Monday, April 4, 2016 Allscripts TouchWorks EHR Executive...

Allscripts TouchWorks® EHR

Executive Update Webinar

Monday, April 4, 2016

Copyright © 2016 Allscripts Healthcare Solutions, Inc. 2

Agenda

• TouchWorks EHR: Upcoming Releases

• TouchWorks EHR 15.1 &

Optimization

• Allscripts Prenatal 16.1

• Questions

Allscripts TouchWorks® EHR

Upcoming Releases

Mitch Icenhower, VP, Solutions Management, TouchWorks


Who We Are

POPULATION HEALTH

MANAGEMENT

ELECTRONIC

HEALTH RECORDS

FINANCIAL

MANAGEMENT

PRECISION MEDICINE/

CONSUMER SOLUTIONS

HEALTHCARE

TRANSFORMATION


TouchWorks Release Calendar2014 2015 2016 2017

Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

TouchWorks EHR11.5

TouchWorks EHR 15.1

TouchWorks EHR17.1

TouchWorksMobility

16.1

TouchWorks EHR Reporting 17.1



TouchWorks Patient Tracking Board

16.1

TouchWorks Patient Tracking Board

15.1

Allscripts Prenatal

16.1

Allscripts Prenatal

15.1

Allscripts Prenatal

15.2

Allscripts Prenatal

15.3


TouchWorks EHR 15.1

• GA announced on schedule: Dec 4, 2015

• Core Themes:

– Provider Usability Enhancements

– Clinical Documentation Enhancements

– Fusion: A Community Aware EHR


TouchWorks 15.1 – Agile Impact

0

0.5

1

1.5

2

2.5

3

3.5

TW 11.4 TW 11.5 TW 15.1

Variance from Planned GA (Months)

0

1

2

3

4

5

6

7

TW 11.4 TW 11.5 TW 15.1

Regression Testing (Months)

0

50

100

150

200

250

300

350

400

TW 11.4 TW 11.5 TW 15.1

Fixed Backlog Bugs

0

200

400

600

800

1000

1200

1400

1600

1800

2000

TW 11.4 TW 11.5 TW 15.1

User Stories Completed


AMA: TouchWorks Receives Perfect Scores• TouchWorks EHR and Allscripts Sunrise earned perfect scores for our adherence to

user-centered design best practices.

• American Medical Association and MedStar Health’s National Center for Human Factors in Healthcare developed a framework, based on the science of user-centered design (UCD), to increase transparency of electronic health record (EHR) vendor usability processes.

https://inside.allscripts.com/news/Lists/Posts/Post.aspx?ID=1429


Don’t wait for TouchWorks 17.1… 2013 2014 2015 2016

Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

TouchWorks EHR 15.1

TouchWorks EHR17.1

TouchWorks EHR11.5

• TouchWorks EHR 15.1 = Enhancement Providers have been waiting for

• At the time of a TouchWorks EHR 17.1 upgrade:

– Focus will be on Meaningful Use, not providers

– TouchWorks EHR 11.4.1 (MU2 code level) will be over 3 years old

– Cumulative Updates will have been the only delivery of fixes

TouchWorks EHR11.4.1


TouchWorks EHR 17.1 – Core Themes

Meaningful Use & Regulatory Requirements

One Noting Platform: TouchWorks EHR 17.1 Note

Other Provider Enhancements

System Architecture Changes


Significant Changes Required for Meaningful Use

11

Unchanged16

Changed25

New19

2015 Edition CEHRT Criteria(compared to 2014 Edition)

44 of 60 criteria to

be reworked or

developed new


TouchWorks: 2015 Edition CEHRT & MU3• Immunization Reg Forecasting

• Cancer Registry

• Health Care Survey

• Case Reporting

Public Health Registries

• Common Clinical Data Set

• Transitions of Care

• Standards: Direct, Edge, XDR/XDM

• eRx: Fill Hx, Cancel

Care Coordination

• Audit Actions on Health Info

• Trusted ConnectionPrivacy & Security

• Application Access API

• User Centered Design Testing

• Accessibility-Centered Design

Design & Performance

• Common Clinical Data Set

• Patient Health Info Capture

• Provider-Initiated Secure Messaging

Patient Engagement

• Implanted Devices

• Gender ID, Sexual Orientation

• Social, Psych, Behavioral Data

• New Standards: CDS & Infobutton

Clinical

• Record & Export

• Import & Calculate

• Reporting

Clinical Quality Measures

• 8 Objectives

• 20 Measures

Objective Measures


Radiology Order Appropriateness


TouchWorks Note:One Clinical Documentation Platform• V11Note becomes TouchWorks Note

– Support for Existing V11 NoteForms and Note Text Templates

• Sunset for V10, ACN

– No new V10 or ACN notes after 17.1 Go Live

– Adopt V11 Note before or at Upgrade/Go Live for 17.1


TouchWorks Note:One Clinical Documentation Platform• Note Enhancements

– Phase 1: Medical Element Model Integration

• New workflow and delivered content for ROS, PE

• Ability to personalize All Normal and Normal Per PE Body System per

user

• Ability to create Structured Note Forms using Medical Elements

• Cloud-based content management ‘workshop’

– Note Architecture Modernization (behind the scenes)

– Improvements to Note Plan Section Logic

– Improved ability to view note output while editing a note


ePA & eCoupons

• Electronic Prior Authorization

– New partner: CoverMyMeds

• eCoupons

– Integrated into prescribing workflow

– Automatic check

– Suggested output coordinated with prescribing action


Infobutton & FollowMyHealth Enhancements

• Infobutton

– New Infobutton Partners

– Prioritize preferred partner results

– MU3 additional requirements

• Patient/provider language

• FollowMyHealth

– Receive patient-sent document from FMH


• Enhanced item matching & duplicate checking logic

• Show or hide community items at a component level

• Ignore/suppress community items

– Show suppressed community items

• Improve usability per user feedback

Fusion Enhancements


TouchWorks EHR 17.1: Core Theme

• System Architecture Changes

– Patient Merge:

• New Platform & UI

• Merge Audit Report

– Purge/ Archive:

• Archiving previous versions to Orders & Results

– SSMT/ CMT:

• Login Improvements

• Backwards Compatible Updates


2016 2017Jan Mar May Jul Sep NovJan 2017

Begin EV Guided Exploration Phase

Begin Intensive Testing Phase

Begin EA Phase

GAC Build

EA Client Go Live weekend #1

EA Client Go Live weekend #2

GA

Mar - Oct EV Exploration and Testing

May - JulyEV Guided Exploration/Demos

July - Oct EV Intensive Testing

Late Oct – Mid Jan EA Client Installs

Mid Jan – Mid FebEA Go Lives

TouchWorks EHR 17.1: EV/EA Timeline

TouchWorks EHR 15.1 &

Optimization

Amy Elkins, AVP Professional Services


Enable a Highly Efficient & Effective Workflow

Key Features• Experienced optimization analysts

• Goals and processes tailored for your organization

• User-centric training approach

• Promotes engaged governing body

• Encompasses concrete metrics

• Scalable

• Supports ongoing training

Key Benefits• Focus on what matters most

• Measurable Metric Improvements

• Maximize your investment and your knowledge


Why Optimize

– Knowledge Transfer

– Governance

– Workflow Assessment

– Workplace and Clinical Desktops(s) *

– Tasking *

– Orders *

– Note *– Refresher Training Strategy

*Enhanced in 15.1!


Knowledge Transfer*Enhanced in 15.1!

* *


Governance*Critical in 15.1!

*


Example: Required for Finalization


Clinical Desktop - Before


Clinical Desktop Optimized*Enhanced in 15.1!


Tasking Optimization

• Redesign Task Views and Consolidate Tasks

– Shorter Task Durations via improved management & prioritization of tasks

– Culture of collaboration via transparency of views between roles

– Easy and instant access to needed views

• Design and Deploy all Tasking Features

– Enterprise Text Macros – Reliable and Efficient Documentation

– Personalization of Task Preferences – Efficient Task Creation/Navigation

– Self View Management – What I Need, When I Need it

*

*Enhanced in 15.1!


Note Optimization

• Clicks and Scroll Reduction

• Maximize Note Workspace *

• Note Form Design *

• Order Behavior *

• Charge Workflow *

*Enhanced in 15.1!


Note Workspace *Enhanced in 15.1!


Ordering from Note• Compendium Design and Behavior Critical

• Workflow Analysis and Training - 5 ways to Order

*Enhanced in 15.1!


Charge• Charge Workflow and Preference Review

• Enterprise Noteform, Orders, and Charge Design

• Workflow Training

*Enhanced in 15.1!


Not on V11 Note?

• V10 to V11 Note Migration Available

• All new 15.1 enhancements only apply to V11 note

• Text templates married with note forms allows for ease of

transition

• See entire chart from note, med rec from note, order and

charge…all from V11 note

• Contact you Allscripts Outcomes Executive (AOE) Today!


How to Get Started – Four Simple Steps

Pain Point

Assessment

Configuration

Review

End-user

Observation

Optimization Plan

Presentation

Phone discussion to

determine which pain

points need to be

addressed

Phone/web discussion

with IT staff to review

system configurations

pertaining to specific

pain points

Onsite observation of

end user experience,

carefully noting

inefficiencies

Allscripts presents

recap of all

observations,

associated timeline

and ROI of plan


Six weeks after EHR Optimization…

0

10

20

30

40

50

60

70

80

ResultVerification -

VerifyDialogue

Add ClinicalItem

Tasking Note MedicationRenewals

Physical ExamForm -

GeneralSurgery

Physical ExamForm -

Cardiology

Physical ExamForm - Urology

Physical ExamForm - Pain

Management

OptimizationPhysical Exam

Form -Gynecology

Pre-Optimization Click Count Post-Optimization Click Count

Allscripts Prenatal 16.1

Kathryn Seltmann, Product Manager


Allscripts Prenatal by the Numbers

• Nearly 50% of TouchWorks clients use

Prenatal

• In the past year additional TouchWorks

clients, including large academic centers,

have adopted Prenatal

• Prenatal 15.3 with TouchWorks 16.1

showed dramatic improvement in user

experience and efficiency


15.3 Release: Prenatal tab in TouchWorks


Prenatal 16.1

• Prenatal Care Plan

• Lab Improvements: Expanded Auto-Interpret Functionality

• Prenatal API (enabled in Unity BOD 1/19/2016 and above)

• Travel Related Patient Education

• EDD April 26, 2016


OB Focus


Interaction with Problems/Plans & Results


Prenatal Feature SUS Data: 98.5% Average

Usability Metrics

Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 SUM SUS

MD1 4 4 4 4 4 4 4 4 4 4 40 100

MD2 4 4 4 4 4 4 4 4 4 4 40 100

MD3 3 3 4 4 4 4 3 4 4 4 37 92.5

MD4 4 4 4 4 4 4 4 4 4 4 40 100

MD5 4 4 4 4 4 4 4 4 4 4 40 100

98.5


Responding to Clients: Personal Views


Responding to Public Health: Patient Education


Allscripts Prenatal for TouchWorks

• Complete, legible record

• Relevant information in one place

• Easily identify important information

• Records readily available

in all settings

– Less maternal testing

– Less neonatal interventions


Upcoming Events

• Central Region User Group (CRUG)

– April 13-15 in Bloomington, MN

• Learn more at crugweb.com

• Regional Client Enrichment Series

– May & June 2016

– Dates & Cities will be announced soon!

• ACE 2016

– August in Las Vegas, NV

• Registration and call for speakers open now on www.Allscripts.com/ace

http://www.allscripts.com/ace

Monday, April 4, 2016 Allscripts TouchWorks EHR Executive...

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