This document summarizes a mobile app solution that delivers problem and medication specific patient education at discharge to prevent hospital readmissions. The app provides education that is customized for each patient and incorporates text-to-speech so patients can hear instructions. It addresses the issues that many hospitals face penalties for high readmission rates and low patient satisfaction. The solution is in code development and aims to interface with electronic health records to deliver personalized education prescriptions to patients.

1. [ImplementHIT]
[Patient Discharge App]
[Andres Jimenez, MD]
Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1

2. Solution Overview
 High Level Solution Description:
• Problem and medication specific patient education, delivered via mobile app, and
shareable with caregivers. Education is focused on the transition of care from hospital to
the ambulatory setting, with the goal of preventing readmission. Education is easily
customized to better align recommendations with actual practice, and incorporates text
to speech so patients can hear the mobile application speak to them which has a greater
likelihood of comprehension versus plain text for patient’s to read.
 Healthcare/Business problem addressed:
• 1300 hospitals in the US received a penalty of up to 2% (over $900M)as part of the
Medicare Value Based Purchasing initiative. Among the many metrics related to quality,
is patient satisfaction, and hospital readmission rates. Often, health literacy is an
obstacle to better patient understanding of discharge instructions that might prevent
readmission, and this mobile app hopes to address this issue.
 The application developed addresses the following category:
 Applications that improve management of high cost chronic diseases.
X Innovative approaches to addressing value-based care imperatives.
 Both
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3. Usability and Design
 Problem specific patient education is prescribed along with all discharge
orders by the physician. Upon placement of order, the EHR will send the
patient’s problem and medication list to the mobile app
 Patient is provided with a “Prescription” for education containing URL,
Username (their email), and Password
 In addition to problem and medication specific education, the mobile app
will include transition of care tools, such a provider directory to receive
follow up specialty care
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4. Development Stage
 Please indicate the development stage as of the Phase 1
Submission Date:
 Idea
 Prototype
X Code development in progress
 Code complete
 Code complete, tested and approved by Allscripts.
 Education management system to build and manage
educational clips for the mobile app is done. Mobile app
prototype is complete. What remains is interfacing with the
EHR, and creating assessment tool for education (Multiple
choice question functionality)
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5. Integration Description
 Upon placement of order, the EHR will send to our learner
and training content management system the following
information:
 Name
 DOB
 Active Problems
 Medication List
 List APIs/Web Services calls used
 GetPatientProblems - Return problems for specified patient
 GetPatientFull - Return patient details for specified PatientID
 GetPatientProblems - Return problems for specified patient
 GetPatientProblems - Return problems for specified patient
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6. Go to Market Plans
 Provide information on business plans, including:
• How will the solution be brought to market:
• We are already Allscripts Preferred and Development partners, and have
participated as an exhibiting vendor at the Allscripts Customer Experience (ACE)
conference for the last three years. We would use these opportunities, along with our
current marketing channel to partner with existing allscripts customer and deliver this
tool.
• Which Allscripts customer segments will be targeted
• Allscripts Acute Care market – Hospital using Sunrise Clinical Manager (SCM)
• What is the proposed price point for the solution
• Site license, with usage costs tied to amount of learning that takes place by patients.
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7. Video Demonstration
 http://youtu.be/FR3uPLvJCnc
 Description of what the demo shows:
 After the provider has ordered discharge education the patient can log
into mobile app, and see the education listed in the mobile app as
displayed in the demo
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8. Why this solution be selected!
 This solution not only addresses an important indicator of hospital care
quality (readmission rates), most importantly it will help overcome
health literacy challenges, and empower patients (as well as their care
partners) with knowledge to better manage their own medical conditions.
In fact, because it is easily viewed and shared with mobile devices, it is
quite possible that this might facilitate participation of care management
but an ederly patient’s younger family members (children and
grandchildren) providing them with knowledge to care for their loved
ones, as well as insight to help prevent disease in themselves and
immediate family.
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