Unity Health System (Rochester, N.Y., U.S.A.) clinicians need a clear and comprehensive view of patient data to coordinate care. It is a challenge because the health system’s 346-bed hospital, 70 ambulatory sites, three nursing homes and home health agency use four different electronic health record (EHR) vendors.
Unity turned to dbMotion from Allscripts to power its private health information exchange, branded u.Net Connect. Unity sites can now share information more easily with each other, and u.Net Connect enables the health system to link with Rochester’s regional health information organization (RHIO).
The result? Positive clinical outcomes. Access to harmonized data helps clinicians better manage care, especially for patients with chronic diseases.
For example, Unity’s vision for better care coordination attracted state funding three years ago to establish a Community Diabetes Collaborative, which has helped reduce the number of patients with uncontrolled A1c levels by 25%.
How Unity’s diabetic patients achieved better outcomes in 65 days
Unity’s diabetes management initiative involves 3,300 patients. Providers across the system access normalized, actionable data through dbMotion. Unity uses dbMotion reporting dashboards and point-of-care alerts to better track and manage diabetic patients.
Unity decreased the time it takes to get patients’ blood sugar to target to an average of 65, compared to the U.S. national average of 12 to 18 months. Great clinical outcomes achieved over the past three years include:
- Diabetic A1c control, <=9, improved to 79.4% (HEDIS* top 17.5%)
- Diabetic BP control, <=140/90, improved to 78.4% (HEDIS top 10%)
- Diabetic LDL control, <100, improved to 54.7% (HEDIS top 17.5%)
Avoiding the dreaded “rip-and-replace” approach
Because dbMotion works with any EHR vendor, Unity can keep its four existing EHRs. It saved significant money and effort by avoiding a “rip-and-replace” approach. Unity will continue to benefit from this strategy as new entities join the health system.
* Editor’s Note: The National Committee for Quality Assurance (NCQA) is a not-for-profit organization dedicated to improving health care quality. It developed a set of about 80 measurements for important dimensions of care and service, known as the Healthcare Effectiveness Data and Information Set (HEDIS).