This week, the Centers for Medicare & Medicaid Services announced 2014 results for 333 Medicare Accountable Care Organizations (ACOs). It’s pretty exciting news; 56% of ACOs reduced costs and improved quality measures and reporting, which is up from 40% in previous years. The downside of the report is that only 29% of ACOs participated in shared savings, which is simply not enough. The ACOs are saving money, but they’re not earning revenue at the same rate. It’s clear that we, as in industry, have to do more to facilitate success. Think like a payer To earn shared savings, ACOs need to think more like payers. Unlike traditional fee-for-service models, new value-based-care models require providers to balance risk scores and quality measures for better patient care. They have to manage patient coding to account for risk, which is what payers do [...]

Because our clients consistently innovate and exchange best practices, they represent the best and brightest in health care. One of the ways we help fuel their progress is by staying on top of industry trends and highlighting best practices. To further help the healthcare community succeed, we’re sharing these insights and client outcomes through our new magazine: Continuum. We launched our first issue, and some of the highlights include: Exchanging patient information to improve care. Canadian client Fraser Health Authority uses the Allscripts dbMotion™Solution to make all relevant clinical information from multiple source systems available at the point of care. Is ACO the Way to Go? What independent physician practices should consider reimbursement models shift to value-based-care models, such as Accountable Care Organizations (ACOs). Focusing on the Patient. Family Practice Associates, a large family practice in central Kentucky, U.S.A., describes how Allscripts Professional [...]

Health systems are now well down the road of “accountability reform,” defining and managing the effectiveness of care to improve quality and reduce cost. Plexina (formerly known as Wairever) provides the Plexina Platform that helps support clinicians using electronic health records (EHRs) to provide evidence-based and best-practice care. Creating electronically actionable clinical decision support (CDS) tools — such as order sets, clinical documentation templates, rules and assessment reports – at  the point of care helps clinicians make better decisions for patients. Plexina is a complete platform that helps capture, understand, define, design and deploy high-quality CDS assets into EHRs. The continuous process of developing and maintaining CDS In each health system, the clinical transformation team or CDS team has to enable new operational capabilities to improve care. Business transformation, standardization and clinical improvement is a complex and time-consuming undertaking. First, [...]

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Should we measure outcomes or compliance?

An interesting discussion surfaced during an executive session client panel at Allscripts Client Experience (ACE), our annual user group meeting:  Should we measure outcomes or compliance? Of course, the ultimate goal is to improve clinical and financial outcomes. Healthcare organizations want to know that they’re delivering the best quality care for the lowest possible cost. But is measuring the outcomes themselves the fastest way to improvement? How MediSync achieved nationally recognized chronic disease outcomes One of the panelists was Charlie Hardtke, chief operating officer at management services organization MediSync (Cincinnati, Ohio, U.S.A.). MediSync uses Allscripts TouchWorks® EHR and Allscripts Practice Management™ to help its medical practices earn national recognition for chronic disease management. The story is the subject of a new case study. Hardtke stressed the importance of engaging clinicians to define outcomes and processes, based on patient data and analytics. [...]

With about a decade of experience, Allscripts has established strong healthcare IT credentials with clients in the Asia-Pacific region. Clinical goals for healthcare IT in Asia are similar to what you’d find in the United States and Europe: to deliver the highest quality care at the lowest possible cost. However, there are different sets of challenges throughout the region that require healthcare IT to take a different approach. Singapore: Asia’s center for healthcare innovation Singapore, an island city-state, is the second most densely populated sovereign state in the world, with more than 5.3 million citizens. Because it’s a small, contained geographical area, we see a couple of trends that affect healthcare IT. First, patients move fairly readily among Singaporean healthcare organizations. It’s important that patients’ records travel with them. Second, physicians also move freely within the Singaporean healthcare community, making [...]

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Live from ACE 15: What’s next for Allscripts

This is a big week for Allscripts. We announced record-setting second-quarter financial results, and we kicked off the Allscripts Client Experience (ACE), our annual user group meeting. More than 2,200 clients are gathered in Boston to connect, learn and innovate. As a Connected Community of HealthTM, we have much to celebrate as we look ahead. In my opening address, I shared three primary ways we’re laser-focused on a successful future for our clients: 1) Ready for value-based care The industry shift from fee-for-service to value-based-care financial models continues. Healthcare organizations are at various stages in this evolution, and many of them have one foot in each world. What will continue to be increasingly important are referral patterns for patients. Healthcare organizations need to be able to drill into the data to understand “leakage” – when patients leave their system for [...]

Physicians are busy people – every minute counts. So, when physicians participating in a pilot training program agree it is a good method for learning, it’s important to share. Allscripts partnered with Bronx-Lebanon Hospital Center (Bronx, New York, U.S.A.) in its quest to continuously improve performance through more effective training. Bronx-Lebanon was looking for the best way to train physicians and clinical staff and was especially interested about using Allscripts Experiential LearningTM.  It provided Bronx-Lebanon with high-quality training content to ensure consistency, flexible 24/7 access to the training through the Allscripts Learning Center, and robust reporting to measure both completion and competency. Bronx-Lebanon’s new approach to training Previously, Bronx Lebanon relied upon various methods of training providers on the use of Allscripts SunriseTM electronic health record (EHR) system. To help physicians maximize their use of the technology, Bronx-Lebanon worked with [...]

Editor’s Note: On July 23, 2015 Paul Black testified before the Senate Committee on Health Education Labor and Pensions, to share his thoughts about how to advance health data exchange. This post is the third in a three-part series that will address aspects of interoperability: 1) overcoming barriers 2) financial motivation and standards, and 3) information blocking. An important consideration for information liquidity are the physician practices (small and large) and independent hospitals that have been pressured to move off of their current Electronic Health Record (EHR) system – Allscripts in some cases – to one used by the large enterprise health system in their area. It’s called “data bullying” or “information blocking,” because one party isn’t committed to establishing connectivity between current systems and in some instances, will even put up indirect roadblocks. For example, sometimes larger health systems [...]

Editor’s Note: On July 23, 2015 Paul Black testified before the Senate Committee on Health Education Labor and Pensions, to share his thoughts about how to advance health data exchange. This post is the second in a three-part series that will address aspects of interoperability: 1) overcoming barriers 2) financial motivation and standards, and 3) information blocking. The current payment system simply does not offer appropriate financial motivation for providers to create an interoperable healthcare environment; this is especially true given that the burden of cost falls to them almost exclusively. Healthcare providers are genuinely committed to providing the best care they can to patients, but the common reality of running on only a few days’ cash flow sometimes trumps loftier goals. Much as CMS policy has already had a marked impact on hospital readmission rates by associating them with [...]

Editor’s Note: On July 23, 2015 Paul Black testified before the Senate Committee on Health Education Labor and Pensions, to share his thoughts about how to advance health data exchange. This post is the first in a three-part series that will address aspects of interoperability: 1) overcoming barriers, 2) financial motivation and standards, and 3) information blocking. Interoperability is of great concern to us, as more independent doctors use our software to treat patients than any other commercially available product. If a stakeholder were to intentionally get in the way of information exchange, there are two main concerns: 1) it would be bad for patients, and 2) it could be anti-competitive. Period. Several years ago, Allscripts made a decision to invest in an Open approach to connectivity – one that is grounded in the Allscripts dbMotionTM Solution connectivity platform and [...]