Archive for the tag 'Reporting'

Healthcare Wiki Collaboration – It’s the Galen Way

Wiki

A “Wiki” is a web application “which allows collaborative modification, extension, or deletion of its content and structure,” but to Galen it is much more than that. One of our core tenets is to “Perpetually Learn and Share,” and there is no better platform than the wiki to share our knowledge with the HIT community.

We have always encouraged our wiki visitors to contribute their insights as well, making the repository of information you find not only very robust, but also containing many varying experiences and perspectives. The wiki’s foundation was originally built upon our Allscripts TouchWorksTM EHR expertise, but over the past few years it has expanded to include other systems and healthcare topics. Our most recent addition is the new MEDITECH wiki, which will be your go-to place for all things regarding MEDITECH.

Just a few examples of helpful information you can find throughout our wiki:

Allscripts TouchWorksTM EHR

MEDITECH

In June of this year Galen launched its new MEDITECH wiki page! It hosts a myriad of information containing interesting MEDITECH articles, educational materials, and case studies. Some of the categories include:

  • Data conversions – Galen has extensive experience in migrating data to and from MEDITECH EHRs. Our MEDITECH wiki includes details on this process.
  • Reporting – Capturing important data from an EHR is imperative with Meaningful Use, pay-for-performance incentives, and new value-based reimbursement models. You will find some interesting MEDITECH reporting subjects on our wiki.
  • Interfaces – This section includes helpful information on MEDITECH interface specifications and interface resources
  • Optimization – Our Optimization section contains frequently asked questions and specific information on optimizing your Mobile Health applications

Feel free to utilize our MEDITECH wiki information and add your own interesting tidbits!
We thank all of our clients and visitors who have helped grow this repository of knowledge and invite all of you reading this to join in the collaboration. If you feel that you have knowledge to share, please contact us and we will get you started on your way, the Galen way!

Quality Incentive Programs Reporting – Which Opportunities Are Right For You?

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PQRS, ACO, MSSP, PCMH. These acronyms, and many more like them, are quality incentive programs indicative of the shift in the current healthcare landscape. While pay-for-performance is not a new concept, the breadth and depth of today’s EHR data provide organizations with new opportunities to participate in value-based payment programs. Many of these plans target chronic diseases in specific patient populations, placing an emphasis on improving patient care through proactive monitoring, while ultimately reducing expenses for all parties involved. As adoption grows and more of these programs are implemented, those who delay may miss out on significant opportunities.

Do you know how your group is performing? If not, it might be time to take a step back and look at your patient population across the continuum of care. What you find might surprise you! Simple things such as documenting patient immunizations, ensuring blood pressure and other vital signs are taken at each encounter, and regularly scheduling screenings like mammograms and colonoscopies will not only help with monitoring your patient’s health, but also further engage your patient and ultimately improve quality scores.

If you’re interested in learning more about quality reporting, especially how it can help expose opportunities for improvement through workflow and gap analyses, please join us for a free webcast on Wednesday, June 10th.

Custom Reporting

“Allscripts TouchWorks is a great EHR, but is lacking in reporting.”  This sentiment has been expressed over and over by the people who use it daily. There are a thousand and one reports needed to deal with the wide variety of measures, and the differences between the reports can be subtle enough that a single canned report won’t cover many scenarios.

When it comes down to it, the EHR is meant to assist in the delivery of care; reporting, while useful, is a secondary consideration. That’s not to say that reports shouldn’t be included in the EHR, because a lot of value can be derived from them. They are useful in a multitude of ways, from simple reports such as problem-based patient populations, to reports on scheduled appointments or charges. Still, reporting often requires a finer level of detail than a canned product can provide, and even input parameters may not allow for that necessary level of control. Often, small differences in workflows cause data to be found in different fields, making out-of-the-box reports less practical. As requirements evolve, the complexity of even a simple report can multiply, and the reporting logic should have the adaptability to accommodate these changes.

In today’s data-centric environment, custom reports are incredibly useful in tracking progress on both external measures, such as HEDIS or PQRS, and internal organizational initiatives. There have been many variations of referral reports, such as the one Acton Medical Associates uses to analyze their internal vs. external referrals. Sunny Herguth, the Clinical Director at Acton, had this to say about their report:

The referral tracking report is used all the time to track referral trends and to use to see who we do not receive reports back from once a patients sees a specialist.

This is a great example of a custom report used for internal purposes. Knowing where referrals are going, and from which providers, can give an organization insight into areas that might be improved.

Another example, from OrthoVirginia, addressed the issue of providers not signing notes. Rhonda Coor, COO, explains how they use the report:

When my group decided to more closely monitor the signing of notes, I turned to Galen to write a custom report so I could track my physicians’ compliance.  The report is the only way I can stay on top on how the physicians are timely dictating and signing their notes.

This particular report was used to guide providers to complete their charting, though other reports have been used as a carrot rather than a stick incentive.

Custom reporting also contributed to the American Medical Group Association’s (AMGA) Measure Up/Pressure Down program, an initiative to improve hypertension patient care and the general health of this patient population. Rather than a regularly run EHR report, this report was designed to pull percentages of patients who met certain blood pressure criteria. Baptist Medical Group collaborated with Galen on the necessary parameters for the patient groups, and Galen developed several queries to extract and compile this data. The AMGA and Baptist leveraged the data to deliver better care to their hypertension patients, with the end goal of building a healthier patient population and reducing healthcare costs for the organization.

I’d like to conclude with an anecdote from Tom Goodwin, manager of Clinical Systems and Clinical Data Quality at MIT Medical:

In this electronic age it is hard to tell an exciting story about a printed sheet of paper. But if the sheet of paper serves as many purposes as I am about to describe I think you would agree that it is at least worth a smile.

In order to provide a high level of service, MIT Medical, like every other healthcare organization, needs to collect a tremendous amount of information from our patients. This information feeds billing, supports Meaningful Use and Joint Commission initiatives, ensures patient safety, and most importantly helps to improve the patient clinician relationship.

The MIT Medication Worksheet is unique to the presenting patient and can be printed from the schedule in a batch for the day or on the fly from a number of spots within the chart. Based on information we already have in our electronic health record, the patient is asked to verify standard demographic information, to support Meaningful Use they are asked to verify race, ethnicity, preferred language, their smoking status, and if they would like a clinical summary. For Joint Commission they are asked about special needs. For safety they are asked to verify existing allergies, the medication list as displayed in the electronic health record, and they are asked to write down any medications prescribed by an outside clinicians as well as over the counter or herbal medications that are taken on a regular basis.

Using this worksheet gives our patients a sense of how well we know them. They are more active participants in the care they receive and they aren’t frustrated by being asked to newly produce the same information at each visit.

Our friends at Galen Healthcare helped to make this and many other enhancements to our electronic health system possible. We truly value our partnership with Galen.

Custom reports can provide tremendous value. They can expose workflow deficiencies, assist in clinical and administrative decision making, and provide necessary data to third parties for patient care or financial reimbursement. Let Galen help your organization make better use of your EHR data. For further information, please check out a sampling of custom reports on our website or contact sales@galenhealthcare.com.

Client Success Story: Custom Problem Cleanup Solution at MIT Medical

Basic CMYK

Recently, Galen assisted MIT Medical with a Custom Problem Cleanup Solution. Tom Goodwin, Manager of Clinical Systems and Data Quality at MIT Medical Department had the following to say about his experience working with Galen to create this solution:

“MIT Medical is preparing for ICD-10 and at the same time trying to make the Allscripts TouchWorks™ problem list more dynamic and more of a reflection of the patient’s current health state.  Like many organizations, problems on the problem list were growing like weeds and were long overdue to be trimmed back.  Specifically, acute illness problems such as acute pharyngitis, acute bronchitis and v codes used for billing were in many cases not being resolved or suppressed.  So, as a morale booster, MIT Medical decided to engage Galen to help get a fresh start.  [Galen] wrote a script that cleaned up these problems if they persisted on the problem list for over 2 months.  If there was a description, impression, or annotation they were resolved and moved to past medical history otherwise they were resolved and suppressed.  This really helped MIT clinicians get the problem lists under control.  They could spend less time resolving items that clearly were no longer relevant so that they could focus more on documenting details about more important chronic illnesses.”

We really enjoyed working with MIT on this custom solution and are happy to be able to offer this solution to clients that are facing similar challenges with their problem lists.

Please visit the custom solutions section of our website to see the different types of solutions that we offer. Any of the solutions can be customized to fit your organization’s needs, and if you have an idea for a customization that you would like to implement at your organization, we are happy to work with you to create a new solution.

To see demos of the cleanup solutions we currently offer, please visit our Wiki to see the slide deck of a recent webcast. You can also request a recording, or discuss any of the solutions with Galen by contacting sales@galenhealthcare.com

Analytical ACOs, the next Dot-com bubble… ?

In the mid to late 90’s, at the beginning of the Dot-com bubble, the World Wide Web was available to anyone as long as you had a computer and a dial-up connection.  If you had these, you had the necessary resources to get connected and were likely eagerly seeking new websites to explore.

Now, imagine you are providing healthcare services, and you have the following resources available to you to enhance your practice that you did not have 15 years ago:

With plenty of IT staff and government money, the next best step is to invest in a major analytical/data mining department. To be able to effectively use an ACO, there is a critical need for analytics or the use of “Big Data.” According to a report by IDC Health, advanced analytics is a top priority for participants in ACOs. The question I keep asking myself is; “Who is the first to the pie?” Insurers? Hospitals? Medicare?

When 40 hospitals and 30 health insurance companies, as well as interviews with industry experts and vendors were asked the different ways they were interested in using analytics:

  • 66% of survey respondents cited identifying at-risk patients;
  • 64% cited tracking clinical outcomes; and
  • 57% cited clinical decision-making at the point of care (Government Health IT, 3/15).

The difficult question that hospitals are faced with is how they can implement a sound, efficient analytics department. The first company to emerge that satisfies this need will benefit greatly from this opportunity. At this point, you may still be wondering what the Dot-com bubble has to do with analytical ACOs. The picture I’m trying to paint is the hospitals are the stockholders; the government is the venture capitalists, and the companies providing analytical tools are the web site companies. I think the ACO analytics market is very fragile right now because of immature or inexperienced buyers investing in a very green market. The lingering question out there is; where will you be when the bubble pops?

ACO bubble_Dollar

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