Forerun is excited to announce the release of ED Optimizer™, our emergency department performance dashboard and key metric analytics solution.
Emergency Department Charting Software Leader Brings ED Documentation and Care Management Solution to Urgent Care Providers
Three MEDITECH 6.0 Hospitals Transition to FlexChart™ Physician Documentation
ED physician documentation tools are frequently included in the EDIS/EMRs selected by hospitals from their enterprise vendor with little consultation from care providers. This often leads to low provider adoption, reduced productivity and impaired patient flow all caused by the implementation of systems that were designed without sufficient ED clinical user focus. Rigid documentation tools within EDIS vendor applications often fail to meet the challenges of the dynamic ED environment such as meeting the constantly evolving performance markers set by CMS and insurers and ED resource management. As a consequence, it is very common that ED physicians fight to retain their existing documentation tools (paper chief complaint forms or dictation with transcription) and resist changeover to EDIS-electronic charting while accepting other elements such as CPOE and electronic nurse documentation. Hospitals often find themselves frustrated by having to trade-off the goal of having ED doctors capture chart data electronically with the increased costs and lower staff and patient satisfaction that a result from implementation of dysfunctional EDIS products.
A Solution That Works for All: FlexChart™
Forerun’s FlexChart™ is frequently selected as an elegant compromise between the hospital executives and the ED physicians group. FlexChart™ is an advanced charting and care management solution that integrates with and enhances single vendor EDIS thereby delivering to the hospital, an integrated electronic charting solution, and to the ED physicians, an advanced charting and care management solution that leverage-in place workflows and technologies and that address the shortcomings and productivity gaps created by use of single vendor solutions in the ED.
Three East Coast Hospital Success Stories
Three eastern seaboard hospitals recently elected to implement FlexChart™ Physician Charting on top of the MEDITECH 6.0 applications in use in their Emergency Departments. These ED’s desired to move from documenting on paper to electronic documentation but were concerned about a loss in productivity that would result from use of the charting module offered by their in place EDIS. FlexChart™ integrates with and augments MEDITECH EDM, and other single vendor EDIS, to improve workflow through faster charting and by presenting key data to enable physicians to make faster, more informed decisions.
Forerun’s specialized implementation team for MEDITECH sites helped these customers define their workflows in relation to existing MEDITECH EDM workflows and worked with the sites to implement the FlexChart™ Physician Charting solution in about 90 days.
Read about the benefits of the successful implementations of FlexChart™ at these sites below.
Fast & Complete Charting
FlexChart’s™ electronic documentation tool combines the speed of the paper chief complaint forms and the richness of dictation. “Electronically checking boxes coupled with the added flexibility of being able to dictate using voice recognition for the medical history and medical decision-making is the best of both worlds, “ said the Chief of the ED at one of the newly implemented sites. “This process not only creates a chart that is optimal for billing and risk management, but is also a great clinician-to-clinician communication tool,” he continued. The data rich nature of FlexChart™ coupled with its speed and ease of use creates a competitive advantage allowing physicians more time at the bedside and smoother patient flow while improving coding efficacy, payer reimbursement, and data collection and management.
Improved Quality & Patient Care
FlexChart™ incorporates electronic quality improvement and core competency functionality that allows for the tracking of adverse events and errors by physicians as well as measures quality of documentation, clinical judgment, and resource utilization. Functionality including problem flagging, individual provider preference notification, clinical alerts, and individual care plans allow the emergency physicians to tailor care to the needs of the patient, the individual referring physician and to hospital CMO policies. These features drive dynamic quality improvement beyond the capacity of most emergency departments.
Coding Capture for Billing
“FlexChart™ delivers chart output that leads to specific improvements in coding capture for both technical and professional billing, especially in the subjective arena of the table of risk and medical intensity of service assessment critical in achieving the higher Evaluation & Management codes,” said a Medical Director at another of the sites.
Forerun has collaborated with ED physicians’ billing companies to package and electronically transfer patient visit information from the ED to the billing company to reduce the efforts required of hospital staff and to improve the completeness of what is processed by the billing company (driving improved billing results). Working with the billing companies, Forerun modified FlexChart™ to incorporate certain elements, such as various attestations, to improve the documented evidence of actual care provided and better justify the bills created and sent to payers.
Improving Continuity of Care: Interoperability with Non-ED Care Providers
“FlexChart™ also improves the speed and quality of communications with hospitalist and referring physicians. The ability of primary care physicians to easily enter information when referring a patient ensures timely communication of important care considerations,” continued the Medical Director. The FlexChart™ clinical viewer is available to authorized users outside the ED and complete visit summaries are sent to PCP’s and specialist after patient’s ED visit. Clinical alerts, individual care plans, as well as provider preferences allow the emergency physicians to fit the care and communication to the needs of the patients and individual referring physicians.
FlexChart™ has built-in connectivity with specific PCPs and specialist networks to exchange patient information with providers outside the hospital involved in the patients’ care.
Hospitals have frequently turned to implementing electronic documentation systems in their emergency departments that were not specifically designed for the ED. Deployment of these systems has actually made the clinicians using them significantly less productive. ED physicians are spending less time seeing and treating their patients and more time in front of computer screens, working in electronic charting applications with poor user interfaces that are not designed for optimal workflow. The result is that departmental efficiency suffers in number of ways.
When the ED runs more efficiently, the results include higher patient throughput measures, reduced door-to-doc time, and maximized physician productivity. FlexChart™ facilitates each of these instances by combining the efficiency of chief complaint driven templates with the quality of electronic charting including smart interfaces and speech recognition: this supports both the physician’s need for speed and the hospital’s desire to capture clinical documentation data electronically. Both parties’ needs are satisfied, and physician groups see greater physician recruiting and retention as a result of leveraging the partner charting software system.
A frequent issue for hospitals after selecting an HIS is the Emergency Department electronic charting solution doesn’t meet the needs of the ED physicians or support hospital goals. This can lead to numerous issues throughout the hospital as up to 80% of admissions come through the ED and this could be a bottleneck that has huge implications on the hospitals. Here are 5 critical areas your ED documentation solution could be hurting your hospital.
With the shortage of radiologists and the increasing demand for accurate diagnostic interpretations by Emergency Departments within hospitals, teleradiology is growing within hospital settings. Facilities are turning to teleradiology services to help staff members cover shifts outside of their 9-5 weekday working hours, and are able to provide constant radiology coverage for hospitals. These radiologists are able to examine medial scans, review and interpret them, and construct interpretation reports that hospitals can then use to treat patients. Because this is a remote process, these reports are most commonly scanned and sent back to hospitals in the form of a fax.