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Top 10 client stories of 2015

Clients do phenomenal work on behalf of their patients. And it’s clear from our annual review of this blog that readers like to read about how people are improving health care. Here’s a list of the 10 most-read, most-shared client stories in 2015: Allscripts Sunrise workflow can help eliminate common hospital-acquired infections Central Line Associated Blood Stream Infection (CLABSI) is one of the most deadly hospital-acquired infections in the U.S. with a mortality rate of 12% – 25%. Proven prevention techniques can reduce CLABSI incidence by 65% – 70%. Health First (Rockledge, Florida, U.S.A.) and Blessing Hospital (Quincy, Illinois, U.S.A.) shared in a recent client webinar how they are using Allscripts SunriseTM and best practices to decrease CLABSI. Should we measure outcomes or compliance? Of course, the ultimate goal is to improve clinical and financial outcomes. Healthcare organizations want to know they’re delivering the best quality […]

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How a U.K. hospital reduced cardiac arrest rates by one-third

  • Steven Shaha, Ph.D., DBA
  • 12/21/2015

Locally programmable, adaptable Electronic Patient Records (EPRs)* are the most justifiable approach for a host of reasons. It’s the only approach that empowers true collaboration between clinicians and IT professionals. Also, the only approach that can reflect current and newly evolving challenges and concerns clinically or otherwise. As a result, these EPRs lead to real and sustained improvements in clinical outcomes, such as reducing sepsis and length of stay.  As one clinician said, “If the EPR is not programmable here, then we can’t work together for improvements, and it’s just another black box dictating generic medicine to unthinking, compliant professionals.” One of the ultimate tests of versatility is to see if an EPR works in “our” unique healthcare environment rather than as a “black box” solution from elsewhere. For example, can an EPR that meets complex U.S. compliance requirements – […]

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Diabetic patients are hiding in plain sight

Diabetes is a complex and costly chronic disease. Studies estimate that diabetes affects 8% of the U.S. population, but confirming this in patients who are undiagnosed, and identifying those at highest risk, remains challenging. At Allscripts Analytics, we’re transforming insights from traditional electronic health record (EHR) data into innovative methods for early identification of chronic disease and population health management. Variation in quality of diagnosis documentation within EHRs has necessitated development of new algorithms to more accurately define and manage our populations. After extensive data aggregation and normalization of clinical, claims, laboratory and pharmacotherapy data, our algorithms are validated on more than 40 million records to identify undiagnosed diabetic patients. Advancements in visualization tools enable us to deliver insights from this data to our clients in a simple, interactive format in real-time. It helps clinicians better identify undiagnosed and at-risk […]

The University Health System (UHS) hospital is at the center of the healthcare community in San Antonio, Texas, U.S.A., where many ambulatory providers use EHR systems from other vendors. To encourage clinical collaboration, UHS knew that the next step was a private health information exchange (HIE). In 2014, UHS implemented Allscripts dbMotion™ Solution as its private HIE. In a recent case study and video, Chief Information Officer Bill Phillips describes the organization’s journey: In August 2014, UHS rolled out dbMotion, the connectivity platform that enables caregivers to access data in disparate clinical information systems. It helps clinicians share information for better coordination of care. “dbMotion is truly a patient safety product,” Philips said. “Immediately when this system came up, we were getting positive feedback.” “dbMotion was the greatest thing that has happened to us,” UHS Chief Medical Information Officer Alton […]

University Health System (UHS) is a nationally recognized academic medical center in San Antonio, Texas, U.S.A., serving more than 230,000 unique patients each year. Like many healthcare organizations, UHS strives to deliver the best care at the lowest cost. “Every c-suite healthcare executive in the country is focused on improving quality, safety and outcomes. Improving the patient experience. Improving efficiency and access to care,” Senior Vice President and Chief Information Officer Bill Phillips said. “How do we give better care to our patients and still cut costs? That is getting really difficult.” Because it’s critical to have a financial decision support solution that enables greater visibility to financial performance, UHS uses Allscripts EPSi™:   “Knowing what your service lines are doing, how they’re performing each day, is a ‘must’ to survive these tight economic times in health care,” Phillips said. […]

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6 core measures mark success for autism outpatient clinic

  • Salman Naqvi, MD, MPH
  • 12/08/2015

Hospital for Special Care (New Britain, Connecticut, U.S.A.) is addressing the healthcare needs of a growing segment of its community, people with Autism Spectrum Disorders (ASD). In Connecticut, ASD affect more than 5,000 children under the age of 21, and current research suggests that number will continue to rise. The Hospital for Special Care observed that though there are many agencies and groups providing specific services, there was little coordination between health care and other components, such as education, vocation and family support. It created The Autism Center at Hospital for Special Care, an outpatient clinic that provides a variety of diagnostic, assessment and consulting services for children and adolescents with ASD. The National Committee for Quality Assurance (NCQA) recently recognized The Autism Center at Hospital for Special Care as the first outpatient clinic of its kind to earn Patient-Centered Specialty […]

Obstetrics is a unique specialty in that there is an expectation of nearly 100% transition of care from outpatient to inpatient. Consequently, sharing information across healthcare settings is invaluable in obstetric and gynecological (OB/GYN) care. It is a high-volume, high-stakes specialty and providers need tools to document and identify pertinent clinical information as quickly as possible. We designed our new version of Allscripts Prenatal™ 15.3, delivered to clients on December 1, with the primary goal of improving clinicians’ efficiency and satisfaction using the application. We tested common workflows and received overwhelmingly positive results in both objective and subjective measurements of usability. Prenatal embedded in the electronic health record (EHR) improves efficiency, satisfaction Prenatal can now be embedded into Allscripts TouchWorks® EHR, so the clinician doesn’t have to leave the EHR workflow to document obstetric care. This new feature represents having […]

On November 16, the Centers for Medicare & Medicaid (CMS) published the Comprehensive Care for Joint Replacement (CJR)* final rule, marking a significant milestone in the advancement toward value-based care. “Today, we are embarking on one of the most important steps we will take to improve the quality and value of care for hundreds of thousands of Americans who have hip and knee replacements through Medicare every year,” said Sylvia Burwell, secretary of Health and Human Services. CJR will test whether or not bundled payments to hospitals for lower extremity joint replacement (LEJR) surgery episodes will reduce Medicare expenditures and enhance the quality of care for beneficiaries.  Due to the high number of public comments, the rule has expanded from about 400 pages to more than 1000. What changed from the proposed rule to the final rule Our preliminary observations […]

Forward-looking healthcare organizations know that big data and analytics will drive significant change in how they care for patients. A select group of healthcare leaders joined me recently in Chicago for an interactive Allscripts Analytics summit on this topic. We asked them: What are your high-level strategic priorities for population health analytics? Here are responses from the Berkshire Health Systems Chief Medical Information Officer Mark Snowise, M.D. and Health First System Vice President of Decision Support Analytics Frank Wang: Allscripts Analytics Asks: Mark Snowise, MD Allscripts Analytics Asks: Frank Wang Today’s clinicians need tools that help stratify populations, identify gaps in care, benchmark outcomes and provide pathways to patient compliance. Only then can they take action to improve care. That means they need point-of-care, real-time analytics, cohort management, predictive models and quality metrics and dashboards for population health insights across […]

The Health Care Payment and Learning Action Network (HCPLAN) recently held its first summit in Washington, D.C.  I joined about 250 healthcare industry leaders at this event, which demonstrated that this group will play a significant role in shaping health care’s transition from fee-for-service to value-based-care models. The U.S. Department of Health and Human Services (HHS) created the HCPLAN earlier this year towards the goal of moving 30% of Medicare reimbursements to alternative payment models in 2016 and 50% by 2018. Through the HCPLAN, HHS will work with private payers, employers, consumers, providers, states and state Medicaid programs, and other partners to expand alternative payment models into their programs. Two of the main topics at the summit were the Alternative Payment Model (APM) Framework and Medicare Access and Chip Re-authorization Act (MACRA). Here’s a summary of key points in each […]