How can healthcare organizations that were built on volume adapt to the arrival of a value-based reimbursement system?  American providers, as well as payers, are struggling to find an answer to that critical question. When it comes to the Accountable Care Organization (ACO), the struggle generally takes two forms: either to jump in with both feet via a model such as the Medicare Pioneer ACO program, or to sit back and take a wait-and-see approach. In a new white paper, Allscripts Chief Medical Officers Doug Gentile, MD and Toby Samo, MD explore the unique perspectives of both types of organizations. The six organizations studied (each an Allscripts client) include two of the original 32 Pioneer ACOs; the nation’s largest commercial ACO; a major IDN that is pursuing its own ACO pathway; a large stand-alone hospital that has yet to take […]

Do you have the data and insights you need to better manage your practice and improve profitability? Over the years, the business of running a physician practice has become immensely complicated and labor intensive. Health plan rules and government regulations are constantly changing. And while it’s increasingly important to cut costs, increase efficiency and align compensation with productivity, it’s difficult and time consuming for practices to track these and other key success measures, let alone understand how they’re performing versus their peers. To help, today I’m really excited to announce Allscripts Practice Performance, a new business intelligence and comparative analysis tool that responds directly to our customers’ evolving business needs. Leading medical providers have told us they want a new generation of cloud-based solutions that give them actionable business intelligence. Allscripts Practice Performance delivers with a complete analytics and business intelligence solution […]

How can healthcare organizations that were built on volume adapt to the arrival of a value-based reimbursement system?  American providers, as well as payers, are struggling to find an answer to that critical question. When it comes to the Accountable Care Organization (ACO), the struggle generally takes two forms: either to jump in with both feet via a model such as the Medicare Pioneer ACO program, or to sit back and take a wait-and-see approach. In a new white paper, Allscripts Chief Medical Officers Doug Gentile, MD and Toby Samos, MD explore the unique perspectives of both types of organizations. The six organizations studied (each an Allscripts client) include two of the original 32 Pioneer ACOs; the nation’s largest commercial ACO; a major IDN that is pursuing its own ACO pathway; a large stand-alone hospital that has yet to take […]

Many observers, including the analyst firm IDC Health Insights, have noted the critical role of care management software in accountable care organizations (ACOs). For a closer look at how one health system has used care management technology to create the foundation for an ACO, we recently read this excellent peer-reviewed article (requires download fee or subscription to Professional Case Management) by Linda Stutz, BSN, MBA, Senior Director for Case Management at Banner Health. In the article (“Case Management as a Foundation for an Accountable Care Organization”), Stutz describes how Banner, one of the largest, nonprofit health care systems in the country, implemented “a Case Management Model that demonstrates a strong return on investment for the hospitals in the system and creates the foundation for success under health care reform.” Just what ROI did Banner produce under the new model? An 8-percent […]

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The Infobutton: ONC Gets it Right

The ONC’s proposed rule for Electronic Health Record certification under Stage 2 Meaningful Use includes one requirement that will be good for clinicians and good for patients – the Infobutton.  Under the rule, EHRs certified for Stage 2 would be required to support the HL7 Infobutton standard for two distinct use cases: Providing a context-sensitive link to reference information to support clinical decision making Providing links to patient-specific education resources So what is an Infobutton?  Infobuttons link an EHR to an outside knowledge source.   Importantly, Infobuttons are context sensitive.   For example, if the patient has a diagnosis of multiple sclerosis on his or her problem list, an Infobutton next to that problem would link the user to one or more knowledge sources about multiple sclerosis.  The user can access the information immediately without opening a new application or web page, […]

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Top 10 Things We Like About Meaningful Use Stage 2

Where’s Paul Shaffer when you need some theme music? Now that the comments on the Meaningful Use Stage 2 Notice of Proposed Rulemaking (NPRM) have been submitted by anyone with an opinion and Internet access, the media is making hay of all the negative feedback from industry stakeholders.  There have clearly been some provocative conversations. There’s even a protest planned in response to one organization’s suggestions! But there are also plenty of people who actually liked elements of the proposed Stage 2 program, including the leadership of Allscripts.  It may not be as sexy to point out what we like, but even federal bureaucrats deserve kudos on occasion – especially when their proposals benefit patients and providers.  So here we go … The Top Ten Things We Like About Meaningful Use Stage 2 10. There’s so much more for specialists  […]

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EHR Saves Lives: Cuts Sepsis Deaths By 25%

“Sepsis is preventable, and at Orlando Health we have set a high priority on infection control as our quality initiative. (Allscripts) Sunrise EHR is an essential part of our initiative to eradicate central line-associated bloodstream infection and catheter-related urinary tract infection. The capabilities of Sunrise significantly help with these efforts.” – Michael L. Cheatham, MD, FACS, FCCM, Director, Surgical Intensive Care Units, Orlando Health Most of us are familiar with sepsis — a serious medical condition caused by an overwhelming immune response to basically a whole body infection. It’s one of the leading causes of death in hospital ICUs. Every year, severe sepsis strikes about 750,000 Americans. Somewhere between 28 and 50 percent of these people die—far more than the number of U.S. deaths from prostate cancer, breast cancer and AIDS combined. MLMs are the key The key to beating sepsis […]