This document summarizes the background and work of Prof. Steven H. Shaha, who has published over 100 peer-reviewed publications and presentations on using analytics and clinical decision support systems to improve healthcare quality and outcomes. Some key points discussed include using analytics of electronic medical record data to reduce sepsis rates and length of ICU stays, developing alert systems to more quickly recognize and treat at-risk patients, and creating connected networks between healthcare providers to better monitor population health and improve outcomes for conditions like diabetes.
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
5 Reasons the Practice of Evidence-Based Medicine Is a Hot TopicHealth Catalyst
Evidence-based medicine is an important model of care because it offers health systems a way to achieve the goals of the Triple Aim. It also offers health systems an opportunity to thrive in this era of value-based care. In specific, there are five reasons the industry is interested in the practice of evidence-based medicine: (1) With the explosion of scientific knowledge being published, it’s difficult for clinicians to stay current on the latest best practices. (2) Improved technology enables healthcare workers to have better access to data and knowledge. (3) Payers, employers, and patients are driving the need for the industry to show transparency, accountability, and value. (4) There is broad evidence that Americans often do not get the care they need. (5) Evidence-based medicine works. While the practice of evidence-based medicine is growing in popularity, moving an entire organization to a new model of care presents challenges. First, clinicians need to change how they were taught to practice. Second, providers are already busy with increasingly larger and larger workloads. Using a five-step framework, though, enables clinicians to begin to incorporate evidence-based medicine into their practices. The five steps include (1) Asking a clinical question to identify a key problem. (2) Acquiring the best evidence possible. (3) Appraising the evidence and making sure it’s applicable to the population and the question being asked. (4) Applying the evidence to daily clinical practice. (5) Assessing performance.
Learn how CORUS is enabling these significant improvements:
Integration of EHR data, including patient-level clinical and operational data, as well as departmental and equipment resource-utilization data, delivering the first truly comprehensive view of the true cost of patient care
Manufacturing-style activity-based costing that is scalable and maintainable, freeing analysts to focus on identifying variation and cost-saving opportunities
Embedded costing knowledge including best practices, rules, and algorithms from world-renowned academic healthcare institutions, accelerating cost management transformation
Dramatically more timely and actionable cost data based on an analytics platform that supports over 160 source systems including EHR, claims, General Ledger, payroll, supply chain, and patient satisfaction systems
We look forward to you joining us!
How to Use Data to Improve Patient Safety: A Two-Part DiscussionHealth Catalyst
As healthcare organizations continue to experience expenses growing faster than revenues, value based care, and consumer transparency of costs and quality, patient safety will be an important determinant of success. This session will describe the sociotechnical attributes of a safe system, the challenges, the barriers and opportunities, and how to use data and your culture of safety as a powerful tool to drive down adverse events.
Attendees will learn:
Why patient safety and quality are important.
How data can help improve patient safety.
The history of patient safety and where we are today.
What components make up a safety analytics culture.
How the internal safety culture directly impacts patient safety metrics.
To describe basic guidelines for improving a safety culture with analytics.
Penalties are coming. Are you prepared? Widely recognized as one of healthcare's most knowledgeable speakers on healthcare policy, Brian Ahier will provide an in-depth look at current healthcare reform and more specifically the implications of the HITECH Act from 2009 as well as the Patient Protection and Affordable Care Act.
In this webinar, Brian covers: 1) The most important details defining the Affordable Care Act regulation, 2) Future implications of this body of reform legislation, 3) Paths healthcare executives can take to prepare,4) The importance of analytics to navigate healthcare reform, 5) The fundamental issues pertaining to Meaningful Use.
Adding Value to the EMR: A Clinical PerspectiveHealth Catalyst
Known for leading large-scale healthcare improvement using data and analytics to drive positive change, Dr. Charles Macias speaks to creating greater value in the EMR through analytics. This approach has done more to increase value than many other cost-reduction efforts.
In this webinar you will 1) Explore each component of the value equation, 2) learn how TCH has increased the value of its healthcare using data to drive quality an ever more important need of those facing capitated or value–based care reimbursements and 3) consider a new ROI equation for systems who have invested heavily in their EMRs
The Top 7 Outcomes Measures and 3 Measurement EssentialsHealth Catalyst
Outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this blog adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples:
Mortality
Readmissions
Safety of care
Effectiveness of care
Patient experience
Timeliness of care
Efficient use of medical imaging
CMS used these exact seven outcome measures to calculate overall hospital quality and arrive at its 2016 hospital star ratings. This blog also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement:
Transparency
Integrated care
Interoperability
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
5 Reasons the Practice of Evidence-Based Medicine Is a Hot TopicHealth Catalyst
Evidence-based medicine is an important model of care because it offers health systems a way to achieve the goals of the Triple Aim. It also offers health systems an opportunity to thrive in this era of value-based care. In specific, there are five reasons the industry is interested in the practice of evidence-based medicine: (1) With the explosion of scientific knowledge being published, it’s difficult for clinicians to stay current on the latest best practices. (2) Improved technology enables healthcare workers to have better access to data and knowledge. (3) Payers, employers, and patients are driving the need for the industry to show transparency, accountability, and value. (4) There is broad evidence that Americans often do not get the care they need. (5) Evidence-based medicine works. While the practice of evidence-based medicine is growing in popularity, moving an entire organization to a new model of care presents challenges. First, clinicians need to change how they were taught to practice. Second, providers are already busy with increasingly larger and larger workloads. Using a five-step framework, though, enables clinicians to begin to incorporate evidence-based medicine into their practices. The five steps include (1) Asking a clinical question to identify a key problem. (2) Acquiring the best evidence possible. (3) Appraising the evidence and making sure it’s applicable to the population and the question being asked. (4) Applying the evidence to daily clinical practice. (5) Assessing performance.
Learn how CORUS is enabling these significant improvements:
Integration of EHR data, including patient-level clinical and operational data, as well as departmental and equipment resource-utilization data, delivering the first truly comprehensive view of the true cost of patient care
Manufacturing-style activity-based costing that is scalable and maintainable, freeing analysts to focus on identifying variation and cost-saving opportunities
Embedded costing knowledge including best practices, rules, and algorithms from world-renowned academic healthcare institutions, accelerating cost management transformation
Dramatically more timely and actionable cost data based on an analytics platform that supports over 160 source systems including EHR, claims, General Ledger, payroll, supply chain, and patient satisfaction systems
We look forward to you joining us!
How to Use Data to Improve Patient Safety: A Two-Part DiscussionHealth Catalyst
As healthcare organizations continue to experience expenses growing faster than revenues, value based care, and consumer transparency of costs and quality, patient safety will be an important determinant of success. This session will describe the sociotechnical attributes of a safe system, the challenges, the barriers and opportunities, and how to use data and your culture of safety as a powerful tool to drive down adverse events.
Attendees will learn:
Why patient safety and quality are important.
How data can help improve patient safety.
The history of patient safety and where we are today.
What components make up a safety analytics culture.
How the internal safety culture directly impacts patient safety metrics.
To describe basic guidelines for improving a safety culture with analytics.
Penalties are coming. Are you prepared? Widely recognized as one of healthcare's most knowledgeable speakers on healthcare policy, Brian Ahier will provide an in-depth look at current healthcare reform and more specifically the implications of the HITECH Act from 2009 as well as the Patient Protection and Affordable Care Act.
In this webinar, Brian covers: 1) The most important details defining the Affordable Care Act regulation, 2) Future implications of this body of reform legislation, 3) Paths healthcare executives can take to prepare,4) The importance of analytics to navigate healthcare reform, 5) The fundamental issues pertaining to Meaningful Use.
Adding Value to the EMR: A Clinical PerspectiveHealth Catalyst
Known for leading large-scale healthcare improvement using data and analytics to drive positive change, Dr. Charles Macias speaks to creating greater value in the EMR through analytics. This approach has done more to increase value than many other cost-reduction efforts.
In this webinar you will 1) Explore each component of the value equation, 2) learn how TCH has increased the value of its healthcare using data to drive quality an ever more important need of those facing capitated or value–based care reimbursements and 3) consider a new ROI equation for systems who have invested heavily in their EMRs
The Top 7 Outcomes Measures and 3 Measurement EssentialsHealth Catalyst
Outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this blog adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples:
Mortality
Readmissions
Safety of care
Effectiveness of care
Patient experience
Timeliness of care
Efficient use of medical imaging
CMS used these exact seven outcome measures to calculate overall hospital quality and arrive at its 2016 hospital star ratings. This blog also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement:
Transparency
Integrated care
Interoperability
The Top Seven Analytics-Driven Approaches for Reducing Diagnostic Error and I...Health Catalyst
From a wrong diagnosis to a delayed one, diagnostic error is a growing concern in the industry. Diagnostic error consequences are severe—they are responsible for 17 percent of preventable deaths (according to a Harvard Medical Practice study) and account for the highest portion of total payments (32.5 percent), according to a 1986-2010 analysis of malpractice claims. Patient safety depends heavily on getting the diagnosis right the first time.
Health systems know reducing diagnostic error to improve patient safety is a top priority, but knowing where to start is a challenge. Systems can start by implementing the top seven analytics-driven approaches for reducing diagnostic error:
Use KPA to Target Improvement Areas
Always Consider Delayed Diagnosis
Diagnose Earlier Using Data
Use the Choosing Wisely Initiative as a Guide
Understand Patient Populations Using Data
Collaborate with Improvement Teams
Include Patients and Their Families
Quality improvement is integral to the practice of medicine. Sometimes, QI strays over into clinical research. This presentation provides an overview of the intersection between QI and research
Presentation at the First International Symposium on Quality and Patient Safety organized by the Instituto Brasileiro para Segurança do Paciente, Sao Paulo, Brazil
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
Value-Based Purchasing in healthcare is here to stay. Though the industry has come to terms with this reality, there are still more updates and changes than most of us can keep up with. In a world of accountable care, quality measures, shared savings, and bundled payments, everyone seems to have more questions than answers.
Bobbi Brown, Vice President, Financial Engagements outlines the latest announcements on Value-Based and how to prepare your organization for success in this new reality. Having previously worked in healthcare administration and finance for Kaiser, Sutter, and Intermountain, Bobbi is no stranger to translating complex legislative requirements for complex health systems.
Bobbi discusses the various programs offered by CMS, in particular:
What the programs are
How these programs are measured
What the current incentives are
Results of the programs to date
Organizational changes needed for the shift in programs
Care Management - Critical Component Of Effective Population HealthHealth Catalyst
In this first webinar, of a two-part series, Dr. Kathleen Clary will share how analytics can be used to answer these questions to ensure delivery of a well-organized and effective care management program.
Dr. Clary will discuss how analytics can enable:
Data integration from multiple EMRs and data sources
Patient stratification and intake
Care coordination
Patient engagement
Performance measurement
We look forward to you joining us!
Have you ever wanted to learn more about human factors in health care and it’s impact on patient safety? Well now is the time. Join us on Oct. 4th at noon ET as Dr. Kathy Momtahan and Dr. Gianni D’Egidio explore the work of the Canadian Human Factors in Healthcare Network and recent human factors evaluations of hospital external defibrillators.
The impact of high-capability electronic health records on length of stay. Presented by Steven Shaha, Center for Policy & Public Administration, UK, at HINZ 2014, 12 November 2014, 11.15am, Marlborough Room 3
Improving the Outcomes That Matter Most to PatientsHealth Catalyst
Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) have been used in healthcare since the 1970s. But the industry hasn’t had meaningful, consistent PROs and PROMs definitions until ICHOM developed one. ICHOM, a pioneer in outcomes measurement and improvement, demonstrates that healthcare organizations focused on improving patient outcomes that patients actually care about are the ones most likely to transform healthcare.
PROs and PROMs complement clinical indicators in understanding the quality of healthcare a team is delivering. For example, an improvement program for prostate cancer patients that only focuses on improving blood loss or length of stay in the hospital completely misses a patient’s biggest fears: will they need to wear pads for the rest of their life? Will their relationship with their partner be the same as it was?
By focusing on outcomes that matter most to patients, health systems will be more successful at improving outcomes. ICHOM describes five strategies for getting started with PROs and PROMs:
Find the Believers (Identify Clinician Champions)
Organize a Cross-Functional Team (with Appropriate Governance)
Invest Time and Resources
Celebrate Progress Along the Way
Use Early Successes to Scale and Spread
Genomic Medicine: Personalized Care for Just PenniesHealth Catalyst
In April 2003, the Human Genome Project was completed and scientists gained the ability to read the entire genetic blueprint for human beings. Since that time, the cost of gene sequencing has fallen from $100 million to $1,000. By 2020, the cost is expected to be mere pennies. Using the power of genomes scientists have found genomic defects for more than 5,000 inherited diseases and are on track to uncover 4,000 more. The implications for treatment of disease are also vast. In the future, clinicians will be able to use genomic-powered personalized medicine to treat patients on an individual basis knowing exactly how their genes will react to treatments and what the best course of action will be.
IMS Health Clinical Trial Optimization SolutionsQuintilesIMS
IMS Health's Linda T. Drumright, general manager, Clinical Trial Optimization Solutions presents at the 3rd Annual Patient Recruitment & Retention Summit 2014 - San Francisco, CA
Public Reporting as a Catalyst for Better Consumer DecisionsATLAS Conference
Greater efficiency in the process of matching patients to appropriate providers is vital to achieving the Triple Aim. As patients research and choose among appropriate providers, sound decision-making will depend on the accessibility of high-quality data that enables them to make meaningful, actionable comparisons. Online public-reporting tools, such as those published by U.S. News, CMS and others, serve as venues for consumer decision-making. Driven by current trends in data transparency, rapid advances in public reporting can be anticipated. This presentation will outline several recent and expected future developments in the evolution of key public-reporting tools, and discuss their role in facilitating patient engagement and access to appropriate care.
The Imperative of Linking Clinical and Financial Data to Improve Outcomes - H...Health Catalyst
Quality and cost improvements require the intelligent use of financial and clinical data coupled with education for multi-disciplinary teams who are driving process improvements. Once a data warehouse is established, healthcare organizations need to set up multi-disciplinary clinical, financial, and IT specialist teams to make the best use of the data. Sometimes, financial involvement is minimized or even excluded for a number of reasons that can turn out to be counterproductive. However, including financial measurements and participation up front can help enhance the recognized value and sustainability of quality improvement or waste reduction efforts. the In this session you will learn keys to success and real-life examples of linking clinical, financial and patient satisfaction data via multi-disciplinary teams that produce impressive results.
What can healthcare executives learn from military decision-making, as it relates to predictiveanalytics in healthcare? As it turns out, quite a lot. Dale Sanders, senior vice president for strategy at Salt Lake City, Utah-based Health Catalyst, drew some surprising parallels between these two vital sectors of the economy during a concluding session at the Plante Moran Healthcare Executive Summit on June 5 in Chicago. His main theme was to remember that in predictive analytic analytics, it's the intervention that matters, noting that much of the industry is seduced by flashy predictive analytics "objects" without thinking through the needed interventions which are needed to get the proper ROI.
Early benefits and impacts of Electronic Patient Record implementation: Findings from the UK. Presented by Steven Shaha, Center for Policy & Public Administration, UK, at HINZ 2014, 11 November 2014, 12pm, Marlborough Room 3
The Top Seven Analytics-Driven Approaches for Reducing Diagnostic Error and I...Health Catalyst
From a wrong diagnosis to a delayed one, diagnostic error is a growing concern in the industry. Diagnostic error consequences are severe—they are responsible for 17 percent of preventable deaths (according to a Harvard Medical Practice study) and account for the highest portion of total payments (32.5 percent), according to a 1986-2010 analysis of malpractice claims. Patient safety depends heavily on getting the diagnosis right the first time.
Health systems know reducing diagnostic error to improve patient safety is a top priority, but knowing where to start is a challenge. Systems can start by implementing the top seven analytics-driven approaches for reducing diagnostic error:
Use KPA to Target Improvement Areas
Always Consider Delayed Diagnosis
Diagnose Earlier Using Data
Use the Choosing Wisely Initiative as a Guide
Understand Patient Populations Using Data
Collaborate with Improvement Teams
Include Patients and Their Families
Quality improvement is integral to the practice of medicine. Sometimes, QI strays over into clinical research. This presentation provides an overview of the intersection between QI and research
Presentation at the First International Symposium on Quality and Patient Safety organized by the Instituto Brasileiro para Segurança do Paciente, Sao Paulo, Brazil
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
Value-Based Purchasing in healthcare is here to stay. Though the industry has come to terms with this reality, there are still more updates and changes than most of us can keep up with. In a world of accountable care, quality measures, shared savings, and bundled payments, everyone seems to have more questions than answers.
Bobbi Brown, Vice President, Financial Engagements outlines the latest announcements on Value-Based and how to prepare your organization for success in this new reality. Having previously worked in healthcare administration and finance for Kaiser, Sutter, and Intermountain, Bobbi is no stranger to translating complex legislative requirements for complex health systems.
Bobbi discusses the various programs offered by CMS, in particular:
What the programs are
How these programs are measured
What the current incentives are
Results of the programs to date
Organizational changes needed for the shift in programs
Care Management - Critical Component Of Effective Population HealthHealth Catalyst
In this first webinar, of a two-part series, Dr. Kathleen Clary will share how analytics can be used to answer these questions to ensure delivery of a well-organized and effective care management program.
Dr. Clary will discuss how analytics can enable:
Data integration from multiple EMRs and data sources
Patient stratification and intake
Care coordination
Patient engagement
Performance measurement
We look forward to you joining us!
Have you ever wanted to learn more about human factors in health care and it’s impact on patient safety? Well now is the time. Join us on Oct. 4th at noon ET as Dr. Kathy Momtahan and Dr. Gianni D’Egidio explore the work of the Canadian Human Factors in Healthcare Network and recent human factors evaluations of hospital external defibrillators.
The impact of high-capability electronic health records on length of stay. Presented by Steven Shaha, Center for Policy & Public Administration, UK, at HINZ 2014, 12 November 2014, 11.15am, Marlborough Room 3
Improving the Outcomes That Matter Most to PatientsHealth Catalyst
Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) have been used in healthcare since the 1970s. But the industry hasn’t had meaningful, consistent PROs and PROMs definitions until ICHOM developed one. ICHOM, a pioneer in outcomes measurement and improvement, demonstrates that healthcare organizations focused on improving patient outcomes that patients actually care about are the ones most likely to transform healthcare.
PROs and PROMs complement clinical indicators in understanding the quality of healthcare a team is delivering. For example, an improvement program for prostate cancer patients that only focuses on improving blood loss or length of stay in the hospital completely misses a patient’s biggest fears: will they need to wear pads for the rest of their life? Will their relationship with their partner be the same as it was?
By focusing on outcomes that matter most to patients, health systems will be more successful at improving outcomes. ICHOM describes five strategies for getting started with PROs and PROMs:
Find the Believers (Identify Clinician Champions)
Organize a Cross-Functional Team (with Appropriate Governance)
Invest Time and Resources
Celebrate Progress Along the Way
Use Early Successes to Scale and Spread
Genomic Medicine: Personalized Care for Just PenniesHealth Catalyst
In April 2003, the Human Genome Project was completed and scientists gained the ability to read the entire genetic blueprint for human beings. Since that time, the cost of gene sequencing has fallen from $100 million to $1,000. By 2020, the cost is expected to be mere pennies. Using the power of genomes scientists have found genomic defects for more than 5,000 inherited diseases and are on track to uncover 4,000 more. The implications for treatment of disease are also vast. In the future, clinicians will be able to use genomic-powered personalized medicine to treat patients on an individual basis knowing exactly how their genes will react to treatments and what the best course of action will be.
IMS Health Clinical Trial Optimization SolutionsQuintilesIMS
IMS Health's Linda T. Drumright, general manager, Clinical Trial Optimization Solutions presents at the 3rd Annual Patient Recruitment & Retention Summit 2014 - San Francisco, CA
Public Reporting as a Catalyst for Better Consumer DecisionsATLAS Conference
Greater efficiency in the process of matching patients to appropriate providers is vital to achieving the Triple Aim. As patients research and choose among appropriate providers, sound decision-making will depend on the accessibility of high-quality data that enables them to make meaningful, actionable comparisons. Online public-reporting tools, such as those published by U.S. News, CMS and others, serve as venues for consumer decision-making. Driven by current trends in data transparency, rapid advances in public reporting can be anticipated. This presentation will outline several recent and expected future developments in the evolution of key public-reporting tools, and discuss their role in facilitating patient engagement and access to appropriate care.
The Imperative of Linking Clinical and Financial Data to Improve Outcomes - H...Health Catalyst
Quality and cost improvements require the intelligent use of financial and clinical data coupled with education for multi-disciplinary teams who are driving process improvements. Once a data warehouse is established, healthcare organizations need to set up multi-disciplinary clinical, financial, and IT specialist teams to make the best use of the data. Sometimes, financial involvement is minimized or even excluded for a number of reasons that can turn out to be counterproductive. However, including financial measurements and participation up front can help enhance the recognized value and sustainability of quality improvement or waste reduction efforts. the In this session you will learn keys to success and real-life examples of linking clinical, financial and patient satisfaction data via multi-disciplinary teams that produce impressive results.
What can healthcare executives learn from military decision-making, as it relates to predictiveanalytics in healthcare? As it turns out, quite a lot. Dale Sanders, senior vice president for strategy at Salt Lake City, Utah-based Health Catalyst, drew some surprising parallels between these two vital sectors of the economy during a concluding session at the Plante Moran Healthcare Executive Summit on June 5 in Chicago. His main theme was to remember that in predictive analytic analytics, it's the intervention that matters, noting that much of the industry is seduced by flashy predictive analytics "objects" without thinking through the needed interventions which are needed to get the proper ROI.
Early benefits and impacts of Electronic Patient Record implementation: Findings from the UK. Presented by Steven Shaha, Center for Policy & Public Administration, UK, at HINZ 2014, 11 November 2014, 12pm, Marlborough Room 3
Big data and better health outcomes, the journey to the Ministry of Health virtual information centre. Viewed from the National Health IT Board perspective.
Graeme Osborne, Director National Health IT Board
Presented at HINZ 2014, 12 November 2014, 8.30am, Plenary Room
Big data and better health outcomes, the journey to the Ministry of Health virtual information centre, viewed from a research perspective. Presented by Professor Tony Blakely, University of Otago, Wellington, at HINZ 2014, 12 November 2014, 8.30am, Plenary Room
Health Informatics - Transforming healthcare delivery in Hong Kong. Presented by Dr Ngai-Tseung Cheung, Head of Information Technology and Health Informatics/Chief Medical Informatics Officer, Hong Kong Hospital Authority, at HINZ 2014, 11 November 2014, 9.15am, Plenary Room
MIE Medical Informatics in Europe: European Federation for Medical Informatics (EFMI) annual meeting
Worklshop: Addressing Patient Adherence Issues by Engaging Enabling Technologies
Chair: Pei-Yun Sabrina Hsueh (IBM T.J. Watson Research Center)
Pei-Yun Sabrina HSUEHa, , Marion BALL b,a, Michael MARSCHOLLEKc, Fernando J. MARTIN-SANCHEZd , Chohreh PARTOVIANa, and Vimla PATELe
aIBM T.J. Watson Research Center, NY, USA
b John Hopkins University, MD, USA
c Hannover Medical School, Germany
d Melbourne Medical School, Australia
e Center for Cognitive Studies in Medicine and Public Health, The New York Academy, USA
Abstract One of the well known issues providers have contended with for many years is the issue of patients’ adherence to their care plans and medications outside clinical encounters. In this workshop, we review proof of concept studies using technology at the point of care to assess patient literacy and self-efficacy to provide timely intervention, remedy, and improvements in cost and quality. We focus on patient-generated information, including patient reported data and measurements from devices and sensors, as key to improving patient safety, gaining “meaningful use” data, improving patient centric care, and assisting providers in learning more about their patient needs to improve outcomes. We look into barriers to adherence, basic understanding of the patients and providers roles in improving adherence, and the use of technology to assist patients in staying on track. The participants will address their findings in the integration of patient-generated information into everyday life and clinical practice and share lessons learned from implementing these designs in practice. This workshop aims to share requirements for the next-generation healthcare systems, especially in areas where the explosive availability of patient-generated data is expected to make impacts.
With the upcoming move to ICD-10 Procedure Codes across the world, information flow will reach many new recipients to improve the world's health conditions!
Rob Reid: Redesigning primary care: the Group Health journeyThe King's Fund
Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
We welcomed Dr. Andrew Feifer for a presentation about Ned, an app designed specifically for prostate cancer patients, as well as a discussion about the incorporation of data driven smart technology in the survivorship of cancer patients.
The webinar was followed by an interactive question & answer session.
Ned was conceptualized and co-founded by our webinar presenter: Dr. Andrew Feifer, a Urologic Surgical Oncologist at Trillium Health Centre in Toronto. Dr. Feifer evisioned a tool that would empower prostate cancer survivors by putting their health into their own hands and giving them more options to manage their own care.
AHRQ's Health Care Innovations Exchange held a Web Seminar on Linking Clinical Care and Communities for Improved Prevention on September 1, 2011. For more information, visit https://innovations.ahrq.gov/events/2011/09/linking-clinical-care-and-communities-improved-prevention.
Mobile Health at Ochsner: The Apple HealthKit and Epic EMR IntegrationRahlyn Gossen
These slides are from the April 2, 2015 meeting of Health 2.0 New Orleans with special guest Jonathan Wilt, the Assistant Vice President of the Center for Innovation at Ochsner Health System. Jonathan spoke about Ochsner's Health System's integration of Apple HealthKit with the Epic EMR.
Audio is here: http://www.youtube.com/watch?v=UsSKui7m4VY
Clinical Research Informatics (CRI) Year-in-Review 2014Peter Embi
Peter Embi's review of notable publications and events in the field of Clinical Research Informatics (CRI) that took place in 2013+. This was presented as the closing keynote presentation of the 2014 AMIA CRI Summit in San Francisco, CA on April 11, 2014.
It’s no secret the U.S. health care system needs to change. The Affordable Care Act (ACA) introduced
a focus on new health care payment models, which placed clear economic incentives on providers
while also striving for better outcomes. Today, we see an emphasis on preventing hospital
readmissions, reducing emergency room visits and avoiding unnecessary health care utilization
while enhancing quality and the patient experience.
As a result, health care stakeholders are rethinking the way care is delivered, how data is used and
how people collaborate and communicate in more preventive, proactive ways. This means moving
from episodic, fee-for-service, disease treatment models toward value-based care delivery to
improve outcomes, better utilize resources and expand access to care. Improved population health
has become the Holy Grail of U.S. health care, with many early experiments and some promising
successes. We take a look at Banner Health, a pioneer in transforming their health delivery systems with Robert Groves, MD, Vice President, Health Management, Banner Health.
Workshop: Effective Patient Adherence Management by Engaging Enabling Technologies
Pei-Yun Sabrina Hsueha, Vimla L. Patelb, Fernando Sanchezc, Marcia Itod,e, Chohreh Partoviana, María V. Giussi Bordonig, Marion Ballf,a
a IBM T.J. Watson Research Center, Yorktown Heights, NY, USA
b Center for Cognitive Studies in Medicine and Public Health, the New York Academy of Medicine, New York, NY, USA
c Health and Biomedical Informatics Center, University of Melbourne, Melbourne, Australia
d IBM Brazil Research Lab, Sao Paolo, Brazil
e Telehealth/Teledentistry Center, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil
f Johns Hopkins University, Baltimore, MD, USA
g Health Informatics Department, Hospital Italiano de Buenos Aires, Argentina.
Abstract
Effective patient adherence management strategies require better understanding of patient-generated data, including patient-reported data and measurements from devices and sensors, as key to assisting providers in learning more about their patients’needs and enhancing patient centric care. Gaining “meaningful use” of patient-generated data could ultimately lead to improvements in patient safety and outcomes. In this workshop, we review proof of concept studies using technology to assess patient health literacy and self-efficacy with the goal of providing timely intervention, remedy, and improvements in cost and quality of care. In particular, we focus on engagement-enabling technolgoies that can leverage non-clinical information sources and reflect patient activities in the “wild”. We look into barriers to adherence, patients and providers roles in improving adherence, and the use of technology to assist patients in staying on track. The speakers will address the issues related tothe integration of patient-generated data into everyday life and clinical practice and share lessons learned from implementing these designs in practice. This workshop aims to share requirements gathered for the design of next-generation healthcare systems, especially in areas where the explosive availability of patient-generated data is expected to make impacts.
Similar to Analytics leads to improved quality and performance (20)
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Analytics leads to improved quality and performance
1. Analytics Leads to ImprovedQuality and Performance: Population Health & Measuring and Improving the Impacts of HIT on Clinical, Cost and Efficiency Outcomes
Prof Steven H. Shaha, PhD, DBA
November 2014
2. Prof. Steven H. Shaha, PhD, DBAProfessor, Center for Public Policy & AdministrationPrincipal Outcomes Consultant, AllscriptsFormer Director of Research, KLAS
100+ peer-reviewed publications, 200+ peer-reviewed presentations, 2 books
Advisory and consulting work for 11 governments on four continents
Professor or Lectured or at 14 universities and graduate schools
e.g. UCLA, Harvard, Cambridge (UK), King’s College, London University, South Manchester, Yale, Princeton, Columbia, Cornell, Zayed Univ(UAE)
Advisory and consulting to 50+ non-healthcare organisations, including
Disney, Ritz-Carlton, Coca-Cola, New Line Cinema, IBM, AT&T,
Time Warner, Johnson & Johnson, Marriott, 3 Depts. of Defense,
and Pharma: Sanofi, Aventis, Novartis
Education:
PhD, Research Methods & Applied Statistics
DBA, Business Administration (PhD)
MA, MEd, BS
Disclosures & Bio
3.
4. Sample of Peer-reviewed Journals
•Advance for Health Information Executives
•Advances in Patient Safety
•Agency for Healthcare Res & Qual(AHRQJournal)
•American Journal of Ob & Gynecology
•American Journal of Sports Medicine
•Applied Clinical Informatics
•Archives of Otolaryngology, Head & Neck Surg
•Breast Cancer Research and Treatment
•British Medical Journal of Quality & Safety
•Epidemiology and Infection
•Health Management Technology
•Healthcare Financial Management
•Healthcare Technology Management
•Intl. Journal of Medical Informatics
•Intl. Journal of Pediatric Otorhinolaryngology
•Intl. Journal for Quality in Health Care
•Journal of Arthroscopic and Related Surgery
•Journal of Clinical Ultrasound
•Journal of Emergency Nursing
•Journal of Mat, Fetal & Neonatology Med
•Journal of Neurosurgery
•Journal of Obstetrics and Gynecology
•Journal of Orthopedic Trauma
•Journal of Pediatric Emergency Care
•Journal of Perinatal Medicine
•Journal of Perinatology
•Journal of Shoulder and Elbow Surgery
•Journal of the Am Acadof PedOphth& Strab
•Journal of Ultrasound in Medicine
•Journal of Ultrasound in Ob & Gynecology
•Laryngoscope
•Nurse Executive Watch
•Nurse Leader
•Nursing Economics
•Pediatric Critical Care Medicine
•Pediatric Emergency Care
•Pediatrics
•RN Magazine
•Spine
•Intl. Journal of Pediatric Otorhinolaryngology
•The Journal of Bone & Joint Surgery
•Ultrasound in Obstetrics & Gynecology
5. The Dynamics in HealthcarePressure on every aspect of performance
“Variable demand with fixed capacity & poor patient flow.”
“Safety, quality and
value-based delivery.”
“Do more with less.”
6. 3.90
4.00
4.10
4.20
4.30
4.40
4.50
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
Average LOS - mvg avg
Percent CPOE Adoption
SQL with Analytics: Study, Test, Monitor
11. Notify
Improved
Outcomes
Individually and collectively
For Clinicians
For Responders
To Systems
From Devices
From Systems
For Clinicians
For Responders
To Systems
The Evolution of Health Care Information
Retrospective
Automated
Reporting
Concurrent
Synchronous
Care
Prospective
Predictive
Care
Retrospective
Manual
Reporting
Real-Time Outcomes OptimizationBest care and best quality scores optimized while the patient is still in the bed
The Power to Change Outcomes
The best in advanced Clinical Decision Support
Continuous Clinical Decision Support Engine
Clinical Intelligence and Automated Assessments Extracted from multi-disciplinary documentation
“Our” Recommended Treatments
e.g. Order sets, pathways, algorithms, evidence-based medicine, inter- disciplinary documentation templates
Providing the best care andachieving
optimal quality and performance
From Clinicians
To Patients
13. Statistics:
•The leading cause of death in hospitals globally –1.7 Million cases a year
•Prolonged LOS in ICU w/ CCs, complex therapies, high costs –est.£18BnannuallySolution –Understand and Conquer:
•SQL query 12-month retrospective chart review
•MEWS: Perpetual, house-wide, imbedded monitoring and surveillance
13
3
2
1
0
1
2
3
SystolicBP (mmHg)
< 70
71-80
81-100
101-199
>= 200
Heart rate (bpm)
< 40
41-50
51-100
101-110
110-129
>= 130
Respiratory rate (bpm)
< 9
9-14
15-20
21-29
>= 30
Temperature (°C)
< 35
35-38.4
>= 38.5
Age (y)
65-74
75-84
>= 85
BMI (kg/m²)
< 18.5
25.1- 34.9
> 35
Sepsis: An example of infections and “avoidables”
Shaha SH( 2014) The EMR as an Effective Tool for Boosting Medication Adherence. Invited Presentation: 2ndAnnual World Congress Summit to Improve Adherence and Patient Engagement, March 10-11, 2014, Philadelphia.
Shaha SH, Hutchinson M (2014). EPR Impacts: The Real ROI. HC 2014: The National Health IT Conf& Exh, Manchester, England, March 20, 2014.
Shaha SH, et.al. (2014). CPOE’sPredictive Impact on LOS: Three Case Studies Illustrate the Impact of High Capability EMRs. HIC 2014 Health Informatics Society of Australia, Melbourne.
14. Document
•Vitals
•Device integration
•Key CCs
Query
•Key Indicators (Age, BMI)
Calculate
•Score via Matrix
Alert
•Does score exceed threshold? Send Alert
The Process: Identification and Remediation
Shaha SH( 2014) The EMR as an Effective Tool for Boosting Medication Adherence. Invited Presentation: 2ndAnnual World Congress Summit to Improve Adherence and Patient Engagement, March 10-11, 2014, Philadelphia.
Shaha SH, Hutchinson M (2014). EPR Impacts: The Real ROI. HC 2014: The National Health IT Conf& Exh, Manchester, England, March 20, 2014.
Shaha SH, et.al. (2014). CPOE’sPredictive Impact on LOS: Three Case Studies Illustrate the Impact of High Capability EMRs. HIC 2014 Health Informatics Society of Australia, Melbourne.
15. Our first alert, May 6, 15:38
Abx LevaQuinOrdered, May 7, 10:33
Disaster Averted
Vigilance only
Abx VancOrdered, May 8, 8:10
Shaha SH( 2014) The EMR as an Effective Tool for Boosting Medication Adherence. Invited Presentation: 2ndAnnual World Congress Summit to Improve Adherence and Patient Engagement, March 10-11, 2014, Philadelphia.
Shaha SH, Hutchinson M (2014). EPR Impacts: The Real ROI. HC 2014: The National Health IT Conf& Exh, Manchester, England, March 20, 2014.
Shaha SH, et.al. (2014). CPOE’sPredictive Impact on LOS: Three Case Studies Illustrate the Impact of High Capability EMRs. HIC 2014 Health Informatics Society of Australia, Melbourne.
16. Summary Impacts:
Measure
Pre
Post
Timeliness of Recognition1
571.2minutes
93.7minutes
Cardiopulmonary Arrest Rate Outside ICU2
5.54%
3.86%
ICU Length of Stay3
3.8days
3.3 days
Down to 51.8 min (9-11-13)
Down to 28.2 min (11-Dec-13)
p<0.001
p<0.001
p<0.01
The Process: Identification and Remediation
Document
•Vitals
•Device integration
•Key CCs
Query
•Key Indicators (Age, BMI)
Calculate
•Score via Matrix
Alert
•Does score exceed threshold? Send Alert
Shaha SH( 2014) The EMR as an Effective Tool for Boosting Medication Adherence. Invited Presentation: 2ndAnnual World Congress Summit to Improve Adherence and Patient Engagement, March 10-11, 2014, Philadelphia.
Shaha SH, Hutchinson M (2014). EPR Impacts: The Real ROI. HC 2014: The National Health IT Conf& Exh, Manchester, England, March 20, 2014.
Shaha SH, et.al. (2014). CPOE’sPredictive Impact on LOS: Three Case Studies Illustrate the Impact of High Capability EMRs. HIC 2014 Health Informatics Society of Australia, Melbourne.
1.T Test procedure, statistically significant (p <.0001)
2.Chi square procedure, statistically significant (p 0.046)
3.Not statistically significant (t=1.74/p=.08) buclinically significant?
17. Quarterly Surveillance and Refinement
17
Daily Rounding at the Bedside
Quarterly Summary and Refining
Sepsis Outside of the ICU
0
5
10
15
20
25
January
February
March
April
May
June
July
August
September
October
November
December
January
February
March
April
May
June
July
August
September
October
November
December
January
February
March
April
May
June
July
2011
2011
2011
2011
2011
2011
2011
2011
2011
2011
2011
2011
2012
2012
2012
2012
2012
2012
2012
2012
2012
2012
2012
2012
2013
2013
2013
2013
2013
2013
2013
40.2% reduction(p<.01)
37.5% addl. reduction (p<.01)
62.5% cumulative (p<.001)
36 Month Avg.
£ 8.9 Million est. Cash Release
Shaha SH( 2014) The EMR as an Effective Tool for Boosting Medication Adherence. Invited Presentation: 2ndAnnual World Congress Summit to Improve Adherence and Patient Engagement, March 10-11, 2014, Philadelphia.
Shaha SH, Hutchinson M (2014). EPR Impacts: The Real ROI. HC 2014: The National Health IT Conf& Exh, Manchester, England, March 20, 2014.
Shaha SH, et.al. (2014). CPOE’sPredictive Impact on LOS: Three Case Studies Illustrate the Impact of High Capability EMRs. HIC 2014 Health Informatics Society of Australia, Melbourne.
18. Community Analytics: Patient-specific Normalisation
LOW Acuity Patient
HIGH Acuity Patient
Shaha SH( 2014) The EMR as an Effective Tool for Boosting Medication Adherence. Invited Presentation: 2ndAnnual World Congress Summit to Improve Adherence and Patient Engagement, March 10-11, 2014, Philadelphia.
Shaha SH, Hutchinson M (2014). EPR Impacts: The Real ROI. HC 2014: The National Health IT Conf& Exh, Manchester, England, March 20, 2014.
Shaha SH, et.al. (2014). CPOE’sPredictive Impact on LOS: Three Case Studies Illustrate the Impact of High Capability EMRs. HIC 2014 Health Informatics Society of Australia, Melbourne.
OPEN solution
vs.
Restrictive connectivity?
22. Without
With CDS-rich
Order Set
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Impact of Stroke Admission Order Set:
Comparative Quality with versus without
Improved Stroke Outcomes
Impact of Stroke Outcomes Toolkit:
Comparative Quality with versus without
CDS-rich Order Set
40.5% net
Greater Clinical
Excellence
80%+ Change
Stroke Care Best Practices
CPOE with Alerts Alone
23. Length of Stay
Discharge Patterns
CDS-rich Order Set Without Order Set
Discharge to Home Discharge to SNF Discharge to IP Rehab
Cost-per-Case Impact
CDS-rich Order Set Without Order Set
Average Direct Cost/Case Average Indirect Cost/Case
16.0% fewer
(p<.001)
11.4% lower Cost-per-Case
$ 628 avg (p<.05)
Readmissions in 31 Days
35.7 % fewer
(p<.001)
Improved Stroke Outcomes
9.4% more
(p<.001)
21.4% fewer
(p<.001)
12.7% lower Cost-per-Case
$249 avg (p<.05)
7.5% lower
0.35 fewer days avg. (p<.001)
CPOE with Alerts Alone
Est. Savings of $265k-$560k annualized
CDS-rich Order Set
24. Care Coord Network Pre
Readmissions in 31 Days Length of Stay
Significantly fewer (p<.001)
Better Outcomes after Discharge
Admissions to Nursing Homes and
Residential Age Care Facilities
Care Coord Network Pre
Significantly shorter (p<.001)
Additional Efficiencies
• Capacity for 130 additional admissions
with NO staffing increases
CPOE and Alerts alone
CDS-rich Order Set
25. Readmissions in 31 Days
Better Outcomes after Discharge
Discharges to Home
Significantly fewer (p<.001)
And …
•Fewer ED/A&Evisits (p<.01)
•Fewer clinic visits (p<.01)
•Fewer PCP interactions (p<.01)
CPOEand Alerts alone
CDS-rich Order Set
28. SATISFACTION: IT VS. CLINICIANS
Average EMR Satisfaction
Average EMR Satisfaction
Shaha SH (2013). Comparative EPR Usability form the Clinician Perspective: What works and what doesn’t for impacting care. Digital Health Service Delivery – The Future Is Now. HIC 2013 Proceedings, Health
Information Society of Australia, Melbourne, pg. 122.
Shaha SH (2013). Benefits and Outcomes: Models for Getting the Most Out of Your EPR. EPR Awareness Forum: Sharing Best Practice from UK, Europe and the US, Manchester, UK, May 2013.
Shaha SH (2013). Clinical Systems Applications and Related technology: Today and into the Future. HC 2013: The National Health IT Conf & Exh, Birmingham, England, April 2013.
The Golden Rule
31. Lessons Learnt: •The EMR is not “electronified paper”
• Computers that Compute
• Programmability
• Clinical Intelligence
•Adaptability and Interoperability
• Rigidity vs. Openness
•Local Innovation then Broader
Standardization
• “What work here with our needs and capabilities”
• Try, refine, prove … then standardize … then innovate
•Access to Clinical Data
•Community Connectivity
•Outcomes-driven
• Clinical
• Efficiency
• Cash Releasing and Cost Reducing
• Clinician Satisfaction