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Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
Dragonfly open app challenge - phase 1 submission
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Dragonfly open app challenge - phase 1 submission

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Physician/patient tele-health care management using an integrated EHR/patient smartphone platform.

Physician/patient tele-health care management using an integrated EHR/patient smartphone platform.

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  • 1. Physician mobiLink Physician/patient tele-health care management using an integrated EHR/patient smartphone platform Nicholas Ivon Clark & Daughtrey Medical Group, P.A.Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1
  • 2. Solution Overview  High Level Solution Description: • Real time disease management between provider and patient. • Patient uses their smartphone to track, manage, and record self obtained results of physician prescribed self-management plans and goals. All result data is maintained in EHR. • Direct physician/patient secure communication.  Healthcare/Business problem addressed: • Proactive disease management directly integrated to physician EHR provides real time data monitoring, notification, and alerting. • Eliminates costly home tele-health equipment and home visit setup/training. • Enhanced case management tools to reduce hospitalizations, manage high risk patients, and help patient educate patient in good disease self-management.  The application developed addresses the following category:  Applications that improve management of high cost chronic diseases.  Innovative approaches to addressing value-based care imperatives.  BothA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2
  • 3. Usability and Design – Workflow Overview • Using EHR provider orders self management disease plan. Provider can adjust hi/low ranges and goals and required frequency of data capture within the order to meet patient specific needs. e.g. Weight EHR every morning no clothes, set alert for gain of >= 2 lbs over 24 hours or 5 lbs over 120 hours, sets weight Order goal and tardy sensitivity. Orders can be preconfigured with defaults and adjusted as desired. • Patient downloads Dragonfly Physician mobiLink smartphone application and authenticates with provider office with patient demographic elements and the EHR order number. Patient receives ordered plans and Patient for each can review history, goal, launch educational resources, and enter self acquired data. Patient can Enrolls also send and receive secure communications with physician/office. • Patient entered data is transmitted immediately to EHR as patient recorded result. Dragonfly refreshes data and patient can see all in-office and self recorded values in chronological order and compare against goal. Out of range values or conditions alert the patient to call the physician office and trigger Data priority tasks within EHR, configurable for EHR users and/or teams as the EHR permits. • Dragonfly Physician mobiLink constantly monitors for tardy patient self recorded data per order specification. If patient is tardy an application push notification is sent reminding patient to record data, Monitor and tasks are generated within EHR, configurable for EHR users and/or teams as already configured. • The patient or the physician/office may suspend or close a self management disease plan. Suspended plans can be reactivated by either party, whereas closed plans must be re-ordered by the physician. Suspension, reactivation, or closure of a plan triggers a message to the patient and tasks within EHR as Care already configured.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 3
  • 4. Usability and Design – Architecture Overview Physician Practice Allscripts Patient EHR Dragonfly Physician mobiLink supports Andriod or iOS smartphones, comprising 87.8% of the Allscripts Enterprise EHR or Allscripts Pro global smartphone market. EHR. Dragonfly mobiLink Coordinator Middleware communicates between EHR and Patient Smartphone. Dragonfly mobiLink Coordinator uses the Allscripts Unity SDK to monitor disease plan orders, read and file results, generate tasks, and provide communication with patient’s Dragonfly Physician mobiLink smartphone application.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 4
  • 5. Usability and Design – A Deeper Dive • The Dragonfly mobiLink Coordinator user interface allows for administrative management of task assignment, orders management, • Orderable items are setup in EHR and Dragonfly mobiLink message and push notification management. Coordinator with matching order codes. • Orderable items in EHR are setup with additional questions for goal value, low value alert, high value alert, and tardy hours indicating sensitivity before generating alerts for tardy patient data entry, allowing physician to set patient specific care plans. • Dragonfly mobiLink Coordinator monitors and manages all active orders within EHR with these codes and facilitates all communication and integration between the EHR and the Patient.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 5
  • 6. Development Stage Development stage as of the Phase 1 Submission Date:  Idea  Prototype  Code development in progress  Code complete  Code complete, tested and approved by Allscripts. Dragonfly mobiLink coordinator and the Dragonfly Physician mobiLink smartphone application are currently under rapid development. Both are about 25% complete.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6
  • 7. Integration Description Dragonfly smartphone application written in Titanium Studio by Appcelerator for a single codebase and hosted by Appcelerator Cloud Services for pre-built services and extended future capability. Dragonfly mobiLink Coordinator uses many Allscripts Unity SDK calls: • GetDictionary • GetTaskList • GetOrderHistory • GetUserAuthentication • GetPatient • GetVitals • GetPatientCDA • MakeTask • GetPatientDiagnosis • SaveAdminTask • GetPatientFull • SaveCED • GetPatientList • SaveNote • GetPatientProblems • SaveResult • GetPatientSections • SaveTask • GetProvider • SaveVitals • GetProviders • UpdateOrder • GetTaskA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 7
  • 8. Go to Market Plans Dragonfly Physician mobiLink provides constant monitoring of high risk patients without a 3rd party and directly interfaces both the physician and the patient in a more convenient and efficient manner for both parties. Very attractive for physician practices working in or going to ACO and other risk based models. 5% of patients are responsible for half of all healthcare costs. Close monitoring of high risk patients reduces hospitalizations and readmissions thus saving significant dollars, while encouraging patients to adapt better self-management skills. Adult U.S. smartphone penetration is over 50% and rising. Smartphone ownership will surpass 80% by 2015, proving to be a natural way for patients to communicate. Addresses 2011 PCMH 4A and MU Stage 2 core objectives 12,13, and17. Proposed price models are modest at either $500.00 per physician/year for unlimited patient enrollments or $10.00/month for active patient enrollments for unlimited self-management plans. Current tele-health solutions involve setting up expensive equipment at patient’s home that communicate back to the tele-health hub for monitoring. Captured data is not available to physician EHR. Companies specializing in tele-health monitoring charge a single disease plan around $200.00 month per patient. With Dragonfly Physician mobiLink, patient does not have to be home to record results. Dragonfly Physician mobiLink will be implemented at Clark & Daughtrey Medical Group.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 8
  • 9. Video Demonstration Please preview this video demonstration of what Dragonfly Physician mobiLink offers here: https://vimeo.com/58853893 The video presentation demonstrates the value that patient self-management tools have to offer, and how this solution provides a fluid and natural work flow integration for both physician practices and patients in this new smartphone world.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 9
  • 10. Why this solution should be selected! Physician practices are finding patient care management programs to be labor intensive and costly programs to implement, but critical to providing excellent yet economical care required by ACO and risk based care models which are the only financially viable payment models of the future. Today, patient disease self-management plans and patient data recording tools are limited to paper and web based portals which are not integrated into the physician practice EHR. This requires the patient to bring in their recorded data on the next visit, or clinical staff to access one more portal for patient self- management tools, and manual entry for the patient data to get into EHR. This is an inefficient process that does not allow close monitoring of the patient by the physician practice. Tele-health companies sell their disease care management programs to insurance carriers, integrated health groups, and physician practices, which require expensive digital equipment that transmits data to a “hub” that is monitored by the tele-health company. One disease process starts at around $200.00/month per patient. While expensive, it is cheaper than having a risk-based patient admitted to the hospital. It is so critical to closely monitor high-risk patients that some larger integrated health groups have setup their own tele-health programs. Using smartphone equipment patients already have, along with inexpensive at-home testing equipment, this solution provides a huge breakthrough in disease self management that allows physician practices and patients to work closely together using the same tools they already use every day. Data is shared by both parties effortlessly and constant monitoring allows for serious situations to be identified and actions taken early before it’s too late. There isn’t a physician/patient centric disease management system available today that so tightly bring together the physician and patient while providing an intuitive, customary, and familiar workflows.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 10

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