SafetyGauge is a patient safety reporting and evaluation system that addresses the federal requirement for hospitals to report adverse events. It allows for fast and easy reporting of safety events from mobile devices and computers. Reporters receive immediate feedback. The system integrates with electronic health records to retrieve patient data and allows safety officers to investigate events collaboratively with reporters. It is currently in alpha testing with the goal of improving safety and quality of care while ensuring compliance with regulations.

1. Optimum Global Investments, LLC
SafetyGauge –Patient Safety
Reporting and Evaluation System
Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1

2. Medical Errors and Adverse Events
 One in three hospitalizations has an adverse event that reaches
the patient.
 The cost of these errors has been estimated to be $17B-$29B
per year, not including the cost of errors that did not result in
harm to patients1.
 One to two thirds of these costs are incurred by the hospitals.
 Under the Affordable Care Act by 2014 most hospitals in the
USA will be required to implement a Patient Safety Evaluation
System that connects to a Patient Safety Organization.
1 Health Aff (Millwood). 2006 Sep-Oct;25(5):1386-93.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2

3. Solution Overview
 High Level Solution Description:
SafetyGuage is a platform for the collection and analysis of safety event-
reports in compliance with federal regulations. Rooted in a deep
understanding of safety management and health informatics, it offers an
innovative framework for engaging reporters and providing a clear benefit
to healthcare providers, patients and management alike.
 Healthcare/Business problem addressed:
It is estimated that 98,000 Americans die each year of medical errors and
adverse events. Under the Affordable Care Act, by 2014 most hospitals in
the nation will be required to implement a patient safety evaluation system
and be actively connected to a Patient Safety Organization
 The application developed addresses the following category:
 Applications that improve management of high cost chronic diseases.
 Innovative approaches to addressing value-based care imperatives.
 Both
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 3

4. Usability and Design
 To ensure reporting by busy care providers reporting must be
fast & easy, confidential and above all, it must provide a clear
benefit to the reporter.
 SafetyGauge includes:
• A web and mobile application for easy reporting.
• Collection of event details with audio and video from mobile devices.
• Barcode reading and integration with institutional databases.
• Integration with AllScripts’ EHR for patient and reporter data.
• Instant feedback following reporting.
• A business intelligence platform for data analysis.
• A secure communication platform to allow safety officers to intervene
immediately at the point of care and work collaboratively with reporters
to investigate events.
• Group functionality – to follow performance and evaluate interventions.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 4

5. Development Stage
 Development stage :
 Idea
 Prototype
 Code development in progress
 Code complete
 Code complete, tested and approved by Allscripts.
 SafetyGauge is in alpha version. Testing and AllScript integration are
estimated to be complete by the beginning of March, with a beta version
shortly thereafter.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 5

6. Integration Description
 Get patient data.
 Get reporter data (incl. single login when reporting from
desktop)
 User authenticator.
Helios SDK
GetToken GetCCDDocumentDetails
GetUserInfo GetPersonalInfo
OnAuthenticateRequest GetMedication
Login () GetProblems
OnEndRequest GetElectrolytes
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6

7. Go to Market Plans
 SafetyGauge is a service for hospitals (using the Sunrise suite).
 It will allow hospitals to comply with federal regulations of
safety event reporting and analysis, and to connect easily to
Patient Safety Organizations.
 Ideally SafetyGuage will partner and be endorsed by one of
the larger PSOs of the nation or it may partner with regional
PSOs.
 Marketing will be done directly to hospitals with the PSO
partner.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 7

8. Video Demonstration
 https://vimeo.com/58851128
 This video shows the reporting process from mobile devices and from the
desktop; the data analysis platform; and the communication platform that
allows safety officers to intervene immediately at the point of care and to
work collaboratively with reporters to investigate events.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 8

9. Why this solution be selected!
 In 1-2 years time most hospitals in the nation will need a patient
safety evaluation and reporting system.
 SafetyGauge provides an optimal solution for these hospitals
both in terms of compliance with reporting requirements and in
terms of improving the safety and quality of care.
 To date, reporting systems have not improved the safety of
care. By allowing fast and easy reporting and by providing
tools for proactive investigation and intervention, SafetyGauge
will change that.
 Safer care is better and cheaper care.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 9

10. Fast and Easy Reporting
“The thing that hath been, it is that which shall
be…” [Ecclesiastes 19:1]
SafetyGauge ensures the collection of the
most important data:
• What happened ?
• Where did it happen ?
• When did it happen ?
Reducing the burden on reporters.
Ensuring compliance with federal regulations.
Allowing proactive interventions.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 10

11. Fast and Easy Reporting
Scan the patient’s
Scan the barcode on a wristband. SafetyGauge
medication, blood unit or a will retrieve the data from
device. SafetyGauge will the EHR
retrieve the data from
institutional databases.
The most interesting events
are not standard. The
A picture is worth a Record function allows a
thousand words, and a reporter to describe what
video …. happened.
Submit the minimum Report under a group
dataset or continue name provides additional
reporting with the complete confidentiality and allows
AHRQ reporting forms. groups to follow
performance.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 11

12. Immediate Personalized Feedback
Reporters receive
immediate feedback with
personalized event-specific
statistics. The screen can be
If they are part of a group personalized to collect
the interface displays data or provide
group statistics, allowing information that is specific
colleagues to work to the event. For example,
together to monitor a hospital may post
performance and evaluate information about a new
interventions. anticoagulant available in
case of a DVT.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 12

13. Advanced Dashboard/BI
Dynamic charting Export charts and data
for quick data for further analysis and
analysis. distribution.
Follow up on
recent reports
and open tasks.
Communicate with
reporters directly
from the Dashboard.
Accessible to all users (by permission level) for real time feedback
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 13

14. Investigate Events Collaboratively
Collected data: Recorded
* Initial report & Audio/Video/Image of
AHRQ forms. the event.
* AllScripts EHR
patient data.
* AllScripts reporter
data.
* Medication, device,
blood bank data. Event narrative.
Future versions
will include
Work collaboratively
speech-to-text
with reporters to
transcription of
collect further
recorded
information and
narratives.
preform root cause
analysis.
Direct communication with reporters allows proactive investigation & intervention.
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 14

15. The Reporting Sequence
SafetyGuage supports the continuum of
event reporting from the hospital floor to the
safety officer and onwards to the PSO and
PSO-Protection Center.
It allows safety officers Mobile app
and healthcare providers
to investigate events
collaboratively.
Web app Safety officer
It provides continuous
monitoring an analysis of
events at the hospital.
Databases Reporter
• Patient data
• Medication data
• Device data
• Blood product data
A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 15