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Implementing clinical decision support
Qualifying for MU under Medicaid rules
Waiting to attest with Epic
“We were going to do this anyway… it hasn’t really changed our philosophy”
Moving ahead with ICD-10
“Have a game plan and stick to it”
Managing dual CIO & CMIO roles
About Children’s Hospital & Medical Center
Migrating to Epic
No need to push EMRs out to community docs
Being a founding member of NEHII
“We intend to use the Epic solutions wherever possible”
Complex issues involving decision support with pediatric patients
About Southern Illinois Healthcare
Forming a PHO to improve care coordination
Integrating the acute & ambulatory environments
Improving outcomes for chronic disease patients
EMR adoption – “it runs the gamut”
“It’s mostly a cost issue”
About Children’s
Connecting with independent physicians
Pushing clinical decision support across the continuum
Building a sustainable, affordable HIE model
“It’s all about the value proposition”
Partnering with Epic
Poor integration with clinical workflow is the “Achilles heel” hindering clinical-decision support success, according to a new KLAS report, Clinical Decision Support 2011: Understanding the Impact. Additionally, many reported issues with alert fatigue, describing it as an “overly sensitive mess.” KLAS also stated most tools did well in one of these main arenas, but rarely [...]
The critical factor in determining the risk posed by different types of clinical decision support (CDS) software is whether that support “is mediated by a human being,” stated AMIA in a comment letter sent to the FDA, which is preparing draft guidance on mobile medical applications. The FDA’s most rigorous attention, AMIA advised, should be [...]
A new study from Johns Hopkins reveals the value of standard protocols (aka, clinical practice guidelines) on reduction of central line infections in the ICU– $1.1M per year. If I were CEO of an insurance company or major employer paying for healthcare, my contracts would require my healthcare providers to show proof that they’ve implemented evidence [...]
*Thoughts on Meaningful Use
*”The biggest issue we have with Meaningful use is the collision with ICD-10″
*”CPOE is a huge cultural shift and will likely be the toughest one for community hospitals”
*Physician freedom versus evidence-based medicine
*”There’s still an art to this as well as a science”
George McCulloch, Deputy CIO, Vanderbilt University Medical Center, Chapter 2 [ 16:55 ] Play Now | Play in Popup | Download (245)In some cases, the utility of patient genotyping prior to therapeutics is of unquestioned value. In non-Hodgkin’s and Mantle Cell lymphoma, DNA sequencing of the tumor provides personalized cancer vaccines that demonstrate statistically significant Phase III clinical trial results with disease-free survival benefit in treatment of these types of follicular lymphoma [1]. The Oncotype DX® [...]
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