Our annual user conference, Allscripts Client Experience (ACE), draws thousands of clients and industry leaders each year. We’re already gearing up for ACE 2016, August 9 – 11 in Las Vegas, Nevada, U.S.A. It’s a large event with lots of opportunities to learn, network and share experiences with other clients. ACE may seem overwhelming to a first-time attendee. We talked with Lori Lee Bereti, RN, a clinical informatics specialist at Regina Qu’Appelle Health Region (Regina, Saskatchewan, Canada) about her first experience at ACE last year. She offered some helpful tips about how to prepare, including these: Talk to people who have been there before. “I knew what to expect because my colleagues prepped me and helped me understand what parts of the event would be most valuable to me…our Allscripts Outcomes Executive was also helpful.” Go in with a plan […]

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Safer medications with closed-loop delivery

  • Salman Naqvi, MD, MPH
  • 01/19/2016

At one of our client events, Atlantic General Hospital (Berlin, Maryland, U.S.A.) shared its success with Allscripts Sunrise™ Knowledge-Based Medication Administration to reduce adverse drug events. The effort was all about improving patient safety and is deeply rooted in clinician experiences, such as this one shared by Vice President of Patient Care Colleen Wareing: “I can remember to this day, standing in an ICU 37 years ago with a 15-year-old patient who had just delivered a baby. And I was mixing meds. I was tired, I was at the end of a 12-hour shift, and I was a very young nurse…As soon as I injected it into the IV, I knew it was wrong and wanted to take it back….It still creates a strong emotion in me 37 years later…Every nurse could tell a story like that….Fortunately the patient was […]

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A new era of infinite computing in health care

Editor’s note: To hear more about the power of computing in analytics, listen to a free podcast here. Google Analytics, Microsoft Azure, Amazon’s Elastic Map and Reduce – these systems now enable entities to act very nimbly to do research and to run analytics on data without a lot of overhead.  Right now it’s less expensive to use a thousand computers in a single day then to run one computer for a thousand days. And this model is starting to shift many paradigms, especially in research. Essentially, it’s infinite capacity. This type of computing power underscores a dramatic breakthrough in different algorithms. There are a multitude of calculations that you can solve related to predictive models. Can we, for example, perform a thousand analyses in one day for a patient rather than have that patient come in for an annual […]

Meet Steve Buttitta. He’s the president of ByteSized Solutions, a company that has about 30 applications powered by Allscripts Open Application Programming Interfaces (APIs). We have shared data with those products more than 33 million times. Being Open is about utilization, not technology. You have to do it, not just talk about it. I asked Steve if he’d be willing to share his thoughts with our blog readers, and he agreed: I started consulting in healthcare integration 15 years ago. At the time, it was just me sitting in my basement banging out code. EHR systems were in their infancy and integration was both limited and difficult. I struggled a lot in the start, because I spent my time fighting electronic health record (EHR) companies to get access to their systems or information about their systems. In the end, I […]

University Health System (UHS) implemented Allscripts Sunrise™ for both ambulatory and acute care in San Antonio, Texas, U.S.A., featured in a recent case study. “We integrate everything into Allscripts Sunrise to give physicians one place, one stop, one shop for all diagnostic and clinical information pertaining to that patient,” Chief Information Officer Bill Phillips said. Customization and flexibility were two main reasons UHS selected Sunrise to deliver advanced patient care now and in the future: Phillips provides a personal perspective, too. In this video he recounts a conversation about Sunrise with his own primary care provider: Providing capability and flexibility “I think what really makes Sunrise different than other EMRs is, you have the capability, the flexibility, to make the system do what you need it to do,” Phillips said. UHS uses more than 300 applications and credits the Allscripts […]

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Expect chaos: Why we designed our EHR for interruption

As a physician who practices in an urgent care setting, I know what it’s like to be interrupted all day, every day, while trying to use an electronic health record (EHR). To have to leave one screen to deal with an urgent message or lab result, then try to navigate back to where I was to finish my documentation – workflow challenges are abundant. At the end of most days, I have to spend another hour to catch up on documentation. I understand why physicians avoid steps that take three or four extra clicks, because over the course of a day with 30 patient visits, those clicks add up. Worst of all, poor EHR usability is more than frustrating; it is a patient safety issue. Thinking like our users Like most clinicians, I’m concerned about EHR usability. I’m part of […]

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Q&A: A beginner’s guide to FHIR

  • George E. Cole, Jr.
  • 01/06/2016

Interest in FHIR (Fast Healthcare Interoperability Resources) is growing as the standard for exchanging healthcare information takes shape. What is it and what will it mean for healthcare providers? Here are some frequently asked questions and answers: Q. What is FHIR? A. FHIR (pronounced “fire”) is a newly emerging international specification that standardizes the exchange of electronic healthcare information. First sponsored by Health Level Seven International (HL7) in 2011, FHIR incorporates the best features from previously developed standards. Q. How is FHIR different from other interoperability standards? A. The major difference between FHIR and other standards is simplicity and flexibility. Fast – the F in FHIR – expresses the intent to make this standard faster to learn, develop and implement. Essentially, each application of the FHIR standard requires  a resource approach to the information model (e.g., Medication, Procedure, or Immunization), […]

We recently worked with a hospital in Newport Beach, California, U.S.A. to maximize Allscripts Sunrise capabilities for better outcomes. We formed an Outcomes Board with leaders from both entities representing clinical, financial and operational disciplines. The Outcomes Board sets goals, identifies anticipated returns on investment and develops metrics for performance improvements. We’ve had some exciting results, improving early intervention for patients with Clostridium difficile (C. diff) and reducing risk of infection by converting patients from intravenous (IV) to oral (PO) medications. Faster interventions for patients with C. diff Physicians note that of all the common hospital-acquired infections in California, all of them are improving except for C.diff. Orange County has one of the highest rates of C. diff infections in the state. The Outcomes Board targeted C.diff cases, with a goal of identifying patients sooner to help provide faster intervention, […]