Care feed allscripts_submission

Copyright © 2011 Allscripts Healthcare Solutions, Inc.

Applied Informatics Inc

Team Members:

Chintan Patel PhD,

Sharib Khan MD, MA, MPH 1

An Allscripts powered application to

enable ongoing, real-time, tailored

physician-patient communication

| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health

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

2


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


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


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


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


CareFeed: Sending a Message

Step 1. Provider logs into

CareFeed and broadcast a

message

Step 2. Messages can

be targeted to specific

groups of patients


CareFeed: Creating Groups

Step 1. Providers

can add new

groups under the

“My groups” tab


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


CareFeed: Creating A Survey

Step 1. Provider can do quick

surveys. The survey can be

programmed to receive responses

Step 2. Send

Periodically


CareFeed: Analytics Dashbaord


CareFeed: Patient View


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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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

14


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


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

Documents

Care feed allscripts_submission