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Creating opportunities in clinical informatics education

  • Jennifer MacGregor
  • 04/28/2016

Sir William Osler, the Canadian physician frequently described as the Father of Modern Medicine, was an innovator in medical training. He created the first residency program for specialties and introduced bedside clinical training as part of physician education. He once said: Observe, record, tabulate, communicate. Use your five senses…Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone you can become expert. Though Osler said this more than 100 years ago, the principles are still relevant today. Observe, record, tabulate, communicate – modern clinical informatics strives to help clinicians with all of these foundational aspects of medicine. Allscripts is working with world-class Canadian education organizations to create additional opportunities in this field. Partnering with Dalhousie University to improve healthcare IT education opportunities Dalhousie University is known for providing its researchers and students […]

Some time ago (i.e., 2008), the Centers for Medicare & Medicaid Services (CMS) implemented policies aimed at eliminating reimbursements for several “never events.” CMS estimated that avoidable adverse events and errors cost $300 million annually – not to mention unnecessary patient suffering – and so needed to end. High among the focal never events were falls, including falls with injuries, and decubitus or pressure ulcers (PUs), especially those of higher severity, risk and cost, Stage III or Stage IV. Yet no computer can turn a patient to avoid a pressure ulcer, nor catch a patient to avoid a fall. So how can a programmable electronic health record (EHR) make a difference? Conquest of pressure ulcers and falls is not simple, but can an EHR help? PUs are the second most common of the never events, estimated to occur for as […]

Today there are many steps to processing claims, and each one is an opportunity to gain or lose money. Practices are weighing the pros and cons of different approaches to managing their revenue cycle, including relying on experts from outside their organizations. Arbor Family Medicine (Westminster, Colorado, U.S.A.) Office Manager Mikie Gonzales talked about her experience with Allscripts Revenue Cycle Management Services™ (RCMS) in a recent interview: Gonzales discussed some of the myths that surround decisions to bring in a revenue cycle management services partner. Her experiences are similar to other clients and “bust” some of the most common myths: Myth #1 – We’ll lose control of our billing activities. As responsibility for claims – from submission to sorting out denials and beyond – shifts to a services partner, some practices fear that they are also giving up control. However, […]

In a recent Client Outcomes Collaboration Program webinar, Allscripts clients shared how they have used the LACE index to identify patients who are at risk for readmission. Based on what they’ve found, they’ve taken different approaches to intervening with their patient populations. What is LACE and how does it help prevent readmissions? The LACE index, designed to identify patients who are at risk for readmission or death within thirty days of discharge, is based on four factors: L – Length of stay A – Acuity of admission C – Co-morbidities E – Emergency room visits The higher a patient scores on this index, the higher the risk of returning to the hospital. Hospitals are beginning to use LACE as a tool to stratify patients based on their risk level and work to reduce unnecessary readmissions. Many healthcare systems are working […]

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EHR design requires user input, early and often

  • Ross Teague, Ph.D.
  • 04/07/2016

Adherence to user-centered design (UCD) best practices is key to improving electronic health record (EHR) usability. A recent white paper reviews UCD best practices, and how they help improve usability and patient safety. Unfortunately, many EHR vendors skip a crucial step in UCD: formative testing. In this phase, software designers test early versions of the technology with actual users. They’re not testing completed code or solutions ready for market, but rather prototypes, wireframes or even early sketches. Good formative testing is iterative, meaning designers must gather and address feedback from users several times before finalizing the software. To illustrate how the formative testing process works at Allscripts, here’s a recent example from our Allscripts Sunrise™ Ambulatory Care solution. Example: Formative testing for a new task module The Sunrise team conducted formative usability tests on a newly designed task module with […]