Posts From August, 2016

Enhancing the EHR 

Why Department-Level Systems Remain Critical to Quality 

The need for Electronic Health Records (EHRs) has become widely accepted, and methods to accelerate hospital adoption are proving to be successful, albeit resource-and cost-intensive. While EHRs are highly useful tools for collecting certain kinds of information and making that information available widely across services, cardiovascular care is complex; the data generated by this care is equally complex; and therefore cardiovascular service lines require systems that can match this complexity.


 

Chris Winquist, LUMEDX President and COO, explains how the CVIS augments the EHR to provide CV services with the deep data needed for clinical and business excellence.

Publicly Reported Measures & the Need for Deep Data

Even with the rapid pace of innovations in treatments and technologies, cardiovascular disease is the leading cause of death in the United States.(1) Unsurprisingly, today a large percentage of publicly reported quality measures are CV measures. Further, new value-based payment models are making up-to-date tracking and managing of performance ever more critical. Demonstrating quality of care delivered has never been more central to cardiac and vascular departments. 

How can a hospital best report, monitor internally and improve quality performance in key measures like Mortality, Complications, and Appropriate Use? With discrete, queryable data. This data must be:

  • Acquired at the point of care so workflow is efficient and data is of high quality 
  • Made accessible to providers across the care continuum so they can make fully informed treatment decisions
  • Reported to the registries
Getting Actionable Information

It's not enough to report to the registries once a quarter and then hope for the best. A high-performing facility must monitor and drill-down into its own data to investigate any problems and take action-as quickly as possible. For this, service lines need systems that can capture information as queryable data elements. And these systems need to integrate with all the devices and clinical systems at work in the service line (ECGs, Stress, Holters, cardiac ultrasounds, hemodynamic systems--to name just a few). 

A dedicated departmental system-one that integrates with clinical-modality systems and the EHR, and offers automated registry data collection and submission to the full suite of cardiac and vascular registries-is the only way for complex environments like cardiac and vascular services to get the data they need to measure and improve performance (clinical, operational) in a substantive way.   

LUMEDX HealthView CVIS Enhances the EHR and Supports Operational Efficiency

With more than 30,000 discrete, queryable data points, HealthView CVIS offers the depth cardiac and vascular departments need for optimal clinical and business excellence. We've developed a powerful data engine that brings insight to every aspect of CV suite operations by drilling into details and reporting on both trending and outlier situations. 

The HealthView CVIS also accepts and transmits relevant data from and to the EHR, so that the enterprise and the service line can operate at the highest levels of efficiency, facilitating best-quality care, improved performance and cost savings.

(1) Go AS, Mozaffarian D, Roger VL, et al. Heart disease and stroke statistics-2014 update: a report from the American Heart Association. Circulation. 2014;129(3):e28-e292.

Improving the Business Performance of Your Heart Hospital 

An effective CVIS strategy can improve the business performance of your hospital

The primary goal of any healthcare provider is to improve the lives of patients through effective treatment. However, because they are also businesses, hospitals have concerns that entail much more than this. To be viable in the long term, hospitals must manage their margins to fund their mission.
There are three main pillars of business concern for any hospital:

  • Clinical—health outcomes are measured with the goal of healthier patients leaving the facility.
  • Financial—the dollars must add up to keep the enterprise solvent.
  • Operational—staffing and facilities are measured against cost and need.

Ultimate success for a hospital demands strength in all three areas. It's incumbent upon clinicians and service line managers to work together to seek out efficiencies in each of them.


 

Praveen Lobo, VP Strategic Products

 
New Operational Realities

Payers' shift away from a fee-for-service model toward a value-based payment model demands that clinicians and administrators expand the above-mentioned pillars to include cost, patient outcomes, and patient satisfaction.

These changes aren’t easy. Providers have long been paid based on quantitative measures: the number of procedures performed. New operational realities demand new ways of measuring the qualitative value of those procedures. Reimbursement is linked to these metrics, and hospitals must find ways to leverage their investments in data technology in order to maximize their financial opportunities.


Granular Data Brings Actionable Insights

Data is critical to the shift to VBP. For example, if we know that extubation within six hours improves patient outcomes, it makes sense to monitor that metric internally on an ongoing basis. When outliers crop up, data points gathered from across the treatment spectrum can allow us to understand why. Perhaps a different treatment was needed at the outset, or some other patient health factor influenced that measure.

Over time, granular data can allow us to understand which type of treatment is best for patient outcomes in that circumstance.

It is discrete, granular data that can help providers fine-tune their processes in order to improve patient outcomes—and of course patient satisfaction. This same kind of close analysis can be applied to reducing costs. But for all three new, expanded pillars, efficient data collection, management, and analysis are needed. 

LUMEDX HealthView CVIS collects more than 30,000 discrete data points—from point-of-care devices to physician reporting. The robust analysis and reporting engine provides meaningful insights in the areas of treatment options, clinical evaluation and training, and service line optimization. HealthView CVIS is an important addition to any heart hospital's electronic records system.  

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