information and staff records. “Using Workflow to complete forms and requests, while integrating with the portal, will boost efficiency in paper-heavy departments like HR immensely,” Hiltz explains.

HWDSB also has plans to make Laserfiche a part of its education initiative called 21st Century Fluencies. “We’re asking, ‘How can teachers teach like they’ve never taught before?’ The classroom needs to prepare students for careers, and of course technology is a huge part of that,” says Hiltz. “Both students and teachers are adjusting to learning and teaching with technology, and Laserfiche is the perfect fit with the idea of paperless classrooms—where reference materials, student papers, grades and so on are accessed and organized electronically.”

Hiltz concludes that HWDSB decided to expand its Laserfiche implementation because it is “far superior” to other ECM systems. “Even if Laserfiche is implemented in individual departments at first, the benefits are clearly enterprise-wide. It’s definitely important to focus on working toward implementation across the entire organization.”

When two of the 10 departments in ECOM’s Dallas office came to Zandi with what she recognized as a need for an electronic document management system (EDMS) in August of 2009, she saw an opportunity to introduce full-scale ECM/BPM functionality into the company, one familiar process at a time.

“I’d been preaching the importance of using workflow and document imaging, but I didn’t have any business groups with that burning need,” she says. “Then a year ago our tax and real estate departments each came to us with some ideas about streamlining and automation, and we told them, ‘If all your documents were electronic, you could.’”

Hitting the Ground Running—with the Vision to Go the Distance

ECOM had a relationship with Jeff Flory of Dallas-area reseller Datamax Technology Group, who suggested Zandi look into Laserfiche as an ECM solution agile enough to answer ECOM’s pressing needs while also possessing the potential to expand in size and scope. “Laserfiche was easily the most user-friendly solution we looked at, but it was also scalable to meet more and bigger needs as we evolved the system,” Zandi recalls.

ECOM purchased a 25-user pilot system with Audit Trail and the Laserfiche SDK with an eye toward future integrations, expanded deployment and automated business processes —once the immediate document management fires had been put out.

“We had the vision for BPM and automation upfront,” she says. “The important part for me was the Workflow and the scalability. We started with the two departments that were on fire, and we’re capturing that momentum to implement Laserfiche in other departments. The system lends itself to that flexibility.”

First up were HR and Accounting. Zandi explains, “HR saw that it could use Laserfiche for archiving and historical information, while Accounting could jump in with day-forward scanning of active records.”

Operational improvements followed these departmental implementations. For example, “Our Treasury Department has a variety of companies depositing checks and money. Those checks are now automatically scanned, so that when the bank receives checks it no longer copies them—and a notification that the bank has the check is automatically printed in Laserfiche as well,” says Zandi.

Unanimous User Adoption, Magnanimous Enterprise Expansion

Building on this initial success, ECOM is now upgrading from its pilot system to Laserfiche Rio with a goal of standardizing content and business process management worldwide. “Rio makes sense for us because it gives us the flexibility to add servers and licenses incrementally, in whatever way we need to,” Zandi explains.

Currently, the system is being rolled out to more departments in ECOM’s Dallas headquarters—with unanimous adoption. “The familiar interface, being able to save searches, being able to use sticky notes—these are things that helped people catch on right away,” she says.

Zandi is confident that Laserfiche’s ease-of-use is paving the way for bigger and better things for the enterprise by encouraging users to do bigger and better things with their information. “Laserfiche is flexible enough that departments can implement it in a way that mirrors their current system, but once they’re comfortable, they can say, ‘I don’t even need a folder, now I can start thinking about changing my business,’” she says.

That change, she says, will come from implementing business process management (BPM) initiatives using Laserfiche Workflow. To that end:

• ECOM is working with Datamax to integrate Laserfiche with its Navision accounting software to set up distributed approval A/P processing for 10+ departments. Invoices will be automatically updated, then filed according to payment type and date using Workflow.
• The Real Estate Department is planning to integrate Laserfiche with its Timberline accounting system to update contracts and payment histories and file them automatically.
• The HR Department plans to integrate Laserfiche with its ADP system to automatically create and update personnel folders.

The most extensive—and potentially impactful—use of Workflow, however, is in ECOM’s Traffic Department, which is developing 35 workflows with up to 250 different outcomes. “I can’t even get my head around it!” jokes Zandi. She credits the simplicity of the Workflow Designer for lending itself to such an extensive deployment. “Workflow is created graphically—the Designer is essentially drag and drop, so you don’t have to know Fortran to use it.”

With an operational model and foundation in place, Zandi says ECOM is well on its way to standardizing its approach to content management worldwide using Laserfiche Rio. “This is where the scalability of Rio is so, so important,” she explains.

“Once we have integrations with the ERP up and running in our office, we can roll it out to our offices around the world literally overnight,” Zandi says. “We’re developing what has the potential to be the global, centralized ECM/BPM standard for the company’s business processes. Even before we’ve done all our analysis or know where that infrastructure will go and how our repositories will break out, we know Laserfiche has the scalability to do it.”

“Technical innovation and efficiency are important to our citizens,” says Steve Barden, Systems Development Supervisor for Durham County, “and they’re a top priority for the IT Department as well.”

Over the past year and a half, one of the major strategic projects for Durham County’s IT Department has been upgrading and standardizing its enterprise content management (ECM) infrastructure. “In the past, ECM was viewed as a departmental application,” explains Barden. “We came to realize, however, that this is an inefficient and resource-intensive approach, so I stepped in as project manager to coordinate the various installations and get everyone on the same page.”

With Laserfiche already in place in four county departments, the choice of systems upon which to standardize was simple.

“We have 32 different departments across the county,” says Barden. “DSS, HR, Public Health and Legal were already using Laserfiche, so it made sense to stick with the system they were already familiar with. It was more a question of getting them all onto the same version of Laserfiche before rolling it out to additional departments like IT and Purchasing.”

Laserfiche Rio, with its unlimited servers and ability to give IT central control over the system while still allowing each department to customize it to their own unique needs, made the most sense from an enterprise standpoint. Today, Durham County has a 605-user Rio system, along with Quick Fields and Laserfiche Records Management Edition.

In the Beginning

Durham County’s first purchase of Laserfiche occurred back in 2006, when DSS decided that case management would be easier if files could be saved in an electronic, rather than a paper, format. To date, DSS has scanned and stored the following records in Laserfiche:

• Case files.
• Food & Nutrition Services.
• Child Welfare.

In addition, it’s currently about halfway through the conversion of its Medicaid records. “DSS will be moving into the county’s new Human Services Building at the end of 2012, and our goal is to be completely paperless by then,” explains Sharon Hirsch, Assistant Director of Customer Accountability for Durham County’s DSS Department. “It’ll make the move a lot easier,” she adds, “and there’s also no room in the new building for document storage, so that’s extra incentive to make sure all our records are accessible on the desktop.”

In fact, accessibility is Hirsch’s favorite thing about Laserfiche. “In the past, staff members had to request paper records from the Records Management team, and it sometimes took them a few days to deliver the requested documentation. Today, our staff has immediate, point-and-click access to the records they need. It’s a huge time saver.”

Hirsch also notes that it’s easier for supervisors to review active case files thanks to Laserfiche. “Active files used to be locked up in file cabinets by individual case workers. Laserfiche gives the supervisors greater visibility into work as it’s being done, so they’re able to correct any errors or oversights earlier in the process.”

Seeing the success DSS was having with Laserfiche, the HR, Public Health and Legal Departments soon implemented the system for themselves.

Branching Out

…into Legal

According to Nina Bullock, Administrative Assistant to the County Attorney, the Legal Department was tired of making multiple copies of documents like medical records and transcripts, which could number thousands of pages. “It was a constant strain on both material and staff resources,” she says.

The Laserfiche implementation has been particularly useful for the Legal Department in regard to document duplication and distribution. “Instead of copying and couriering documents to interested parties, we’re now able to e-mail them or send the documents on a CD.”

Additionally, the county’s lawyers no longer have to drag boxes of paper into court. Instead, they simply bring their laptops and access documents through Laserfiche. “Because staff no longer has to transport heavy files to court or move heavy boxes to retrieve closed files, the risk for injuries, particularly back injuries, has been greatly reduced,” says Bullock. “Back injuries are the most expensive costs for the Risk Management Division’s Workers’ Compensation claims. Changing the way the county works in this manner is setting a precedent that will potentially mitigate Workers’ Compensation claims by millions in the next few years.”

Other cost savings, she explains, have been substantial as well. “From fiscal 2007-2008, our expenditures on paper, toner cartridges, printer replacements and other related costs have decreased by 59% as a result of implementing Laserfiche. As our process becomes more streamlined and court systems become more technologically equipped to receive case filings electronically, we anticipate that these costs will decrease even more.

“So far,” she adds, “these savings have allowed us to avoid cutting staff for two years in a row!”

In addition, Bullock notes that use of Laserfiche has saved the Legal Department’s support staff approximately 10-15 hours per week, totaling roughly 3,500 hours a year. In particular, she appreciates that staff no longer has to spend days painstakingly stamping Bates Numbering onto each page of an evidentiary document; instead, Quick Fields does it automatically.

She explains, “With Laserfiche, our work product is better and our volume is higher, because the time we save on repetitive, manual tasks has been redirected to more substantive aspects of our jobs.”

Bullock believes that the benefits of Laserfiche—including lower costs, higher staff efficiency and increased confidentiality of client information—will continue to improve the department’s performance for years to come.

…into Public Health

For the Public Health Department, eliminating the need for document storage has driven the adoption of Laserfiche. “In February 2011, the department is moving into the county’s new Human Services Building, where there’s no space to store medical records,” explains Marcia Robinson, Local Public Health Administrator for Durham County.

“Prior to Laserfiche,” she adds, “we were storing current records in a 10’4” x 16’9” room, and we were archiving old records offsite with Iron Mountain. The process of finding, copying and filing records was both expensive and time intensive.”

Although the department has saved a significant amount of money on charts, labels, paper, document storage and toner, the real benefit has been the boost in customer service. According to Robinson, “Our medical records clerk no longer has to spend hours making copies to respond to requests from clinicians, practitioners, lawyers and other providers. She now has the option to e-mail the information directly from Laserfiche, eliminating backlogs and providing much more up-to-date files than she could when we were using paper records.”

She continues, “With Laserfiche, staff saves roughly 15 minutes per client during the registration process, reducing wait time and increasing our clinicians’ ability to serve more clients. Laserfiche also prevents many lost staff hours spent on chart preparation, along with the frustrations of searching for misfiled, misplaced and misnumbered charts.”

Overall, Robinson believes that Laserfiche is crucial to the department’s ability to respond efficiently and effectively to the needs of its clients. “In this time of budget constraints,” she says, “our investment in Laserfiche has paid great dividends.”

Overcoming the Limits of a Departmental Approach

Although these departments were all realizing great benefits from their use of Laserfiche, the lack of an enterprise approach to ECM was a problem.

Barden explains that there were two different resellers managing four separate Laserfiche deployments within Durham County. “Each department had a lot of flexibility to use the system as they saw fit,” he says, “but the IT Department didn’t have a lot of control over what was going on.”

For example, there was one repository on a drive that was never backed up, and a number of indexes that weren’t being backed up, either. In addition, Barden discovered that DSS had been scanning documents without using OCR, which made it difficult to find information contained in the repository. “When the IT Department doesn’t have central control over an organization’s ECM system, you run the risk of losing important information and other similar problems.”

Barden notes that the implementation hasn’t been without its flaws, but credits One Source Document Solutions, Durham County’s Laserfiche reseller, with being available to assist with any issues that arise.

“Although people aren’t always thrilled to let go of their paper,” he says, “in the long term we know that standardizing on Laserfiche is going to help the entire organization be more sustainable, more efficient and more available to our citizens. I had no idea what I was getting into when this project started, but it’s been gratifying to play a role in transforming the way the county does business.”

Mergers and acquisitions account for much of SEPT’s growth, but innovation, says Dominic Malvern, Head of Information Systems Development, accounts for much of its ongoing success. “It’s never been a stereotypical government ‘Mental Health Organization,” Malvern says.

In fact, when SEPT transitioned from a purely state-funded trust to a more privatized “Foundation Trust,” one of its primary initiatives was to partner with Adobe to develop an EMR system using its LiveCycle products supported by a Laserfiche ECM system from Laserfiche reseller ScanDoc/Fortus. Malvern saw the chance to hit the ground running with a pilot project in the trust’s Forensic Services Department, which was moving to a new building as part of a modernization program.

“It was the ideal opportunity for us to modernize how our live patient records were accessed, as it was apparent that continuing with a manual process was not in keeping with the state of the art service we provide to our patients,” he says. That process, he adds, had remained manual by default because the legacy imaging system in Forensics didn’t meet the Trust requirement for working with live patient records.

“A single patient record could run for several years, sometimes through a person’s entire adult life, so it would extend into several volumes,” he explains. “Constant patient monitoring meant frequent updates to records for many reasons such as observation or treatment plans, sometimes every 15 minutes.”

A Pilot That Needed To Fly 24-7

When choosing a department to establish proof-of-concept before deploying a full-scale EMR system, SEPT couldn’t have chosen a more challenging one than Forensics Services—or one in which the impact of a successful ECM implementation would be so pronounced.

Malvern worked with ScanDoc’s Steve Livermore to implement a Laserfiche pilot system for active patient records management system using:

• Quick Fields advanced capture to input, sort and file the steady stream of patient information.
• Workflow to automatically route information for reviews, approval and distribution.
• Web Access to allow both remote deployment and access to the system over SEPT’s broad geographic service area and affiliated agencies.

SEPT implemented a clinical pilot project in 2009 and, over the course of a year, the new system kept up with the staff’s round-the-clock demands, amassing over 500,000 documents in the Laserfiche repository in the process.

Malvern says the real breakthrough operationally was having a system aligned with the increasing need for information sharing between regional service offices. “Increasingly we have to work on a multi-disciplinary and multi-agency basis, so having shared but secure access to patient records and notes is vital,” he says.

From an IT perspective, Web Access gave the organization one more tool to centrally control system administration while capitalizing on Laserfiche’s flexibility to configure various access levels remotely.

“Being able to deploy the system through our server or using Web browser options allowed us to control the type of access we wanted to make available,” says Malvern. “Web-based deployment is key because of the ease of maintenance when working with such a large group of users. Updates and upgrades would be unwieldy to deploy with a large number of single desktop clients.”

Going from EMR to ECM Saves $1.5M

The vision to extend Laserfiche from its supporting role in SEPT’s EMR project to a full-scale ECM deployment came with the support of ScanDoc/Fortus’ Livermore, who helped Malvern make the case to SEPT’s directors to implement Laserfiche for the trust’s non-clinical side.

“Once I heard the directors were looking at other solutions, and knowing what Laserfiche was capable of, it seemed a waste to restrict its application to purely clinical processes,” says Malvern. “Of course, it seemed an even bigger waste to spend further public money on more software that would be superfluous when we had a perfectly good system that would likely be better than anything else on the market.”

Now moving ahead with full-scale deployment of its Rio system to what will eventually be 3,000+ users, SEPT is effectively standardizing its information management on Laserfiche, eliminating the need for multiple departmental systems—and their corresponding service agreements and upgrades.

“Initially Laserfiche was envisaged solely as a clinical and medical records solution, but we have now realized that it can be a complete multi-functional document management system for the whole organization,” he says.

“We’ve begun implementation in non-clinical areas such Human Resources and Finance, as well as Vehicle Service Management, where we’re using Quick Fields and Workflow to automate our lease applications.” Additionally, another major project is underway to use Laserfiche to meet Information Governance Corporate Records retention regulations.

“From a roll-out prospective, it makes life much easier to have one multi-tasking system that all employees are trained on no matter what their function. It makes live support a far more streamlined and efficient activity,” he explains.

Malvern says the efficiency—and cost-savings—are starting to add up. “Within 18 months to two years we’ll be able to replace all our legacy imaging systems with Laserfiche. Implementing Laserfiche and its enterprise licensing enables SEPT to discontinue several annual contracts and service agreements. It also delivers savings on labor and print costs for information requests, as well as paper document archive and retrieval services. Realistically, this will save us US$1.5 million over the next three fiscal years,” he says.

“We saw Laserfiche as a way to bring visibility, time-bound execution and accountability to our accounting business processes,” says Mandeep Singh, Head of Finance Shared Services at Essar.

Working with Laserfiche reseller Sigma-Tech India Pvt. Ltd, Essar Group initially purchased a 100-user Rio solution. What started as simply a way to centralize all finance-related information evolved into a full-scale ECM/BPM implementation.

According to Singh, “We started using Laserfiche primarily as a scanning and document management solution, but after experiencing the way Workflow and its integration capabilities could be used for our scanning operations, we scaled up use dramatically.”

Chandresh Sharma, Vice President at Sigma-Tech, worked with Essar business analysts to map out the end-to-end processes for finance and accounting functions. These processes were mapped in Laserfiche Workflow to validate vendor, customer, company and invoice information from the SAP masters, and ultimately route and approve invoices and contracts processed between Essar’s global business units and the Shared Service Center at its Mumbai headquarters.

Balancing Centralized and Decentralized Processes

“Laserfiche operates as part of a ‘hub and spoke’ model with the Shared Service Center as the hub and business geographies as the spokes, which connect to the central hub for document processing,” Singh explains.

A major operational benefit has been the ability to seamlessly balance centralized and decentralized processes using Laserfiche as both the hub and the spoke. “Financial Shared Services uses both models to fulfil transactions,” explains Singh.

• The centralized process approach is enabled by a central hub that accesses Laserfiche to process documents. Work allocation is assigned using Workflow, which detects exceptions to mapped data validation rules during the scanning process and provides notifications to responsible parties to resolve discrepancies. “This ensures that clean data is passed into the downstream operations of the financial services,” Singh says. A mail room solution is also in place to track and deliver transactions to Laserfiche, further accelerating the process and increasing productivity.
• The decentralized process approach uses Laserfiche deployed locally to establish remote common collection hubs at various offices across India (and eventually globally) through which vendors working with ESSAR can submit hard copies of transactions. “Laserfiche is run in a dedicated center and further downstream processes like scanning, indexing and quality assurance are carried out before being published to the SAP-DMS,” he adds.

International offices use an FTP route offline. “Here the SPOCs [single point of contact] submit their invoices to the FTP folder. From there it’s scheduled for automatic entry into the Laserfiche server using Laserfiche Import Agent. This enables further processing,” explains Singh.

In addition to streamlining accounting processes, Laserfiche has standardized work allocation enterprise-wide. “Operationally, work allocation is now defined based on certain parameters mapped in Laserfiche. For example, ‘Process Type,’ ‘Document Type,’ ‘Location Code,’ ‘Country Code,’ ‘Business Vertical,’ ‘Priority’ and others,” says Singh.

Shared Services, Enterprise Benefits

The benefits of using Laserfiche as part of the Shared Service Center have been both immediate and long-term:

1. Better throughput in terms of number of transactions per process associate.
2. Accelerated invoice turnaround times of less than an hour for urgent invoices across geographies and less than a day for normal invoices.
3. Increased visibility of daily transactions across 63 group companies. Laserfiche publishes a daily report to the business intelligence layer for companywide unified reporting.
4. Increased visibility of pending transactions in a categorized manner. Laserfiche Workflow notifies business process owners of necessary actions by way of mail alerts. “Moreover, we also unify these numbers with the Business intelligence Platform to provide better visibility,” says Singh.
5. Enhanced control environment through automatic system-end integrated validations with SAP-DMS using Vendor, Customer and Company Code checks for duplications or mismatches at the source stage itself. Laserfiche also does a validation for the key fields entered and runs a duplicate check across its database for any potential duplicates—which are then provided as reporting numbers and integrated with the BI platform.

The most ostensible benefit is obviously reducing invoice processing times from, on average, a matter of weeks into days and sometimes hours. But combined with increased transparency of business processes, Laserfiche has brought a new level of accountability to staff. With Laserfiche Audit Trail giving a step-by-step history of each action and user in the process, there are significant quality control and productivity benefits. Says Singh, “People think twice before performing a transaction.”

Though formal impact analysis will not be conducted until 2012, Singh estimates that Essar Group has realized a 40% return on its Laserfiche investment already, but foresees ongoing and expanding operational improvements. “Major ROI will come by de-skilling profiles deployed across companies for financial processes,” he explains.

Following the success of integration with SAP-DMS, Essar is now working with Sigma-Tech India to integrate Laserfiche (and SAP) with ARIBA financial software, as well as related procurement and e-invoicing modules to develop straight-through processing for accounts receivable, fixed assets, business expense reimbursements and income tax declaration. “We’re also now contemplating using [PDP partner] LincDoc for form-based workflow requirements,” Singh concludes.

Serving Ada County, Boise County, Elmore County and Valley County, CDHD manages the Board of Health and the Community Health, Communicable Disease, Immunization, Reproductive Health and WIC Departments in addition to the Environmental Health Department. The planning and zoning authority of each county requires the Environmental Health Department to review every subdivision’s application for sewage permits, which can include:

• Test hole inspections for sewage installation.
• Plot plans.
• Building permits.
• Zoning certificates.

“Paper copies of the records were located in each county’s office, which made them difficult for us to access without a lot of copying and faxing,” Ross explains. Efficient storage, organization and access to the documents crucial to the permit process was compromised until CDHD decided to implement Laserfiche ECM.

Powering Permitting

After the previous director of CDHD saw Laserfiche featured at an environmental health conference in 2004 and was impressed with its agility, the department decided to implement the software later that same year. The initial objective was to find a program that could scan in past and present septic permits and applications, while providing central access to the records across all the offices in the health district.

Today, CDHD uses Laserfiche not just to scan and store permit documents, but also to enable external clients to access the information themselves using Laserfiche WebLink, which provides read-only access to records stored in the Laserfiche repository. Clients include:

• Realtors selling homes that need permit information for potential buyers and appraisers.
• Septic pumpers looking to access permit information to find the location of septic tanks for pumping.
• Septic installers who are on-site and legally in need of a copy of the permit before proceeding with the installation.

Although clients applying for permits are supposed to provide a copy of their permits to septic installers (permits are required on the job site at all times), this frequently doesn’t happen. In the past, installers would have to come into the department and wait for a copy of the appropriate paperwork to be located and copied, or sometimes faxed over from the appropriate county. “Locating permit information for clients sometimes took hours to accomplish,” says Mike Reno, Supervisor of Land Based Programs for CDHD. “It slowed things down for both us and them.”

He continues, “With Laserfiche, the installers and other external clients can view the permit online and print their own copy if needed. This saves our clerical and field staff a lot of time making copies of permits and faxing them over.”

Ross notes that CDHD saw a significant reduction in information requests from external clients and that they continue to decline—especially from realtors—as clients realize most of their questions can be answered by accessing Laserfiche WebLink through the department’s Webpage.

“The ability to access data that resides in other offices is extremely helpful. It’s my favorite feature,” Reno says. If for some reason clients are unable to access the internet and attain records themselves, Reno can pull up the permit information on his desktop and provide the information within minutes.

With secure and easy public access and more efficient staff response time, Ross is pleased to report that CDHD “can concentrate on customer service, not paperwork.”

Empowering the Enterprise

After the initial deployment of Laserfiche, several other offices within CDHD got on board with goals of streamlining their specific work processes. Because Laserfiche integrates so easily with CDHD’s custom applications—written in-house with Microsoft Visual FoxPro—it’s especially easy to use across multiple departments. Employees are able to access Laserfiche features in a familiar way, which means CDHD can keep training to a minimum while maximizing staff efficiency.

“We used the Laserfiche SDK to write code in our Visual FoxPro applications. The custom code allows users to click on ‘search’ or ‘scan’ buttons from within our custom applications to invoke Laserfiche, which then searches for related images or fills in the template fields for new scans,” Ross explains. “This eliminates the user’s need to manually open Laserfiche, manually search for related images or manually fill in any templates. In turn, it reduces the possibility of data entry errors and mismatched key fields.”

Ross explains that a number of CDHD departments rely on Laserfiche in the following ways:

• Land Development and Subdivisions scans and stores permit information.
• Child Care Inspections manages, approves and files inspections.
• Immunizations scans all client records to improve access and searchability.
• Accounting scans contracts and other documents for improved access and storage.

CDHD plans to make Food Inspections, Pool Inspections and Tuberculosis records available through Laserfiche next, while records for the Daycare and Food Establishment Inspections Departments will soon be available to the public through Laserfiche WebLink.

The transition to Laserfiche has been embraced across CDHD and has already yielded an incredible ROI in terms of staff time saved. Prior to Laserfiche, one to four staff members were required to spend 15 to 30 minutes researching each document request from both internal and external customers. Now, due to interdepartmental and public access to records via WebLink, requests for information are either handled by clients themselves, or quickly managed by the department through fax, e-mail or the Web.

In fact, Reno estimates that hundreds of hours of staff time have been saved thanks to Laserfiche.

CDHD also found another enormous benefit of implementing Laserfiche: a dramatic reduction in the cost of Quality Assurance (QA). “Prior to Laserfiche, we had to send someone to each county to assure the quality of data on the permit applications coming in. Outlying offices were required to make copies of applications and permits and then fax that material to the person conducting quality control of the data in the particular county. Now, we have one person who does all QA from their desktop in Laserfiche,” says Reno.

With one person able to quickly locate and manage the data for permits in multiple counties, Reno notes, “The quality of our data has improved and we have saved significantly on travel costs.”

Ross, meanwhile, concludes, “The great thing about Laserfiche is that it grows with you. Even after you solve your initial problem it can do so much more than you imagined.”

Key to this transition, Burns believed, was leveraging business technology to minimize both the operational and risk management costs of working directly with advisors. “As a growing company, technology was the way to get more done with a smaller headcount,” he says.

Burns consulted Joel Bruckenstein, founder of Technology Tools for Today (T3), the multimedia practice management resource for the financial services industry. “Joel really had the vision. He said, ‘You guys could be a virtual firm,’ and that really resonated with us. Joel’s thinking was that we couldn’t afford to work with paper,” Burns remembers.

“We wanted to keep our fees low enough that we’d be extremely competitive—we’re less expensive than 90% of bond funds. To achieve that, manual processes just weren’t going to work.”

Part of the Solution

Bruckenstein suggested Laserfiche agile ECM. “For what they wanted to do, Laserfiche was the missing piece: they’d be paperless, and they’d have a solid workflow engine to share and secure information with their Portfolio Management System (PMS) and Client Relationship Management (CRM) system. Plus, they’d have that compliance piece,” he says.

“Laserfiche made sense because it could integrate with Microsoft Dynamics, which Tamarac was already integrated with, and do it quickly and easily enough that there wouldn’t be a lot of cost and lead-time,” Bruckenstein adds.

For his part, Burns saw the value of having “that compliance piece” when Asset Dedication purchased a Laserfiche Avante system in September of 2010. “By integrating Laserfiche with our Web-based technologies, we have a document management system that can talk to the cloud, and where the information we need to keep secure for compliance and auditing stays on our own server,” he says. “Regulators come in and, once they see that we have Laserfiche set up the way we told them, they have confidence in it the same way we do. We’ve been able to make the commitment to be paperless, but in a way that makes it easy for auditors to see that we’re following the guidelines.”

.NET Gain: A World-Class System without a World-Class Price Tag

Burns sees long-term value in building a system agile enough to maximize the firm’s infrastructural investment as the firm grows. “BondDesk has this world-class bond inventory and trade order management system, so we needed to marry that to a world-class equity portfolio management system like Tamarac. On top of that, they’ve bundled it with Microsoft Dynamics CRM through Tamarac’s Advisor 9, so we’ve got all these systems that all talk to each other and for the most part it’s a single log-in,” he explains. “Now, on the back-end, we can access every document we need because SharePoint talks to Dynamics and Laserfiche talks to SharePoint. Everything’s still on a Microsoft .NET framework, so we can add and subtract layers without it turning into a huge project with a hefty price tag.”

This agility has already translated into substantial savings. “We have been able to drive development costs way down—we can post a few Web services and we can integrate for $2,000 rather than $200,000,” says Burns. “Our risk is so low, we can just pop something out to replace it. When we upgrade to SharePoint 2010, the transition process will be minimal.”

Burns notes this interoperability translates to a more seamless user experience, no matter who’s using the system: a client, an advisor services representative or another staff member. “Once someone signs onto the system, they can do everything they need to without leaving the program they’re using. I don’t want people having to learn 20 systems—I want that single sign-on; I want it to be that fast,” he says.

“The way we look at technology is that it’s going to work if it can adapt it to the way we work, not the other way around.”

New Account Formation Made Advisor-, Client- and Business-Friendly

Burns points to Asset Dedication’s automated account formation process using its AdvisorSpace portal. “As we developed our AdvisorSpace portal, having everything on the .NET platform has really allowed us to fill in the gaps and make the experience seamless, and a lot of the back-end processes automatic,” he explains. “We were able to control the experience and avoid making more work for ourselves.”

An example of this is the new account formation process, including the client meeting that takes place leading up to it and the contract management that follows it. An advisor meeting with a client logs into the AdvisorSpace portal using an iPad. From there, he can access marketing documents through SharePoint. He can submit a request to run a proposal, which the SharePoint workflow engine routes back to the advisor. Then, he can initiate a client agreement using DocuSign. The contract is then automatically e-mailed to the advisor and Asset Dedication managers—until they sign off, when it’s automatically stored in Laserfiche.

“We step in a little bit, but essentially the whole back end operates seamlessly,” Burns says.

Technology Attracts Talent

As the firm grows, Burns sees the value of having a tightly integrated technology platform to attract new talent. “When advisors do their due diligence and ask, ‘What are you using?’ and we say, ‘Tamarac, MS Dynamics and Laserfiche,’ that’s just one more thing they can check off their list. We’re using proven technology in an innovative way.”

The value of that innovation, he says, in addition to reducing development costs, ensuring compliance and offering more convenient, comprehensive client services, is saving time. “For every one of us, time is money. So the more time you’re spending on basic operations, the less time you’re working with clients and the less revenue you’re generating,” Burns says.

“Our business model is based on using incredibly complex technology to drive very sophisticated processes in a way that is very intuitive to understand. For us, Laserfiche is an obvious natural partner.”

“Our municipal Website is like having city hall open 24 hours a day, 7 days a week,” she says. “My office is only open from 8:00 A.M. until 5:00 P.M., but even after hours, people can still find what they need.”

Making Public Information Public

O’Fallon has been using Laserfiche since 2002, and they implemented their WebLink public portal as a part of their initial system. Working with Laserfiche reseller EDCO Group, the WebLink public portal opened all but select parts of the city’s Laserfiche content server.

Laserfiche was customized with a file tree structure broken down into nine main entries covering different departments in City Hall. Each of those was then broken down again into folders that reflected the range of documents each department was responsible for. According to IT Director John Presley, this file structure was selected to make information easier to find for casual searchers, as curious residents searching city documents account for a lot of the traffic on the site.

After a brief promotional effort around the community, City Hall started fielding calls seeking information on the WebLink public portal. It appears now that all the customization paid off as document inquiries have dropped off dramatically, according to City Clerk Phil Goodwin.

“Basic research questions have gone down by as much as two-thirds because people are already finding the info they need on their own,” he adds.

Freedom from FOIA Requests

Freedom of Information Act requests used to be an unpleasant subject around the offices of O’Fallon City Hall. It wasn’t the public’s right to access government records that bothered staff so much as the work involved in providing that access. FOIA requests, as they are better known, can be vexing for city clerks that must respond to them. When submitted by laypersons in the community, they can be poorly worded and difficult to understand and respond to. When professionals file FOIA requests, they can be tedious and complex tasks requiring dozens—even hundreds—of hours to fulfill.

So, when a couple of attorneys filed a FOIA request for documents related to an O’Fallon construction project last year, the request looked like it would take two staffers a month each to fulfill. Then one of those staffers suggested sending the attorneys to the city’s WebLink public portal.

That was the last staff heard of that FOIA request.

“We sent them an e-mail about WebLink and they did the rest,” Presley says. “They found everything they needed right there. It turned out to be a tremendous time saver for us—and for them.”

Presley points out the cost-effectiveness of having documents available through the WebLink public portal. “That FOIA request would have taken two staffers a full month to fill without WebLink,” he says. “With WebLink, the attorneys could search our documents themselves, which saved us thousands of dollars for just that one request.”

FOIA requests have dropped by at least 50 percent since the WebLink portal has been available, and a lot of the traffic comes from contractors doing business with the city, Presley says. They can submit RFPs much more quickly using WebLink because they can call up old contracts and cut and paste much of the perquisite text.

An Eye to the Future

Last year six gigabytes of O’Fallon forms and files were downloaded through O’Fallon’s Website—that’s tens of thousands of pages of documents that were not copied and distributed by city hall staff.

“People are really accessing and downloading this information,” Presley says. “When you consider these PDF documents are just a couple of kilobytes each in size, you realize that community acclimation to WebLink has really taken place.”

The site’s popularity has prompted O’Fallon to start planning to integrate the city’s GIS application with Laserfiche, opening public access to a vast store of government maps.
The public is clearly responding to the increased access to government records. City Hall staffers are getting emails from potential FOIA filers saying they found what they needed instead on WebLink, Presley says.

It’s not just O’Fallon residents and businesses benefitting. WebLink is also adding hours to every work day not devoted to pulling government files that can be found for free on WebLink, Presley says.

“With the volume of usage we’re seeing, WebLink has paid for itself tenfold in staff time savings,” he says. “Now staff can concentrate on their primary role of running the city instead of running around and pulling documents for FOIA requests. FOIA used to be a real unpleasant word around City Hall. Now the subject doesn’t even come up.”

From its Onamia, MN, headquarters, the Corporate Commission of the Mille Lacs Band of Ojibwe Indians operates Grand Casino Mille Lacs and Grand Casino Hinckley, which includes hotels, convention centers, entertainment venues, a golf course, food and beverage venues, gift shops, an RV park, and a marina. In addition, the Corporate Commission operates an RV and auto shop, gas stations, a movie theater, a Subway franchise, and a wastewater management facility. “We have 12 separate businesses in all, spread out over 55 miles,” says Lance Dutcher, Systems Engineer for the Corporate Commission.

The Problem

A more efficient way was needed to manage the 500 contracts a year that keep these businesses serviced, supplied and staffed, says Dutcher. Each contract requires multiple approvals, which created ample opportunities for bottlenecks—sometimes costly ones. Missing deadlines could result in 10-15% fee increases because a discounted quote would expire, or due to penalties. And there was the potential for service contracts to lapse. “We could have a major piece of equipment go down and find out we had no contract,” Dutcher notes.

By 2008, Grand Casinos identified a need for an automated contract management system with three major requirements:

• Routing documents from outlying properties to the Corporate Commission’s office in a time sensitive manner.
• Tracking documents to enforce deadlines and address bottlenecks.
• Generating a required monthly report summarizing the activity/expiration of contract-related documents.

The Solution

For almost eight years, the Corporate Commission had been using a Laserfiche system with Quick Fields advanced capture to scan HR documents. When Dutcher saw the document routing and tracking capabilities of Laserfiche Workflow at the 2008 Laserfiche Institute Conference in Los Angeles, he realized he already had the enterprise content management (ECM) and business process management (BPM) tools to build a contract management system using Laserfiche. “I literally went to one Workflow session at the Conference, came back, and started designing workflows,” he says.

Working with solutions consultant Clay Baer of reseller Crabtree Company, Dutcher laid the groundwork for a Laserfiche contract management system by:

• Moving the Laserfiche 7.2 server to a single virtual server running Windows Server 2003 SP2 and SQL 2005.
• Installing Laserfiche Workflow, Web Access, Quick Fields, and Audit Trail on the virtual server.
• Upgrading to Laserfiche 8.0.

Dutcher then worked with a five-member project team drawn from Management, Legal, Training, Purchasing and IT to develop and refine contract workflows over a two-month period. The team worked out routing processes, deadline times and designated the approvers.

While designing that process, Dutcher’s team found it made sense to have a backup person for every approver in the routing process, to keep the process moving efficiently.

Turning Months into Days—Without Incurring Costs

Following a month of designing and programming workflows, Dutcher led three months of trial testing using the IT Department’s own contracts. After training users, the system went live with all 39 departments in 12 businesses.

“Within six months, we had 22 Workflows,” he says. “We did all the training in-house without a consultant, so we were able to implement our contract management system without any outside services or additional costs.” Dutcher notes this is in sharp contrast to stand-alone contract management systems he had researched prior to implementing Laserfiche Workflow. “I looked at half-a-dozen contract management systems and went through all their bullet points, and I couldn’t find anything we needed that we couldn’t build ourselves using Laserfiche.”

Security and viewing is configured using Microsoft Active Directory groups, so only department heads can see their own contracts. Dutcher notes this keeps system administration to a minimum. “There’s actually no administration in Laserfiche.”

As a result of using Laserfiche for contract management, Dutcher says, the Mille Lacs Band has been able to:

• Centralize and standardize management and storage of contracts.
• Provide remote access to location-specific information and documents using Web Access.
• Track all contracts.
• Share documents between businesses and departments.
• Eliminate printing costs and duplication.
• Automate reporting.

The greatest benefit is time. “Most of our documents are now routed within 3 days or less, instead of weeks and in some cases months. We used to have an administrator at each location distribute paper copies for signatures that were faxed—and sometimes re-faxed if they weren’t legible. Now the documents are emailed to a single contract administrator, who uses Snapshot to add them into Laserfiche, and the contract is automatically routed for approval,” Dutcher says. “Upper management can review contracts from anywhere using Web Access. We’ve been able to have 12 people at different properties sign a document in less than 90 minutes.”

User accountability and timeliness has come from being able to track documents using stamps and annotations. “Anyone that has the ability to view the document can track where the document is and how long someone has had it,” Dutcher says. “We don’t need a spreadsheet of where a contract is or to search from office to office because we have automatic reminders to make sure that documents continue to be routed.”

Finally, using an “expiration” metadata field added to all contracts, Microsoft SQL Server Reporting Services creates monthly reports of contract activity for the company while alerting appropriate department heads of relevant contracts in danger of expiring. “It used to take an administrative assistant a full day to make these reports,” Dutcher notes. “Now, they’re generated automatically.”

With so many specialties—and specialists—IMC’s Board of Directors wanted to use electronic medical records (EMR) software to improve operational processes, encouraged by the promise of ARRA stimulus money to help fund it. But IMC’s Practice Administrator, Christine L. Holliman, CMPE, took a more pragmatic view of the situation.

“All vendors talk about the efficiencies of an EMR and the increase in the levels of coding that can be achieved from full implementation,” she says. “As my physicians are many different ages, the idea of transitioning to a full-blown EMR was daunting, to say the least.”

And expensive, especially in light of what Holliman perceived as a fundamental lack of functionality. “The document management portions of the leading EMR systems we looked at, including Greenway, Centricity and Allscripts, didn’t utilize OCR [optical character recognition] technology or any other shortcuts for actually scanning and filing documents,” Hillman notes. “Most EMR systems require manually sorting and dragging and dropping individual documents either back to an order or back to a patient record—very cost prohibitive in my opinion.”

Holliman focused on finding an enterprise content management system to establish electronic patient charts (e-charts) first. “Looking for a way to handle the paper felt like the most logical step in streamlining our practice in preparation for an EMR,” she says.

“As most of our physicians are still primary care, the sheer amount of paperwork we receive is just incredible,” Holliman adds. “We’d receive 2 ½ feet of paper a day in faxes, print-outs and mail—and that’s just from one of the two hospitals we work with.” At the same time, she notes, “as a multi-specialty practice with 20 providers, having a system that could allow access to patient records by multiple departments and personnel was critical.”

The 2 ½ Feet of Paper Stops Here

Holliman was introduced to Laserfiche by Jim Bergeron of reseller JPI Data Resource at the 2009 MGMA conference in Denver. She then met Bergeron again at a local HIMSS meeting. Encouraged by Laseriche’s ease of use and its flexible business process management (BPM) automation tools, IMC purchased a 44-user Laserfiche Avante system with Workflow business process management and Quick Fields capture tools to establish electronic patient charts.

“As anyone who has implemented new systems knows, the end users are the biggest variable. If they’re on board, the implementation will be a success,” Holliman says. “With 140 employees with varying computer experience, it was very nice to implement a product that anyone could be taught to use in just a few minutes.”

Key to establishing IMC’s e-charting was automating the way the clinic received patient information from the two hospitals it works with. Using Laserfiche in conjunction with the MD Network, an electronic patient information distribution platform, incoming documentation from hospital visits is processed by Quick Fields’ high-volume capture and processing tools, then automatically filed in Laserfiche according to patient name and date of birth, where it becomes part of patients’ e-charts.

A significant amount of this data is test results, which need to be reviewed by physicians; this review often prompts follow-up instructions and further review. “One of the worries of both physicians and practice managers is if test results have been reviewed and relayed back to the physicians,” says Holliman.

Prior to using Laserfiche, staff had to sort through faxes or independently request each report from the hospital while nurses manually pulled the paper charts. “We always worried that something got filed in a patient’s chart before it was ever reviewed by the physician,” Holliman adds. “We’d see 24 people a day and run tests on 22, and there’d always be that concern that there’s one ultrasound report no one ever saw.”

Flexible Control: Reviewing Test Results as a Condition of Filing Them

To automate the test review process, IMC created separate “inbox” folders in the Laserfiche repository for each physician. Quick Fields recognizes “test results” as a document type and the physician’s name associated with it, which Workflow then uses to route the results to the appropriate doctor and nurse’s folder. Workflow then alerts them they have items in Laserfiche for review. If a review deadline is not met, Holliman herself is notified.

“One of the things we really liked about Laserfiche was that all of our doctors can set their own parameters as far as what they need to see in their inboxes to review,” she says. A GI specialist who ordered a patient test, for instance, wouldn’t need to see an incoming discharge summary, but the patient’s primary care doctor would. The GI specialist would, however, need to review the results of a test he ordered, so only after he has reviewed it do the test and follow-up notes go to the primary care doctor’s inbox for review, and eventually to the patient’s file.

“Just using their inbox, each doctor can ask his or her nurse to follow up on their instructions. Whether it’s an abnormal lab or an abnormal chest X-ray, they can adjust medications or order further testing,” Holliman adds. The whole process is prompted, routed and tracked using Workflow.

The benefit, besides the economy of effort, is peace of mind, she says. “Our doctors can access the same, single inbox and know when they leave at the end of the day that they’ve seen every test result that needed to be dealt with on that day.”

Nurses who used to have to keep a manual log of all tests reviewed and what follow-up was ordered appreciate it as well, because logs can be generated automatically using simple search parameters. Plus, Holliman adds, “Being able to precisely track patient follow-up is a tremendous tool for mitigating medical legal liability costs, as we have an exact record of the doctor’s orders.”

IMC is also utilizing the Laserfiche/MD Network interface to automate other processes, such as recalling the dictation from an office visit. “After a report has been electronically signed, it’s printed in our medical records and stored automatically in Laserfiche. If, for some reason, a nurse on the floor needs that information before it’s been made a part of the patient’s record, she can still retrieve dictation from the last visit.” Likewise, when IMC’s triage nurses type up their notes from a phone conversation, they are automatically uploaded into Laserfiche.

Holliman credits Laserfiche’s ease-of-use as well as the overall efficiency of the system with the success of IMC’s e-charting adoption thus far. “The transition to a new system for people who’ve been utilizing a paper chart is very intimidating, but once they begin to use Laserfiche and see how truly easy it is to find and retrieve documents, they’re actually excited to get started,” adds Holliman.

A Natural Bridge to EMR—That Also Leads to Back Office Efficiency

Now that Laserfiche has made its impact on how doctors receive and act on incoming patient information, the clinic is rolling out Laserfiche for use in its business office, where Workflow will automate A/P processing and HR files updates.

“One thing that’s nice about Laserfiche is that it gives us a set of tools that can be applied to business management as well as practice management, so we’re really able to maximize our investment,” Holliman says.

At the same time, she adds, IMC is an important step closer to EMR adoption. “Laserfiche has definitely acted as an important bridge between where we were and where we want to be, and it’s done so in a way that’s been very natural.”

When the firm built its own broker/dealer in 2008, Chief Administration Officer (CAO) Phillip Fournier and the rest of the Spire management team saw the opportunity to streamline operations. “We knew there would be countless audits, reviews and requests for information from the various entities,” Fournier says.

Coming from other broker/dealers, “we’d experienced lost forms, high overnight charges, delays in getting business processed and audits that required home office staff to keep coming back to us for forms they had misplaced,” he remembers. “We knew we could do it more efficiently—for compliance supervision and oversight, for operational efficiencies, for field reps to access information from everywhere.”

Fournier says right away Spire’s management team had the vision to build a system that included both enterprise content management (ECM) and business process management (BPM). “We were talking about more than going paperless, we were talking about setting up workflows and automating processes,” he says. “Our management team is always trying to remove friction points, like lost documents. We really wanted to be able to say, whether you’re five miles or 500 miles away, you’re submitting your OSJ and principal approvals the same exact way.”

Spire was referred to Laserfiche reseller John Caso of One Source/ADI. “We were impressed that ADI had about 100 financial services customers using Laserfiche,” Fournier says.

Making Work Flow

For 18 months, the Spire team considered options. “We just couldn’t find anything on par with Laserfiche. We were either going to have to build our own homegrown system—or we could just customize a proven and established software solution. And we didn’t want our consultants to be beta testing a homegrown system.”

The firm purchased Laserfiche Avante for its 100 consultants working between 17 offices. “We asked them how they would like the system set up, and then we set about doing it in as few clicks as possible,” says Fournier. For compliance and auditing purposes, each client file would have three different sets of folders: fee-based accounts, commission-based accounts and insurance accounts. One Source/ADI helped design workflows to automate processes for OSJ and principal approvals, branch audits of sales literature and correspondence, as well as security protocols.

Within the first 18 months of implementing Laserfiche, 80% of Spire’s offices were regularly processing content through Laserfiche; today, all of them are. “We use our Laserfiche system for required paperwork for FINRA, but our offices have the capability to scan anything they want, and many scan paperwork for their entire book of clients,” Fournier adds.

Laserfiche data is stored offsite in a data bunker with Equinix to ensure its safety and security, while Spire consultants have instant access to all their forms over a virtual office system. The business continuity advantage this brought to Spire became apparent two winters ago. “We had several snowstorms that shut down the whole Washington D.C. area for two weeks, and we were able to continue working remotely,” says Fournier. “We’ve basically got our information in Fort Knox as opposed to being one burst pipe away from it being lost forever. “

Accelerated Transfer, Halted Costs

Now it doesn’t matter if an office is five or 500 miles away, since Spire’s Operations Department is capable of processing direct and custodial business the same day—removing the delays and costs of overnight shipping.

“Many of our accounts are fee-based, so each day assets are delayed during transfer adds up quickly,” Fournier explains.

The accelerated transfer allows Spire to process business with immediate feedback. If a set of forms is not in good order (NIGO), Workflow pushes it back to the rep’s assistant with an e-mail that tells the assistant exactly what information is missing. “The assistant knows exactly what the situation is and can fix it, so we reprocess business in real-time.”

With no physical forms to lose—they’re scanned directly into Laserfiche and indexed immediately—there are no processing bottlenecks. “One of our biggest complaints at our previous firm was lost forms. An overnight package would show up, and when it was opened, forms would be lost or attached to other forms accidentally,” explains Fournier. “Now, if a form is incorrectly filed, the Laserfiche search and indexing system can find it in seconds.”

From Days to Hours: Audits Made Simple – and Less Onerous

To facilitate auditing, Spire Operations configured a compliance folder in its Laserfiche repository where consultants scan in their required documents—correspondence, advertising and bank statements, among others—that the firm’s Compliance department needs to review.

“Our Compliance Department can be much less onerous in its supervision,” says Fournier. “Much of what we need can be searched, reviewed and saved right in Laserfiche.” Secure access to each folder can be scripted individually, further mitigating compliance risks.

Fournier points to a recent FINRA audit of the firm’s 529 college fund business. “On the fly, the FINRA auditor asked to see all our new 529 accounts opened from April 2008 through April 2010. Using Laserfiche, our staff was able to search through the entire database and provide him a copy of all our new account forms. We had all 300 forms for him on a zip drive in less than an hour. He was really impressed,” he says. “If we had to find all those paper files, it would have required days and countless staff hours to satisfy that one request.”

Quantifying Success

Fournier says Spire gauges the success of using Laserfiche in several ways, starting with the fact that each of its 17 offices saves approximately $3,500 in overnight charges annually. “Add the cost of storage, file cabinets, the business continuity issues of having that paper in the same place as our facilities, hours of file maintenance, lost paperwork, overnighting paperwork to be signed, not to mention the lost dollars due to delays in processing, and the numbers become even more significant.” 

The most significant benefit to Spire, Fournier says, is not hiring extra staff. “We estimate we’re saving two or three bodies because of how we use Laserfiche to automate compliance, operations and trading.

“We knew it would enhance our operations center and create synergies between our field reps and our home office, but the smoothness of the system and the removal of friction has been really remarkable,” he adds. “After only 2 ½ years, if we tried to remove Laserfiche, our reps would revolt.”

When Jonathan Stafford took over as Administrator of LBPD’s Records Division in 2004, he inherited a legacy imaging system built with Kofax and ApplicationXtender. “Even back in 2004, I knew the system was outdated,” says Stafford, whose area of responsibility grew to include LBPD’s Technology Division in 2008. “We were in desperate need of a flexible, easy-to-use content management solution that would grant our officers and employees access to mission-critical information from wherever they happened to be.”

Ed Ivora, Assistant Administrator of LBPD’s Records and Technology Division, notes that the old system “took too much time to manage, administer and troubleshoot. We wanted an easily customizable ECM solution that we could use without advanced engineering degrees.”

In the past, the LBPD had made use of an optical jukebox for digital document storage. “We’d take files off the server and burn them to optical disks,” explains Ivora. “The jukebox was a big piece of hardware that stored 256 disks, but like anything mechanical, it was prone to breaking down.”

Stafford notes that it wasn’t just the unreliability of the jukebox that concerned him, it was also the expense and limited archiving capabilities. “We had a half-a-million dollar archiving solution that didn’t give us a way to dispose of records that had outlived their retention schedules. From an efficiency standpoint, it just didn’t make sense.”

In August 2009, the City of Long Beach chose Laserfiche as its enterprise content management (ECM) standard, which was something Stafford had been pushing for quite some time. “We were delighted when the City decided to standardize on Laserfiche, because it was our first choice for the PD. We knew that the simplicity and flexibility of the system would enable us to be more efficient.”

Curtis Tani, Director of Technology Services for the City of Long Beach, adds, “We selected Laserfiche to create more consistency, efficiency, and transparency, while saving the city thousands of dollars in equipment and maintenance fees.”

In the PD, the transition to Laserfiche—including the migration of three million documents and nearly ten million images from the department’s legacy system—went smoothly. “We were done with the conversion process way before I expected to be,” says Stafford.

All in all, Ivora estimates that installation, including file conversion, was 100% complete within two months.

Adaptability Is Key

Through the migration process, the LBPD was able to add 20 years’ worth of arrest records to the Laserfiche repository, along with 10 years’ worth of crime reports. “What had never been digitized in the past,” says Stafford, “were the field interview cards and case files. So the first new thing we did with Laserfiche was to bring in field interview cards.” According to Stafford, detectives had been pushing him to digitize the FI cards for quite some time, since instant access to them enables them to more easily solve crimes.

When capturing files, the LBPD uses Laserfiche Import Agent, a tool that automatically brings files into Laserfiche from network directories, fax servers and local folders. “Import Agent lets us use the fax servers, MFPs and other Xerox machines we already had in place,” Ivora explains.

Just as the Records & Technology Division didn’t have to invest in new hardware, it also didn’t have to invest in creating all-new folder structures. “Everyone was happy with the way general information—like maps, procedural documents, assault weapon information and so on—was structured and organized in our legacy system,” says Ivora. “Laserfiche is flexible and adaptable enough that we could mirror the old structure in a Laserfiche folder called PD Docs, allowing people to access and view this information in a familiar format.”

He adds, “Laserfiche is great because it’s easy to customize it to our needs.”

Expanding Access to the Field

To date, the LBPD’s repository contains a wide range of electronic and scanned content, including:

• Tickets.
• Restraining orders.
• Arrest reports.
• Timecards.
• Policies and procedures.
• Forms.
• And more.

With Laserfiche, LBPD officers have the ability to retrieve many of these document types directly from their patrol vehicles, whereas in the past they could only view them from computers in the police station. Laserfiche WebLink, a browser-based thin client that provides secure, read-only access to the repository, gives them immediate access to these documents when they’re in the field, saving time and ensuring that they follow the proper procedures and have the most current information on hand.

“One thing I’ve learned over thirteen years of working for the PD is that you have to make things easy for the officers,” says Stafford. “They need to worry about protecting us, not about finding the right paperwork.”

Targeting Gang Members

The PD’s gang injunction program has benefitted tremendously from remote access to the Laserfiche repository. Gang injunctions are court-issued restraining orders prohibiting gang members from participating in specific activities such as loitering, smoking marijuana or wearing gang colors. These injunctions allow officers to arrest named gang members for injunction violations rather than waiting for a more serious crime to occur.

In order to make an arrest based on a gang injunction, officers must first confirm that the gang member in question has previously been served a copy of all court documents related to the injunction. In the past, LBPD officers were forced to call around the PD to confirm proof of service. Tracking down the paperwork was frequently a time-consuming task that resulted in missed opportunities to make arrests.

Today, a tight, three-way integration between Laserfiche, Tiburon (the PD’s records management application) and Business Objects (LBPD’s business intelligence software) gives officers the ability to pull up specific Crystal Reports containing hyperlinks to images stored in the Laserfiche repository. Through Laserfiche WebLink, officers can instantly access the injunction-related information and images needed to make arrests.

“This integration allows us to deliver injunction information to officers in the field in as few clicks as possible,” says Stafford. “The impact has been huge.”

In fact, on November 8, 2010, the LBPD, along with Long Beach’s mayor and prosecutors, announced a massive gang injunction against more than 100 known gang members with ties to the Mexican Mafia. The injunction targets gang members from all over Los Angeles County who commit crimes in Long Beach—not just those based in Long Beach. Without Laserfiche, enforcing this injunction would be difficult, to say the least.

Working Up to Workflow

Although Stafford is happy with the progress LBPD has made with Laserfiche so far, he explains, “We’re going to push this system to automate business processes as well as eliminate our paper files.”

Laserfiche Workflow will be the engine driving the automation of business processes, and the uniform ordering process will be the first one to be transformed.

Currently, officers fill out a paper form when they need new boots or a new shirt. The form must be approved by the officer’s sergeant and then his commander before it moves on to Personnel. After Personnel checks the officer’s order history, the form moves to the Fiscal Department, which forwards it to the uniform service. After that, Fiscal must call the officer and inform him that he may place his order directly with the uniform service.

According to Stafford, “It’s a frustrating, repetitive process that would be much simpler with e-forms and automatic e-mail routing.”

Once the uniform ordering process has been automated, Stafford’s team will tackle police report request process, which will enable employees to more efficiently manage citizens’ and insurance companies’ requests for police reports.

Business-Led Technology

With 1,450 employees in the LBPD, all of whom have access to Laserfiche, Stafford notes that the system’s ability to balance central control with local flexibility is vital.

“We create different repositories for different divisions because they all have their own unique document types and preferred filing methods,” explains Stafford. “Laserfiche gives us central control over system administration and security, while giving each of the divisions control over its own information.”

He continues, “When we were evaluating ECM technology, we knew we wanted a system that would adapt to the needs of our business, not the other way around. Laserfiche is helping us solve crimes and save lives, and it’s doing it in the way we want, not the way a vendor prescribes.”

As he outlines the overall benefits of Laserfiche, including simplicity, user-friendliness and adaptability, Stafford points out that the PD is only one year into a five-year implementation. “We’re getting there,” he says, “but this is just the beginning.”

A former change management analyst at Bank of America, Slack had seen technological innovation drive efficiency, from automating input and reconciliation processes using MS Excel to capitalizing on the use of e-mail and the internet in BofA business processes.

When Slack came to Keane, he began to analyze where automation could have the biggest impact. “I looked at it like this: we’re a small shop, so we don’t have entire divisions or departments. We have people—seven people. So we need to leverage technology as best we can,” he says.

Slack initially focused on the need for a common repository for staff to share thoughts and ideas from their research—and the various media it came from, including:

• Handwritten notes
• E-mails
• Reports from the Web
• Bloomberg charts
• 10-k filings
• And more.

So he launched the search for a content management solution.

On the Hunt

“Our technology support services partner gave us a couple of ideas. I talked to our prime broker, and I talked to compliance experts in the industry about what firms like ours were using,” he recalls. “Laserfiche was one of the five or six referrals we got, so I Googled it.”

Slack was then referred to John Caso of reseller One Source Document Solutions, Inc., which already had a strong presence in North Carolina’s financial services industry. Caso showed Keane staff how Laserfiche could automate the firm’s process for storing and sharing research, as well as its client records.

“Our discussion wasn’t about things like compliance and client service at first. We just wanted a better way to share research other than e-mails in Outlook,” Slack admits. “But when John started asking about our large collection of filing cabinets, he hit upon the biggest need in our office.”

The biggest need was to free up space in Keane’s modest offices. Six file cabinets worth of information—almost one cabinet for each employee—certainly weren’t helping achieve that goal.

“Those six cabinets contained the first eight years of our business. We knew as we kept growing, there would be more and more paperwork,” recalls Slack.

He adds, “Those filing cabinets contained the only copies of our information, so if a fire had ripped through our offices, it would have been quite difficult to replace all the documents, especially for a firm our size. That’s when the discussion turned to business continuity.”

Moving Forward with Laserfiche

The firm purchased an 11-user Laserfiche Avante system in July 2008. The hardest part of implementation, Slack admits, was getting the firm’s small but diverse staff to agree on a standardized naming and filing convention for the research-sharing process. Once the research folders were set up, Slack says, automating the active client folders was the easy part.

“We already had an efficient process and detailed file folders that we were able to mimic in Laserfiche,” he offers. “It may have taken a bit to get the investment folks to retrain their working habits and thought processes, but once they did, learning the Laserfiche product itself was very easy.”

Backlog conversion of a decade’s worth of client information was likewise relatively easy, requiring only a few months of part-time student help. “Now,” Slack says, “we can scan in every document received, file it away in client-specific folders in Laserfiche, and our entire network drive is backed up remotely by our tech support firm. We still file the originals in cabinets, but there are backup copies available.”

Enhancing Client Service

As Keane’s staff began using Laserfiche, it became clear the system’s value was not limited to disaster recovery. “The primary advantage is having all client-specific information available in a heartbeat, accessible from each desktop in our office,” Slack says.

“When clients call with questions, we can pull up those files immediately and provide the answer in that same conversation. Not only that, but we can pull a copy of the document they’re asking about, and e-mail it to the client within seconds—usually while we’re still on the phone with them,” he says. “It’s imperative to have a complete picture in terms of client history, and using Laserfiche, we have that right at our fingertips.”

Slack credits Laserfiche for soothing skittish clients’ fears in the wake of recent market fluctuations. “Our clients aren’t institutions, they’re individuals. They’re not just interested in numbers and charts, they value the kind of relationship we have with them. If we don’t provide good client service, there’s no performance in the world that will keep those clients invested with us,” he says.

“During this last market blip in 2008, it would have been easy for them to get scared and take their money out. Being able to pull up a caller’s information and click and drag it into an e-mail speaks volumes about how much we care for our clients’ wants and needs. It really helped take our client service to the next level.”

Responding to Regulatory Changes

Now, with recent regulatory changes all but guaranteeing more oversight by the SEC and other regulatory agencies, Slack sees Laserfiche playing a more significant role in audit preparation and maintaining compliance logs.

“Dodd-Frank gives oversight authority to the SEC, but it still leaves a lot of gray areas as to some of the specifics that will be required of us. But, we know we’ll be required to register with the SEC by July 2011 and we know that the SEC will come audit us on a regular basis. Laserfiche will help us to be organized and prepared for that inevitability,” Slack says.

“We made the choice to keep all working documents on the network drive, but all other documents in Laserfiche. So, it provides peace of mind knowing that all my documents are easily accessible, effectively filed and efficiently searchable. All the required books and records are there, and can easily be transferred to a CD or zip drive for the SEC’s reference.”

Onward and Upward

Slack sees continuing value in using Laserfiche to adapt not only to new challenges, but new success as well.

“At Keane Capital, we describe ourselves as ‘value investors,’ which also carries over to the way we run our business. The Laserfiche Avante system was a very affordable option for us, but I look at its value as more than cost savings,” Slack explains.

“Laserfiche allows us to grow the business. It scales from one to 1,000 clients in a way that allows us to handle the work using the same efficient processes.”

“Since 1954, our physicians have been refining the way they keep track of patient information,” says Bill Duke, executive director of the practice. “Although we knew we wanted to transition away from paper charts, we wanted our electronic records to mirror the form and format of our paper charts exactly. There aren’t many solutions out there that are flexible enough to do that.”

Duke would know. As the man in charge of the business side of the practice, he led the effort to find and implement a content management system. “Prior to 2007,” he says, “we used paper charts at all three of our locations. Storing so much paper took up a lot of space, and finding the right information took up a lot of staff time. And there was always the possibility that a document could go missing.”

For a practice dedicated to excellence, continued reliance on paper files was not the answer. “Providing state of the art care isn’t just about attracting the best doctors and staying abreast of the latest medical developments,” explains Duke. “It’s also about implementing innovative technology that helps your practice run as smoothly as possible.”

In 2007, Dallas Associated Dermatologists added a document management module to its billing software. The result, Duke says, was less than ideal. “What we got was basically a managed repository—the search functionality was limited, and you pretty much had to know exactly where you’d saved a document in order to locate it again.” It quickly became clear that the practice needed a more robust solution.

“The first time around, I confined my search to software that had been designed specifically for the healthcare community,” Duke explains. “The second time around, I looked further afield.”

Technology that Adapts to the Flow of the Practice

After describing the needs of his practice to a scanning company, Duke was directed to take a look at Laserfiche, a company that creates simple and elegant enterprise content management (ECM) solutions for organizations across a wide range of industries—including healthcare.

“I remember seeing a postcard from Laserfiche that said something to the effect of, ‘Our approach to electronic medical records doesn’t make doctors change the way they work.’ I thought, ‘If that’s true, then that’s exactly what we need,’” he says.

Duke began talking to ImageNet Office Systems, a Laserfiche reseller that’s also based in Dallas, and purchased Laserfiche in 2009. According to Brian Simpson, solutions manager at ImageNet, more and more medical practices are becoming interested in Laserfiche solutions because “they handle the business processes involved in automating the capture and processing of medical records in a way that’s not overwhelming, complicated or cumbersome for doctors and staff, and they do so in a way that addresses business needs outside the scope of an EMR as well.”

“A lot of vendors want to fit a round peg into a square hole by forcing you to use their templates,” Duke adds. “With Laserfiche, we can create our own templates, our own fields and our own classifications for documents. That flexibility gives us control over our output, and it lets our physicians continue to chart in the way that works best for them.”

According to Duke, the doctors at Dallas Associated Dermatologists want to interact with their patients during appointments and have balked at reviewing EMR systems that require them to type their notes into the system while they’re in the room with a patient. “That’s not conducive to building the patient relationship and providing high-quality care” says Duke. “Laserfiche provides us the opportunity to bring our documents to life without having a negative impact on our patient relationships.”

Technology that Accelerates the Flow of the Practice

Since implementing Laserfiche, the practice has been scanning patient records into the system on a day-forward basis. Laserfiche Quick Fields automates chart processing by capturing data from the practice’s various forms and sorting the documents according to custom criteria. Once the information has been indexed and stored in the Laserfiche repository, it is immediately available to Dallas Associated Dermatologists’:

• Doctors and Nurses
• Front Desk
• Appointment/Service Center
• Telephone Triage (Rx refills, Special Request)
• Billing and Collections

“With Laserfiche,” Duke says, “there’s no such thing as a failed scan. Our users can quickly and easily verify the scan or find anything that’s been scanned into the system, using whatever search method they prefer. Nothing is lost, and that helps me sleep better at night.”

In addition to the ease of search and retrieval, the practice also benefits from the business process management (BPM) tools included in the Laserfiche suite. “Workflow automates much of our sign-out process for physician notes,” Duke explains. “Once transcriptions have been imported into Laserfiche, they’re automatically routed to the Transcriptionist folder where they’re linked to their .wav files. We’re also testing how to automate other paper-intensive processes, such as prescription refill approval, using Workflow.”

The practice is also working to implement Laserfiche in areas of the business that are not directly related to patient charts, such as Accounts Payable, Inventory and HR. “EMR systems are focused exclusively on patient records, but Laserfiche is going to allow us to streamline operations across the practice,” says Duke. He anticipates that once the system has been configured to do everything he wants it to do across the practice, the time savings for staff will be huge.

In addition to the forthcoming efficiency gains, the practice is already benefitting from its ability to eliminate document storage. “Space that would have been used to store hardcopy files is now used for revenue-generating activities,” Duke explains.

“Laserfiche lets us do exactly what we want to do, in exactly the way we want to do it. Our staff takes pride in making sure our digital files are in tip-top shape, and we’re always looking for new ways to use Laserfiche to help make us more efficient,” he concludes.

Led by Stormwater Quality Coordinator Alan Searcy, Central Records Administrator Sharon Blackstock, and Imaging Technician Greg Buchanan, DAG evolved into an ad hoc governance committee, setting recordkeeping and retention policies for each department, as well as standardizing document indexing for interdepartmental use. “My goal in the beginning,” says Searcy, “was to get as much ‘buy-in’ as possible for our fledgling imaging program. Working together on interdepartmental projects is a proven recipe for success in Lakewood.” The Digital Archives Group is a prime example of that fact.

DAG initiated the purchase of Laserfiche in 2001 from Colorado-based reseller Phil Landreth of S. Corporation, with several departments sharing in the cost. “Laserfiche was the most user-friendly solution we looked at, and we knew that was going to be very important,” Blackstock says. “Laserfiche also had a very strong presence in cities around our size (population: 145,000), so we knew that support for local government operations was in place.”

Although Laserfiche was first used only by the Engineering Division and the City Clerk’s Office, it eventually spread to other departments. As new departments joined in the project, they sent representatives to DAG meetings.

Initially, Laserfiche was used for archiving permanent records and closed case files. After a couple of years, the Finance Department became the first to manage active records with Laserfiche by scanning sales tax returns. More active records management followed as Laserfiche use began spreading to DAG members’ departments. Eventually most of Lakewood’s 10 departments used Laserfiche, each relying on DAG’s training and best practices to scan and manage their own records.

“With every new project, people really welcome our support and suggestions. We all listen to each other and are willing to hear new ideas,” Buchanan says. “At the same time, people don’t just say, ‘I’m going to do this’ and call up IT—DAG helps define the project and gives the go-ahead.” The City Clerk’s Office created Buchanan’s position as Imaging Technician in 2002 to facilitate Laserfiche projects by assisting departments in training users and developing and managing scanning projects.

Today, DAG’s goals are being met—long-term records are being archived and protected, concurrent retrieval of imaged records is possible, and storage space for maps, plats and plans has been reduced. What’s more, interdepartmental cooperation has resulted in a citywide sense of pride and ownership of Laserfiche.

Breaking Down Silos to Build an Agile Enterprise

IT Software Services Manager Tom Charkut credits DAG with addressing the training element since Lakewood began using Laserfiche in 2001 “in a way IT just couldn’t.” But by 2005, Charkut says, “There were so many departments using Laserfiche that it just made sense to centralize the software maintenance and support.” IT took over Laserfiche system administration in 2006, as well as the software maintenance costs.

The City of Lakewood’s IT staff of 27 supports more than 1,000 city employees. “We’re a small team with big shoes to fill,” Charkut admits. Filling big shoes with different sizes and styles, he says, requires an agile development philosophy.

According to Charkut, one key component in solving the diverse but often overlapping information needs of Lakewood’s business units was utilizing the Laserfiche SDK and its Microsoft-standard .NET API to integrate with legacy business applications. “Since Laserfiche was an enterprise-wide system,” he says, “we needed to figure out how to integrate it with our other line-of-business systems.”

A recent example is an integration between Laserfiche and the Planning and Public Works Department’s new building permit system. “The user will be in the permit system, and using the permit number, they click on a ‘documents’ button we developed that shows them the documents in Laserfiche,” he explains. “If they need to e-mail those documents, then we send URLs linking to those documents using Web Access. Laserfiche gives us the ability to arrange the information so it’s at the user’s fingertips.”

The user, Charkut notes, never leaves the permitting application. What’s more, the additional content is referenced from its single, centralized Laserfiche repository. Similarly, integration with the city’s GeoSmart GIS application geo-enables searches for employees across various systems whether it’s for code enforcement cases or service requests from residents, as well as for any documents—including plats, plans and forms—already in Laserfiche.

“For us, Laserfiche integration has helped break down silos,” Charkut says. “It’s all about decentralized capture, centralized storage and an enterprise library.”

What a Transparent Web We Weave

Now, as the City maps out an overhaul of Lakewood’s Web strategy, Laserfiche is one of the ingredients. “Our Web strategy in the past has been a patchwork of stuff. Just last year we said, ‘We have to do something about this—we’re getting 5,000 hits a day,’” says Charkut. “Part of our plan is to promote government transparency through the use of Web self-service, including access to records contained in the Laserfiche system.”

Lakewood also finds itself in the middle of an electronic records management inventory and assessment, where consultants are actually suggesting new and future uses of Laserfiche. Building on DAG’s solid support foundation and Lakewood IT’s agile, integrated Web strategies, the city is now assessing whether and when to upgrade to Laserfiche Rio, with its scalable, flexible user and module licensing—as well as its unlimited servers—to meet the needs of more and more departments, business processes and users, both internally and externally, from a single enterprise application.

“We are evaluating the ROI of Rio,” jokes Charkut. “We will assess that model on a 7- to 10-year timeframe.”

• Cardiology
• Dermatology
• Gastroenterology
• General Medicine
• Neonatology
• Obstetrics and Gynecology
• Orthopedics
• Psychiatry

Prior to implementing Laserfiche in 2007, PPS’s manual cash posting process was paper-driven. But from an operational and cost perspective, paper wasn’t a particularly efficient medium for PPS; even assigning the daily distribution of work was time consuming because someone had to manually review that day’s lock box payments and portion them out to the processors.

“At first, we tried implementing a different system to improve the efficiency of our operation,” said Stacy Devine, IT director at PPS. “But we had some security concerns with that system, and it also had a higher cost.”

Soon after, Russ Surette, director of billing operations, mentioned the situation to Mike McDonough at Duplitron, a hardware vendor and Laserfiche VAR that had long provided PPS with printers, scanners, copiers and other electronic devices. “Mike suggested that we take a look at Laserfiche, because it’s so easy to use.”

After doing its due diligence by talking to a number of Laserfiche users, PPS purchased a Laserfiche enterprise content management (ECM) system to streamline operational processes and eliminate the need to store paper office documents and training materials.

Leveraging Laserfiche

According to Surette, the use of Laserfiche—in conjunction with a few other initiatives—has helped PPS increase productivity by 20% over the past year, while at the same time increasing gross billings approximately 20%. When one employee left the company, the increased efficiency meant that PPS did not need to fill that position.

Here are a few of the benefits Laserfiche provides:

• Better security of information. “When you’re using paper or a file server, it’s nearly impossible to keep track of changes or restrict people from removing content,” says Devine. “Laserfiche’s security controls allow us to restrict access to folders in the repository by department and user, so that, for example, a claims processor will only see his or her assigned claims. This helps us better protect patient information and more easily comply with HIPAA.”
• Automatic data capture. Laserfiche Quick Fields automates information processing by capturing data from various formats and sorting documents according to custom criteria. For PPS, Quick Fields has simplified payment processing by automatically extracting data such as check number, transaction number and insurance carrier from bank image files and tagging it as metadata in the Laserfiche repository, where the images are stored by date. Surette says, “Before implementing Quick Fields, we had a full-time employee who did nothing but scanning and data entry all day long. Today, we have one part-time employee who scans for about 10 hours a week.”
• Smoother payment processing. After payment information is stored in the repository, Laserfiche Workflow routes it to specific claims processors based on the bank account number/insurance company associated with the payment. After the payment has been processed, Workflow automatically sends the information back to its original folder. When a claims processor is out of the office, Workflow automatically delegates his or her work to an alternate processor. “The distribution of daily work is much easier with Laserfiche,” says Surette. “Nobody has to sort through files to figure out what should go where.”
• Faster follow up. “The optical character recognition (OCR) process available through Laserfiche has made searching so much easier,” says Surette. “In the past, processors would have to look through 200-page documents to find the one paragraph that was relevant to an insurance follow up. OCR makes searching for specific words and phrases within a document easy, and it’s dramatically cut down on the amount of time our processors spend following up on claims.”
• Increased visibility and oversight. Laserfiche Audit Trail monitors, records and reports on system activity, providing the management team at PPS with a comprehensive overview of how quickly payments are processed and the value of the payments processed on any given day. “Laserfiche reporting eliminates the need to check spreadsheets,” says Surette.
• Easy integration with GE Centricity. By serving as integrative middleware that links into GE Centricity, PPS’ practice management system, Laserfiche allows staff members to access information stored in Laserfiche through the click of a button. With the integration, processors can access information in the manner and environment with which they are most comfortable, without toggling back and forth between applications.

Results

“Over the past year, even though one of our employees left and hasn’t been replaced, we’ve increased business by about 20%,” says Surette. “Implementing Workflow has been a huge part of that.”

PPS is, in fact, so satisfied with Workflow that Devine, Surette and Duplitron’s McDonough are planning to do a demo of Workflow at a regional training session for GE Centricity users this fall. “We recommend Laserfiche to other billing companies all the time,” says Surette. “When you’ve got something this good, you can’t just keep it to yourself.”

Allen Adjamian of Laserfiche reseller Adjamian Affiliated was called to demonstrate how Laserfiche could lighten the firm’s paperwork load. Adjamian showed how Laserfiche could be integrated with the firm’s Lacerte tax software and other accounting software programs to create a central storage repository for the entire firm’s paperwork in a way that all but eliminated printing—even scanning.

Rocha says his fellow Olmsted staffers were particularly impressed by how user-friendly Laserfiche was, because it “had the look and feel of Windows and search engines we were used to using.” Another plus, he adds, was the comprehensive single solution Laserfiche offered. “Other programs you had to buy more products to get to that level of functionality. Laserfiche suited our needs right out of the box.”

Olmsted herself notes that even with all its functionality, Laserfiche offered a focus. “We looked at a lot of systems where the document management component was usually one component in this canned system,” she says. “What stood out about Laserfiche was that it was a stand-alone program that focused on a single, separate function that provided a higher level of security.”

The firm purchased Laserfiche with Web Access to serve staff internally and remotely, as well as its clients. Implementation began in late 2006 with a backlog conversion of seven years’ worth of paper files. Adjamian and fellow solutions consultant Kristina Yassi worked with Rocha and Olmsted’s staff to set up templates and document types to establish the file structure that, with some enhancements, the firm still uses today. “Allen and Kristina helped us a design a folder and subfolder structure that allowed us get started scanning our documents right away,” Rocha recalls. “We’ve been able to improve on it since then, which is actually something we’ve come to appreciate about Laserfiche: It’s flexible enough to grow with us, without making a big project out of it.”

The impact of using Laserfiche was immediate. “A lot of the time when we complete a project, we have to make associated information almost immediately available to meet deadlines and client demands. Once things are in Laserfiche, we can make that data readily available through e-mail or Web Access,” Rocha says.

A big time- and resource-saver, he says, is the ability to print directly to Laserfiche from the firm’s Lacerte tax software. “Printing to Laserfiche from Lacerte takes about 10 to 15 seconds for about 40 pages. There is no need to print, prep and scan paper copies for review, whether it’s for managers or staff. They go directly to Laserfiche to review it,” Rocha explains. “This allows us to move tax returns through the office for input and review without printing out any pages, which also saves time and money.”

This saves time making changes to tax returns and statements, Rocha says. “Whereas before we would have to recycle the old version and reprint the new one and file it, now we just delete it in Laserfiche and re-print/download to Laserfiche. It’s also very convenient that we don’t need to go track down the client’s file to review data, because it’s already in Laserfiche.”

Rocha also says that Laserfiche’s interoperability with other programs and file types has brought efficiency and convenience to other business processes. “We transfer all our disparate types of data and document types into Laserfiche—QuickBooks, PDF documents, and Excel,” he says. “We can print directly to Laserfiche, save-to, or just drag-and-drop it. It’s that easy.”

For her part, Olmsted says the Laserfiche system inspired rapid adoption for its ease of use, but again, its focus of use. “Laserfiche feels like an independent program in that it’s this standalone entity that’s open to all of the types of files we work with. Our staff and customers have adopted it really well.”

The ultimate customer service, she says, is Laserfiche’s DoD 5015.2-certified security. “It can take some time to get people used to not working with paper, but for us it’s the only way to secure information moving forward by making sure you don’t have sensitive information laying around the office. Our clients look to us as their accounting firm to secure their information at the highest level,” she says.

At the same time, Olmsted sees Laserfiche making her business more agile and responsive to staff and clients alike. “Laserfiche provides us a lot of mobility. Auditors going out in the field can scan in documents and access company files. We have everybody reviewing tax returns online as well.”

Now, four years since implementing Laserfiche, the firm is seeing its return on investment (ROI) from regained staff time and cutting overhead costs. “I can say we save about 25% across the board, as far what it takes us to process paperwork now,” Rocha says.

And Rocha says that Olmsted & Associates has found a new way to work. “With Laserfiche we’ve found a document management system that offers us control in terms of securing and centralizing information, but also the flexibility to handle all kinds of content and make it readily available to our staff and clients securely and conveniently.”

That, Olmsted says, has given her firm a competitive edge. “The only way to move forward is to get your efficiency up and your costs down. For us, Laserfiche has been a big part of that.”

As Jennifer L. Litchfield, IT Manager at Palladium, remembers it, onboarding more than 1,000 accounts all at once left almost no time to learn a new electronic document management system in their new Norfolk, VA, offices—even as the need to implement one to ensure the breakaway firm could hit the ground running was clear.

“We added $1 billion in assets under management within three months, so we needed to have everything come together very quickly,” Litchfield recalls. Experiences from a prior firm had proven how cumbersome and costly paper was, from the staff effort to file and find information to the yearly accumulation of paper that took up valuable—and expensive—space. “We used to have six or seven employees spend two full weeks every year just merging each client’s file with the historical files, purging information where appropriate, and making room for the next year’s paperwork,” she says.

As owners of their new firm, Palladium’s principals knew that the right technology would make a long-term difference. “We wanted to start off our new company with smart decisions when it came to technology and electronic document management,” Litchfield says. “We made decisions that required upfront commitments of time and money, but produced ongoing savings of both.”

“We needed it to be user-friendly, customizable to our needs, and manageable on-site.”

The search for a document management system began with three criteria in mind—and one given: value. “We needed it to be user-friendly, customizable to our needs, and manageable on-site,” Litchfield explains. “Cost is always a consideration, so we were looking for a balance between use and cost while considering long-term scalability.”

Litchfield was referred to Laserfiche through the Advent Users Group, a resource made up of companies that use the portfolio management products from Advent Software. John Caso, solutions consultant at Laserfiche reseller One Source Document Solutions, Inc., showed Palladium how Laserfiche:

• Enabled users to process and store documents according to customizable template fields.
• Offered multiple searching options using those templates as well as full-text keyword searches.

Litchfield invited users from each department to the demonstration for their feedback. Each, she says, agreed Laserfiche was the most user-friendly solution they’d looked at.

“Managers wanted to be able to answer client questions over the phone, so they liked how we could set up the Laserfiche system to feel like their paper files, with the same tabs as the old paper files. The client service administrators really appreciated the advanced search capabilities that helped them find documents quickly and easily,” Litchfield recalls. “Other solutions seemed like they had a pretty big learning curve; Laserfiche is a product that you can open up and it’s immediately apparent how you use it.”

The advanced searching, Litchfield adds, would play a significant role from a compliance perspective as well, allowing easier auditing and monitoring of documents. “Our compliance officer really needs to be able to slice and dice information, and it was clear Laserfiche was the right choice. Plus everyone would be using the same system, on the same server, so everything’s in one place. From a technology, disaster recovery, and business continuity standpoint, this was important.”

Long-term, Litchfield and fellow staff agreed Laserfiche was flexible and scalable enough to grow with the firm. “We liked how we could set up the folder structure like our paper files and then change it at a later date,” she says. “We have ever-changing needs and it was important to have a product that could grow and change with us.”

Palladium purchased Laserfiche in May 2008; implementation took place over a two-day period. “We opened in late January, so by then we already had the bulk of the accounts on our portfolio accounting system,” Litchfield explains. “We had onsite support for those first two days to get Laserfiche up and running and train users and administrators. We didn’t have a backlog of information, so that helped.

“We just set the system up, set up individual scanners and got the users trained so that they could start working in the system right away,” she adds.

Improving the Day-to Day, Keeping Pace with Compliance

Since then, Litchfield says, Laserfiche has been instrumental in streamlining the day-to-day operations of the firm. “I hear all the time from our client service administrators how much they love using Laserfiche as opposed to the old way of filing paperwork. Every day, they scan all account documents into the system so all the original paperwork and correspondence is in a single location. We don’t have to worry about the storage space and cost for paper documents, or the annual clean up and purging of those documents,” she explains.

“Besides our client folders, we also maintain other folders within Laserfiche with information that cannot be changed, including marketing and compliance folders. Because we store copies of custodial statements in Laserfiche, we don’t have to keep those hard copies onsite. The only hard copies we keep are our original signed agreements,” she adds. “Our onsite storage is minimal.”

In the future, Litchfield says the firm is looking forward to the advanced search functionality that will come with upgrading to Laserfiche 8. “Everything is changing in our industry, and compliance is such a huge part of that,” she says. “Our compliance officer is one of our biggest Laserfiche users. Because she needs to be able to search for multiple criteria, being able to search throughout the file structures , as well as the further capabilities that are available with upgrading to Laserfiche 8, will be a big step forward for compliance.

“We use Laserfiche a lot for in-house verification, so having what we call that ‘wildcard’ capability to search according to a manager’s code, that’s a great oversight tool for auditing,” Litchfield adds. “Also, if we have auditors in house, we need to be able to get information to them immediately—not in three days or four days. Having these features available shows us that Laserfiche is keeping an eye on the changing environment and is adapting to keep pace.”

Along with their upgrade to Laserfiche 8, the firm is investigating implementing Workflow business process management. “We’d love to automate a lot of our processes that cross departments. Where we currently use Outlook or walk paper around, each person could sign off on a section of a document in the workflow and automatically the next person would get an e-mail saying it’s ready for them. We could move paperwork through much more effectively and efficiently,” Litchfield says.

“The ability to integrate [Laserfiche] with our portfolio management software is a big step forward. This will make the opening of new accounts a single point of entry, where fields will be populated automatically directly to Laserfiche. Additionally, allowing us to monitor personal trading within the firm from a compliance standpoint is another improvement. Automating that process will save time and money,” she adds.

The hospital relies heavily on paper—particularly for patient records. Some nursing documentation is housed in Meditech, but none of the physician orders, progress notes or surgical packets are handled electronically. With over 500 physicians and an additional 100 residents serving THE MED’s patients, the HIM department is forced to manage an overwhelming amount of paper records.

Building the Case for Enterprise Content Management

Prior to implementing Laserfiche, the HIM department had to store many of the hospital’s paper records onsite because researchers routinely required access to files. This, of course, uses valuable real estate that can be put to better use caring for patients.

But it wasn’t just the clinical staff that needed access to patient records: HIM frequently found itself copying and/or carting charts to various departments, leading to processing inefficiencies and delays.

The HIM department tried to solve its paper problem by using a vendor to scan records to the vendor’s database. However, outsourcing this important task didn’t yield positive results, as the vendor did not always properly index the records, making it difficult for hospital employees to find the desired electronic files.

Rosson knew the HIM department needed to find a better way to manage its records, but cost concerns were a limiting factor, particularly when it came to traditional electronic medical record (EMR) systems.

“THE MED is the ‘safety net’ hospital for the area,” she explains, “so we serve a large number of people who are unable to get care elsewhere.”

It was obvious that an EMR solution from the likes of Cerner or McKesson—which can cost millions of dollars—was out. Rather than scrapping the idea of EMR altogether, though, Rosson decided to take an incremental approach.

Laserfiche Becomes the Cornerstone for Hybrid EMR

Rosson’s vision centered around the creation of comprehensive EMRs that include current and historical nursing documentation from Meditech, physician documentation, pathology reports, EKGs and more. “I didn’t want employees to have to piece together a complete patient record from a variety of sources,” she says. “I wanted everything to be central and secure.”

The hospital’s CFO encouraged her to investigate an EMR solution from another vendor. “The vendor stated that its current solution didn’t have the functionality I needed just yet, but if I could wait a year, the next release would blow me away,” Rosson says. “I’m not going to waste a year waiting for something that may or may not happen.”

Instead, Doc Imaging, the company that manages THE MED’s copiers, proposed Laserfiche Rio. “From the very first demo, I thought Laserfiche was the answer,” Rosson says.

In terms of features and functionality, the HIM department was particularly impressed by Laserfiche’s:

• Ease of use.
• Robust and flexible storage.
• Advanced search.
• Granular security.
• Affordable price.

As a result, the hospital decided to purchase Laserfiche in December 2009, implementing the system in February 2010.

Breaking Ground with Hybrid EMR

Although Laserfiche has only been in place a little over six months, THE MED already uses Laserfiche to retrieve ER, inpatient, day surgery and ancillary records. “Any medical record documentation that’s not in Meditech gets scanned into Laserfiche,” Rosson says.

She adds that the hospital uses Laserfiche Quick Fields, a high-volume capture tool that automatically sorts, organizes and stores documents, to batch scan records into the system.

Pathology reports (and soon EKGs) are “cold fed” directly into Laserfiche, eliminating the need to print and store hard copies.

Each patient’s record is organized in the repository by visit number and medical record. “Our goal is to ‘ghost print’ everything from Meditech—including nursing documentation—into Laserfiche so the complete record is available to our physicians through the Laserfiche system,” the HIM director explains.

According to Rosson, physicians access records through the Web, using Laserfiche’s advanced search capabilities to quickly locate the records they need. “Laserfiche is so intuitive that users can pick it up with virtually no training,” she says.

In addition to the fast and easy access that Laserfiche affords, Rosson is excited because multiple users can view the same patient information simultaneously. “In my world, the fact that three people can be in separate rooms and all look at the same thing at the same time is huge! Laserfiche is a huge time saver in this regard.”

She also notes that THE MED’s file room is in the basement, which means HIM employees are constantly running up and down the stairs to retrieve paper files. “With Laserfiche,” she says, “our physicians don’t have to wait for someone to finish reviewing a chart, or for my department to make them a copy. They just log into Laserfiche and everything is right at their fingertips!”

Moving forward, Rosson is also excited that Laserfiche will enable coders to work from home. “The flexibility to telecommute is a big recruiting benefit,” she says, “and it frees up more space in the hospital for additional patient care areas.”

A Solid Foundation

Rosson is clear that what her department is doing with Laserfiche is more than mere archival: “We’re using Laserfiche to manage active medical records,” she says. “This is my EMR.”

Although the IT department would like to one day implement an EMR system with a CPOE component, Rosson stresses that for the time being, Laserfiche provides a sound and effective hybrid solution. “From a cost standpoint, from an access standpoint and from a productivity standpoint, Laserfiche is giving us everything we need right now.”

Besides, she points out, even if THE MED migrates to a complete EMR solution, “there’ll still be paper to manage. It’s not like the need for a content management solution is going to go away.”