In a recent post, I explored the promising nature of clinically integrated networks (CINs) and outlined how this model differs from previous efforts to “fix” health care. Now let’s look more closely at the technological underpinnings critical to success for organizations participating in CINs. Data sharing criteria require HIT interoperability One key attribute of the current CIN model is a focus on information sharing among members—and an acknowledgement that success is highly dependent upon the use of interoperable health information technology (HIT). In other words, CINs require that members be able to share data, aggregate data and analyze data. Let’s look at what this means in practical terms: how interoperable technology is essential as a CIN focuses on reducing hospital readmissions. – When a patient is discharged, providers in the community must be informed about the treatment delivered in the [...]

One benefit of automation you might not expect? Improving morale. At our annual user conference, Allscripts Client Experience (ACE), we talked about this benefit with Terri Carlson, executive director of support services, Jeanette Harkness, manager of portering, and Wendy McCrystal, senior business analyst from Regina Qu’Appelle Health Region (RQHR).  The largest healthcare system in southern Saskatchewan, Canada, RQHR uses SunriseTM by Allscripts and Patient Flow. Patient Flow helps hospitals automate bed management and patient transport, which leads to better care coordination and efficiency. The system also offers transparency that hospitals don’t have with manual and paper processes. Better transparency improved trust between departments When using a paper system for bed management and bed turnover, RQHR did not have transparency. Housekeeping staff would walk the halls looking for beds ready to be cleaned. Clinical staff assumed that housekeeping staff weren’t cleaning [...]

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CIN: A new and improved recipe for success

Over the past few decades, industry thought leaders have displayed a voracious appetite for new and improved ways to fix health care—and embraced an “alphabet soup” of  acronyms to describe them: HMO, IPA, PHO, VBC, ACO, PCMH, to name a few. And now they’re dishing up CINs: clinical integration networks (aka clinically integrated networks). The difference is that CINs build on what we’ve learned from predecessor models that were only partially successful and add elements that promise to help the industry achieve the goals of reform. 3 shortcomings characteristic of earlier models While well-intentioned, previous attempts to address the challenges facing health care met with only limited success for three primary reasons: 1) Incentives intended to motivate stakeholders were rarely aligned. Often, community-wide healthcare networks were driven by hospitals, looking to build loyalty among referring physicians. Local providers, however, were [...]

What’s the fastest way to reduce clicks in the patient documentation process? Try spoken commands that the electronic health record (EHR) recognizes and documents in the patient record. I get so excited to talk about what NoteSwift for Allscripts Professional EHRTM can do for our clients because it makes an immediate and positive impact on how physicians interact with their EHRs. It doesn’t just reduce clicks – it virtually eliminates them. NoteSwift for Professional EHR is powered by Dragon speech recognition and enables the clinician to forego the keyboard and mouse. Instead they can speak directly to Professional EHR to move around in the application and work more efficiently. NoteSwift can help clinicians cut their patient documentation time in half and often use the EHR even more efficiently. Dr. Donald Smith, Indiana University Health, attests: “NoteSwift for Allscripts Professional EHR [...]

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The Do’s and Don’ts of clinical IT system deployment

  • Jennifer MacGregor
  • 09/16/2014

Alberta Health Services (AHS) serves nearly four million residents of Alberta and surrounding Canadian provinces. AHS Calgary Zone uses Sunrise by Allscripts™ to improve clinical and financial results in a number of ways (read more about AHS outcomes in a new case study, which you can download for free here.) Along the way, AHS learned some valuable lessons about how to succeed with clinical IT system deployments. Here are some of the keys to success: DON’T… Let IT make decisions without clinician input Let vendors draft the strategy and tell you what it costs Under-resource content build, system design, training and support just to save money Chase unrealistic timelines Expect clinicians to automatically accommodate all new technology DO… Engage leadership in all levels of implementation decisions Keep your organizational commitment and focus Make the deployment the highest priority Align clinical [...]

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What can a good order set really do for patients?

A real-life example is the best way to show the value of a good order set within a locally programmable electronic medical record (EMR).  Of course, any EMR that is not locally programmable would seem categorically untenable to me – no two organizations are alike on a host of internal and external measures that require a flexible EMR solution. Here’s a great story of how one large multi-hospital Allscripts client—as part of its continuous efforts to improve care—helped clinicians and the organization help stroke patients leveraging local programmability. They had successfully addressed a host of clinical challenges one at a time, and next turned specifically to better serving patients with new-onset stroke. Using best practices more consistently First, the 13 generally accepted, evidence-based best practices for treating stroke patients provided the goal. For example, completing a lipid profile within 24 [...]

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10 pearls of wisdom from a veteran CIO

Andy Fowler, vice president of information systems at Atlantic General Hospital (Berlin, Maryland, U.S.A.), has seen a lot of changes in Information Technology during his 40-year career. Since 1985 most of his work has been in health care. Fowler sat down with us at our annual user conference, the Allscripts Client Experience (ACE), to share his thoughts about Sunrise by AllscriptsTM and Health IT. Here are 10 insights Fowler shared with us: 1. “Automation shines a spotlight on processes that just don’t make sense.” Fowler acknowledges that sometimes the organization is grateful to find these opportunities. Other times people who own these processes don’t want to fix them. 2. “We call them disruptive technologies for a reason: They disrupt current practice. But a lot of times current practice is not the best way to do business.” For example, in a [...]

We have a great client community at Allscripts. People are often willing to share best practices and outcomes. Because when we exchange ideas and experiences, we help each other deliver the highest quality care, as efficiently and cost-effectively as possible. We recently sat down with Family Medical Center (Seymour, Indiana, USA) to learn more about how it is using several of our solutions, including Allscripts Professional EHRTM, Allscripts Practice ManagementTM, Allscripts PayerPathTM and FollowMyHealth® patient engagement portal. They’ve achieved great results. Here’s what they told us: You can learn more about Family Medical Center’s success in a recent case study.

So, you’ve weighed your options and decided it’s time to replace your revenue cycle management (RCM) solution. You’re not alone. According to a recent survey, about one out of every five healthcare organizations are planning to replace their current system, too. What’s causing this trend? Healthcare organizations are preparing for new value-based reimbursements, while still collecting as much revenue as possible under current fee-for-service methods. Lots of RCM solutions simply aren’t up to the challenge of succeeding with both financial models. At Allscripts, we updated our revenue cycle management solution to help clients meet today’s financial challenges. Our Sunrise Financial ManagerTM solution builds on the successes of Sunrise Patient Financial ManagerTM. We listened closely to clients about what they needed in future revenue cycle management solutions. We made sure that Sunrise Financial Management could: – Switch gears smoothly as they [...]

When we look at our successful managed IT partnerships, several consistent traits emerge, including: 1. Collaboration With more than 30 years of experience, we understand what it takes to make a successful partnership. We see ourselves as an extension of your team and are dedicated to achieving your goals. 2. Scalability From service desk to remote application hosting to full IT services management, Allscripts can meet a variety of different needs within healthcare organizations – even as they change over time. 3. Innovation Our team has 1,200 highly skilled members with a broad range of technical expertise. Accessing the right talent can help spark innovative solutions to the challenges you’re facing. 4. Objectivity We provide vendor-neutral managed IT services for more than 600 applications from leading companies. 5. Proven Methodology Since 2006 Allscripts has annually received ISO 9001:2008 certification for [...]