Transitions—when patients move from one care setting to another—represent a state of vulnerability for both the patient and the healthcare organization. Patients need referrals to the most appropriate provider in a timely, seamless fashion so they get the level of care they need. If patients leave the network, it could result in revenue leakage for the provider organization. I’ve heard healthcare leaders estimate that between 20-30% of their patients ultimately leave their network during a transition of care. This renders the care team less able to ensure patients get the best possible care—and less able to track patient progress and monitor follow-up. Plus, it means missed revenue opportunities. When patients see out-of-network ambulatory or post-acute providers, healthcare networks are unable to capture the revenue that would otherwise be associated with patient care. There are downstream financial effects, too. When patients […]

At a recent meeting for clients that use Allscripts population health solutions, we heard several success stories. Despite various outstanding achievements, many interoperability conversations started with, “We’re not as far along as UPMC, but…” A clear leader in interoperability, UPMC is a healthcare provider and insurer. To give a sense of the organization’s size and influence, UPMC operates more than 20 hospitals and 500 outpatient sites. At the meeting, clients heard from two Assistant Professors of Pediatrics in the UPMC Division of Newborn Medicine, Sean Frederick, M.D., Assistant CMIO at Children’s Hospital of Pittsburgh of UPMC and Amy Urban, DO, Clinical Director of Interoperability at UPMC. They shared an interoperability journey in a pediatric environment at two busy tertiary care facilities, Children’s Hospital of Pittsburgh of UPMC and Magee-Womens Hospital of UPMC. Data exchange in a pediatric environment It’s an […]

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The reality of CCJR: Understanding new risks facing hospitals

The projected debut of the Comprehensive Care for Joint Replacement (CCJR) Model is less than three months away, and it represents an entirely new approach for care and cost management. Affected hospitals are beginning to realize that the financial, operational and clinical risk they are responsible for managing is a much larger task than they had originally envisaged. When the Centers for Medicaid & Medicare Services (CMS) first proposed the program, CMS wanted to demonstrate a new way to achieve better care, smarter spending, together with healthier people and communities through coordination of care across inpatient and outpatient healthcare providers. Hospitals are realizing their internal resources are not well-aligned with the requirements for analyzing and administering a CCJR program. What is the risk hospitals must manage? A large proportion of services included in a CCJR episode are non-hospital based. In […]

About one in five Americans live in a rural community, and often their only healthcare options are Critical Access Hospitals. It’s vital for these organizations to overcome challenges common in rural healthcare delivery, such as distance, isolation and limited resources. North Country Hospital (Newport, Vermont, U.S.A.) is a Critical Access Hospital tucked into the far northeastern corner of Vermont, serving 22 communities across two counties. At a recent meeting for clients that use Allscripts population health solutions, Clinical Applications Analyst Carol Casey and Director of Clinical Informatics Kate Pierce shared how they’re using healthcare information technology to help this rural community take better care of patients. Finding the Right Interoperability Solution: Improving Patient Care with dbMotion: The pros and cons of a single-system approach Pierce explained that North Country’s IT Steering Committee wanted to improve physician access to all information […]

Fraser Health Authority (Surrey, British Columbia, Canada) uses Allscripts dbMotion™ Solution to make all relevant clinical information from multiple source systems available at the point of care. A recent case study shares how Fraser Health is currently using dbMotion to exchange information across its continuum of care from acute to community settings. It will expand interoperability to the ambulatory setting in 2015, with the integration of data from clinical systems supporting community care. At that point, more than 2,600 physicians in British Columbia will be able to view and exchange interconnected patient data without leaving their home clinical system, which will enable Fraser Health to better coordinate care for its patients and reduce duplicative services. In its first phase of dbMotion implementation, Fraser Health enabled 100 early adopters to have access to the system in December 2014. “Our early adopters […]

One third of the U.S. population has at least one chronic disease, such as cancer, asthma, diabetes or heart disease. Chances are good that we, or people we love, have experienced the challenges of coordinating care for these complex conditions. Clinicians recognize the importance of staying connected to their patients. But teams at small practices may not have enough volume – or stability of volume – to justify hiring additional clinical staff to coordinate care for complex patients. Taking full advantage of the new reimbursement opportunity In 2013, Centers for Medicare and Medicaid (CMS) launched a program to begin reimbursing for non-face-to-face care coordination services. It’s called the Chronic Care Management program, and its goal is to improve care for patients with two or more chronic diseases. CMS has a list of about 22 things the practice needs to do […]

When I meet with Allscripts TouchWorks® EHR* clients, I’m impressed with how they use it to create value for their organizations. We found great examples in a recent interview with Dr. David Graham, chief information officer and chief medical information officer at Memorial Health System (Springfield, Illinois, U.S.A.). Memorial Health System is one of the clients leading the way in its use of TouchWorks EHR data. Here are some of the highlights, in Dr. Graham’s own words: 1. Improve clinical results “I can use examples in all the specialties we have in our primary care, from mammogram screening rates in our obstetrics group to hypertension care in our internal medicine practice…Incredible improvements we’ve done through partnering with our physicians and putting that data that comes out of TouchWorks EHR in front of them.” 2. Spend more time with patients “[TouchWorks […]

The verdict is clear: Interoperability progress has been disappointing. Almost without exception, healthcare experts agree that the industry has fallen far short in its efforts to foster meaningful reform. Consider these assessments in recent articles: “We’ve spent half a million dollars on an electronic health record system about three years ago, and I’m faxing all day long. I can’t send anything electronically over it,” said Dr. William L. Rich III, a member of a nine-person ophthalmology practice in Northern Virginia. New York Times “While most providers have installed some kind of electronic record system, two recent studies have found that fewer than half of the nation’s hospitals can transmit a patient care document, while only 14 percent of physicians can exchange patient data with outside hospitals or other providers.” New York Times In its annual report to Congress, Office of […]

One benefit of automation you might not expect? Improving morale. At our annual user conference, Allscripts Client Experience (ACE), we talked about this benefit with Terri Carlson, executive director of support services, Jeanette Harkness, manager of portering, and Wendy McCrystal, senior business analyst from Regina Qu’Appelle Health Region (RQHR).  The largest healthcare system in southern Saskatchewan, Canada, RQHR uses SunriseTM by Allscripts and Patient Flow. Patient Flow helps hospitals automate bed management and patient transport, which leads to better care coordination and efficiency. The system also offers transparency that hospitals don’t have with manual and paper processes. Better transparency improved trust between departments When using a paper system for bed management and bed turnover, RQHR did not have transparency. Housekeeping staff would walk the halls looking for beds ready to be cleaned. Clinical staff assumed that housekeeping staff weren’t cleaning […]

Leaving the hospital is good news, yet it can be difficult for patients to manage their own care at home. The task may be especially challenging for elderly patients who have complex medical issues. University of California Irvine Health (UCI) recently piloted a program to improve transitions of care for older patients. UCI’s focus on care coordination with remote home monitoring helped improve outcomes for participants. UCI shared its story at our recent annual user group event, Population Health University. “We wanted to make sure patients were getting the care that they needed,” said UCI’s Senior Project Manager of Health Reform Joan Hoppe, RD, CDE. Addressing needs of a growing elderly population UCI serves the people of Orange County, California, where the population is aging. In 2010, there were 360,000 seniors, and that number will double by 2030. One in […]