Diagnotes open app challenge - phase 1 submission

Copyright © 2011 Allscripts Healthcare Solutions, Inc.

The first comprehensive communication system for on-call healthcare providers

Dave Wortman, CEO 1

| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health

Solution Overview – 1 of 2 Ø  High Level Solution Description:

•  Conveniently connects patients to on-call providers via telephone, connects doctors and nurses to on-call providers via telephone or secure text message.

•  Automatically identifies patients and retrieves critical patient data from the EMR in real-time for delivery to the on-call or recipient provider’s smartphone.

•  Enables immediate and thorough documentation of encounter activities directly from the smartphone, supporting continuity of care and reimbursement requests.

•  Manages on-call schedules, alerts and notifications. •  Provides comprehensive encounter logging and performance

monitoring through an interactive dashboard for improved practice management.

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Solution Overview – 2 of 2

Ø  Healthcare/Business problem addressed: •  On-call medicine is conducted “in the dark”:

•  Lack of complete and accurate patient medical history (14% errors in calls)1

•  Lack of secure and convenient mode of communication (>$50,000 text fines)2

•  Lack of efficient tools for follow-up and documentation (<5% documentation)3

•  This leads to severe costs (left) and risks (right) including: •  Unnecessary ED visits •  Higher readmission rates •  Lost reimbursement opportunities •  Inefficient use of provider’s time

Ø  The application developed addresses the following category: q Applications that improve management of high cost chronic diseases. q  Innovative approaches to addressing value-based care imperatives. q Both

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•  Suboptimal or erroneous diagnosis/treatment •  Compromised quality or continuity of care •  Increased liability and malpractice risk •  Greater HIPAA compliance risks


Usability and Design Ø  The Diagnotes system is comprised of two main components:

Ø  Diagnotes Mobile – a slick smartphone application that enables providers to conveniently interact with patients and other providers, quickly review patient medical history and recent provider activity, and thoroughly document all encounter actions.

Ø  Diagnotes Manager – a powerful web-based application that allows practice managers to track activity logged in the Diagnotes system, manage on-call schedules, generate reports and review performance metrics in an interactive dashboard.

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Diagnotes Workflow

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Development Stage

Ø  Please indicate the development stage as of the Phase 1

Submission Date: q  Idea q Prototype q Code development in progress q Code complete q Code complete, tested and approved by Allscripts.

Ø Additional Information: Diagnotes is a fully-developed product that is currently deployed and in use in multiple clinical settings. Remaining development efforts for the Open App Challenge will center on integration with one or more of the Allscripts Electronic Health Record Solutions.

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Integration Description

Ø  Diagnotes requires two primary integrations with Allscripts

Electronic Health Record Solution(s): Ø 1. Patient Search

Ø The Diagnotes IVR performs searches for patient records based on patient phone

number and first name.

Ø Diagnotes Mobile allows healthcare providers to search for patients by patient ID

number, phone number, first name, last name and/or date of birth.

Ø 2. Patient Record Retrieval

Ø Diagnotes integrates via Continuity of Care Document (CCD) exchange, giving

healthcare providers an “abstract” of a patient’s health record—providing only the

most pertinent information needed at the point of care.

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Go to Market Strategy Ø  Beachhead market focus

Ø  High mobility needs (frequent on-call duty) and high information needs (complex or high-risk patients)

Ø Cardiology, Pediatrics, OB/Gyn, Internists, Neuro, Orthopedics, Emergency Ø  Strong economic case

Ø Hospital-owned and large independent practices, ACOs

Ø  EMR system in place

Ø  Direct sales to secure initial reference accounts

Ø  Channel partners to accelerate growth Ø  Healthcare software companies (Allscripts) Ø  Healthcare consulting firms Ø  Value-added resellers Ø  Answering and transcription services

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Pricing •  SaaS subscription model •  Effective monthly cost of $75-150 per provider •  Based on customer scale and configuration


Video Demonstration Ø  Diagnotes - Video Demonstration (YouTube)

Ø This video demonstration shows just one of several potential use cases for the Diagnotes communication system.

Ø In it, an Emergency Department nurse uses Diagnotes to conveniently and securely share patient information and consult with an on-call cardiologist via text message; the encounter is immediately documented.

Ø Other use cases include but are not limited to:

Ø Patients calling after-hours to reach the on-call provider

Ø Other clinicians calling to reach a specific, known provider

Ø Other clinicians calling or securely texting an unknown on-call provider

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Compelling Benefits

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Benefit Provider +

Colleagues

Practice +

System

Patient +

Caregivers

Improved Care

Added Convenience

Lower Costs

Reduced Risk

Better Documentation

Additional Revenue


Why Diagnotes? Ø  Convenient, easy to use, secure and effective

Ø  Automatically, securely delivers patient record to smartphone Ø  Supports follow-up actions, including encounter documentation Ø  Facilitates secure text messaging among providers Ø  Alerts providers and staff of pending or completed encounter actions

Ø  Clear compelling need Ø Over 50 million on-call encounters after regular business hours alone Ø  Errors and noncompliance create health and liability risks Ø On-call activities currently not reimbursed, despite incentives

Ø  Ready to go, ready to grow Ø  3rd party security audits passed – fully HIPAA compliant Ø Multiple pilot studies completed – excellent user satisfaction ratings Ø  Experienced team spanning IT, healthcare and early-stage companies

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References

Ø  1. Anna B. Reisman, MD, Karen R. Brown, MD. Preventing Communication Errors in Telephone Medicine – A Case-Based Approach. Journal of General Internal Medicine 2005; 20:959-963

Ø  2. Andrew A. Brooks, MD. Healthcare Texting in a HIPAA-Compliant Environment. American Association of Orthopaedic Surgeons Now 2013; 7:2

Ø  3. Katz HP, Kaltsounis D, Halloran L, Mondor M. Patient Safety and Telephone Medicine – Some Lessons from Closed Claim Case Review. Journal of General Internal Medicine 2008 May; 23(5):517-22. Epub 2008 Jan 29

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Diagnotes open app challenge - phase 1 submission

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