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Allscripts Enterprise EPR Strategies for the NHS: An Incremental Approach

Allscripts Enterprise EPR Strategies for the NHS: An Incremental Approach. Gary Mooney Solutions Director, Europe. Challenges for NHS Acute Care. Flat-line funding with increasing cost base Increasing burden of chronic illness from an ageing population

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Allscripts Enterprise EPR Strategies for the NHS: An Incremental Approach

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  1. Allscripts Enterprise EPRStrategies for the NHS: An Incremental Approach Gary Mooney Solutions Director, Europe

  2. Challenges for NHS Acute Care • Flat-line funding with increasing cost base • Increasing burden of chronic illness from an ageing population • Potential reduced revenue generation for acute care • New and expensive clinical technologies • Increasing public expectations • Ever present demand to ‘balance the books’

  3. Clinical sophistication / capability Systems support (paper / electronic) Clinical Performance / Outcomes Rate Limiting Affect Digital computing Innovation Time

  4. Our Age of Anxiety is, in great part, the result of trying to do today's job with yesterday's tools and yesterday's concepts. Marshall McLuhan

  5. Recent Barriers for EPR Adoption • Focus on PAS – linked to revenue generation • Systems capability • Too much emphasis on ‘what’ as opposed to ‘why’ • Commercial models / supplier relationships • Big-Bang or nothing • Integration / interoperability • National programme

  6. Allscripts Strategy for the NHS • Enterprise EPR platform • Focus on clinical services and outcomes • End the battle between best-of-breed or monolithic choices • Integration and interoperability across services • Strategic Customer Relationships • Shared vision of and commitment to success • Joint risk and reward • Pragmatic flexibility from all parties • Flexibility in Deployment • Operational and commercial model to reflect customer requirements • Big-Bang, Phased, Incremental models • Underpinned by strategic relationship

  7. An incremental enterprise epr

  8. One Platform: A Complete, Integrated Solutions Portfolio Administrative Clinical Financial Analytics Services Community Solutions Acute Solutions (Sunrise) Post Acute Solutions Community Exchange Health Economy Solutions Community Record Helios Electronic Health Record CQS Management Consulting Payerpath Analytics Education Speed to Value (Ready) ePrescribe Practice Management Acute Care Access Management Patient Financials EPSi Outsourcing Record Manager Emergency Care / ED Patient Flow Remote Hosting Financial Manager Enterprise Identifier Pharmacy Management Consulting Clinical Analytics Laboratory Network & Desktop Education Knowledge-Based Charting Speed to Value Acute Content Identity & Eligibility Knowledge-Based Medication Administration Radiology Care Management Homecare / Hospice Analytics Management Consulting Referral Management Education 8

  9. Incremental EPR Structure Portals Web Portal Platform Clinical (acute & community) Patient Enterprise Integration Gateway Speed to Value ™ Deployment and Outcomes Toolkits ED CLMM OCRR CDS Integrated Modular Clinical Platform Mobility Platform Patient Flow ICU Clinical Docs +++ 3rd Party Clinical Solutions Analysis & Reporting Analytics Existing Admin Systems Existing PAS

  10. Preconfigured EPR Prebuilt Hardware Configurations Prepackaged Specialty Content Best Practices Advanced Client Portal Allscripts Speed to Value ™ • Implementation methodology based on 000’s of deployments • Provides a baseline EPR configuration enabling efforts to be focussed on local operational and clinical practices and priorities • Enables ROI to be delivered in a shorter period of time Plug & Play Interfaces EPR

  11. Example Outcomes ToolkitCentral Line Acquired Blood Stream Infections • Configuration bundle • Central line documentation and insertion date in Admission Profile • Central line documentation insertion and removal times in Assessment & Care Flowsheet • Central line bundle elements in Assessment & Care Flowsheet • Blood Culture order • Clinical decision support for alerts and calculations • Real-world outcome measures • 64.9% reduction in CLABSI (NYHP) • 69.6% reduction in CLABSI (Morgan Stanley Children’s) • 50.5% reduction in CRBSI (Piedmont Hospital)

  12. Intelligent Order Set 95% Confidence Interval 95% Confidence Interval Improved Clinical Quality OutcomesCompliance with Evidence-Based VTE Prophylaxis DVT/VTE Rate per Bed Day Improved Outcomes 95% Confidence Interval 95% Confidence Interval 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 Week • 62.6% decrease in mean DVT/VTE rate • Approximately 302 fewer patients suffering from VTEs each year (for hips at risk only) • $736,578 reduced variable costs; 0.8 days reduced mean LOS

  13. In summary…

  14. Allscripts Europe • Focussed on establishing meaningful strategic customer relationships • Structured to support big-bang and incremental EPR deployments • Will work with existing suppliers to protect and enhance existing investments • Has committed to a long-term regional presence to support the NHS to overcome key challenges and deliver improved: • Clinical outcomes • Patient Safety • Operational efficiency • Fiscal performance

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