Open is a catalyst for innovation. Just take a look at the Phase 1 recipients in this year’s Open App Challenge, and you’ll see what I mean. These developers are challenging the status quo to improve health care.  They’re creating better solutions. In the process, they’re challenging Allscripts to do better, too. Especially a company called eDoc4u.  It used Allscripts Application Programming Interfaces (APIs) to integrate its risk assessment platform with our electronic health records (EHRs).  Working as a team, we’re making healthcare information work harder and accomplish more than ever before –  to boost revenue, reduce costs, and improve quality of care. Integrating risk assessments with the EHR First, let me explain what eDoc4u does (you can also watch this demo video). Its Automated Physician Extender™ is a risk assessment and personal health management platform that combines patient data […]

Manitoba-eHealth is reshaping the way the province delivers healthcare. It’s a big job to deliver an EHR system that serves 1.2 million people spread across 650,000 km2 (roughly the size of Texas). Manitoba-eHealth recognized the limitations of a paper-based system. The organization wanted an electronic system that was practical, easy to use and relevant. Because patient information is a powerful tool in the hands of clinicians. Access to patient data helps inform care decisions For example, Dr. Ricardo Lobato de Faria was the physician on duty at Seven Oaks Hospital (Winnipeg, Manitoba) the night a patient walked in complaining of chest pains. He quickly diagnosed an irregular heartbeat, also known as arrhythmia. Because Seven Oaks has eChart, an electronic health record (EHR) system from dbMotion, he could access more information about the patient. “Using eChart altered the path of care,” […]

Would you have smoke detectors in your home if they cost $4,000 each and you could only put them in one room? If smoke detectors were that costly and limited, fewer people would invest in this important detection measure. Luckily they are small, inexpensive and we can put one in every room to alert us to potentially catastrophic fires. Spaulding Clinical believes that detecting danger in our hearts should also be affordable and accessible. And that it can alert the care team in real-time.  That’s why it developed Spaulding Electrocardiograph and webECGTM Cardiovascular Management Cloud, one of this year’s Open App Challenge Phase 1 award recipients. ECGs anywhere, anytime An electrocardiogram (ECG) monitors a person’s heart rate and rhythm. It’s a relatively simple test, but it’s an expensive machine most often located in hospitals. Enough barriers to dissuade some patients […]

Unity Health System (Rochester, NY) is home to one 346-bed hospital, more than 70 ambulatory sites, one home health agency and three nursing homes. While it’s had electronic health records (EHRs) at its ambulatory sites since 2004 and in the hospital since 2006, Unity wanted to improve its connectivity. It set strategic priorities to enable better clinical integration, analytics and care coordination. The answer was a Health Information Exchange (HIE) called u.Net Connect, powered by dbMotion. The goal is to provide access to relevant clinical information to improve patient care, patient engagement and overall efficiency. The system went live in October 2012. John Glynn, senior vice president and CIO, and Phyllis Larder, RN, MSN, clinical informatics analyst, shared Unity’s experiences at a recent dbMotion client conference. These tips are helpful if you’re about to embark on an effort to drive […]

A healthy 40-year-old recently had a knee arthroscopy.  Throughout the process, clinicians asked him the same questions time and again.  His clinicians didn’t seem to have access to his important medical information. Before the arthroscopy, caregivers ordered an ECG and blood work, which required the patient to take an additional day off work.  When he asked if the tests were necessary for someone so healthy, they responded, “this is what we always do for these procedures.” No matter if he really needed the tests. It shouldn’t be this way. Patients and caregivers should have information at the point of care to conduct the right tests – and only the right tests – before surgery. One of our Open App Challenge Phase 1 recipients, ePREOP, addresses this goal and promotes best practices in surgical care. Keeping surgeries on schedule with the […]

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Patients shouldn’t have to wait for a bed

Mastering the patient flow of an Emergency Department starts with the inpatient units. For many hospitals the biggest opportunity for improvement is to eliminate “cold beds.”  These are empty, dirty beds, just waiting to be cleaned. People often blame poor, inefficient housekeeping processes, but that is almost never the issue. The real culprit is frequently poor communication.  Housekeeping needs to find out about a vacated bed when the patient really leaves – not hours later. That’s where software, such as Allscripts Patient FlowTM, can help. Automated communications can help optimize patient flow, balance workloads and gather data. In addition, it can improve patient and staff safety by providing real-time visual cues and alerts that relay isolation precautions, patient needs and bed condition. Using technology to improve bed turnover time The University of Texas MD Anderson Cancer Center (Houston, TX) treats […]

Diabetes is an epidemic. Millions of Americans suffer from this disease.  The American Diabetes Association recently estimated the disease cost $245 billion in 2012.  While our healthcare system is adept at treating acute illness, patients and clinicians are often ill-equipped to manage chronic illnesses that require frequent communication between them. A study released by the Center for Disease Control notes that health IT is an essential component of chronic care models. Health IT can improve care coordination, advance self-management skills, and promote decision support. The UMass Memorial Health Care system serves about 33,000 patients with diabetes. To help improve patient outcomes, and integrate care across our health care system, we’ve been using MyCareTeam™ Diabetes Management for Allscripts Enterprise EHR™. We believe the system can help connect diabetic patients with their health care teams, can help engage patients in their own care, and […]

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What’s wrong with “mobility” today

People often ask me about Allscripts mobility strategy. It’s tempting to talk about our iPad, iPhone, Droid and Blackberry products. I think we’ve set the bar in that class of applications, considering some of our competitors are satisfied with remote desktops. Unfortunately when most people talk about “mobility,” they’re just focusing on mobile devices. And that is far too limited a view. The hazards of taking a narrow view of mobility Recently I spent a day as a patient. I was in a room with a mobile desktop, also called computer on wheels (COW). The nurse arrived to take my vitals. And what high-tech instrument did she use to record the vitals? A notepad. The vitals capture device was not integrated in to the Electronic Health Record (EHR) (not Allscripts), nor did the nurse use the COW. She wrote it […]