Health systems are now well down the road of “accountability reform,” defining and managing the effectiveness of care to improve quality and reduce cost. Plexina (formerly known as Wairever) provides the Plexina Platform that helps support clinicians using electronic health records (EHRs) to provide evidence-based and best-practice care. Creating electronically actionable clinical decision support (CDS) tools — such as order sets, clinical documentation templates, rules and assessment reports – at  the point of care helps clinicians make better decisions for patients. Plexina is a complete platform that helps capture, understand, define, design and deploy high-quality CDS assets into EHRs. The continuous process of developing and maintaining CDS In each health system, the clinical transformation team or CDS team has to enable new operational capabilities to improve care. Business transformation, standardization and clinical improvement is a complex and time-consuming undertaking. First, […]

It’s a new dawn for Allscripts SunriseTM , our clinical and financial solution for hospitals. The industry is taking notice, and so are clients. Below are a few comments that clients shared on the KLAS Research website: “I could go on and on about the open architecture. We are constantly developing things to bolt onto the system. It is fun. For me, the fact that we can do that differentiates Allscripts’ product from the rest. We have an entirely different strategic initiative around our provider documentation for ambulatory. We are using a product for that which is not innately part of Allscripts. But because we can get under the hood of the Allscripts system, we are using this other product to build our provider documentation. Providers get the feeling that they are in the same primary medical record, but we can […]

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Taking the detective work out of pediatric care

  • Jennifer MacGregor
  • 03/12/2015

Alberta Children’s Hospital (Calgary, Alberta, Canada) uses Allscripts SunriseTM  to improve care and free its clinicians from tedious “detective work” and calculations. In a recent case study, physicians describe how they’ve applied intelligent order sets to pediatric diabetes management and infant Total Parenteral Nutrition (TPN). Solving the mystery of insulin management According to pediatric endocrinologist Dr. Jonathan Dawrant, managing insulin has three main challenges: 1) Even though diabetes is a growing health concern, not every clinician has enough exposure and expertise to manage insulin. 2) Insulin has no clear dose range; it’s different for every patient. This ambiguity is especially challenging for growing children. 3) To determine the appropriate dose of insulin requires input from various sources. Dawrant observed, “Doing rounds was like doing detective work…you have to gather different pieces of paper, which are located in different places, then […]

Editor’s Note 1/28/15: Ovum recently featured this client in a publication, “Best-Practice Electronic Patient Record Deployment at Salford Royal NHS Foundation Trust.” Download it here. When Salford Royal NHS Foundation Trust, located in Salford, United Kingdom, received funding to go semi-mobile in its wards, the organization partnered with Allscripts to help bring the project to life. The effort required a very rapid development timeline, with the project beginning and launching in less than 9 months. Salford Royal has been using an EPR for more than 10 years, and implemented Sunrise™ Acute Care (formerly known as Sunrise Clinical Manager) in June of 2013, so clinicians were familiar with the multitude of benefits that come with going paperless. But Salford Royal needed a flexible, cutting-edge system it could tailor to meet the needs of its patients and clinicians, helping reach the organization’s […]

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How versatility of Sunrise meets post-acute care needs

  • Diane Gilbert Bradley, MD
  • 10/23/2014

Leading hospitals around the world select Sunrise by AllscriptsTM for its versatility. To learn more about how the solution meets post-acute care needs, we recently sat down with Roberta Steinhauser, director of hospital applications for Madonna Rehabilitation Hospital (Lincoln, Nebraska, U.S.A.). Here are highlights from that interview: Q. Why did you select Sunrise solutions in 2008? Madonna is unique in that under one roof we have long-term acute care, acute rehabilitation care, transitional care, and nursing home beds – making sure patients have the right type of care to achieve their rehabilitation goals. Madonna’s goal was to find an EMR [electronic medical record] system that had the versatility to meet the needs of all types of post-acute care. We knew that there were no “plug and play” systems out there for our type of organization. We saw the flexibility we […]

Does anyone enjoy “paperwork,” even when it’s electronic? I don’t, and neither did the physicians at Springhill Medical Center (Mobile, AL). Last year during a routine review of health information management (HIM) tasks, doctors asked for a simpler way to complete discharge summaries. This documentation recaps events during a patient’s hospital stay and helps coordinate care. Unfortunately, physicians avoided finalizing discharge summaries because it was a time-consuming process. Incomplete charts caused delays in coding and billing. Springhill clinical and IT teams decided to work together to find a better way.   In this video, Springhill Medical Center physicians and IT team members describe how they automated discharge summaries. The key to faster summaries is automation Springhill Medical Center looked to Allscripts Sunrise Acute CareTM to help improve the discharge summary process. The team started by reviewing hundreds of dictated reports […]

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10 things acute care nurses need to succeed

Allscripts User Experience team recently conducted a field study of 100 nurses at 10 hospitals. We wanted to better understand what problems and hindrances acute care nurses experienced and how technology can help nurses deliver better patient care. The findings will help shape our solution development efforts, particularly in mobility. We shadowed nurses in a variety of departments and watched their interactions with other nurses, techs, physicians and patients, as well as all of the tools and technologies they use during their shift. Acute care nurses have unique challenges Our research shows that nurses have very different problems than physicians do. They are constantly being interrupted while trying to maintain and manage their conversations with other clinicians and patients. One finding we saw repeated in all hospitals was the nurse reliance on paper and the creation of paper “brains” to […]

Kenosha Medical Center, United Hospital System

As CMIO of United Hospital System in Wisconsin, I try to make it easy for our physicians to get the information they need to make the best clinical decision. Recently we deployed a Medical Logic Module (MLM) for all 40 of our employed physicians so they can do just that.  Using the MLM, they can view, with one click in their Sunrise Ambulatory EHR, everything they need to manage a patient with chronic disease – and they can do it in less time, with improved accuracy and better outcomes. Before I go on, though, a little history might be in order.  If you’re not familiar with MLMs, you should be.  An MLM is a bit of computer wizardry that’s designed to find all the information within an EHR database pertinent to a single question and alert doctors when the right […]

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Meaningful Use: One Health System’s Journey

While most hospitals are focused on CMS’s release of the draft Stage 2 rules for Meaningful Use last week, now seems a good time to take a look back at how one health system managed to succeed with Stage 1. After all, more than half of all hospitals have yet to attest to Stage 1. Summa Health System, where I work as lead quality and clinical analyst, is one of the largest integrated healthcare delivery systems in Ohio, serving more than 1 million patients each year in comprehensive acute, critical, emergency, outpatient and long-term/home-care settings. Summa includes eight hospitals, more than 1,500 physicians and 11,000 employees overall. Nationally renowned for excellence in patient care, Summa implemented the Sunrise Acute Care Electronic Health Record (EHR) from Allscripts in 2003.  (Editor’s Note: Steve Shaha, Ph.D. wrote last week about Summa’s success using Sunrise […]