Diagnotes open app challenge - phase 1 submission

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  • 1. The first comprehensive communication system for on-call healthcare providersDave Wortman, CEOCopyright © 2011 Allscripts Healthcare Solutions, Inc. 1
  • 2. Solution Overview – 1 of 2 Ø  High Level Solution Description: •  Conveniently connects patients to on-call providers via telephone, connects doctors and nurses to on-call providers via telephone or secure text message. •  Automatically identifies patients and retrieves critical patient data from the EMR in real-time for delivery to the on-call or recipient provider’s smartphone. •  Enables immediate and thorough documentation of encounter activities directly from the smartphone, supporting continuity of care and reimbursement requests. •  Manages on-call schedules, alerts and notifications. •  Provides comprehensive encounter logging and performance monitoring through an interactive dashboard for improved practice management.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2
  • 3. Solution Overview – 2 of 2Ø  Healthcare/Business problem addressed: •  On-call medicine is conducted “in the dark”: •  Lack of complete and accurate patient medical history (14% errors in calls)1 •  Lack of secure and convenient mode of communication (>$50,000 text fines)2 •  Lack of efficient tools for follow-up and documentation (<5% documentation)3 •  This leads to severe costs (left) and risks (right) including: •  Unnecessary ED visits •  Suboptimal or erroneous diagnosis/treatment •  Higher readmission rates •  Compromised quality or continuity of care •  Lost reimbursement opportunities •  Increased liability and malpractice risk •  Inefficient use of provider’s time •  Greater HIPAA compliance risksØ  The application developed addresses the following category: q Applications that improve management of high cost chronic diseases. q Innovative approaches to addressing value-based care imperatives. q BothA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 3
  • 4. Usability and DesignØ  The Diagnotes system is comprised of two main components: Ø  Diagnotes Mobile – a slick smartphone application that enables providers to conveniently interact with patients and other providers, quickly review patient medical history and recent provider activity, and thoroughly document all encounter actions. Ø  Diagnotes Manager – a powerful web-based application that allows practice managers to track activity logged in the Diagnotes system, manage on-call schedules, generate reports and review performance metrics in an interactive dashboard.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 4
  • 5. Diagnotes WorkflowA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 5
  • 6. Development StageØ  Please indicate the development stage as of the Phase 1 Submission Date: q Idea q Prototype q Code development in progress q Code complete q Code complete, tested and approved by Allscripts.Ø  Additional Information: Diagnotes is a fully-developed product that is currently deployed and in use in multiple clinical settings. Remaining development efforts for the Open App Challenge will center on integration with one or more of the Allscripts Electronic Health Record Solutions.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6
  • 7. Integration DescriptionØ  Diagnotes requires two primary integrations with Allscripts Electronic Health Record Solution(s): Ø 1. Patient Search Ø  The Diagnotes IVR performs searches for patient records based on patient phone number and first name. Ø  Diagnotes Mobile allows healthcare providers to search for patients by patient ID number, phone number, first name, last name and/or date of birth. Ø 2. Patient Record Retrieval Ø  Diagnotes integrates via Continuity of Care Document (CCD) exchange, giving healthcare providers an “abstract” of a patient’s health record—providing only the most pertinent information needed at the point of care.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 7
  • 8. Go to Market StrategyØ  Beachhead market focus Ø  High mobility needs (frequent on-call duty) and high information needs (complex or high-risk patients) Ø Cardiology, Pediatrics, OB/Gyn, Internists, Neuro, Orthopedics, Emergency Ø  Strong economic case Ø Hospital-owned and large independent practices, ACOs Ø  EMR system in placeØ  Direct sales to secure initial reference accountsØ  Channel partners to accelerate growth Pricing Ø  Healthcare software companies (Allscripts) •  SaaS subscription model •  Effective monthly cost of Ø  Healthcare consulting firms $75-150 per provider Ø  Value-added resellers •  Based on customer scale Ø  Answering and transcription services and configurationA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 8
  • 9. Video DemonstrationØ  Diagnotes - Video Demonstration (YouTube) Ø This video demonstration shows just one of several potential use cases for the Diagnotes communication system. Ø In it, an Emergency Department nurse uses Diagnotes to conveniently and securely share patient information and consult with an on-call cardiologist via text message; the encounter is immediately documented. Ø Other use cases include but are not limited to: Ø Patients calling after-hours to reach the on-call provider Ø Other clinicians calling to reach a specific, known provider Ø Other clinicians calling or securely texting an unknown on-call providerA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 9
  • 10. Compelling BenefitsBenefit Provider Practice Patient + + + Colleagues System CaregiversImproved CareAdded ConvenienceLower CostsReduced RiskBetter DocumentationAdditional RevenueA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 10
  • 11. Why Diagnotes?Ø  Convenient, easy to use, secure and effective Ø  Automatically, securely delivers patient record to smartphone Ø  Supports follow-up actions, including encounter documentation Ø  Facilitates secure text messaging among providers Ø  Alerts providers and staff of pending or completed encounter actionsØ  Clear compelling need Ø  Over 50 million on-call encounters after regular business hours alone Ø  Errors and noncompliance create health and liability risks Ø  On-call activities currently not reimbursed, despite incentivesØ  Ready to go, ready to grow Ø  3rd party security audits passed – fully HIPAA compliant Ø  Multiple pilot studies completed – excellent user satisfaction ratings Ø  Experienced team spanning IT, healthcare and early-stage companiesA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 11
  • 12. ReferencesØ  1. Anna B. Reisman, MD, Karen R. Brown, MD. Preventing Communication Errors in Telephone Medicine – A Case-Based Approach. Journal of General Internal Medicine 2005; 20:959-963Ø  2. Andrew A. Brooks, MD. Healthcare Texting in a HIPAA-Compliant Environment. American Association of Orthopaedic Surgeons Now 2013; 7:2Ø  3. Katz HP, Kaltsounis D, Halloran L, Mondor M. Patient Safety and Telephone Medicine – Some Lessons from Closed Claim Case Review. Journal of General Internal Medicine 2008 May; 23(5):517-22. Epub 2008 Jan 29A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 12