Implementing electronic health records (EHR) is no easy task, but there are key lessons learned from successful implementations that can ensure success. Allscripts Sunrise™ clients have shared tips about how they’ve implemented EHR projects on time, on budget and with the outcomes they expected. Here are a few tips I’ve gleaned from clients who know best: 1  It all starts with strong leadership An EHR implementation requires a massive amount of change, which is never easy. But if the leadership team supports the project, it will be easier to motivate and align the team to the organization’s goals. Leaders at the highest level need to visibly and consistently reinforce the message that failure is not an option. 2. Focus on outcomes – Understand the WHY Driving change is much easier when clinicians understand “the why.”  It is critical to articulate […]

In a recent Client Outcomes Collaboration Program webinar, Allscripts clients shared how they have used the LACE index to identify patients who are at risk for readmission. Based on what they’ve found, they’ve taken different approaches to intervening with their patient populations. What is LACE and how does it help prevent readmissions? The LACE index, designed to identify patients who are at risk for readmission or death within thirty days of discharge, is based on four factors: L – Length of stay A – Acuity of admission C – Co-morbidities E – Emergency room visits The higher a patient scores on this index, the higher the risk of returning to the hospital. Hospitals are beginning to use LACE as a tool to stratify patients based on their risk level and work to reduce unnecessary readmissions. Many healthcare systems are working […]

We recently worked with a hospital in Newport Beach, California, U.S.A. to maximize Allscripts Sunrise capabilities for better outcomes. We formed an Outcomes Board with leaders from both entities representing clinical, financial and operational disciplines. The Outcomes Board sets goals, identifies anticipated returns on investment and develops metrics for performance improvements. We’ve had some exciting results, improving early intervention for patients with Clostridium difficile (C. diff) and reducing risk of infection by converting patients from intravenous (IV) to oral (PO) medications. Faster interventions for patients with C. diff Physicians note that of all the common hospital-acquired infections in California, all of them are improving except for C.diff. Orange County has one of the highest rates of C. diff infections in the state. The Outcomes Board targeted C.diff cases, with a goal of identifying patients sooner to help provide faster intervention, […]

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Sunrise tool kits offer ready-to-use, proven best practices

  • Salman Naqvi, MD, MPH
  • 10/01/2015

Because every minute counts, healthcare professionals shouldn’t have to reinvent the wheel to achieve great outcomes. Not when Allscripts SunriseTM clients are ready to share best practices with each other to advance health care. That’s what Allscripts Client Outcomes Collaboration Program (COCP) is all about. Launched earlier this year, this program features ready-to-use tool kits with workflows and clinical performance management (CPM) reports associated with outcomes proven successful by Sunrise clients. How one client is using the best practices “gold mine” One of the most active users of the COCP is Sunrise client Appalachian Regional Healthcare System (Boone, North Carolina, U.S.A.).  In a recent case study with ARHS team members, we learned more about how they’ve implemented Clinical Performance Management (CPM) reports. “Finding the COCP was a gold mine for me,” said Systems Administrator Lindsay Grove. “We’ve implemented four of […]

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Kid-sized doses in an adult-sized world

  • Salman Naqvi, MD, MPH
  • 07/21/2015

When prescribing medications, physicians base it on the weight of the patient. Pediatricians are constantly scaling doses to fit their patients, increasing the risk of errors. To ensure patient safety, Phoenix Children’s Hospital (Phoenix, Arizona, U.S.A.) wanted to find an enhanced solution to Dose Range Checking (DRC) to help its clinicians during order entry. Phoenix Children’s Hospital Chief Medical Information Officer, Dr. Vinay Vaidya, M.D., shared more information in a recent Client Outcomes Collaboration Program webinar. The positive results were also published in an article in the Journal of Patient Safety. Phoenix Children’s had three goals for this project. First, given the importance of pediatric patient safety, it wanted to move quickly. Second, it wanted to take a phased approach, addressing high-risk, high-frequency medications first. And third, it was striving for zero prescribing errors. Unfortunately, there weren’t any commercially available, […]

Central Line Associated Blood Stream Infection (CLABSI)* is one of the most deadly hospital-acquired infections in the U.S. with a mortality rate of 12% – 25%. CLABSI can add up to 20 days to a patient’s hospital stay and carry additional healthcare costs estimated at $16,550 per case. Proven prevention techniques can reduce CLABSI incidence by 65% – 70%. Health First (Rockledge, Florida, U.S.A.) and Blessing Hospital (Quincy, Illinois, U.S.A.) shared in a recent client webinar how they are using Allscripts SunriseTM and best practices to decrease CLABSI. Blessing Intensive Care Unit (ICU) has had zero CLABSI cases in 3 years Blessing ICU Nurse Manager Kim Buck, RN, described how her organization uses Sunrise to guide clinicians through best-practice central line protocols. “Monitoring and charting patients through Allscripts Sunrise has contributed to our ability to have zero infections,” she said. […]

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Don’t reinvent the wheel to get better outcomes

  • Diane Gilbert Bradley, MD
  • 03/19/2015

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 […]