Posts Tagged ‘EMRs’

14 Protocols to Enhance Healthcare Home Visits

January 20th, 2015 by Cheryl Miller

Use of telemonitoring equipment, electronic medical records (EMRs), a staff dedicated to monitoring home visits and engaged caregivers are just some of the protocols used to enhance home visits, according to 155 respondents to the Healthcare Intelligence Network’s most recent industry survey on home visits.

Following are 10 more protocols used to improve the home visit process:

  • Inclusion of home visiting physician in hospital rounds; and the collaboration of home visit physician with primary care physician (PCP) and complex case managers.
  • Using our medication management machines with skilled nursing follow-up to increase medication compliance.
  • Proactive phone calls to determine if a patient’s condition is worsening and in need of home visits.
  • Daily workflow management algorithms with prioritization and mobile access to electronic case management records.
  • Using teach-back to assure comprehension.
  • Easy to use/wear multimodal, advanced diagnostics telemonitoring allowing patients total mobility and continuous real-time monitoring.
  • Medication reconciliation is crucial in eliminating confusion for the patient, and our electronic medical record (EMR) accurately reflects what the patient is taking, including over-the-counter (OTC) and supplements.
  • Hospital coach gathers information and prepares the patient for discharge, coordinates with home visit staff, home visit team (coach and mobile physician) and completes home visit.
  • Portable EMR to document and review medical information on the spot.
  • EHR-generated lists, community-based team, community Web-based tracking tool, telehome monitoring devices, preferred provider network with skilled nursing facility/long-term acute care (SNF/LTAC), home health and infusion therapy.

Source: 2013 Healthcare Benchmarks: Home Visits

2013 Healthcare Benchmarks: Home Visits examines the latest trends in home visits for medical purposes, from the populations visited to top health tasks performed in the home to results and ROI from home interventions.

Lower Readmissions for Hospitals with Good Nursing Work Environment

January 14th, 2013 by Cheryl Miller

No one could argue that nurses do more than their fair share of work. But now a new study is documenting that work environments that are beneficial for nurses are also beneficial for hospitals in terms of readmissions rates.

Researchers at the University of Pennsylvania School of Nursing found that Medicare patients treated in hospitals with a good work environment for nurses had up to 10 percent lower odds of readmission than those treated in hospitals with a poor work environment.

Researchers suggest that improving nurses’ work environment and reducing their workloads are organization-wide reforms that could result in fewer readmissions. All hospitalized patients are exposed to bedside nursing throughout their stay and combining targeted transitional care, the coordination of healthcare during the transition from hospital to home, with high-quality inpatient nursing care will produce more positive outcomes for all patients, and help reduce overall healthcare costs. Preventable hospital readmissions cost the United States more than $15 billion annually, and Medicare is now penalizing hospitals with excessive rates of readmissions.

This study parallels another recent news story documenting nurses/case managers’ role in reducing readmissions by dispensing phone calls within 48 hours of discharge to high risk patients. The study, from Cigna, followed nearly 4,000 high-risk gastrointestinal, heart and lower respiratory patients and found that prioritized, telephonic outreach by health plan case managers after hospital discharge reduced future readmissions by 22 percent. This subject is currently a hot topic on our new LinkedIn forum, CaseTalk – a Forum for Care Coordinators. You can join in the discussion group here.

How to find the right nurse/case manager? Robert Fortini, vice president and chief clinical officer of Bon Secours Health System, tells us that they should posess both creativity and critical thinking skills, in our story excerpted from our new book, Profiting from Population Health Management: Applying Analytics in Accountable Care. Bon Secours’ nurse navigator program was so successful that they were planning on doubling their budget for them within 18 months.

And in other news, the increased use of EMRs and other related tools have failed to fulfill the financial promise of HIT, according to a new RAND Corporation analysis. One of the major reasons is that systems deployed are neither interconnected nor easy to use. Some changes to reverse this are documented in our story.

And don’t forget to take our new survey on Medication Adherence.

25 to 31 Million Americans Receive Care Through ACOs

December 11th, 2012 by Cheryl Miller

In just two years, the number of ACOs has swelled across the country, according to a new report from Oliver Wyman. A total of 25 to 31 million U.S. patients currently receive their care through ACOs, and an estimated 45 percent of the population live in regions served by at least one ACO. Researchers weren’t surprised by some of the ACO-intensive areas, namely urban areas like Los Angeles and Boston. But other ACO-rich areas were surprising, findings that support researchers’ claims that ACOs are poised to offer a competitive threat to traditional FFS medicine.

Increasing patient numbers, especially among the uninsured and Medicaid-eligible, has always been a problem for public hospitals, according to a study from the Center for Studying Health System Change (HSC), and will continue to be a problem in light of ongoing health reform. How to continue to service low-income patients without sacrificing care quality? Expanding primary care access and attracting privately insured patients are two of six strategies public hospitals are taking; other strategies are detailed in this issue.

Rising healthcare costs could be contained by an estimated $200 to $600 billion in savings over the next 10 years if care provider payments are reformed, according to a report from UnitedHealth Group’s Center for Health Reform & Modernization. Around half of these savings might apply to Medicare and Medicaid, but even under optimistic assumptions about net savings and speed of adoption, health spending would continue to grow faster than incomes. Researchers maintain that payment reform is not the only answer, and needs to be pursued with other alternatives.

One potential solution for the sadly soaring numbers of cancer patients: oncology-specific EMRs that chart evidence-based treatment plans, according to a clinicians at The Mount Sinai Hospital. These EMRs enable drugs to be prescribed and health records to be exchanged electronically. Quality-related clinical data can also be captured for analysis. A panel convened specifically to study the EMRs’ effectiveness found that nearly 80 percent of people using them felt they increased their day-to-day efficiency and improved the quality of patient care.

And lastly, one aspect of healthcare that needs to be increased: the use of health coaching as a critical tool in population health management. Studies are showing that health coaches help to boost self-management of disease and reduce risk and associated cost across the health continuum. What do you think? Take HIN’s fourth annual Health Coaching survey; results will demonstrate how healthcare organizations use health coaching as well as the financial and clinical outcomes that result. Complete the survey by December 21, 2012 and receive a free executive summary of the compiled results. Your responses will be kept strictly confidential.

Read all of these stories in their entirety in this week’s Healthcare Business Weekly Update.

Infographic: The Top 20 Most Popular EMRs

October 12th, 2012 by Melanie Matthews

eClinicalWorks, McKesson and Cerner are the most popular EMRs, according to a rating index by Capterra.

Elements of the index are highlighted in an infographic by Capterra that also looks at the pricing, platform, number of users and targeted audience of the leading EMRs. The infographic also ranks the most requested features of EMRs.

Top 20 Most Popular EMRs

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