Solutions: Decision Support
Leveraging ProVation® Order sets improve core measures performance.
mproving core measures performance has taken cen- ter stage as hospitals respond to growing pressure to improve care and patient safety – pressure coming in part from initiatives such as CMS’ Hospital Value-Based
Purchasing Program that links reimbursements to quality outcomes.
Evidence-based order sets embedded with intuitive clinical decision support such as ProVation® Order Sets, powered by UpToDate® Decision Support, have proven to be an integral and innovative element of any core measures and/or quality metrics improvement strategy. For one facility, ProVa- tion Order Sets contrib- uted to an increase in its heart-failure composite indicator from 95 to 98.65 percent in just six months. Its pneumonia and AMI composites went from 94.29 to 100 percent in the same timeframe. ProVation Order Sets provides physicians with an evidence-based “checklist” to guide care
decisions, as well as direct access to supporting medical evi- dence from such trusted sources as UpToDate. This instills confi dence in the best practices being recommended, which drives the adoption levels necessary to infl uence core mea- sures performance and quality metrics. ProVation Order Sets also automates the creation of electronic order sets, making it easy to target core measures where performance outcomes are weak. It comes standard with hundreds of pre-defi ned evidence-based order sets that can be quickly and easily customized to meet specifi c needs, and features proprietary authoring and management tools that allow for online order set review and management. It
also streamlines CPOE integration through structured con- tent and a robust order catalog mapped to multiple standard terminologies.
The One-Click Updates tool automates the process of maintaining order sets against a steady stream of new research, practice guidelines and evidence summaries. Enabled by a unique structured approach to data management, One-Click Updates alerts end users to new evidence that may trigger the need to modify particular order sets. It then enables users to review recommended updates and apply them in a single step across multiple order sets. Key to core measures performance improvement is the
CDS Rules & Alerts module, including pre-defi ned CDS rules based on CMS and Joint Commission measures and an authoring tool for creating customized CDS rules within order sets to draw attention to key care protocols. The module also provides intuitive documentation capabilities that guide physicians to properly document care decisions that counter recommended best practices.
Because the hospital controls the alert levels and fre-
quency, CDS interventions created within ProVation Order Sets can provide physicians with a path to deviate from the order when necessary. This reduces physician resistance by eliminating the perception that they will be forced to practice “cookie cutter” medicine. For example, a pneumonia order set may require the physician to select the type of pneumonia, which turns the appropriate corresponding antibiotic on or off. A CHF order set could prevent submission without fi rst ordering an echo cardiogram or documenting the specifi c reasons why one has not been ordered. Reminders, cross-reference checking and medication order alerts that require explanation when overridden are other CDS interventions that, when embedded within ProVation Order Sets, will ultimately drive core measures improvement. For more information about ProVation Order Sets and to access case studies, white papers and webinars of interest, visit provationordersets.com or call 888.952.6673.
12 June 2012
HEALTH MANAGEMENT TECHNOLOGY