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    Briefing Congress on health IT innovation

    September 16th, 2016

    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 together clinical content from across the community into a single patient view, then offering access to this data within the clinician’s natural workflow in their EHR (Allscripts or otherwise). dbMotion connects more than 350 different data sources.

    In fact, at Baylor Scott and White Health, in northern Texas, a 12-year old girl was spared a second CAT scan when images from her initial ER visit were available later at another hospital with a different EHR. The ability to pull up these images prevented unnecessary radiation and saved her family almost $3,000.

    In another example, at the UPMC, the wait time for patient data decreased from as long as 20 hours down to five seconds, and the time physicians spent searching for information dropped from up to 40 minutes down to one. And when physicians click this community view of their patients, they make a different clinical decision 60% of the time.

    We recognize that tomorrow’s healthcare networks aren’t being built by our company alone. Since 2007, well before ONC regulatory requirements,

    Paul Black represented the health IT industry, briefing Congress on recent innovations

    Sept. 14, 2016 – Allscripts CEO Paul Black represented the health IT industry, briefing Congress on recent innovations.

    Allscripts launched an Open approach to our EHR applications, allowing third parties to integrate with our solutions. This has grown to a network of 4,000 certified developers, and the providers using the apps will exchange information one billion times this year alone.

    A few program highlights include an app that helps connect diabetic patient data directly to their doctor’s EHR; an app that helps patients quickly and accurately provide updates before a practice visit; an app that helps providers connect patients to relevant clinical trials while still on-site; and an app that rapidly fills available appointments following a cancellation, avoiding lost practice revenue and creating accelerated access to care.

    Beyond our own innovations, our clients have also capitalized on this open platform, building solutions to deliver results to their patients. Clients have all built tools on top of our EHRs to drive material cost savings and improved outcomes. For example:

    Dosing and Administration errors affect upwards of 3 million inpatients annually in the U.S., which in turn needlessly added an average of 8 to 12 days to a patient’s length of stay. Since a new medication dose range checking algorithm was implemented four years ago at Phoenix Children’s Hospital, providers have seen a significant reduction in prescribing errors with only 3% of all medication orders now leading to a Dosing Error alerts.

    The Agency for Healthcare Research and Quality (AHRQ) reported that sepsis care cost the country more than $20 billion in 2011, with the costs rising on average by 11.9% annually. Orlando Health created an early sepsis detection workflow on top of an Allscripts solution that led to a 14% reduction in overall sepsis mortality rate, as well as an 8% reduction in the average length of stay (LOS) for sepsis.

    Readmissions to inpatient facilities continues to be a big strain on healthcare systems, reflecting gaps in care and challenges with continuity of care. LACE is a tool that helps calculate a readmission probability based on Length of Stay, Acute Admissions in the past, Comorbidities and ER visits. The UH Geneva Medical Center in Ohio, used each patient’s LACE score in a program to help ensure high-risk patients receive support for post-acute care (including home visits) and closer coordination with each patient’s primary care providers. In its first year alone, this initiative achieved a 50% reduction in all-cause readmissions for that patient group.

    Allscripts was also the first in our industry to make a significant investment in the area of precision medicine, aligning with Congress’ interest in this opportunity. We recently launched our 2bPrecise solution, which will help caregivers proactively identify optimal patients for genomic sequencing and make the results available, understandable and actionable at the point of care.


    Live from ACE 15: What’s next for Allscripts

    August 7th, 2015

    This is a big week for Allscripts. We announced record-setting second-quarter financial results, and we kicked off the Allscripts Client Experience (ACE), our annual user group meeting. More than 2,200 clients are gathered in Boston to connect, learn and innovate.

    As a Connected Community of HealthTM, we have much to celebrate as we look ahead. In my opening address, I shared three primary ways we’re laser-focused on a successful future for our clients:

    1) Ready for value-based care

    The industry shift from fee-for-service to value-based-care financial models continues. Healthcare organizations are at various stages in this evolution, and many of them have one foot in each world.

    What will continue to be increasingly important are referral patterns for patients. Healthcare organizations need to be able to drill into the data to understand “leakage” – when patients leave their system for another. Allscripts can help those clients re-capture lost revenue.

    2) Doubling down on innovation

    Some companies might cut research and development budgets to accelerate the path to profitability. But that’s a short-term vision. Allscripts is investing heavily in innovation, because that’s how we’re going to advance health care.

    For example, we invested in the innovative work that NantHealth is doing, because incorporating genomics in precision medicine is the next frontier. We’re going to help lead the way.

    3) Driving to proactive precision medicine

    We were pleased to have the founder of NantHealth, Dr. Patrick Soon-Shiong, join me during the opening session. A world-renown researcher and entrepreneur, he explained that we are experiencing a cancer crisis. Current treatments are all reactive, and we need to be more predictive and proactive in our approach to make headway.

    Just as mission control meticulously tracks an astronaut’s health in real time, someday our physicians will be able to track our health the same way. Precision medicine will make it possible for caregivers to help patients prevent illness and even understand potential outcomes and costs in real time.

    This is not an academic exercise or just a business strategy. Lives and good health are at stake. Because we all have loved ones who face battles with illness, it is very clear to me that there is no time to waste.

    We need to work collaboratively to hasten the future of health care. I’m inspired by the passion and commitment I’ve seen at ACE 15 this week. This community has never been stronger or more prepared to fulfill the promise of Health IT.

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    Achieving the promise of health IT: Stop information blocking and data bullying

    July 30th, 2015

    Editor’s Note: On July 23, 2015 Paul Black testified before the Senate Committee on Health Education Labor and Pensions, to share his thoughts about how to advance health data exchange. This post is the third in a three-part series that will address aspects of interoperability: 1) overcoming barriers 2) financial motivation and standards, and 3) information blocking.

    An important consideration for information liquidity are the physician practices (small and large) and independent hospitals that have been pressured to move off of their current Electronic Health Record (EHR) system – Allscripts in some cases – to one used by the large enterprise health system in their area.

    It’s called “data bullying” or “information blocking,” because one party isn’t committed to establishing connectivity between current systems and in some instances, will even put up indirect roadblocks. For example, sometimes larger health systems compel change through conversations about referrals and threats not to include people in data networks.

    With today’s technology, it isn’t necessary to change EHR systems to provide physicians and other medical professionals with access to the information they need. The rip-and-replace strategy is outdated, given the advanced data exchange capabilities that are out there.

    The Allscripts dbMotionTM Solution, our interoperability platform, provides an advanced semantic engine that aggregates and normalizes all clinical content across a connected community into a single view. It’s accessible within whichever EHR the provider uses, to enable them to find relevant information quickly while with the patient. This technology is in use across numerous communities in the U.S. and overseas, including the entire country of Israel, and in each environment, it’s connecting dozens of different vendors successfully and directly changing the care decisions being made because of the additional information that’s available.

    The ONC report on information blocking stated that it occurs when persons or entities knowingly and unreasonably interfere with the exchange or use of electronic health information. But the report also notes that the extent to which such information blocking is impeding the effective sharing of electronic health information is not clear because much of the evidence is anecdotal and difficult to interpret.

    An additional factor at play is the commoditization of data. Health care is mirroring a trend seen virtually everywhere in business – attempts to access and/or control data are driving many of the dynamics that are being discussed today. “Big data,” population health, personalized medicine, quality-driven reimbursement and information exchange – each a conversation about data and its enormous potential. Until there is greater clarity regarding the so-called “ownership” of the data, this ambiguity will continue to be a significant factor in negotiations around interoperability.

    I believe the Health IT industry has a real responsibility to advance interoperability, along with the provider organizations that we support, and I feel strongly that this is doable. I challenge all of my colleagues to continue working together with us, the provider stakeholders, the ONC and the patient community until we have achieved success.


    Achieving the promise of health IT: Interoperability needs financial motivation and time to succeed

    July 28th, 2015

    Editor’s Note: On July 23, 2015 Paul Black testified before the Senate Committee on Health Education Labor and Pensions, to share his thoughts about how to advance health data exchange. This post is the second in a three-part series that will address aspects of interoperability: 1) overcoming barriers 2) financial motivation and standards, and 3) information blocking.

    The current payment system simply does not offer appropriate financial motivation for providers to create an interoperable healthcare environment; this is especially true given that the burden of cost falls to them almost exclusively. Healthcare providers are genuinely committed to providing the best care they can to patients, but the common reality of running on only a few days’ cash flow sometimes trumps loftier goals.

    Much as CMS policy has already had a marked impact on hospital readmission rates by associating them with payments, creating a direct relationship between payment and data exchange would have the same result. This could be the strongest step taken to create a genuine imperative for interoperability.

    H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), is a good start in the right direction. But Congress needs to ensure that alternative payment models envisioned in this reform are rolled out appropriately.

    The good news is that the expansion of delivery reforms is already motivating accelerated electronic data exchange progress. We see this in Accountable Care Organizations (ACOs), and demonstrations like the Comprehensive Primary Care Initiative, which Allscripts supports as the technology provider for a sizable percentage of the participants.

    Simply put, they create a use case for health IT that focuses on clinical value and less on what level of visit they can code. We have already seen real change result within our client base from new approaches at CMS and within the commercial payer space, and I expect that will accelerate as MACRA is implemented.

    Given the volume of new programs along with Meaningful Use Stage 3, which we expect to advance interoperability, we encourage Congress to allow the impacts of these recent changes to play out further before passing additional legislation specific to interoperability. There is an opportunity to see what adjustments providers make in response to the new payment models and what steps they start taking to maximize the new revenue opportunities.

    Generally, the same recommendation applies to standards development work – it is important that there be time for maturation and the fine-tuning of elements that are already being embraced by the industry (for example, Direct and CDA). There is no need to toss aside approaches that are working.

    Of course we should continue to explore new and innovative approaches in an appropriately transparent manner, but standards development should have a lifespan longer than two or five years, so it’s important to move thoughtfully.

    Looking to standards as a panacea for the challenges still ahead of us will only result in usability complaints from providers as immature technologies are mandated by the government. Congressional attention would be best served in directing ONC to drive greater standards adoption and consistency of implementation of those standards, rather than focusing on the need for all new standards.

    In response to recent regulatory activity, as well as client requests, the private sector has been making innovative advances. There are exciting technologies and services in development now and on the product roadmaps for the next several years based on what our clients have requested. I think everyone wants to avoid a prescriptive, heavy-handed statutory or regulatory mandate in which the government becomes the de facto product manager for our industry as a whole.

    Read Paul Black’s next post – Achieving the promise of health IT: Stop information blocking and data bullying

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    Achieving the promise of health IT: 8 barriers to interoperability we must overcome

    July 27th, 2015

    Editor’s Note: On July 23, 2015 Paul Black testified before the Senate Committee on Health Education Labor and Pensions, to share his thoughts about how to advance health data exchange. This post is the first in a three-part series that will address aspects of interoperability: 1) overcoming barriers, 2) financial motivation and standards, and 3) information blocking.

    Interoperability is of great concern to us, as more independent doctors use our software to treat patients than any other commercially available product. If a stakeholder were to intentionally get in the way of information exchange, there are two main concerns: 1) it would be bad for patients, and 2) it could be anti-competitive. Period.

    Several years ago, Allscripts made a decision to invest in an Open approach to connectivity – one that is grounded in the Allscripts dbMotionTM Solution connectivity platform and a large network of certified software developers outside of the company who build apps based on our open APIs.

    There are many examples of providers who have worked through the process of establishing connectivity and are making it work, such as:

    Holston Medical Group, which has offered to connect all providers in northeast Tennessee and southwest Virginia. The organization is working with Allscripts to facilitate data exchange between 25 different electronic health record (EHR) systems used by two hospitals and 1,200 physicians in more than 50 groups (either already connected or in process).

    University of Pittsburgh Medical Center, which has set up a connected network of 22 hospitals, 4,000 physicians, imaging centers, labs and others using dozens of different health information technology systems.

    Citrus Valley Health Partners in California, and the list goes on, covering millions of patient lives.

    While it is clear there is still effort required, our clients demonstrate every day that information exchange can lead to quantifiable and demonstrable improvements in care delivery.

    It is true, however, that today not all stakeholders in the healthcare industry seem to be equally motivated to make information liquidity a reality. While Congressional investments have helped the industry to realize measurable benefits from the rapid adoption of electronic health records – an important success that shouldn‘t be overlooked – clinical data exchange is not where it needs to be.

    There are many factors we need to address for us to ultimately be successful:

    1. Expand standards development process, building on the real progress underway with guidance from government and allowing the private sector to continuously develop, adopt and modify new standards;

    2. Require organizations to follow available standards, such as those for public health registries, labs, state health information exchange organizations and others;

    3. Harmonize state laws and regulations, particularly those related to privacy and security, patient consent and other similar topics;

    4. Address legal and liability concerns among providers about how the data will be used outside of patient care;

    5. Agree on what and how we store data – we need to get beyond the focus on how data is transmitted;

    6. Create activation strategies to increase use of health IT by patients and their caregivers, while also generating accountability for their health outcomes;

    7. Develop a national patient matching strategy – a way to identify each individual patient. This is a real challenge to both robust data exchange and patient safety, and Congress needs to stop blocking progress on this critical issue; and

    8. Achieve greater transparency around interoperability and health IT among virtually all stakeholders.

    Beyond all that, though, the sluggish progress we’re discussing today most closely stems from one critical deficit: the lack of a strong business case or a true market driver for interoperability.

    Read more in Paul Black’s next post in the series –  Achieving the promise of Health IT: Interoperability needs financial motivation and time to succeed

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    Why precision medicine is a “game changer” for health care

    June 30th, 2015

    Precision medicine is a game changer for patients and caregivers. It enables clinicians to personalize care plans and treatment protocols for each individual patient, and not take a one-size-fits-all approach.

    One of the next big opportunities for healthcare technology is to find ways to apply genomic and proteomic information to improve patient care. Even though the human genome project concluded about 14 years ago, we’re still not using broad-scale, genomic-based decisions and protocols in health care today.

    Why not? Because genome sequencing has traditionally been expensive, incomplete and time-consuming.  Perhaps the biggest problem for clinicians was deriving meaning from about 3 billion base pairs of proteins found in the human genome. In addition, that meaning, once derived, has not been available to them in their clinical workflows.

    But that’s changing, thanks to significant advances in technology and computing power, which innovative pioneers at NantHealth are using to introduce game-changing solutions.

    How an Allscripts-NantHealth partnership will improve cancer treatment

    If you have a cancerous lump in your throat, brain or breast, you don’t want to wade through 20 or 30 treatment protocol options. You also don’t want to wait several weeks for recommendations. You and your caregivers want to take action – the right one, right away.

    We’ve recently expanded our partnership with NantHealth, because it’s doing something truly unique for cancer treatment. NantHealth can sequence the entire human genome – about 20,000 protein-coding genes. It also conducts a deeper level of mapping to find mutations and analyzes sequences of tumor (and normal) cells. This molecular footprint can be up to a terabyte of information per patient.

    Allscripts builds the connectivity for genotypic information as it comes from the sequencing machine into the electronic health record (EHR). There, it combines with clinical information (blood type, other physical traits) in the EHR.

    NantHealth solutions can then provide three to five treatment options to specifically “attack” individualized genetic mutations. These are the treatments that are most likely to succeed for that patient. It’s powered by a comprehensive oncology clinical library with more than 2,200 regimens and 12,000 clinical trials for all cancers and sub types.

    NantHealth will provide the analysis that helps optimize protocol recommendations relatively quickly, in a period of hours or days. This speed is extraordinarily important during the course of cancer treatment.

    Once a clinician and patient select a protocol, the health plan needs to approve it. The Allscripts-NantHealth platform can expedite the pre-authorization of drugs and therapies with payers, at the regimen level, in real time. This capability is more efficient for the caregiver and payer, and it also helps ensure they are aligned before treatment begins.

    And the Allscripts dbMotion SolutionTM enables oncologists to monitor patients over time, regardless of the EHR platform. It helps close the loop with highly coordinated care for cancer patients.

    There’s a brighter future with precision medicine. We’re starting with cancer, but we’re not stopping there. As you might expect with a complete genome sequencing, there is the potential to be more accurate and successful in treating other diseases, too. I’m excited about the promise of these efforts for a healthier future for all.


    CEO Paul Black: Insights from Population Health University

    June 3rd, 2014

    I recently attended our annual user group event for clients, Population Health University. The topic of population health management is important for all of us: it is the future for health care as our clients rotate from fee-for-service to value-based care.

    As clients set out to accomplish their goals, it’s our role at Allscripts to help them deliver quality care and make money in a better, smarter way. I’m passionate about this mission. It’s not just a contract, a handshake or a partnership — it’s an obligation to our clients and to health care.

    We must provide a solid core electronic health record (EHR) and the two levels above the EHR: interoperability and consumer engagement platforms.

    Connectivity and interoperability improve care decisions

    To define what makes our connectivity platform better, I use the acronym CHAT: connect, harmonize, analyze, transact.  Many HIEs do only two of these—connect and maybe transact. We do all four.

    Going forward, I would add another element: a dollar sign. No money, no mission. Healthcare organizations need to make money, so they can grow, thrive and provide more care in the community.

    Connectivity is crucial to the mission of providing quality care. UPMC reports that two out of three caregivers make different clinical decisions if they can see the complete community medical record (rather than only seeing what’s in their specific EHR).

    What they do differently might save money. More importantly, it might save a life.

    In the medical community, we all hear stories about how information could have prevented tragic outcomes. These stories remind us how important it is to put data into caregivers’ hands. And we can never go fast enough.

    Consumer engagement affects real change

    A portal is more than a check a box to get to Meaningful Use Stage 2. Portals are how patients interact with and view their caregivers. It’s a healthcare organization’s image and brand in the community.

    With the amount of information available – including data from the rapidly growing number of home medical equipment and wearable fitness devices — we can actively monitor our health in a digitized world. The amount of data we have is stunning. We can use it to affect real change in health care.

    Think about your credit rating, which connects, harmonizes, analyzes and transacts every single financial interaction you’ve ever had. If that number is not as high as you’d like, you work on your financial health to change it. A health score could have the same effect to motivate people to change their behaviors.

    A healthcare score just one method. Everyone has a different trigger that will get them more engaged in their own care. We need personalized portals to motivate to each patient’s activation.

    What’s next for the Connected Community of HealthTM

    It’s an honor for me to work with our healthcare providers and help them do what they do. We’re on this journey together.

    The rate of change in the last few years, especially as everything becomes digitized, is accelerating. We have all the data, now we just have to use it. Use it to care for all the people we care for today, and to be ready for tomorrow’s healthcare challenges.

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    Allscripts CEO: Looking back at 2013 and looking ahead

    December 20th, 2013

    2013 – my first year at Allscripts – has been a year of execution, building confidence with all stakeholders and creating momentum in the marketplace.  We have not only transformed our company, we have transformed health care by focusing on population health management and transitioning to value-based care. Although this transformation of Allscripts is not yet complete, clients are telling me they are more confident than ever in our direction.

    Clients inspire our vision, inform our actions

    Our vision of an Open, Connected Community of Health remains our clear destination, and we took major steps this year to make the vision a reality. Here are just a few of the steps: the strategic acquisitions of dbMotion and FollowMyHealthTM, the delivery of our Meaningful Use 2 (MU2) and ICD-10 commitments, the expansion of our international business, and helping found the CommonWell Health Alliance.

    Insights and input from our clients remain central to our forward progress. As I mentioned in an earlier blog post, it’s really important to hear first-hand from clients – they’re the ones on the front lines – so that we deliver the innovative solutions they need to deliver better care. I’ve made more than 230 client site visits this year and plan to continue meeting face-to-face with clients as long as I have the privilege of leading this great company.

    How we plan to meet the challenges ahead

    So, what do we hear from clients? It’s an incredibly challenging time for healthcare providers. As caregivers navigate the strategic transition from fee-for-service to value-based care, they are also managing the all-encompassing tactical transition to prepare for ICD-10 and Meaningful Use. Allscripts has moved swiftly to offer complete Electronic Health Record (EHR) certification for every application required to attest for MU2.

    Population Health Management is a strategic imperative for most health-care executives today. By leveraging data to understand and profile populations, caregivers are better equipped to deliver customized care plans for the individual. Interoperable Population Health Management solutions that are highly relevant to specific client requirements – not a one-size-fits-all, monolithic approach – are the key to success in the new healthcare reality.

    For example, at the University of Pittsburgh Medical Center, Allscripts dbMotion integrates with 47 disparate systems alone, including with our primary acute and ambulatory EHR competitors (see more in a video featuring UPMC). Around the world, we connect and harmonize data from over 227 different electronic medical records today.

    Value-based care requires a digitized chassis across all care settings and across time. Much like an automobile chassis anchors best-in-class components to deliver a superior driving experience, a core EHR anchors the best-in-class applications to deliver the best health care possible. This model, when supported by an Open approach, enables more rapid delivery of the most innovative solutions.

    Why Open? Because access to data spread across disparate systems creates an ecosystem for innovation and lowers total cost of ownership.  Connectivity and interoperability are key components as solutions evolve faster and more effectively when you embrace the collective intelligence and expertise of the healthcare community. This collaboration also creates a shift to a patient-centered, coordinated care model with one patient record available at every point in the care continuum. And as our clients consolidate, these solutions must support a heterogeneous EHR environment.

    Clients are asking for exceptional functionality, in real-time, at a better value. This need is pushing our market into cloud-based, multi-tenant, EHR-agnostic solutions. Allscripts has long embraced cloud-based architecture, and we are delivering the clear benefits for our clients, driving speed to value.

    What’s next for the Allscripts community

    Looking ahead, I see the enormous potential for Allscripts to compound the impact we make in health care every day through our increased investments in R&D, our focus on Population Health, our international expansion as we work to connect the global health care community, and through what I call the “Allscripts network effect.” Today, our solutions support more than 50,000 physician practices, 1,500 hospitals and 12,000 post-acute facilities. We can demonstrate today that an average hospital service area has over 3,000 Allscripts clients.

    With our Population Health Management solutions, referral network and a healthy core of EHRs, we have a unique ability to connect an expansive network of caregiver teams to effectively manage care transitions and manage care inside and beyond the physical boundaries of any given institution. We have a tremendous opportunity to lead the way in transforming health care.

    So what’s next?  Our progress and success will center on realizing our vision of an Open Connected Community of Health through innovation, collaboration, and execution. Contributing to the work of our clients is a privilege that we undertake seriously, and we are committed to finding new ways, every day, to help our clients deliver better patient care.  I am confident that this team and our solutions can and will make this happen.


    Live from ACE13: What’s next for Allscripts and the healthcare IT industry

    August 22nd, 2013

    On Wednesday we officially opened our annual client conference, ACE 13. There are about 3,000 Allscripts clients gathered in Chicago to exchange best practices through more than 400 educational sessions, user group meetings and special events.

    It’s my first ACE, and it’s off to a great start. People are excited to connect, collaborate and share ideas.

    In the opening session, I talked about what Allscripts and our clients are doing to lead the transformation in healthcare IT. Client insights have helped create our vision.

    Sharing our roadmap for the healthcare IT journey

    I’ve been talking with hundreds of clients in my first eight months as CEO. These conversations are shaping our path to better health care for all.

    Paul Black shared this healthcare IT industry roadmap at ACE13

    Several actions will help us advance on our journey to achieve better healthcare.

    Attesting to Meaningful Use – For many of us, the journey began with government incentives, such as ARRA and Meaningful Use. Looking back we can see impressive results from our clients. More than 33,000 caregivers have attested to Meaningful Use with an Allscripts solution. Based on the timing and type of attestation, we estimate our clients have collectively earned more than $1 billion in incentives.

    Sharing innovation on an Open Platform – The market has responded positively to our Open platform. So far in 2013 we’ve had more than 250 million hits on our Open Application Programming Interfaces (APIs).  By working well with other solutions, Allscripts can better fuel our clients’ systems. We also recognized our leading developer partners with the Open App Challenge Phase 2 awards.

    Re-imagining mobility in healthcare – We just announced our mobile native iPad application, Allscripts Wand for Allscripts Enterprise EHRTM. It puts real-time information at their fingertips, at the point of care. This tool helps clients complete a patient visit with one mobile device. Whether it’s reviewing the patient chart, updating information during a consultation, refilling prescriptions or reviewing the next day’s appointments – Wand supports your workflow.

    Shifting to Value-Based Care models – As the industry moves from fee-for-service models to fee-for-value based on the outcomes of care – it changes the way clients administer care. It also is a new way to get paid. Many clients are driving value-based care in their communities. (Watch a video about Sharp Rees-Stealy Medical Centers driving the ACO model.)

    Connecting information across the continuum of care – It’s not enough to have your organization on an EHR. We need this information to span a hospital, a community, a region and beyond. We need to put patient data where it’s needed most: wherever the patient is.  (Watch a video about Orlando Health’s Health Information Exchange with dbMotion and Presbyterian Intercommunity Hospital’s perspective on reducing readmissions across multiple care settings.)

    Revolutionizing care with population health management – Care centers around the country are adopting ways to aggregate and normalize data to see trends. It’s a big opportunity to more effectively treat and prevent illness. (Watch a video about University of Pittsburgh Medical Center’s achievements in population health and Litchfield Family Practice Center’s work as a Patient-Centered Medical Home in a rural community.) With all of this momentum we’re excited to offer a new Population Health Analytics solution, with real-time analytics on any EHR, regardless of vendor.

    Changing behavior through true patient engagement – Through portals patients have better access to information and are taking a more active role in their own health care.  Allscripts offers FollowMyHealth to help healthcare organizations power their patient portal and achieve Meaningful Use.  With FollowMyHealth, patients can easily access their own data, anytime, anywhere. (Watch video about how ProHealth Physicians is engaging patients with FollowMyHealth.)


    Innovation and support continue to top priority list at Allscripts

    While we’ve been busy working with you to build on our vision for the future, we’re also clear on what we need to do for you now. We’re focused on those priorities, including:

    Deliver innovative, quality software releases – Our primary focus will be on Meaningful Use Stage 2, ICD-10 and rapid innovation and deployment. Additionally, we will integrate dbMotion and FollowMyHealth, innovate in areas such as mobility and analytics, and improve our software testing and quality.

    Continue to improve client support – We’ve made significant investments, built new tools and introduced dashboards to give clients transparency to our progress. While there’s still more to do, our satisfactions scores are already on the rise.

    Our future depends on our success in these areas. We’re investing for the long-term success of our clients and are committed to staying ahead of the innovation curve.

    As we take this healthcare journey together, we have the strategy, the solutions and the team to help clients succeed. Our vision of an Open, Connected Community of Health is becoming a reality.

    Editor’s Note: To stay up to date on the headlines from Allscripts Client Experience (ACE13) in Chicago, follow #ACE13 on Twitter.


    My first 100 days as Allscripts CEO

    April 9th, 2013

    I’ve been hitting the road hard to learn from clients and teammates who are making a real difference in this industry. Their passion for health care is inspirational.

    Allscripts continues to lead the charge toward our vision of an Open, Connected Community of Health™.  We’ve complemented our portfolio by acquiring important additions, dbMotion and Jardogs, and by becoming a founding member of the CommonWell Health Alliance.

    And we’re steadily marching toward being the first to deliver a community solutions model.  A model where analytics and outcomes will transform health care. Where patients can own more of their care decisions.

    Leading a transformation in health care

    After logging tens of thousands of miles to meet with folks, I’m hearing loud and clear that clients resonate with our Open approach. They know we “get it,” as we build out our solutions architecture with a fully interoperable platform.

    To me, we’ve truly transformed health care when we’ve changed it permanently for the better. With Open, it’s happening. There are three clear themes emerging from my conversations:

    We’re working closely with clients and patients to transform the industry.

    At Allscripts we understand our serious obligation to both caregivers and patients. We have our finger on the pulse of how patients want to interact via Electronic Health Records (EHRs) in the future. We’re partnering closely with our clients to ensure our solutions meet their current and future needs.

    It is encouraging to see the number of healthcare leaders that choose Allscripts, such as Bronx-Lebanon, Resolute Health and Phoenix Children’s Hospital. It is impressive what our solutions enable clients to accomplish, which we’ll celebrate this year with our Client Awards.

    Population health management (ACO, value-based purchasing) will play a key role in the transformation.

    Automating the collection of patient data is an important first step. Collecting the data as discrete elements doubly so.

    But we also need to aggregate that clinical and financial data from across the many venues where people receive care, make it accessible, analyze it and use it to drive coordinated care. This approach will change behaviors, bend the cost and quality curves, and truly transform health care.

    Insights must encompass clinical, financial and biometric data so clients can deliver the best care possible, especially to high-risk populations. Health delivery organizations must eliminate redundancies and inefficiencies to improve the cost of care.

    For example, University Hospitals Health System (UHHS) in Cleveland is collaborating with us to actively manage at-risk and self-insured populations. This partnership spans our EHR systems, post-acute systems, patient portal and analytics offering to deliver a total population health management solution.

    Solving the patient data puzzle is vital to improving care coordination.

    To deliver value-based care, clinicians need to locate Jane Doe’s records across multiple communities, know they have the correct Jane Doe, and access her clinical record in a secure, low-cost way.  Accessing the data isn’t enough; physicians and patients need to be able to use that information to make the right decisions. That’s why we acquired dbMotion and Jardogs and participate in CommonWell.

    CommonWell will help identify and locate patient records on a national basis. More details to come as the team sets specific milestones for the pilot program expected to launch later this year.

    dbMotion extracts and aggregates the right patient records from anywhere, aggregates and normalizes them, and serves as our strategic platform for care coordination and population health.

    Jardogs leverages those same capabilities to share data with the patient and makes it much simpler for patients to communicate with physicians and their offices. Jardogs will be our strategic platform for Consumer Engagement.

    Allscripts delivers a coordinated care solution for physicians, care team members, and patients. This gets us to our vision: better health care, better health and lower cost. Globally. For everyone.

    Investing in the future

    We’re at a tipping point in health care, and for the future. With these recent actions, Allscripts has doubled-down on our commitment to partner with clients to enable an Open, Connected Community of Health. We’ll invest $500 million in 2013 to deliver on this strategy.

    I’m proud of Allscripts and our large community of clients. Together, we can transform health care. I look forward to leading the charge for Allscripts and for the industry.

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