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    8 examples of health IT excellence

    June 5th, 2013

    I recently served on a panel of judges for Allscripts Client Awards. Reading about all the outcomes, I was inspired by how our clients use Allscripts solutions in a variety of ways to continually improve health care.  It’s proof that our partnership — along with our Open platform — helps clients to achieve excellence in health care.

    There were many solid applications, and I’m pleased to share eight great outcomes from our semi-finalists:

     

    Baylor Health Care System (Dallas, TX)

    Improving patient safety in the Neonatal Intensive Care Unit (NICU), and

    Better standardization and efficiency with e-Learning

    Patients at Baylor receive full attention when caregivers order, prepare, administer and monitor medication. But the smallest patients in the NICU with tiny custom dosages require additional diligence. Baylor used Allscripts Sunrise Acute CareTM to create 180 new NICU order items, standardize medications and ensure clear labels and instructions. Conversion is complete across five hospitals and clinicians are pleased with the process improvements.

    With an emphasis on e-Learning, Baylor has also gained efficiencies. Over the course of one year, the switch to e-Learning helped increase the number of trained physicians before “go-live” from 38% at the first hospital to 98% at the largest most recent hospital.

     

    Blessing Hospital (Quincy, IL)

    Achieving efficiencies between departments and throughout the revenue cycle

    After a period of shadowing staff across departments, Blessing identified how automation could help achieve optimal workflows and made several changes to its revenue cycle. For example, it used Allscripts Patient Financial ManagerTM to identify accounts that need further review and rout billing edits to the originating department for correction. This change, along with many others, has helped increase Blessing’s clean claim rate from 63% to 86% and improve point-of-service collections by 15%.

     

    Bronx-Lebanon Hospital Center (New York City)

    Engaging diabetic patients in their own care

    Population health management is a top priority for Bronx-Lebanon Hospital, serving a socio-economically depressed population with high rates of diabetes and HIV. Bronx-Lebanon implemented Allscripts Sunrise Clinical ManagerTM to help improve outcomes. For example, caregivers could invite diabetic patients to share a personal goal, decide timing and rate their confidence. The solution helped improve dialogue between provider and patients and contributed to reductions in A1Cs, LDLs and BMIs over a six-month period.

     

    Elmwood Health Center (Buffalo, NY)

    Improving ways to measure quality of care, and

    Coordinating across the continuum of care

    Elmwood Health Center (EHC) used Allscripts Professional EHRTM and Allscripts Practice ManagementTM to integrate the practice’s five specialties, rehabilitative and behavioral health services. The solution helped better measure quality and enabled it to successfully attest to Meaningful Use. Over a six-month period, EHC was able to measure improvements, such as a 12% decrease in rates of LDL tests and 6.5% of patients with hypertension have reduced their blood pressure to normal levels.

    Within one year of going live with the solution, EHC earned Patient-Centered Medical Home Level 3 status. Western New York State’s regional health information organization, HEALTHeLINK selected EHC to join with other practices at the forefront of the health information exchange movement. It is an early adopter for a variety of interoperability projects, including the state’s Immunization Information System.

     

    Heiskell, Kings, Burns & Tallman Surgical Associates (Morgantown, WV)

    Enhancing staff productivity with a more efficient workflow

    This general and vascular surgery practice used Allscripts Professional EHRTM, Allscripts Practice ManagementTM and Allscripts Patient PortalTM to gain efficiencies.  Using these solutions, the practice was able to increase the total number of patients seen each day from 40 to 100, increase surgical procedures each week from 90 to 150 and decrease the average number of days patients wait for appointments from 4 days to 24 hours.

     

    Springhill Medical Center (Mobile, AL)

    Improving clinical documentation with a better discharge summary process

    Physicians at Springhill Medical Center were dictating discharge summaries. The process was time-consuming and often resulted in incorrect coding, which led to costly delays in billing. Allscripts Sunrise Acute CareTM helped Springhill to quickly pull data from throughout the patient’s visit, including lab and diagnostic results, problem lists and medications. Discharge summaries now take about five minutes to complete – at least a 50% time savings for physicians. At the end of a four-month period, physicians completed more than 6 times the number of summaries as they had before the solution.

    What do these semi-finalists have in common? They are dedicated to continually improving health care and sharing their successes with the greater Connected Community of HealthTM.

     

    For the next phase of the Client Awards, our Outcomes team will work with these organizations to further explore results of these efforts. We’ll announce the award recipients in Chicago this August at our annual client experience, ACE13. Congratulations and good luck to all the semi-finalists.

    Editor’s Note: This post was updated on June 6, 2013 to correctly identify Patient Financial Manager as the product that Blessing Hospital uses.

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    5 trends in healthcare outcomes

    April 5th, 2013

    At Allscripts, we have a team dedicated to outcomes. This team works closely with our clients to mark progress and share real, measurable results, many of which we share in our Client Outcomes Center.

    Outcomes are even more critical today as healthcare providers are under pressure to change the way they practice medicine. It affects every aspect from clinical to financial to operational.

    A couple of members of the outcomes team, Ellen Loch and Dean Gleason, also serve on our Client Awards Committee. They recently shared some insights about client outcomes, including these trends:

    1.       Increasing focus on population health management

    More than ever before, caregivers are proactively managing the health of patient populations with chronic diseases such as diabetes, heart failure and asthma. Insurance companies are also focusing on population and patient care analytics businesses. Clients are better able to manage these groups with tools such as Population Health Dashboards.

    2.       Better compliance as adoption increases

    Compliance with rules and guidelines – such as Meaningful Use – is improving as care givers start to unlock the potential of EHRs. Robert Wood Johnson University Hospital, a 600-bed hospital in New Jersey, realized significant advances in quality outcomes, including an average 35% improvement in Joint Commission core measure compliance.

    As physician adoption of documentation improves, so do the clinical outcomes. Blessing Hospital, a 287-bed hospital in Illinois, achieved 80% physician adoption on day one and reduced transcription errors by 95%.

    3.       New culture of team work

    The EHR fosters collaboration. It helps prepare caregivers and patients for transitions in care. Because the discharge process is increasingly automated, caregivers can share summary data outside of acute care. It directly improves care for patients.  Inova Health System, a five-hospital healthcare system in Virginia, streamlined its discharge process – getting patients to the right care much faster.

    We’re also seeing an uptick in alliances between providers and formation of Accountable Care Organizations (ACOs).

    4.       Growing patient engagement

    More patients are complying with orders. More patients are engaging through tools such as portals. About Women, an OB/GYN practice in Virginia, introduced a patient portal that significantly improved satisfaction – of both overworked staff and patients.

    5.       Revenue cycle management

    As practices move from paper-based patient records to EHRs, they are gaining financially, too. In addition to saving record storage and transcription costs, they are reducing accounts receivable days with better documentation and coding. Fewer staff need to maintain records. Spinal and Neurological Surgery, a three-physician practice in Mississippi, reduced costs in staffing and transcription – by $90,000 a year.

    These are just some of the outcomes we are seeing.  Our clients are celebrating achievements every day.

    Do you have others to share? I encourage you to share your outcomes through our Client Awards program (note the deadline is April 19).

    The more we share with each other, the more we can improve health care overall.

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    Are You Open to Sharing Your Success?

    February 12th, 2013

    Healthcare providers strive for excellence across many areas of their organizations. We all benefit when we celebrate and share our successes with each other.

    To that end, we’re inviting Allscripts clients to nominate their best results for an Outcomes Excellence Award or Community Stakeholder Excellence Award.

    Our large community of clients are celebrating achievements every day. Providers within this community are also always searching for proven best practices to achieve even more positive outcomes. The more we share with each other, the more we can improve healthcare overall.

    Through the Client Awards program, Allscripts encourages an OPEN discussion around excellence in the Allscripts community. This program will highlight our clients who are achieving world-class outcomes, which in turn will spread the knowledge of best practices across our client base, and aid in the advancement of the healthcare overall. It also gives us the opportunity to publicly recognize and thank our clients for their outstanding work and achievements.

    Award Category Descriptions

    Outcomes Excellence Awards – three awards recognize organizations that have achieved world-class outcomes using Allscripts solutions in these categories: Clinical Outcomes, Financial Outcomes or Connectivity Outcomes. You can find more details about each of these categories here.

    Submissions are due April 19, 2013, and we’ll notify semifinalists on May 6. The judges may ask semifinalists to provide an updated essay for the second phase by June 21, and we’ll announce the winners at ACE 2013.

    Community Stakeholder Excellence Award – This award recognizes an individual that has made significant contributions to the connected community of healthTM using Allscripts ClientConnect. Submissions are due June 21, and we’ll announce the winner at ACE 2013.

    You can find more detail on how to apply for all awards on the Allscripts Client Awards Group.

    Award Recognition

    We will recognize the four winners’ accomplishments in a number of ways. Allscripts will make a donation in the name of the winning organizations or individual. Winners will receive a crystal award, recognition on the Allscripts Honors Board, and local media outlets. We also have a few other surprises planned.

    An invitation to apply

    The self-nomination process is now open. Visit our website for details on how to apply for the Allscripts Client Awards.

    I encourage you to apply and share how an Allscripts solution has helped you achieve outstanding results. We can’t wait to review and share your successes with the greater connected community of health.

    Questions? Contact Gwynne Jelbaoui, Associate Project Manager of Client Programs.

    Editor’s Note: This post was updated on March 15 to reflect an extended deadline.

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