Tucked between large metropolitan centers on the East Coast, Berkshire Medical Center serves a population of about 130,000 people across 1,000 square miles of western Massachusetts. Clinicians there have launched a health information exchange (HIE) using dbMotionTM Solution, proving that small communities can harness big data. At Population Health University, our recent annual user conference, we gained insights from Berkshire’s Chief Medical Information Officer Mark Snowise, MD. “In a small community like ours, if we want to progress, we had to find some way to get everyone connected and talking to each other,” he said. Launching the Berkshire HIE Three years ago, the hospital approached the broader healthcare community with a plan to improve data sharing. Initially the hospital hoped to align the various providers by using the same electronic health record (EHR). The hospital-based practices and several community practices [...]

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Re-imagining health care with Resolute Health

Resolute Health (New Braunfels, Tex., U.S.A.) opened its brand new hospital campus June 24. The 56-acre site reflects the future of health care, emphasizing population health management and overall wellness. Chief Information Officer, Roderick Bell II, shared Resolute’s vision at our recent annual user conference, Population Health University. With more than 20 years of healthcare IT experience supporting  four “greenfield” hospital projects, Bell is well qualified to re-imagine the possibilities for healthcare technology. 7 visionary features on Resolute’s wellness campus “Resolute Health is the innovation lab for Tenet Healthcare,” said Bell. “All the new technology, all the new workflows…everything new goes through Resolute Health first before we push it out to the rest of the 77 hospitals across the system.” Resolute’s innovative approach is evident in the way it uses technology and the types of services available onsite. Here are [...]

Editor’s Note: Springhill Medical Center (Mobile, AL, U.S.A.) is always moving forward. The privately owned, independent hospital recently achieved a prestigious Stage 6 in the HIMSS Analytics’ Electronic Medical Record Adoption Model (EMRAM). Only about 13% of U.S. hospitals have attained HIMSS EMRAM Stage 6, which shows significant progress in integrating electronic systems. And that’s not all. This year marks the third time The Outsourcing Center, an international company, recognized Allscripts and Springhill with the Best Outsourcing Partnership award. Springhill’s Chief Information Officer Mark Kilborn shares some of the best practices that earned these recognitions. This post will focus on achieving the Best Outsourcing Partnership award. The American Recovery Reinvestment Act in 2009 mandated that all U.S. hospitals would move to the electronic health record (EHR) and qualify for federal incentives.  In partnership with Allscripts, Springhill started that journey in 2003. To [...]

The Allscripts Application Store helps instantly connect Allscripts clients with approved third-party applications and devices designed to improve productivity, deliver higher-quality care, engage patients in their own care and more.  Our goal is to help our clients make the most of their electronic health record (EHR) investment. We currently have more than 60 solutions built for various Allscripts applications that tackle a wide range of healthcare challenges. One area where we’re seeing innovation growth is clinical decision support for electronic prescriptions. The benefits of electronic prescriptions According to the Office of the National Coordinator for Health Information Technology, electronic-prescribing (“e-prescribing”) adoption is growing in the United States. Between December 2008 and June 2012, the number of physicians e-prescribing with an electronic health record (EHR) increased by 41 percentage points. About half of U.S. physicians are now e-prescribing. One of the [...]

Editor’s Note: Springhill Medical Center (Mobile, AL, U.S.A.) is always moving forward. The privately owned, independent hospital recently achieved a prestigious Stage 6 in the HIMSS Analytics’ Electronic Medical Record Adoption Model (EMRAM). Only about 13% of U.S. hospitals have attained HIMSS EMRAM Stage 6, which shows significant progress in integrating electronic systems. And that’s not all. This year marks the third time The Outsourcing Center, an international company, recognized Allscripts and Springhill with the Best Outsourcing Partnership award. Springhill’s Chief Information Officer Mark Kilborn shares some of the best practices that earned these recognitions. This post will focus on achieving HIMSS EMRAM Stage 6. Why achieving HIMSS EMRAM Stage 6 is important to Springhill HIMSS Analytics Stage 6 validates the progress and impact of the electronic health record (EHR) to improve patient safety, outcomes, the move to the paperless record and [...]

Payers and providers have a complex relationship. Stereotypes suggest payers want to cut expenses, while providers want quality care (regardless of cost). Conventional wisdom says these parties have treated each other with suspicion in the past. But the U.S. healthcare industry is in the midst of evolving to new outcomes-based payment models, and as a result the payer-provider relationship is evolving. As providers become more responsible for cost, payers are willing to offer information and expertise. Provider insights about practicing medicine can enrich payer data. Both sides share the goals to improve quality and reduce expense. There is a more collaborative approach among payers and providers in the U.S. healthcare industry today than ever before. I believe that trend will continue. How Allscripts helps strengthen these collaborations Allscripts can make these collaborations even stronger. Our solutions connect more patients with [...]

It’s a simple concept: patients who are engaged in their own health care are more likely to experience positive outcomes. But how do we engage them? That’s the million-dollar question. At our recent user conference, Population Health University, three clients shared patient engagement experiences, tactics they use to drive registration and participation, and how their approaches result in better care. Here are highlights from those presentations: Baylor Scott & White: Achieved initial 10% adoption rate with phased “go-live” Baylor Scott & White, one of the largest health systems in Texas, went live with FollowMyHealth™ this year in both its ambulatory and acute facilities. According to its clinical coordinator of information technology, Paul Bassel, MD, the organization believes there is even more opportunity to engage patients through its ambulatory arm, Health Texas. “Here the value proposition is much greater, given the [...]

Craig Dreher, chief information officer at Mercy Health System (Portland, ME, U.S.A.), recently observed, “In the Accountable Care Organization (ACO) environment, you have to do everything exactly right. You get paid only if you meet certain measurements. Can you imagine applying those standards in other places, like the airline industry?” That’s an interesting thought. Instead of a set price in advance for each flight, what if airlines could only receive payment upon meeting certain measurements? The flight must take off and land on time. Gauges must prove that the plane used correct amounts of fuel and oil. The pilot reports in a timely and precise manner to air traffic control. This is what is being asked of medicine. What if consumer behavior also contributed to whether or not airlines receive payment? All passengers must stow their carry-on baggage safely and [...]

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Using pharmacogenetics for safer drug orders

  • Rick Mansour, M.D.
  • 06/10/2014

The SunriseTM platform is unique because we designed it to be a central nervous system of health care organizations. It constantly gathers, aggregates, evaluates and acts on information for optimal clinical decision support. Our clients are using these capabilities to integrate evidence-based information at the point of care. For example, a team at the U.S. National Institutes of Health Clinical Center (NIH CC) recently developed a program for Sunrise using pharmacogenetics, which evaluates genetic information to predict a patient’s response to medication. The goal was to provide newly available information at the point of care to help clinicians reduce the risk of adverse drug events. The Journal of American Medical Information Association (JAMIA)* featured this patient safety project in a recent article. Starting with safety checks for three drugs The NIH CC team wanted a tool to help clinicians as [...]

Allscripts Population Health Management clients recently gathered in Pittsburgh for our annual user conference, Population Health University (PHU), where they spent time learning, sharing and connecting. About 300 attendees networked and attended educational presentations over the course of three days, hearing how their peers are executing strategies to improve the health of individuals and populations, while better managing costs and improving operational performance. The innovations and successes shared were nothing less than remarkable. Holston Medical Group (HMG), for example, is using analytics to drive culture change among providers and achieve success with accountable care. HMG identifies high-risk patients and realigns care delivery priorities so providers see these individuals more frequently for better outcomes. In 18 months, HMG realized a double-digit reduction in hospital readmission rates among a select group of patients—even among those with complex chronic conditions. Plus, it added [...]