U.S. healthcare providers need to collect every dollar owed to them. As their reimbursement models rapidly evolve, you may be asking, “Is it time to replace our revenue cycle management (RCM) solution?” Experts estimate that if U.S. hospitals do nothing to address the swiftly changing financial environment, they could see a 19% drop in margins over the next 10 years. Based in part on the HIMSS AnalyticsTM index and other observations, we developed a checklist of the core components of a healthy financial system. If your RCM solution can’t do these things, it may be time for a change: 1. Offer web services to patients for convenience – Can your patients pre-register, self-schedule and pay bills online? These online conveniences are becoming more important to consumers and help speed the billing process. 2. Verify insurance eligibility in real-time to reduce risk […]

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The truth about declining clinician satisfaction with EPRs

As electronic patient records (EPRs)* become commonplace, there’s more we can learn from clinician feedback. It’s important to know what they think, because staff perception shapes satisfaction, adoption rates and ultimate success and impact with EPRs clinically and organizationally. It was a privilege to contribute to the recent article in HSS Journal about clinician satisfaction and its variability over time.  Working with an orthopedic teaching hospital moving from a paper-based system to an EPR, we found that clinicians were initially elated with the change. Then their satisfaction dropped. What a curious pattern, since anecdotally their satisfaction and adoption continued to rise. At first, this change in satisfaction sounded like a bad thing. No one wants to see EPR satisfaction decreasing, right? But after evaluating the results reported in this study, I’d argue it’s exactly what we should have anticipated we’d […]

You can’t have a separate electronic health record (EHR) for every specialty in medicine. On the other hand, if you have a general EHR, it won’t have the “brains” to support specific workflows. Fortunately, we can customize SunriseTM EHRs with Medical Logic Modules (MLMs). 3 of my favorite MLMs MLMs are packages of computer code that are the building blocks of electronic clinical decision support. Their potential to improve patient safety is unlimited. Here are three of my favorites: 1)      Insulin dose adjustment When caring for diabetics in a critical situation, clinicians must have fine control of blood sugar levels. A nurse under pressure has to rapidly gather information, calculate dosage and document the chart. One of our clients developed an MLM algorithm using 100 data points to assist in these situations. Now the nurse simply enters the current blood […]

Healthcare organizations are eager to address the rising problems of chronic diseases. They’re collecting a lot of data, adding analytics and even using genetic sequencing to spot potential health risks across patient populations. But are these strategies moving the needle on population health management? I address this question in a recent article with co-author Dr. Rasu Shrestha, vice president of medical information technology at University of Pittsburgh Medical Center (UPMC). The answer: Yes, but we have a ways to go. 3 steps to gain better insights from data Chronic diseases – such as heart disease, stroke, cancer, diabetes and arthritis – are among the most common, costly and preventable of all health problems. Caregivers recognize that harnessing data is key to managing the health of patients, especially those with chronic disease. Healthcare organizations need to focus on three areas to […]

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Global Healthcare Megatrends: Technical landscape

  • Toby C. Samo, MD, FACP
  • 05/15/2014

There are more than 7 billion people on the planet today. Our growing global population has triggered some of the biggest healthcare challenges we’ll ever face. Listening to clients in Australia, Canada, Singapore, United Kingdom and United States, I believe many of these issues are universal. This is the fourth post in a five-part series that explores the clinical, population health, financial, regulatory and technical challenges we share as a global healthcare community. Once they move from paper to electronic, healthcare organizations aren’t looking back. Both providers and patients are embracing technology as never before: Electronic Medical Record (EMR) adoption steadily rising. A recent whitepaper estimates continued improvements around the world. It estimates Australia to be among the leaders at a 78% adoption rate, while the United States has the highest projected growth rate to 62%. Patients are more receptive […]

In response to evolving government regulations, physician practices are busy balancing technology requirements, reinventing workflows and improving communications across care settings. Facing these demands causes a lot of fatigue among clients. We want to support them, especially as they attest for Meaningful Use and prepare for ICD-10. What clients are telling us they need Several months ago, we formed a business unit to focus on professional practices. We wanted to offer a healthy core solution portfolio, help clients connect with communities through dbMotion, and enable them to manage revenue. To achieve these goals, we’re listening closely to clients. Their advice helped shape six key imperatives for my team: 1. Improve services, support and product usability. We now offer project management services. Our support offers client advocates to work regionally to improve our responsiveness to questions and concerns. 2. Bring new solutions to […]

NursesWeek-blog-01

  Nursing is a growing profession. In the United States, there are 2.7 million registered nursing jobs today, and experts predict an increase of 19% by 2022. Both Australia and the United Kingdom are working to address workforce shortages. As the industry continues to change, nurses can prepare today to make the most of tomorrow’s opportunities. To help honor the profession during Nurses Week (May 6 – 12), we interviewed nursing leaders around the world. Here are some of the highlights of what they shared on this subject: What should nurses do today to help them prepare for changes coming over the next 2-3 years? “I believe nurses have to position themselves to be there very best. What does that mean? Nurses need to have advanced degrees — at minimum a Bachelor’s degree perhaps even a Master’s degree and looking […]

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Global Healthcare Megatrends: Regulatory requirements

There are more than 7 billion people on the planet today. Our growing global population has triggered some of the biggest healthcare challenges we’ll ever face. Listening to clients in Australia, Canada, Singapore, United Kingdom and United States, I believe many of these issues are universal. This is the fourth post in a five-part series that explores the clinical, population health, financial, regulatory and technical challenges we share as a global healthcare community. Governments play an important role in standardizing healthcare systems around the world. They regulate three primary areas: 1)      Reimbursement Governments regulate healthcare because it is a significant portion of the global economy. Australia, Canada and the United Kingdom spend about 8-11% of their Gross Domestic Products (GDPs) on health care. The United States outpaces all other countries by spending a whopping 17.9% of its GDP on health […]

Allscripts celebrates Nurses Week by sharing wisdom from nursing leaders.

  Nurses are on the front lines of all aspects of health care. Their many responsibilities include adopting and making the most of new technologies and electronic systems. To help honor the profession during Nurses Week (May 6 – 12), we interviewed nursing leaders around the world. Here are some of the highlights of what they shared on this subject:   What healthcare IT improvement(s) would be most helpful to nurses? Or how can IT help nurses?   “Machine device interfacing to online records and documentations would be most helpful to nurses as this would truly provide the much touted seamless transition of patient data from point to point and free the nurses to focus on patient education and bedside care. “Not only that, with the creation of a single source of medical records which is accessible by all healthcare […]

NursesWeek-blog-01

  Nursing is the world’s largest healthcare profession. As the industry evolves to new models (such as value-based care*), it significantly affects nurses in acute settings, home care, case management, clinics and all venues of care. To help honor the profession during Nurses Week (May 6 – 12), we interviewed nursing leaders around the world. Here are some of the highlights of what they shared on this subject: How is health care’s shift to value-based models affecting nurses in your organization? “I think in a positive way. We focus on communication and on setting and sharing expectations, using value-based equations to explain why these are the right things to do. We work hard to make sure our goals tie together – from the University of California, to the department, to the individual. “For example, about 18 months ago we held […]