Electronic health records (EHRs) are the backbone of health IT infrastructure, but they can’t be all things to all people. For truly connected communities of health, EHRs must talk with other applications and solutions. Integrating separate technologies has not always been easy. Traditionally, these projects require committee meetings and complicated interfaces that can take months, or even years, to complete. Allscripts has redefined the paradigm for health IT interfaces. With an open platform, clients can customize their EHRs in a matter of weeks, days – and lately, even minutes. Rapid installations at Allscripts annual user group conference At the Allscripts Client Experience (ACE) 2016 conference held in August, we didn’t just talk to our users about the technologies available on Allscripts Application Store. We actually activated about a dozen applications for our clients during the event – in fact, one […]

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5 interoperability findings you should know

Our industry is swirling with health data exchange initiatives to enable better population health management. Everyone understands that an open, collaborative approach will help us achieve the promise of interoperability. But to shape successful efforts, it’s important to take a step back and look at available research on interoperability. What does the evidence tell us about factors that will lead to population health success? The Office of the National Coordinator for Health Information Technology (ONC) offers many helpful resources. Two ONC data briefs* offer compelling facts and figures that should shape our interoperability efforts, including the following research about U.S. hospitals: 1) 46% of hospitals have access to electronic patient data, from sources outside their clinical systems, at the point of care This is the national average in 2015, which is up from 41% in 2014. This research also shows […]

The Family Doctors (Shreveport, Louisiana, U.S.A.) uses data from its Allscripts Professional EHR™ suite to help improve care for patients with chronic disease. Blue Cross Blue Shield of Louisiana recognized The Family Doctors and its physicians with 26 awards in 2015 for highest achievement in population health management. Improving care for a community that struggles with chronic disease The Family Doctors serves a community facing significant health concerns. The State of Louisiana has some of the highest healthcare costs and lowest quality outcomes in the United States. According to America’s Health Rankings® of the 50 states, Louisiana has not ranked above 47th in more than 20 years. Chronic diseases are especially costly, as Louisiana has one of the highest rates of cardiovascular and diabetes mortality rates. Working closely with the state’s largest payer, Blue Cross Blue Shield of Louisiana, the […]

This week I testified before the United States House of Representatives. It was an honor to represent the healthcare IT industry and share how innovations are driving efficiencies and improvements. Here are excerpts from that testimony: Despite some bumps in the road, as can be expected in times of change, there have been huge leaps forward in our industry in recent years that never would have happened had Congress not provided the impetus for ubiquitous adoption of electronic health records (EHRs). These changes have disrupted paper systems that stood for decades, and the result is a new digital ecosystem of caregivers, software developers and patients, allowing all to take a fresh look at how processes can be enhanced via automation. Fortunately, following disruption, there is innovation and opportunity. Allow me to provide a few examples: Allscripts dbMotion™ interoperability platform brings […]

Last week The Centers for Medicare and Medicaid (CMS) Acting Administrator Andy Slavitt issued an official blog post announcing proposed reporting options for the Quality Payment Program (QPP), the program stemming from the Medicare Access and CHIP Reauthorization Act (MACRA), for program year 2017. The intent of these options is to give participants more flexibility during the initial year of this significant program. For 2017, the blog post identifies four options: 1) Submit “test” data to CMS for any period of time within 2017. Choosing this option will eliminate any penalties from the MIPS program. 2) Submit complete data for a portion of program year 2017. Choosing this option will provide the opportunity for a partial incentive payment, if any is earned. 3) Submit complete data for all of program year 2017. Choosing this option provides the opportunity for a […]

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4 ways to reclaim the claims process

In an era when the healthcare community is working to improve quality of service and delivery and to reduce costs, the reimbursement process is under intense scrutiny. Organizations are asking themselves: How can we simplify the claims process? Are there ways to save time? What can we do to make our claims more accurate to help speed payments? In a series of recent case studies, three clients have shared their experiences using Allscripts Payerpath® Solutions to reclaim their claims processes. Here are four examples: 1) Collect more patient payments Patient payments are the fastest growing portion of many providers’ revenue streams. Unfortunately, according to the American Hospital Association, as much as 5.3% of expenses are written off each year as uncompensated care, representing $42.8 billion in losses. One of the ways Burton Creek Rural Clinic (West Plains, Missouri, U.S.A.) is […]

If there’s one thing we know about EHRs, users hate clicks. And for good reason. Clicking and scrolling historically have represented extra time, effort and evidence of not understanding an efficient workflow. Click reduction is often cited as the best way to improve electronic health record (EHR) usability. Our gut instinct tells us that we should do everything we can to reduce clicks. Yes, unnecessary steps are annoying and should be removed. But we have to be careful that we don’t actually increase cognitive load, hinder decision making and reduce overall efficiency and satisfaction in our zeal to reduce clicks and scrolling. There is a great deal of research available that should guide the design, implementation and customization of EHR interfaces. In the evidence-based practice of medicine, scientific evidence should also guide Health IT usability decisions. Some of these known […]

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When every day matters

Working with health information technology companies every day can be exciting – you get a chance to see futuristic solutions that you know will have an impact on generations of people receiving health care. But the origin of these solutions can be quite heartbreaking. You hear stories of medical errors and information gridlock that led to devastating results for loved ones. Here is a story that Patrick Randolph, CEO of QueueDr, told me about his friend, who had to wait three weeks to find out he had multiple sclerosis (MS): Recently, my oldest friend in the world, who I’ve known for 27 years, found out he had MS. Not a death sentence, but definitely worse than your average Tuesday. My friend told me how lucky he was that they caught it early. His doctor repeatedly stressed to him how even […]

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Want to improve shared C-CDA content? Try the new scorecard

  • George E. Cole, Jr.
  • 08/16/2016

Across the Healthcare IT industry, from providers to software developers, and even into the U.S. Senate, we continue to hear that the content of shared Consolidated CDA (C-CDA) documents, in spite of improved guides and constraints, are not meaningfully useful. There continues to be wide divergence of documents across the vendor and provider communities. For example we have heard: Documents are ginormous (a very technical term). We cannot find what we need. It’s just a CCD – where’s the narrative? Where is the operative note? And more… In prior Allscripts posts we touched on many of these points, such as in the Relevant and Pertinent survey post. Results from this survey will be published soon. However, we now have another opportunity to help improve the content of C-CDA using a new scoring tool for C-CDA R2.1, the version of content […]

Earlier this year, the National Institutes of Health (NIH), in collaboration with the Office of the National Coordinator for Health IT (ONC), launched Sync for Science (S4S), a pilot program to enable individuals to access their health data and send it to researchers. Allscripts is one of several electronic health record (EHR) companies to participate in S4S, and our FollowMyHealth® patient engagement platform is proving to be superbly architected for this type of collaboration. First, a little background on what we’re working toward. S4S has two main goals: Enable individuals to contribute data to the Precision Medicine Initiative (PMI) Cohort. If people want to support genetic and genomic research efforts, they should be able to easily share clinical data in a structured electronic format. Accelerate patient data access through Application Programming Interfaces (APIs). More regulations are requiring providers to offer […]