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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.
Leading hospitals around the world select Sunrise by AllscriptsTM for its versatility. To learn more about how the solution meets post-acute care needs, we recently sat down with Roberta Steinhauser, director of hospital applications for Madonna Rehabilitation Hospital (Lincoln, Nebraska, U.S.A.). Here are highlights from that interview:
Q. Why did you select Sunrise solutions in 2008?
Madonna is unique in that under one roof we have long-term acute care, acute rehabilitation care, transitional care, and nursing home beds – making sure patients have the right type of care to achieve their rehabilitation goals.
Madonna’s goal was to find an EMR [electronic medical record] system that had the versatility to meet the needs of all types of post-acute care. We knew that there were no “plug and play” systems out there for our type of organization.
We saw the flexibility we needed in Sunrise, and I’m glad to say the solution has delivered on every one of our expectations. Sunrise was adaptable to every single program.
Q. How was your implementation and ongoing training experience?
Implementation is a complex process, but ours was very structured, on-time and on-budget. We allocated enough resources to meet realistic schedules and had a successful go-live. We now have about 1,000 users on the system at all clinical levels.
It requires minimal training for clinicians. I’ve gotten several comments from physicians that the system is user-friendly and it’s easy to find the information they need. We just opened a new 32-bed long-term acute care facility and needed to train the whole clinical team over a short period of time. It went very smoothly because the system is so user friendly.
Q. What has Madonna been able to accomplish with Sunrise?
One example is Team Composite. It takes information from every clinician that touches the patient – from therapists to nurses to physicians – and combines it into a single document. It’s a masterpiece and tells the complete story about the patient, which ultimately improves care.
Another example is the way we’ve customized our charting to automatically determine certain scores we need for compliance, such as Centers for Medicaid and Medicare IRF-PAI scores. It used to be challenging to train our staff how to calculate them, but they were critical to our reimbursements. Sunrise has automated that whole process, saving nurses time and improving accuracy.
Another major accomplishment, we’ve written a complete charging module through Objects Plus. Therapists can use a simple interface and identify charges during each encounter, directly linking each charge to the clinical documentation. That solves the biggest challenge of any audit reconciliation from CMS down to internal procedures.
There are so many things we can do with Sunrise. It’s worked extremely well for us.
Q. What does staff think about Sunrise?
Our staff loves Sunrise. They’re getting clinical decision support to improve patient safety. For example, with KBMA (Knowledge-Based Medication Administration™) we get that extra safety check before giving medications. And they have access to real-time information at all times. It no longer rests with whoever has their hands on the paper chart. The whole clinical team has access to clinical information.
Staff also loves Sunrise because it meets their workflow. We took special care to identify the best devices – such as mobile devices for our therapists to enable them to chart at the point of care. It makes them more efficient and more accurate. They no longer have to scribble on pieces of paper, and try and remember patient details between appointments.
Q. What are some of the ways you are measuring these improvements in accuracy?
One good example is patient education compliance. It’s always been a challenge among disciplines. With a very slick integration, we’ve mapped out and standardized education requirements, yet therapists can deliver education in the way that makes the most sense for each discipline.
So now, the patient education documentation requirement matches their workflow, and therefore makes it more convenient. Our compliance is now in the 95% range, which is significantly higher than it was before.
Q. What is Madonna planning to do next with Sunrise?
We’re continuing to build out other assessments for our therapists, and we are just finishing building out extended care facility care plans. We’re pulling all of that into Sunrise.
The business relationships and solutions Sunrise has to complement the solution, I see it as the complete EMR system that really meets our needs now and in the future.