0 comments

What is the Comprehensive Care for Joint Replacement (CCJR) program?

  • Jeff Goldstein, MD, MS FACHE
  • 09/29/2015

In July 2015 the Centers for Medicare & Medicaid Services (CMS) announced the proposed CCJR program, a five-year initiative for addressing bundled inpatient and outpatient payments for patients who have lower-extremity joint replacement surgeries. Perhaps the most important aspect is the endpoint for the episode of care, which is 90 days after discharge. During this period CMS will pay all providers, inpatient and outpatient, using the current fee-for-service model. However, the proposed rules would hold the hospital accountable for the cost of services (both inpatient and outpatient) relating to the patient’s procedure and post-surgical care. This new risk/reward arrangement presents significant financial implications for the hospital. If a hospital can control costs and demonstrate quality during both the hospitalization and post discharge, then it can receive a bonus payment. Conversely, if the aggregate cost of care during the 90-day window […]

My introduction to population data and analytics came during my health systems and trauma care fellowship at Johns Hopkins. Having finished my master’s degree in Public Health, I was eager to bring together my interest in improving health systems and background in surgery to improve trauma care in Kenya. Unfortunately in Kenya, the burden of injury is poorly defined due to lack of data, and the concept of hospital quality improvement is still emerging. Setting up an injury surveillance system was the perfect opportunity to demonstrate the value of data by identifying and addressing gaps in care of the injured patient. As we started to collect clinical data on trauma patients we recognized inconsistencies in providers’ level of data collection expertise, resulting in numerous issues with the collection, entry and extraction of data. To overcome these issues, we transitioned from […]

0 comments

5 strategies to combine clinical and financial insights

Our client base reflects some of the finest financial decision support teams in the United States. These teams help put Allscripts EPSiTM at the top of its class. Our clients are incredibly creative in using EPSi to combine clinical insights and financial data. Some of our favorite client strategies include: 1)   A world-class multi-hospital IDN in upstate New York found opportunities to improve operational efficiency and reduce the total cost of care. By setting specific utilization and length-of-stay targets by service line, and aligning those targets with their financial planning process, this client saved $20 million in one year while maintaining a high quality of care. To learn more, click here for the complete outcomes story. 2) A regional healthcare leader in Washington State used EPSi to save more than $981,000 through its clinically and financially valuable palliative care program. […]

During our annual Population Health University user group meeting, Holzer Health System Director of Communications Kevin Waller shared how his organization is successfully engaging patients with Allscripts FollowMyHealth®, tripling enrollment to more than 12,000 patients within one year. Engaging Patients with FollowMyHealth: Holzer Health System (Gallipolis, Ohio, U.S.A.) is a multi-disciplinary healthcare system, with 15 ambulatory locations throughout southern Ohio and western West Virginia, and two hospitals with 287 beds. When asked what in particular made Holzer so successful in the quest to achieve effective patient engagement, Waller outlined three key strategies: 1) Define the portal Waller and his team recognized early on that people didn’t understand what FollowMyHealth was. Inspired by a marketing campaign of a home improvement store, Waller suggested changing the name of the portal to “MyHolzer.com.” Holzer Health System refined its message, making it easier for […]

About one in five Americans live in a rural community, and often their only healthcare options are Critical Access Hospitals. It’s vital for these organizations to overcome challenges common in rural healthcare delivery, such as distance, isolation and limited resources. North Country Hospital (Newport, Vermont, U.S.A.) is a Critical Access Hospital tucked into the far northeastern corner of Vermont, serving 22 communities across two counties. At a recent meeting for clients that use Allscripts population health solutions, Clinical Applications Analyst Carol Casey and Director of Clinical Informatics Kate Pierce shared how they’re using healthcare information technology to help this rural community take better care of patients. Finding the Right Interoperability Solution: Improving Patient Care with dbMotion: The pros and cons of a single-system approach Pierce explained that North Country’s IT Steering Committee wanted to improve physician access to all information […]

0 comments

Fewer alerts, higher response rates, safer patients

  • Steven Shaha, Ph.D., DBA
  • 09/01/2015

Applications of electronic health record (EHR) technology and capabilities often do NOT consider the needs of pediatric settings. As healthcare clinicians know, pediatric patients are not just small adults. Children have unique and different needs and interventions than their adult counterparts, so that many adult-ready HIT solutions do not necessarily fit comfortably with pediatric patients or caregivers. One of our clients, a pediatric specialty hospital, had been successfully using the EHR with full computerized physician order entry (CPOE) for three years. As part of its ongoing emphasis on continuous improvements, the organization programmed and adapted the EHR to better manage dosing-related computations. Concurrently, the organization was focused on reducing alerts due to alert fatigue issues clinicians were experiencing. Would clinicians value computer-generated recommendations for dosing? The guiding imperative was simple:  Clinicians value and therefore act on owned, computer-generated recommendations for […]