allscripts app challenge presentation
Post on 05-Dec-2014
229 Views
Preview:
DESCRIPTION
TRANSCRIPT
REFILLWIZARD
Jonathan Baran, Chief Executive Officer
Dr. Lyle Berkowitz, Chief Medical Officer
Ash Gupta, Chief Technology Officer
presents
½of primary care providers are burnt out due
to work outside the patient visit.
We automate and delegate that work.
A perfect example of this work is
THE PRESCRIPTION RENEWAL REQUEST
which is a crucial task in the management of high-cost chronic diseases.
On average, each doctor will receive 15 refill requests per day from patients and
pharmacies.
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
Some organizations place all these requests on the doctor’s plate.
Each request takes about 2 minutes of doctor time.
30 MINUTES DAILY
DOCTOR
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
However, this does not mean that quality is maintained.
~ 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.
MEDDC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
DC’ED MED
Some organizations use protocols to take the
majority of the 15 refill requests off the
doctor’s plate.
But then the work falls on the staff.
STAFF
45 MINUTES DAILY
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
DOCTOR
8 MINUTES DAILY
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
Each request takes about 4 minutes of staff time.
Instead, to maintain quality and efficiency we built REFILLWIZARD to automatically process
renewal requests
so the doctors and staff would not have to.
REFILLWIZARD
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
RENEWAL REQUEST
To safely delegate renewal requests, an organization needs to use physician approved protocols. REFILLWIZARD provides a cloud-based system to allow doctors to view, create and
modify their protocols online.TEAMS ANALYTICS SETTINGS SIGN OFFPROTOCOLS
REFILLWIZARD
PROTOCOLS Add/Remove ProtocolsAdd/Remove Protocols
Filter By:
All ProtocolsAll Protocols DelegatedDelegated Non-DelegatedNon-Delegated
Endocrinology
Cardiovascular
PROTOCOLS OFFICE VISIT CHECKS
Vitamins 12 monthsEvery
New Med Check Edit
Thyroid Agents 6 monthsEvery
TSHNew Med Check Edit
Minerals 6 monthsEvery
New Med Check Edit
Insulins 6 monthsEvery
New Med CheckHBA1C Edit
Diabetes-Related 6 monthsEvery
New Med CheckHBA1CCrALT AST Edit
Gastroenterology
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 LogoffTask List Worklist Documents Manage My Veiws Add / Edit My Views Clinical Desktop Note Printing Tasks
Kirk, JamesSelect Patient
FYI
Select
Sex: MAge: 65 YearsDOB: 09/27/1946
MRN: 084617946018907SSN: 000-00-0000PCP: Medici,James
H Phone: (555)555-5555Directives:Security: No Restricted Data
Allergies: UnknownFYI:Note:
Go To... In Progress Done
Make Pt Current Undelegate
New... Reply... Reassign... Remove... Copy To Note
Details... Original... Print List... Print Task...
Glyburide 5 MG Oral Tablet - 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 thelast refill authorized by the protocol.- LAST VISIT: 07/06/2012- HBA1C: 5% on 07/06/2012
Comments:
Glyburide 5 MG Oral Tablet; TAKE ONCE DAILY.; DS: 30 QTY: 30 R:5
Task About:
View: My Active Tasks View Desc... Show: 25 Last Updated:
Total Active Tasks: 5
01/22/2013 10:41 AM
Personalize
P D Patient Assigned To Created By Created On Status ID Due MRN
Uhura,Nyota Med Renewal Team RefillWizard 01/22/2013 10:27 Active 7209 024613046506207Rx Renew Request
Uhura,Nyota Med Renewal Team RefillWizard 01/22/2013 10:29 Active 7210 024613046506207Rx Renew Request
Sulu,Hikaru Med Renewal Team RefillWizard 01/22/2013 10:32 Active 7212 135217300915517Rx Renew Request
Sulu,Hikaru Med Renewal Team RefillWizard 01/22/2013 10:38 Active 7212 135217300915517Rx Renew Request
Rx Renew Request Kirk,James Med Renewal Team RefillWizard 01/22/2013 10:41 Active 7213 084617946018907
Task List
Clinical TrialSchedulePatientChartTasksPatient ListsChargesOrder MgmtMeds MgmtSiteUser OptionsNote AdminRepotsReport Admin
Tasks
RefillWizard even pre-populates the renewal task, so all the staff member needs to do is sign-off on
the request.Phone: (555) 555-5555Pharmacy: Community Pharmacy Details
Patient Info in Request:
Name: Kirk, JamesDOB: 27 Sep 1946Address: 15016 Brooks Spring Lake WI 53000
Name: Kirk, JamesDOB: 27 Sep 1946Address: 15016 Brooks Spring Lake WI 53000MRN: 084617946018907
Patient Info in EHR
Rx Info from Pharmacy:
Drug: Glyburide 5 MG Oral TabletWritten: 24 Jul 2012RX Id: 00074194912
SIG: TAKE ONCE DAILY.
By: Dr. James MediciQty: 30 DAW: NDays Supply: 30 Refills: 5Last Fill: 12/23/2012
Drug Name in EHR Glyburide 5 MG Oral Tablet
Full textNo Considerations and DisclosuresConsiderations and
Disclosures:
Add/Link Problems
Rx Info in Response:
Drug: Glyburide 5 MG Oral Tablet
Days Supply:
Refills:
SIG:
(102 Chars)
Ordered By:
Supervised By:
Message to
Pharmacy:
(70 Chars)
Quantity:
Total Fills: DAW
Managed By:
Authorization: Not Required
None
TAKE ONCE DAILY.
30
5 0
30
Medici,JamesSmith,Susan
Active Medications
Glyburide 5 MG OralTablet
Active Allergies
GrantGrant Refuse Cancel
Provider Hide VTB Tools Help Lock LogoffTask List Worklist Documents Manage My Veiws Add / Edit My Views Clinical Desktop Note Printing Tasks
Sulu, HikaruSelect Patient
FYI
Select
Sex: MAge: 65 YearsDOB: 03/18/1946
MRN: 135217300915517SSN: 000-00-0000PCP: Medici,James
H Phone: (555)555-5555Directives:Security: No Restricted Data
Allergies: UnknownFYI:Note:
Go To... In Progress Done
Make Pt Current Undelegate
New... Reply... Reassign... Remove... Copy To Note
Details... Original... Print List... Print Task...
Morphine Sulfate 15 MG Oral Tablet - 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
Comments:
Morphine Sulfate 15 MG Oral Tablet; TAKE 2 TABLET EVERY 12 HOURS
Task About:
View: My Active Tasks View Desc... Show: 25 Last Updated:
Total Active Tasks: 1
01/22/2013 08:22 AM
Personalize
P D Patient Assigned To Created By Created On Status ID Due MRNRx Renew Request Sulu,Hikaru Medici,James RefillWizard 01/22/2013 08:22 Active 7214 135217300915517
Task List
Clinical TrialSchedulePatientChartTasksPatient ListsChargesOrder MgmtMeds MgmtSiteUser OptionsNote AdminRepotsReport Admin
Tasks
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.
• GetTaskList• GetTask• GetProviders• SaveTask
• SaveTaskStatus• GetPatientActivity• GetChartSections• GetClinicalSummary
• SaveRx• GetDelegates• GetEncounterList
RefillWizard uses the following Allscripts web service calls:
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 IS CODE COMPLETE AND IN A TESTED, APPROVED STATE.
RefillWizard addresses the following category:
✓Applications that improve management of high cost chronic diseases. ✓Innovative approaches to addressing value-based care imperatives.✓Both
We sell to Allscripts Enterprise customers through the following channels:
Our price point of $600/doctor/year ensures a strong ROI no matter the current workflow.
Allscripts App Store
Allscripts Sales Force
Allscripts ACE
Direct Sales
Allscripts Regional UGMs
This solution should be selected because...
• The primary care shortage is continuing to grow and thus more efficient use of doctor time will continue to be top-of-mind for everyone.
• Easily automated, routine work, such as prescription renewals, are a problem that EVERY organization faces.
• REFILLWIZARD solves the prescription renewal problem in a way that fits within the workflow, and requires minimal training/implementation.
• The spreading of "Doctor Happiness" tools such as REFILLWIZARD will help ensure better adoption and use of Allscripts’ electronic health records.
• healthfinch's underlying concept of “team-based clinical decision support” will resonate and evolve further as organizations continue to address value-based care and chronic disease management.
top related