Don’t reinvent the wheel to get better outcomes

  • Diane Gilbert Bradley, MD
  • 03/19/2015

Many healthcare organizations envision an outcomes-based future for themselves. But many clients find themselves asking: how do we get there?

The Allscripts Client Value & Outcomes team wants to help fill in the gaps with best practices through our new Client Outcomes Collaboration Program. We have ready-to-use tool kits that feature successful workflows associated with clinical outcomes from other Allscripts SunriseTM clients and have launched a monthly series of webinars to share them.

Simplify workflow changes with 3:3:1 methodology

Changing workflows can be a labor-intensive process, but some organizations make it harder than it needs to be. To implement best practices more efficiently, try the 3:3:1 method:

3 (In 3 weeks) – Review the workflow with the pilot users and make any updates as needed

3 (In 3 months) – Review again with end-users for any updates

Make no workflow changes for eight months

1 (After one year) – Review and assess workflow for any updates

By using this iterative model, healthcare organizations can implement best practices much more quickly.

Example: Integrating pharmacogenetics workflows with Sunrise

Pharmacogenetics studies inherited variations in genes that affect drug response and toxicity. Applications for clinicians include predicting a patient’s response to a certain drug and enabling personalized adjustments to doses, to help prevent potential adverse reactions.

Our February webinar featured National Institutes of Health Clinical Center (NIH CC), the largest hospital devoted entirely to clinical research in the United States. It uses Medical Logic Modules (MLMs) to integrate pharmacogenetics with Sunrise (learn more about this project in a recent blog post, Using pharmacogenetics for safer drug orders).

Clients can use similar logic and reference evidence-based lists of drugs and gene variations from our pharmacogenetic solutions guide. For example, Bronx-Lebanon Hospital (Bronx, New York) drew from these resources to create a prototype for the drug Plavix.

Integrating pharmacogenetics into workflows is just one example of how our clients are collaborating and sharing best practices for better outcomes. Are you interested in pharmacogenetics or implementing a workflows to improve your clinical, financial, or quality outcomes? Join the conversation in our ClientConnect community today.

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About the author

Diane Gilbert Bradley, MD, serves as Senior Vice President of Outcomes. She leads a team of seasoned experts focused on helping clients achieve better outcomes through the optimization of their Allscripts solutions. Diane and her team worked with clients and Allscripts staff to capture and share best practices for improving the full range of outcomes, including clinical quality, patient and clinician safety, efficiency and cost-effectiveness, and organizational performance through optimal coding and documentation. Prior to this role, Diane led Allscripts Sunrise Business Unit. Prior to Allscripts, Diane served as Chief Medical Officer for Eclipsys Corporation where she worked with senior executives to set the company’s long-term clinical strategies and short-term priorities for solutions. Before Eclipsys, Diane was the Senior Physician Specialist at the Emtek Division of Motorola, Inc. Diane earned her medical degree (AOA) from the University of Texas Health Science Center at San Antonio where she completed her residency in Physical Medicine and Rehabilitation.


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