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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Using pharmacogenetics for safer drug orders

  • Rick Mansour, M.D.
  • 06/10/2014

The SunriseTM platform is unique because we designed it to be a central nervous system of health care organizations. It constantly gathers, aggregates, evaluates and acts on information for optimal clinical decision support. Our clients are using these capabilities to integrate evidence-based information at the point of care. For example, a team at the U.S. National Institutes of Health Clinical Center (NIH CC) recently developed a program for Sunrise using pharmacogenetics, which evaluates genetic information to predict a patient’s response to medication. The goal was to provide newly available information at the point of care to help clinicians reduce the risk of adverse drug events. The Journal of American Medical Information Association (JAMIA)* featured this patient safety project in a recent article. Starting with safety checks for three drugs The NIH CC team wanted a tool to help clinicians as […]

Most Electronic Health Record users are forced to wait for the next upgrade to extend their system’s functionality.  At University Hospitals in Cleveland, we’re fortunate to use Sunrise Clinical Manager (SCM), an EHR that gives us a lot more flexibility.  With SCM we’re able to make the changes we want ourselves, by leveraging Medical Logic Modules (MLM) — a kind of artificial intelligence that queries the underlying EHR database and, depending on the if-then logic that you create, triggers advanced clinical decision support. Like the apps that make your smart phone smarter, these packets of artificial intelligence have improved patient care and even made our caregivers happy (no easy task for an IT team). Our team has launched many MLM-powered innovations across the eight UH hospitals that use SCM. But I want to talk about just one: a patient handoff […]