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The Family Doctors (Shreveport, Louisiana, U.S.A.) uses data from its Allscripts Professional EHR™ suite to help improve care for patients with chronic disease. Blue Cross Blue Shield of Louisiana recognized The Family Doctors and its physicians with 26 awards in 2015 for highest achievement in population health management.
Improving care for a community that struggles with chronic disease
The Family Doctors serves a community facing significant health concerns. The State of Louisiana has some of the highest healthcare costs and lowest quality outcomes in the United States. According to America’s Health Rankings® of the 50 states, Louisiana has not ranked above 47th in more than 20 years. Chronic diseases are especially costly, as Louisiana has one of the highest rates of cardiovascular and diabetes mortality rates.
Working closely with the state’s largest payer, Blue Cross Blue Shield of Louisiana, the practice addresses these health concerns and improves care for patients with chronic disease. In 2013, the payer created a program, Quality Blue Primary Care (QBPC), to improve primary care throughout the state.
Blue Cross Blue Shield asked The Family Doctors to participate in QBPC. “We had a good EHR we could extract data from, and we’re one of the largest primary care practices in the state,” Administrator Lisa Britt, CMPE, said. “It made sense for them to include us.”
QBPC targeted four chronic conditions: diabetes, hypertension, chronic kidney disease and/or vascular disease. The payer and provider collaborate to help coordinate care for patients with those diseases, and payment is based on performance in core clinical quality measures. Providers use the payer’s analytics software to evaluate data from the EHR.
Achieving better coordination and outcomes
“What’s great about this program is the coordination we have with other providers to help manage patients with complex conditions,” Britt said. “If a patient sees an orthopedic surgeon in a multispecialty clinic across town and has lab results, our primary care doctors can see that, too. We couldn’t do that without Professional EHR.”
In 2015, QBPC’s second year, the program included 658 primary care physicians treating 187,209 patients across the state. Data collected from January to September 2015 show improvement across quality measures, including 25% for diabetes, 40% for vascular disease, 31% for hypertension and 69% for chronic kidney disease.
The program also recognized 58 physicians for achieving results in the top 10th percentile for each chronic condition. Physicians at The Family Doctors earned 26 of these awards.
“We’re proud of these awards, because it means our physicians are performing high-quality care,” Britt said. “With data from the EHR, our physicians were able to see trends over time and improve outcomes for patients.”
Editor’s note: Physician practices can also bring population health management efforts together with Allscripts CareInMotion™. It’s the comprehensive platform that delivers care coordination, patient engagement, connectivity and data aggregation and analytics. Learn more about the CareInMotion suite of solutions on our website.
Founded in 1911, Dominion Medical Associates (Richmond, Virginia, U.S.A.) has a long history of delivering excellent health care to its patients. In a recent case study, Director of Clinical Research Richard “AJ” Jackson Jr., MBA, CRC said, “My great-grandfather founded our practice, and through the generations we’ve been grateful to be able to maintain our independence and give back to the community.”
Small but mighty
With three physicians and one mid-level provider, the practice serves more than 20,000 active patients across two locations. Dominion Medical Associates uses Allscripts Professional™ Suite to participate in many innovative initiatives, typically only taken on by larger practices. For example:
Value-based-care payment models – As health care shifts from fee-for-service to value-based-care payment models, Dominion Medical Associates can use existing data to adapt. It joined an Accountable Care Organization (ACO) in 2014. It is also able to participate in Meaningful Use and Physician Quality Reporting System (PQRS) incentive funding programs.
Clinical research trials – Dominion Medical Associates currently has about 80 patients participating in 14 trials in various stages, giving patients access to new, innovative treatments. The trials gather information about the effects of marketed drugs after long-term use in patient populations.
Patient-Centered Medical Home (PCMH) – The National Committee for Quality Assurance certified the practice as PCMH for the past three years. The designation indicates the practice emphasizes care coordination and communication for its patients to improve quality and lower costs.
The practice has also been able to use Allscripts Revenue Suite™ to improve billing efficiency and Allscripts FollowMyHealth® platform to engage patients. Dominion Medical Associates relies on Allscripts solutions for its clinical, financial and operational initiatives.
“For several years, we wanted a system that would do everything for our practice,” Officer Manager Alice Wilson said. “To be able to go with one Allscripts system that can meet Meaningful Use, turn claims much quicker, increase revenue…I have to rate it a 10 out of 10.”
To learn more about Dominion Medical Associates experience, download a free case study here.
In response to evolving government regulations, physician practices are busy balancing technology requirements, reinventing workflows and improving communications across care settings.
Facing these demands causes a lot of fatigue among clients. We want to support them, especially as they attest for Meaningful Use and prepare for ICD-10.
What clients are telling us they need
Several months ago, we formed a business unit to focus on professional practices. We wanted to offer a healthy core solution portfolio, help clients connect with communities through dbMotion, and enable them to manage revenue.
To achieve these goals, we’re listening closely to clients. Their advice helped shape six key imperatives for my team:
1. Improve services, support and product usability. We now offer project management services. Our support offers client advocates to work regionally to improve our responsiveness to questions and concerns.
2. Bring new solutions to market. We’re investing in a subscription-based hosted business model. We also offer new applications through our Open platform that have high returns on investment.
4. Explore capabilities for population health strategies and Accountable Care Organizations (ACOs). Behind the scenes we’re working on extracting all kinds of discreet elements out of EHRs and PMs that practices need to analyze for trends – today and in the future.
5. Invest in ongoing client training. I’ve heard from many clients that training on go-live day for a day is not enough. We’re going to focus on providing ongoing training options.
6. Achieve compliance with ICD-10 and Meaningful Use Stage 2. We want to help clients determine where they are now, and what the need to achieve in relationship to these requirements.
5 things clients need do to hit critical milestones in 2014
We spent a lot of time making sure these solutions work. Before we released them, we ran through 250,000 encounters during an early adopter phase.
Thousands of practices are running the 2014 MU-certified versions, and feedback is very positive. We’re hearing especially positive reactions on i-Learn trainings (in-product training).
In a recent webinar, we outlined target dates and provided detailed steps for clients to prepare for MU and ICD-10. Essential tasks include:
1. Understand milestones for MU and ICD-10. Know when they are, and what they mean for practices.
2. Assess readiness. For example, clients should be on Allscripts Pro EHR 13.0 sp1 or higher and Allscripts Practice Management 10.5 or higher before purchasing the MU edition package.
3. Plan for needed upgrades ASAP. These processes take time. The sooner clients schedule the assessments and upgrades, the better.
4. Implement a full patient portal. Basic portals no longer meet the Stage 1 or Stage 2 MU requirements.
5. Contact us if you want to learn more about assessments and training options.
Making these investments is good for short-term MU goals. But these steps will also help practices prepare for the regulatory changes coming in 2015, 2016 and beyond.
What are your practice’s top concerns about getting ready for MU and ICD-10 milestones this year?
Editor’s note: Allscripts Client Experience (ACE) 2014 offers more than 400 educational sessions, user group meetings, special events and networking opportunities. Check out our website for the latest information.