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Allscripts App Challenge Presentation

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Allscripts App Challenge Presentation

  1. 1. presentsREFILLWIZARDJonathan Baran, Chief Executive OfficerDr. Lyle Berkowitz, Chief Medical Officer Ash Gupta, Chief Technology Officer
  2. 2. ½of primary care providers are burnt out due to work outside the patient visit. We automate and delegate that work.
  3. 3. A perfect example of this work isTHE PRESCRIPTION RENEWAL REQUESTwhich is a crucial task in the management of high-cost chronic diseases.
  4. 4. On average, each doctor will receive 15 refill requests per day from patients and pharmacies. RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST
  5. 5. Some organizations place all these requests on the doctor’s plate. DOCTOR RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST 30 MINUTES DAILYEach request takes about 2 minutes of doctor time.
  6. 6. However, this does not mean that quality is maintained. DC’ED MED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED MED MED MED MED MED MED MED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED MED MED MED MED MED MED MED MED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED MED MED MED MED MED MED MED MED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED MED MED MED MED MED MED MED MED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED DC’ED MED MED MED MED MED MED MED MED ~ 1 of every 50 discontinued medications is ultimately mistakenly refilled by the doctor. This is only 1 of the 5 quality checks that need to performed to refill a medication.Adrienne S. Allen, Thomas D. Sequist; Pharmacy Dispensing of Electronically Discontinued Medications. Annals of Internal Medicine. 2012 Nov;157(10):700-705.
  7. 7. Some organizations use But then the work falls on protocols to take the the staff. majority of the Each request takes about 415 refill requests off the minutes of staff time. doctor’s plate. DOCTOR STAFF RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST REQUEST REQUEST RENEWAL 8 MINUTES DAILY RENEWAL REQUEST RENEWAL REQUEST RENEWAL REQUEST REQUEST RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST 45 MINUTES DAILY
  8. 8. Instead, to maintain quality and efficiency we built REFILLWIZARD to automatically process renewal requests REFILLWIZARD RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST RENEWAL RENEWAL RENEWAL RENEWAL RENEWAL REQUEST REQUEST REQUEST REQUEST REQUEST so the doctors and staff would not have to.
  9. 9. To safely delegate renewal requests, an organization needsto use physician approved protocols. REFILLWIZARD provides a cloud-based system to allow doctors to view, create and modify their protocols online. PROTOCOLS TEAMS ANALYTICS SETTINGS SIGN OFF REFILLWIZARD PROTOCOLS Add/Remove Protocols Filter By: All Protocols Delegated Non-Delegated Cardiovascular Endocrinology PROTOCOLS OFFICE VISIT CHECKS Every Diabetes-Related ALT AST Cr HBA1C New Med Check Edit 6 months Every Insulins HBA1C New Med Check Edit 6 months Every Minerals New Med Check Edit 6 months Every Thyroid Agents New Med Check TSH Edit 6 months Every Vitamins New Med Check Edit 12 months Gastroenterology
  10. 10. After deciding on protocols, when a renewal is received in Allscripts, it is automatically processed by the protocol engine.  Based on the result, it will be sent to the task list of the appropriate staff member with instructions on how to act.Nurse Hide VTB Tools Help Lock LogoffTasks Task List Worklist Documents Manage My Veiws Add / Edit My Views Clinical Desktop Note Printing Tasks Sex: M MRN: 084617946018907 H Phone: (555)555-5555 Allergies: UnknownClinical TrialSchedule Kirk, James Age: 65 Years SSN: 000-00-0000 Directives: FYI: FYI DOB: 09/27/1946 PCP: Medici,James Security: No Restricted Data Note: SelectPatient Select PatientChartTasks Task List PersonalizePatient Lists Total Active Tasks: 5Charges View: My Active Tasks View Desc... Show: 25 Last Updated: 01/22/2013 10:41 AMOrder MgmtMeds Mgmt P D Patient Assigned To Created By Created On Status ID Due MRNSite Rx Renew Request Kirk,James Med Renewal Team RefillWizard 01/22/2013 10:41 Active 7213 084617946018907User Options Rx Renew Request Sulu,Hikaru Med Renewal Team RefillWizard 01/22/2013 10:38 Active 7212 135217300915517Note AdminRepots Rx Renew Request Sulu,Hikaru Med Renewal Team RefillWizard 01/22/2013 10:32 Active 7212 135217300915517Report Admin Rx Renew Request Uhura,Nyota Med Renewal Team RefillWizard 01/22/2013 10:29 Active 7210 024613046506207 Rx Renew Request Uhura,Nyota Med Renewal Team RefillWizard 01/22/2013 10:27 Active 7209 024613046506207 Comments: Task About: Glyburide 5 MG Oral Tablet Glyburide 5 MG Oral Tablet; TAKE ONCE DAILY.; DS: 30 QTY: 30 R:5 - REFILL: 1 month - SCHEDULE VISIT BY: 02/21/2013 - TEST HBA1C BY: 02/21/2013 -------------- - PROTOCOL: Diabetes-related - RATIONALE: This refill should last until patient is due for an office visit. This will be the last refill authorized by the protocol. - LAST VISIT: 07/06/2012 - HBA1C: 5% on 07/06/2012 Go To... In Progress Done New... Reply... Reassign... Remove... Copy To Note Make Pt Current Undelegate Details... Original... Print List... Print Task...
  11. 11. RefillWizard even pre-populates the renewal task, so all the staff member needs to do is sign-off on the request. Pharmacy: Community Pharmacy Phone: (555) 555-5555 Details Patient Info in Request: Patient Info in EHR Active Medications Name: Kirk, James Name: Kirk, James Glyburide 5 MG Oral DOB: 27 Sep 1946 DOB: 27 Sep 1946 Tablet Address: 15016 Brooks Address: 15016 Brooks Spring Lake WI 53000 Spring Lake WI 53000 MRN: 084617946018907 Rx Info from Pharmacy: By: Dr. James Medici Drug: Glyburide 5 MG Oral Tablet Qty: 30 DAW: N Written: 24 Jul 2012 Days Supply: 30 Refills: 5 RX Id: 00074194912 Last Fill: 12/23/2012 SIG: TAKE ONCE DAILY. Drug Name in EHR Glyburide 5 MG Oral Tablet Considerations and No Considerations and Disclosures Full text Disclosures: Active Allergies Rx Info in Response: Drug: Glyburide 5 MG Oral Tablet Days Supply: 30 Quantity: 30 Refills: 5 Total Fills: 0 DAW SIG: TAKE ONCE DAILY. (102 Chars) Ordered By: Smith,Susan Managed By: Medici,James Supervised By: Authorization: Not Required Message to Pharmacy: (70 Chars) Add/Link Problems None Grant Refuse Cancel
  12. 12. In the case that the renewal request fails its protocol review, it will be delivered to the provider with all the information they need to make a decision.Provider Hide VTB Tools Help Lock LogoffTasks Task List Worklist Documents Manage My Veiws Add / Edit My Views Clinical Desktop Note Printing Tasks Sex: M MRN: 135217300915517 H Phone: (555)555-5555 Allergies: UnknownClinical TrialSchedule Sulu, Hikaru Age: 65 Years SSN: 000-00-0000 Directives: FYI: FYI DOB: 03/18/1946 PCP: Medici,James Security: No Restricted Data Note: SelectPatient Select PatientChartTasks Task List PersonalizePatient Lists Total Active Tasks: 1Charges View: My Active Tasks View Desc... Show: 25 Last Updated: 01/22/2013 08:22 AMOrder MgmtMeds Mgmt P D Patient Assigned To Created By Created On Status ID Due MRNSite Rx Renew Request Sulu,Hikaru Medici,James RefillWizard 01/22/2013 08:22 Active 7214 135217300915517User OptionsNote AdminRepotsReport Admin Comments: Task About: Morphine Sulfate 15 MG Oral Tablet Morphine Sulfate 15 MG Oral Tablet; TAKE 2 TABLET EVERY 12 HOURS - REFILL: Provider Review - REASON: Medication is a controlled substance (Schedule II). -------------- - PROTOCOL: Opioid agonists - LAST VISIT: 10/23/2012 - ALT: 45.0 IU/dL on 10/23/2012 - AST: 32.0 IU/dL on 10/23/2012 Go To... In Progress Done New... Reply... Reassign... Remove... Copy To Note Make Pt Current Undelegate Details... Original... Print List... Print Task...
  13. 13. REFILLWIZARD IS CODE COMPLETE AND IN A TESTED, APPROVED STATE.RefillWizard incorporates the following integration touch points: 1. Routing of refill request based on protocol 2. Insertion of refill documentation in comment field 3. Pre-population of refill task based on protocol RefillWizard uses the following Allscripts web service calls: • GetTaskList • SaveTaskStatus • SaveRx • GetTask • GetPatientActivity • GetDelegates • GetProviders • GetChartSections • GetEncounterList • SaveTask • GetClinicalSummary RefillWizard addresses the following category: ✓Applications that improve management of high cost chronic diseases. ✓Innovative approaches to addressing value-based care imperatives. ✓Both
  14. 14. We sell to Allscripts Enterprise customers through the following channels: Allscripts ACE Allscripts App Store Allscripts Regional UGMs Allscripts Sales Force Direct Sales Our price point of $600/doctor/year ensures a strong ROI no matter the current workflow.
  15. 15. This solution should be selected because...• The primary care shortage is • The spreading of "Doctor continuing to grow and thus Happiness" tools such as more efficient use of doctor time REFILLWIZARD will help ensure will continue to be top-of-mind better adoption and use of for everyone. Allscripts’ electronic health records.• Easily automated, routine work, such as prescription renewals, • healthfinchs underlying concept are a problem that EVERY of “team-based clinical decision organization faces. support” will resonate and evolve further as organizations continue to address value-based care and• REFILLWIZARD solves the chronic disease management. prescription renewal problem in a way that fits within the workflow, and requires minimal training/implementation.

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