Near the end of 2015, the Centers for Medicare and Medicaid (CMS) published its final rule for Comprehensive Care for Joint Replacement (CJR), a bundled-payment model for hip and knee surgeries. CMS has signaled that there will be more of these programs as the industry shifts from fee-for-service to value-based care. Unlike other bundled-payment models, this program is not optional. In 2014, more than 400,000 Medicare beneficiaries received a hip or knee replacement. Post-acute care, such as skilled nursing or physical therapy, follows many of the hospital stays for these patients. Homecare can be an important contributor to ensure the patient is not re-hospitalized during this period. CJR goes into effect January 15, 2016 and is applicable on April 1, 2016, when the first model performance period begins. There has been a lot of discussion about what the CJR rule […]

In health care, usability of software is a patient safety issue. It’s why Allscripts employs User-Centered Design (UCD) principles to gather clinician feedback on our solutions throughout the development process. A great example of this process at work is the recent adaptation of Allscripts Homecare™ to a mobile application. Home health nurses are a specialized group, often traveling to patients’ homes to provide care. Despite the mobile nature of their work, there were not many mobile applications on the market when we started this effort. Our objective was to streamline their workflow and develop a version of Homecare that nurses could use on a tablet, instead of a laptop. What we learned from “ride-alongs” with home health and hospice nurses We started the project with ethnographic research, which means we rode along with more than a dozen nurses in the […]

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Best client stories of 2014

I’ve always admired the people who work in health care. They’re even more on my mind this month with the recent passing of my father. The outpouring of support I received made me think about the many other people whose loved ones need medical care during this holiday season. Our clients care for thousands of people every day who mean a lot to their families. As 2014 draws to a close, I’d like to take a moment to thank those clients for their efforts to care for others. To honor their work, here some of the client stories that appealed most to readers this year: Alberta Health Services (Calgary, Alberta, Canada) – The organization used Allscripts SunriseTM to build strategic clinical decision support tools that improved clinical results for diabetes management and saved C$600,000 with an order set for a […]

As the homecare regulatory environment heated up in the late 2000s, many agencies took steps to transition from fee-for-service to value-based models of care. VNA Home Health Hospice (South Portland, Maine, U.S.A.) used Allscripts Homecare to prepare for the future of health care, and shared its story with us: AllDocs: Automated Communication Engine: Several factors spurred the VNA toward change, including regulatory pressure, acquisition by a larger health system and program growth. The former electronic medical record system was not able to keep pace with these changes. The team at VNA was not satisfied with its organizational structure, either. Admitting a patient required paperwork to travel from clinical staff, to the performance improvement department (known as the “fix-it” shop), then finally to the medical records department. It was especially cumbersome to conduct much of this work using paper forms. Clinical managers […]