The Core Functions Center Around Their Technology Solutions And Clinical Acumen

One of the issues with the electronic systems in health care for MU is the ability to retrieve laboratory results during a patient’s visit. In 2013, Hinrichs and Zarcone reveal that over 70% of medical decisions are determined by laboratory results. In 2007, AU Health implemented Cerner Millennium PowerChart that displays clinical data to improve the point of care for patients. With the PowerChart solution, the patient’s information can be easily verified, vital signs can be entered, and family history can be updated. The Affordable Care Act (ACA) signed by President Obama in 2013 places emphasis on expanding insurance coverage of medical care for everyone. As part of the ACA, the improvements in the way these results are exchanged and transmitted will add value to quality, safety, efficiency of health information (Hinrichs & Zarcone, 2013). The transmission and availability of EHR affect how other health professionals send and receive information at the local, state, and national levels.

EPIC EpicCare is rated as the best Acute care and Ambulatory EMR for large hospitals with more than 75 physicians (KLAS Research,2017). As Houston Methodist (HM) is committed to Leading medicine and improve patient experience, the leadership decided in 2013 to shift from MethOD an EMR based on Allscripts® to a new EHR looking for an integrated solution that will help build a complete and robust patient story, easily accessible by the care team to help them make more informed decisions in order to achieve better health outcomes, improve communications, and get patients more involved by providing them with convenient online tools. HM started the vendor selection process in 2014 and in 2015 they decided to go for EPIC EpicCare

Epic is a single integrated system for the clinical and business functions of health care provision that include registration, scheduling, and billing. The system is owned by Epic Systems, formerly Episodic Care, a large provider of HIT (health information technology) and is mainly utilized by health providers in accessing, systematizing, storing, and distributing EMR’s. Epic Systems is an independent firm in Verona, Wisconsin with a vast campus. Epic is useful in streamlining regulatory compliance, clinical workflow, quality care, the patient experience, and clinical documentation. This is a reflection of the

In 2013 readmission following hospital stays for AMI, CHF, COPD or pneumonia the cost for readmissions totaled $7.0 billion, which accounted for 13 percent of the cost for total readmissions in the nation (Fingar & Washington, 2015). The highest readmissions fell with HF, followed by COPD, pneumonia then AMI. Trends from 2009-2013 showed a decrease in the overall hospital Medicare readmissions by an average of 9 percent and this was from these top four diagnosis (Fingar & Washington, 2015). This information came from Healthcare Cost and Utilization Project (H-CUP) which is a group of healthcare data bases. Through technological use of several software tools the data needed for this project was abstracted. This is a perfect example of using technology to improve the processes for healthcare improvement by supplying needed data for analyzing to gain the knowledge for change within the healthcare systems (Fingar & Washington, 2015).

Although HIT can provide tools to help with decision making in regards to diagnosis, management of disease, treatment, and prevention, the current EHR’s do not have a link to support systems to help manage chronic care. Primary care practices must now shift their focus on healthy patients, as well as acute and chronically ill patients. With HIT a provider can effectively report the quality measures, however the current EHR’s cannot identify which patients may need particular services (3).

By making health information accessible across an entire Acute Care System, Cerner EHR facilitates improved safety, care and coordination by providing clinicians with real-time health information, so that they are able to make more accurately informed decisions. Their electronic health records system eliminates the need for hand-written documentation, provides medical records clarity, improves accuracy and reduces errors. Cerner’s customizable applications were specifically designed to streamline both administrative and clinical tasks. These automated processes, ensures health care professionals are better equipped to maintain and perform all key administrative manipulations of clinical data relevant to each patient of record. Cerner EHR also

The common goal amongst all healthcare disciplines is for optimal patient outcome. In order for such a goal to be achieved, all healthcare disciplines must integrate interventions/treatment plans and work collectively to provide continuous care. The usual health care members consists of physicians, nurses, pharmacists, respiratory/physical therapists, dieticians and social workers to name a few. Integrating care helps reduce redundancies, lower costs, allow for universal language, and an ability to share information. At the current moment, new technology such as universal EMR systems like EPIC and Cerner for examples, provides for better access to charts so that patients can receive

An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The

The four pillars of analytics competition are (1) Support of a strategic, distinctive capability, (2) an enterprise-level approach to and management of analytics, (3) Senior management commitment, and (4) Large-scale ambition (Davenport & Harris, 2007).

Anthem with its state of the art Health Care Analytics engine and access to wide range of comprehensive information including complete claims history is able to provide doctors meaningful actionable information like high

Optum, a specialized division of United Health Group, provides predictive analytics coupled with technology-enabled clinical services, with a goal to improve the patient experience and member outcomes in a cost-efficient manner (United Health Group [UHG], 2017). The mission statement and vision “ To help people live healthier lives, and, to help make the health system work better for everyone” (Our Mission, para.1) is what drives the work done at Optum (Optum, n.d.). One of the many clinical areas within Optum is the clinical claim review and resolution team which works to resolve provider disputes related to claim payment and authorization of services.

Electronic medical records had a great impact in the ushering in of the age of Nursing Informatics. (Himss, 2010)EMRS present healthcare professionals with the ability to retrieve and organize data in a quick and efficient approach. With information so readily available, patient safety increases and we know that patient cost goes down. This happens because patient medications, allergies, history, demographic, and treatment information is more collectively available.

In an uber globalized market of today, companies are faced with challenges in each and every step of their business. Our analytics and research services are geared towards giving those companies that extra edge over the competition. We process and analyze terabytes of data and break down all the fuzz and chatter around it to give our customers meaningful insights about their competition and the market they are engaged in.

It is not clear to me that Sanofi currently has a unique ‘Distinctive Analytics Capability’ in that there are other bigger pharmaceutical companies that are investing heavily in data analytics as well.

Based on Davenport and Harris (2007)’s pillars of analytical competition, there are four pillars: distinctive capability, enterprise-wide analytics, senior management commitment, and large-scale ambition.