When a transporter at Camden Clark Medical Center (Parkersburg, West Virginia, U.S.A.) first saw the new Allscripts Patient FlowTM mobile application, he said, “Where have you been all my life?” Reactions like these tell us we’re on the right track in designing solutions that save precious time for hospital staff. Camden Clark agreed to be an early adopter for the new and improved Patient Flow 15.1, and has been previewing the application since January. I recently talked with Camden Clark Clinical Analyst Deanna Boothe, RN, MSN, who shared her experience and what she likes best about the new version. Here are highlights from our conversation: Q. Why did you agree to become an early adopter for the new version of Patient Flow? A. We were due for an upgrade of our Patient Flow software. At Allscripts Client Experience (ACE) in [...]

0 comments

Don’t reinvent the wheel to get better outcomes

  • Diane Gilbert Bradley, MD
  • 03/19/2015

Many healthcare organizations envision an outcomes-based future for themselves. But many clients find themselves asking: how do we get there? The Allscripts Client Value & Outcomes team wants to help fill in the gaps with best practices through our new Client Outcomes Collaboration Program. We have ready-to-use tool kits that feature successful workflows associated with clinical outcomes from other Allscripts SunriseTM clients and have launched a monthly series of webinars to share them. Simplify workflow changes with 3:3:1 methodology Changing workflows can be a labor-intensive process, but some organizations make it harder than it needs to be. To implement best practices more efficiently, try the 3:3:1 method: 3 (In 3 weeks) – Review the workflow with the pilot users and make any updates as needed 3 (In 3 months) – Review again with end-users for any updates Make no workflow [...]

0 comments

Taking the detective work out of pediatric care

  • Jennifer MacGregor
  • 03/12/2015

Alberta Children’s Hospital (Calgary, Alberta, Canada) uses Allscripts SunriseTM  to improve care and free its clinicians from tedious “detective work” and calculations. In a recent case study, physicians describe how they’ve applied intelligent order sets to pediatric diabetes management and infant Total Parenteral Nutrition (TPN). Solving the mystery of insulin management According to pediatric endocrinologist Dr. Jonathan Dawrant, managing insulin has three main challenges: 1) Even though diabetes is a growing health concern, not every clinician has enough exposure and expertise to manage insulin. 2) Insulin has no clear dose range; it’s different for every patient. This ambiguity is especially challenging for growing children. 3) To determine the appropriate dose of insulin requires input from various sources. Dawrant observed, “Doing rounds was like doing detective work…you have to gather different pieces of paper, which are located in different places, then [...]

The University of Mississippi Medical Center (UMMC – Jackson, Mississippi, U.S.A.) uses Allscripts EPSiTM to identify cost-saving opportunities while helping to improve overall care and patient experience. Using EPSi’s patient analytics and teaming up finance and physician expertise, it has identified two areas with potential cost-saving opportunities of $1.3 million: 1) Reducing unnecessary lab testing Certain laboratory tests have enough diagnostic accuracy to make other tests unnecessary. The UMMC team used evidence-based guidelines to identify and evaluate 21 redundant testing scenarios. “With a rich data set, we can fine-tune pathways and standard order sets for the clinical side,” UMMC Director of Finance Operations Bryan Clements said. “These tools help better prioritize decisions for patient issues, like unnecessary lab testing, which are also often cost issues, too.” 2) Identifying efficient and effective uses for medications UMMC also focused efforts on reviewing [...]

0 comments

How much will ICD-10 implementation really cost?

Converting to ICD-10 is the largest healthcare mandate in U.S. history, and it comes at a price. Early estimates suggest small physician practices could pay $83,290 for the transition. But, as reported in EHR Intelligence, a recent study in the Journal of AHIMA paints a more hopeful picture. Based on new data about available solutions, authors estimate the cost for a typical small physician practice to be somewhere between $1,960 and $5,900. So, depending on who you talk to, it can cost anywhere from $1,950 to $83,290. Anyone involved with ICD-10 implementations understands it’s the project’s complexity that makes it difficult to estimate cost. Where are the biggest discrepancies? There are a few areas in which these studies differ: 1. Training Researchers who expect lower costs maintain that there are more ICD-10 training options available to clinicians today, including more [...]

0 comments

An ACO rookie’s most common mistake

To stay competitive in an evolving healthcare landscape, independent small physician practices are creating their own Accountable Care Organizations (ACO). It’s important for them to have accurate expectations before applying to Center for Medicare & Medicaid Services (CMS) and its Shared Savings Program. Unfortunately, new ACO applicants often miscalculate the number of CMS patients, or “attributed lives,” they are responsible for, putting their entire cost structure at risk. Whose patient is it? CMS assigns each patient to a provider who will be responsible for that patient’s cost and quality of care. A sophisticated algorithm determines where this patient belongs, based on claims data. A smaller primary practice may assume that every History and Physical (H&P) it performs for Medicare patients will count toward its attributed lives total, when in fact that is not the case. For example, if that patient [...]

“There’s an app for that” is a common expression proving true in healthcare IT. For example, SAMA HealthCare Services (El Dorado, Arkansas, U.S.A.) uses third-party applications to customize its electronic health record (EHR) core and improve patient-centered care. It launched eDoc4U in May 2014 to automate required annual Medicare wellness exams and assess health risks. In a recent case study, SAMA HealthCare lead physician Gary Bevill said, “We’ve pushed the envelope and look for ways to keep the patient foremost in the encounter…With Allscripts Professional EHR and eDoc4U, it was a way to further extend that goal and offer much greater value to our patients.” The big picture: Improving care in Arkansas According to the United Health Foundation, Arkansas is the second unhealthiest state in the nation, with high rates of smoking, obesity, diabetes and poverty. Lack of preventive care, [...]

Many providers are finishing up their 2014 attestation period for Meaningful Use, the Centers for Medicare and Medicaid (CMS) incentive program for successful use of electronic health record (EHR) technology. Several changes in the regulations in 2014 have prompted questions. Using information available today, I’ve answered some of the most frequently-asked questions here: Q. Do we need to attest several times throughout 2015, or do we attest only one time after the end of 2015? As of today, if you’ve attested for Meaningful Use before, you only need to attest once. You will demonstrate for all of 2015 and attest before February 29, 2016.  (Exception: people who have never demonstrated before will have a 90-day demonstration period.) However, on January 29, 2015, the Chief Medical Officer of CMS issued a significant communication about some possible future adjustments to the Meaningful [...]

Patient engagement is essential to improving care, but it can be a tough climb. For example, U.S. clients often note the most challenging government incentive measures are the ones that require patient response. Health First (Brevard County, Florida, U.S.A.) recognized the importance of genuine patient engagement, including millions of dollars in potential Meaningful Use incentives. Below, Health First shares how – within just a few short weeks – it achieved 52.6% of patients with online access and encouraged 6.8% of patients to view information electronically. Here are some of the successful strategies from Health First Vice President of Enterprise Applications/Informatics and Chief Nursing Informatics Officer Karie Ryan, RN, MS, BSN: 1. Remember that implementation is just a first step. During the summer of 2014, Health First implemented Allscripts FollowMyHealth® patient portal (and rebranded it HFConnect). But just building a portal [...]

0 comments

Finding tomorrow’s high-risk patients

As the healthcare industry offers more ways to earn risk-based or value-based revenue, providers are more proactively coordinating care, engaging patients and managing population health. Analytics are fundamental to all of these strategies, even in small practices. To be successful, physician practices need analytics that are predictive across multiple populations. They need to know who the high-risk patients are today, but they also need to identify the “rising-risk” patients. With intervention, these patients can have a healthier future. The cost of unmanaged cardiac conditions One healthcare organization evaluated its Accountable Care Organization (ACO) population with Johns Hopkins Adjusted Clinical Groups (ACG®), an industry standard to adjust risk and predict future healthcare usage. With analytics, this ACO found that more than half of its patients were either high risk (30%) or very high risk (27%). Furthermore, it found that the average [...]