CareFeed is an online communication platform that allows physicians to communicate with patients in real-time through a web and mobile application. It is integrated with the Allscripts EHR system to enable physicians to send targeted messages to patient groups based on their medical records. The platform aims to improve chronic disease management by facilitating ongoing physician-patient communication and engagement.

1. Applied Informatics Inc
An Allscripts powered application to
enable ongoing, real-time, tailored
physician-patient communication
Team Members:
Chintan Patel PhD,
Sharib Khan MD, MA, MPH
Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1

2. Solution Overview
Ø CareFeed is an online communication platform that enables
providers to
• communicate with their patient populations
• via a real-time information feed that is
• available on the web, Windows 8 application and on iOS mobile
devices.
Ø Essentially, the system is designed to allow providers to
increase engagement with patients and improve chronic
care outcomes
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3. Problem
Ø Chronic diseases are a significant burden on the healthcare system
Ø Chronic disease experts have called for a “paradigm shift” in
provider-patient relations from directive to more and enhanced
patient-provider communication
Ø However providers face a significant challenge in maintaining
regular communication with patients
• Lack of time
• Lack of appropriate tools besides manual phone calls or sending postcards
• Lack of specificity and exclusivity of social media tools such as twitter
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

4. Opportunity
Ø Physician are a trusted source of information
Ø Physician-patient communication has shown to improve chronic
care outcomes1
Ø Physicians are actively using social media tools
Ø Patients and health consumers regularly use online tools for health
information seeking
Ø Opportunity to give providers a tool that is closely tied to the EHR
and enables ongoing communication with their actual patients
1Heisler,M., Bouknight, R. R., Hayward, R. A., Smith, D. M. and Kerr, E. A. (2002), The Relative Importance of Physician
Communication, Participatory Decision Making, and Patient Understanding in Diabetes Self-management. Journal of
General Internal Medicine, 17: 243–252. doi: 10.1046/j.1525-1497.2002.10905.x
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5. CareFeed Features: For Providers
Ø Allows providers to create different kinds of content
• A text message
• Share a link or video
• Conduct a short survey
• Push content through RSS Feeds
Ø Allows creation of different groups to target a message to
based on patient record in EHR
Ø Provides a dashboard for viewing real-time statistics on
how engaged the patients are with the messages sent out
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

6. CareFeed Features for Patients
Ø Patients can receive new message updates on the web,
Windows 8 or iOS
Ø Patients can give feedback to the physician by rating the
content pushed to them
Ø Patients can add comments to each message, thereby
increasing the discourse
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

7. CareFeed: Sending a Message
Step 2. Messages can
Step 1. Provider logs into be targeted to specific
CareFeed and broadcast a groups of patients
message
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

8. CareFeed: Creating Groups
Step 1. Providers
can add new
groups under the
“My groups” tab
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

9. CareFeed: Adding patients to Group
Step 2. Next providers can specify which patients to add to a given
group using a query on the Allscripts EHR
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

10. CareFeed: Creating A Survey
Step 1. Provider can do quick
Step 2. Send
surveys. The survey can be
Periodically
programmed to receive responses
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11. CareFeed: Analytics Dashbaord
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12. CareFeed: Patient View
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

13. Development
Ø CareFeed is currently at “Prototype Stage”
Ø Most functional requirements are complete.
Ø We will be running beta tests with internal users in coming weeks.
Ø AllScripts Integration
Ø CareFeed uses EEHR/Unity API to fetch provider and patient information.
Ø API Calls Used
Ø GetPatientFull
Ø GetPatientsByICD
Ø GetPatientSections
Ø SearchDiagnosesCodes
Ø SearchPatients
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14. Video Demonstration
Ø [http://www.youtube.com/watch?
v=SUH-5mrTx8Q&feature=youtu.be]
Ø Show the provider dashboard with message creation, group
creation and analytics
Ø Shows the patient dashboard
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15. Technical Summary
Ø The CareFeed App is integrated with the AllScripts EHR using the API and
can run across any browser
Ø Available as Windows 8 application and also as iPhone application
Ø The app uses several API calls to both read and push data to the EHR
Ø App works for a specific patient and also performs cross patient queries
Ø Integrated with a cloud-service to make automated calls
Ø Built as a Django/Python application that works across browsers
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.

16. Key Innovations of CareFeed
Ø Gives providers the complete control of the communication
Ø Integrated with the EHR, hence allowing providers to use
existing information and one which is pertinent to the
patient
Ø Designed to facilitate communication between real-world
physician-patient relationship, and not a generic website or
tool that may connect a patient to another doctor who may
not be their patient
Ø Allows messages to be tailored based on the patient record
– providers can create groups of patients to target the
message based on the real patient record
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.