confidential — for internal use only 1 truven health analytics puerto rico summit 2015 david...

Confidential — For Internal Use Only 1

Truven Health Analytics Puerto Rico Summit 2015

David Bordewyk, PA-C, MPAS

Improving Outcomes Through Real-time Improvement Strategies



Who Is My Next Opportunity!?



Who Do I Care About Right Now!?

Accuracy

Precision



Priority - Who Do I Care About Right Now!?

Prioritizing workflow most limits the Clinician’s ability to work to their full capabilities

Promote uniform clinical practice (synergy)

Empower all departments to be high performing regardless of resource quality and quantity

Clinicians at the

Bedside Improve Care and

Save Money!



We Enable You to Harness Big Data by Enabling Sophisticated Clinical Analytics at an Enterprise Level

Tap into multiple data sources to convert patient data into actionable insights

Leverage an enterprise platform with user-specific views

Intervene with precision before patient risk and costs increase

Create meaningful, highly-accurate rules easily without IT

Immediate access to Micromedex clinical knowledge resources from within the user’s workflow



Centralized data serves up real-time information based on specific needs of your team



Edit, Create, and Deploy CDS Rules – Proven to be Clinician Friendly

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• Comprehensive library of nearly 300 reference rules

• Evidence-based

• Fully customizable

• Editor designed by and for clinicians

• Drag and drop interface to build/edit rules

• Detailed – not complicated

• Highly detailed filters

• Time associations

• Enables the precision needed to ensure patient safety and clinical efficiency



Detailed rule filters, e.g. – Medication filters –

Administration detail – # of doses, time (since admission, last administration, X time of other result or event)

Components of the sig – name, form, strength, route, dose, frequency Order status – active, prn, held, discontinued

Results Actual - <, >, =, contains Time – since test performed, since last update % change over X time – eg, INR Increase >= 30% in last 24 hours

Documentation – Physician and Nursing

Accurate Rules Enable Precise Lists

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Micromedex 360 Care Insights

Clinical Dashboard

User Workflow

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Focus on Patients Who Need Help Now

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Real-time intervention of at-risk patients:• Decentralized – by

unit• By clinical problem

or intervention

Comprehensive view of medication, lab, vitals, and report information

Quick view of critical values, automated Interaction and IV Compatibility checks, and pharmacy tools and calculators



Context-specific Integration of Clinical Decision Support Resources – Micromedex Drug, Disease, and Lab Databases

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Document Clinical Interventions and Adverse Events

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Easy documentation of intervention within the workflow

•Intervention-specific documentation within the workflow

•Fully customizable

•Auto-population of results

•Export in standard HL7 CDA format for ingestion by EHR

Example CDS Rules

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ED Sepsis Screen – CDS Rule

Rule cont’d…

Decision support rule is configured and runs in real-time to ID patients showing early signs of sepsis…



When a CDS Rule is met, alert is generated, and patient is put on worklist…

Clinical User performing assessment opens electronic screening tool…



Clinical User documents assessment and action…(Note – alert could go to ED staff, or direct to Rapid Response Team)

Rapid Response Team can review real-time clinical data remotely….

Freeman Health

Malnutrition Intervention

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Freeman Health – 2014 Advantage Award Winner Malnutrition Profile

Created a clinical profile within Micromedex 360 Care Insights to identify Malnourished Patients during hospitalizationCreated a

clinical profile within Micromedex 360 Care Insights to identify Malnourished Patients during hospitalization

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Truven Health Analytics Puerto Rico Summit 2015 19

Freeman Health – Benefit of Real-time Malnutrition Intervention

“Previously, even when we identified a malnourished patient, it was typically not caught in real-time, while the patient was still in the hospital and could have been addressed by their physician,”

“Now, these patients are identified and presented proactively on a daily basis so they can be treated promptly.”



Freeman Health – 2014 Advantage Award Winner

Results of Malnutrition Interventions:

Improved patient outcomes and decreased lengths of stay

Time Savings – 360 Care Insights automates the extensive clinical data

review required to accurately identify patients

Increased Reimbursement Estimate > $115,000/year in increased reimbursement

Infectious Disease Surveillance

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Suspected Case Illness in a person who has both consistent symptoms and

risk factors as follows: 1. Clinical criteria, which includes fever of greater than 38.6 degrees

Celsius or 101.5 degrees Fahrenheit, and additional symptoms such as severe headache, muscle pain, vomiting, diarrhea, abdominal pain, or unexplained hemorrhage; AND

2. AND - Epidemiologic risk factors within the past 3 weeks before the onset of symptoms, such as contact with blood or other body fluids of a patient known to have or suspected to have EVD; residence in—or travel to—an area where EVD transmission is active; or direct handling of bats, rodents, or primates from disease-endemic areas.

Malaria diagnostics should also be a part of initial testing because it is a common cause of febrile illness in persons with a travel history to the affected countries.

Confirmed Case A suspected case with laboratory-confirmed diagnostic

evidence of ebolavirus infection.

CDC Case Definition for Ebola Virus Disease (EVD)

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Source: Centers for Disease Control, Health Alert Network, August 1, 2014, HAN 00364 at: http://emergency.cdc.gov/han/han00364.asp

http://emergency.cdc.gov/han/han00364.asp

http://emergency.cdc.gov/han/han00364.asp



Ebola Surveillance Rule



Malaria Surveillance



More than Data. Answers.

confidential — for internal use only 1 truven health analytics puerto rico summit 2015 david...

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