Reminder: GE’s Virtual Office Visit Survey

We’d like to get your feedback regarding use of or interest in Video Office Visit technologies that allow for remote, real-time, face-to-face video encounters with your patients. Please take a few minutes and share with us your thoughts regarding virtual office visits. The intent of this survey is to help us better understand your current adoption of virtual office visits and potential interest in a solution from GE. Users who participate in the survey will have the opportunity to participate in focus groups or additional feedback sessions.

Please complete your survey by September 30, 2016.

Link To Survey

Building An Ecosystem of Partners – One Partner at a Time

In May 2016, GE Healthcare Digital President and CEO, Charles Koontz introduced the Centricity™ Partner Program at our annual Centricity LIVE user group meeting. Through the Centricity Partner Program, independent software vendors (ISVs), systems integrators, value-added resellers (VARs), service providers and technology partners can actively test that their software and services work seamlessly with Centricity software. As a result, our customers gain more confidence that the software and services they’re considering will meet their clinical and business needs and work smoothly with their existing software.

Read more

GE Healthcare Receives 2016 Computerworld Data + Editor’s Choice Award

GE Healthcare’s Centricity™ EDI Services was awarded the 2016 Computerworld Data + Editor’s Choice Award. The annual awards program “honors organizations achieving business benefits through big data such as fighting credit-card fraud, determining the best ways to treat hospitalized patients, or promoting positive social, economic or educational change.

Read more

STEADI Fall Risk Assessment Form

STEADI Fall Risk Assessment Form

The Centers for Disease Control and Prevention (CDC), American College of Preventive Medicine (ACPM), a team of national experts, and PatientLink worked together to design and build a free fall risk clinical decision support (CDS) encounter form. This tool will help you incorporate fall risk assessment and fall prevention into your clinical practice – and enhance your efforts to help older adults stay healthy and independent. You can download the STEADI Fall Risk Assessment tool for free here!

Clinical Decision Support Tool to Decrease Fall Risk in Older Adults

CDC Article Falls are preventable and can be considerably reduced if high risk patients are identified through screening and receive appropriate follow-up care.

If your practice serves adults 65 and older, you should already be doing fall risk assessments. However, many doctors don’t due to time constraints.

While time is limited at an appointment, it’s crucial for doctors to help patients develop a plan to decrease their fall risk. The Center for Disease Control and Prevention (CDC) recommends that doctors incorporate fall prevention into their regular practice. Doctors should be informed on what they can do to prevent falls among their older adult patients, such as recommending vitamin D, reducing medications that might increase falls, and referring patients to community programs or physical therapy to improve their balance.

“I continue to use the tool in my daily practice.”

The CDC developed the Stopping Elderly Accidents, Deaths and Injuries (STEADI) initiative to make fall prevention a routine part of clinical care. STEADI includes a clinical algorithm, adapted from the American and British Geriatric Societies’ Clinical Practice Guideline, which helps sort patients by fall risk level. Although doctors found the algorithm useful, they wanted it integrated into their Electronic Health Record (EHR) systems. The CDC partnered with the American College of Preventive Medicine and PatientLink to create an EHR Clinical Decision Support Tool based on the STEADI toolkit that would work within the GE Centricity EHR.

Creating a Clinical Decision Support Tool to Assess Fall Risk

A national team of doctors and researchers set out to create the content of the tool, and worked with PatientLink to build it. The team met regularly to review what Debi Willis, technical engineer on the project and owner of PatientLink, was building and to provide feedback through the entire process.

In the first stage, PatientLink created a tool based on the complete CDC STEADI algorithm. Once ready to be tested in a real-life setting, PatientLink connected with physicians at Oklahoma University (OU) Medicine to test the tool. It was integrated into OU primary care practices where it was evaluated for its usability, technical soundness, convenience and modified based on feedback from doctors.

Dr. Robert Salinas, family physician and geriatrician at OU, was part of the national advisory committee and also the lead physician in testing the tool within Centricity. He found the tool to be incredibly helpful. “I continue to use the tool in my daily practice,” said Dr. Salinas. “It helps me and my patients create an easy-to-follow plan for optimal care.”

The tool has multiple sections, divided into tabs for easy toggling. The first tab is the patient’s 12-question self-assessment, which they can fill out prior to entering the office. Based on their answers, the EHR tool auto calculates a fall risk score for the doctor. If the patient is at increased risk for falls, further assessment and preventive measures are recommended, which are facilitated by the EHR.

CDC ArticleFor those that fail the initial screen, the doctor is guided through tabs including assessments (e.g., gait and balance), medication review, and a physical examination and plan of care tab, where the doctors can perform additional assessments if needed and develop a plan for follow-up care. For instance, if the patient had poor muscular strength, the doctor may suggest physical therapy. Then, the doctor can plan to meet with the patient again in six weeks to observe improvement and hopefully find that the patient has better balance and is at a lower risk for falls.

Dr. Salinas shared that not only did he and his fellow doctors enjoy the tool’s ability to better assist and assess for fall risk, his patients appreciated the tool, as well. The patients interviewed provided positive feedback and felt the doctor really cared and wanted to help, versus only asking questions and moving on regardless of the response.

After the first-round testing phase was complete, the doctors confirmed the tool was very helpful but had one overriding recommendation. They wanted the tool to automatically identify which of the patient’s medications might affect their fall risk.

Updating and Improving the Clinical Decision Support Tool

During the second stage of development, the national team got together to identify the medication categories that were associated with higher fall risk. The team wanted to provide doctors a way to easily identify whether their patients were taking medications that increased their risk of falling, in order to assist them in determining whether these medications should be stopped, switched, or reduced.

Once the new tool was completed, the team sent it back to the doctors, who tested the tool with more than 500 patients, providing multiple rounds of feedback to the software development team along the way. The doctors found the new tool to be very useful. The only remaining problem was the time needed to fully assess a patient for fall risk and recommend interventions.
Fitting fall prevention into a typical office visit remains a challenge. The Centers for Medicare and Medicaid Services (CMS) encourages fall screening by making it a component of the Welcome to Medicare Visit and the Medicare Annual Wellness Visit; however, these visits are not universally used and fall prevention is just one of many parts. Falls-related quality measures are also included in CMS incentive programs which provide an additional incentive for fall prevention.

“We certainly hope that a lot of doctors will use this tool and find it useful,” said Erin Parker, PhD, Health Scientist at CDC. “We know that doctors are aware of falls in older adults and want to help but don’t have all the needed resources, but now they do. We want them to use this tool and help patients decrease their risk.”

More Reasons to Perform Proper Risk Assessment

The numbers provided by the CDC speak for themselves:

    1. Falls are the leading cause of fatal and nonfatal injuries among older adults (aged 65 years and over).
    2. Every second of every day in the U.S. an older American falls
    3. 1 out of 5 falls cause a serious injury such as a fracture or head trauma.
    4. In 2014 over 27,000 older Americans died because of falls, 2.8 million were treated in emergency departments (EDs) for fall-related injuries and >800,000 of these patients were subsequently hospitalized
    5. By integrating fall prevention into clinical practice physicians have the potential to reduce future falls by nearly 25%.

What do you think about the Fall Risk Assessment tool? Would your practice use it? Let us know!

Virtual Office Visit Survey

We’d like to get your feedback regarding use of or interest in Video Office Visit technologies that allow for remote, real-time, face-to-face video encounters with your patients. Please take a few minutes and share with us your thoughts regarding virtual office visits. The intent of this survey is to help us better understand your current adoption of virtual office visits and potential interest in a solution from GE. Users who participate in the survey will have the opportunity to participate in focus groups or additional feedback sessions. Please complete your survey by September 30, 2016.

https://supportcentral.ge.com/esurvey/takesurvey.asp?p=17778&d=3976284

Upcoming Release with Important Regulatory Updates

Dear Centricity™ Practice Solution and Centricity EMR Customers:

We would like to inform you of important developments that may benefit your practice for the 2016 and 2017 reporting years.

These include an upcoming release (Regulatory Update 2016 delivered via Service Pack 13) for Centricity Practice Solution 12.0.x and Centricity EMR 9.8.x customers, an upcoming script related to Clinical Quality Measure (CQM) CMS 50, a workflow change for Objective 3, and a webinar covering these topics.

Please review this communication from Chad Dodd for details on each development: https://engage.gehealthcare.com/docs/DOC-233126

Centricity™ Services Update: Reminder – Customer State of the Union Address on September 7

Dear Centricity™ EMR Listserv Customers,

I would like to remind you of our invitation to attend the next Customer State of the Union webinar on Wednesday, September 7, 2016.

The State of the Union provides important updates and, as you saw from our prior communications, forms an integral part of our summer webinar series.  The following topics will be covered:

-          Quality Updates

-          Regulatory Updates

-          Introduction to Centricity Practice Solution 12.2 and Centricity EMR 9.10

-          Project Northstar Updates

Customer State of the Union

DATE: September 7, 2016
TIME: 1:00PM-2:00PM PDT | 4:00PM-5:00PM EDT

Webinar Registration Link

Registration will be required to join the event. The audio will be broadcast over the internet. We will record the meeting and post it to the service portal for those who cannot attend live. We hope you will join us.

Sincerely,

Chad Dodd

General Manager, Ambulatory Practice Solutions

GE Healthcare Digital