ASCs, and GI in particular, lie in the simplicity and efficiency with which information flows across the patient encounter. From the initial phone call with a patient to the onsite history and forward, ProVation software eliminates duplication and provides our physicians, nurses and other staff members with intuitive navigation that addresses all unique parameters of patient care provided at the GI center. ProVation MD enables physicians to more efficiently and comprehensively document procedures at the point of care, then automatically generates complete, coding-ready and image-enhanced documentation. In a complementary fashion, MultiCaregiver addresses our nursing documentation needs by eliminating the inefficiencies of paper charting and automatically collecting information on vitals. Physicians are able to document directly on images, pointing out important evidence such as the location of polyps and specific information related directly to the needs of a particular patient. Important to elevating patient care, charts are customized specific to each patient instead of relying on generic templates. The technology also allows for electronic signatures, and charts are time-stamped, creating additional efficiencies to workflow. Reporting tools provide an enhanced method of analyzing data, enabling quick and easy views of per-physician case numbers, medications utilized and physician-to-physician comparisons of key data to identify outliers that may require addressing, such as scope withdrawal time, adenoma detection rate and rate of cecal intubation. Another expressed benefit is the rapid reporting available for referring physicians, which allows such items as radiology and lab reports to be sent automatically. Post-op reports are also faxed directly to referring physicians with delivery automatically confirmed.
Realizing the benefits
SVH’s GI Center now operates in a purely electronic environment. By automating key processes, we have been able to eliminate paper costs equating to more than $7,400 annually and transcription costs of $39,000. Drawn from 2009 statistics, these numbers appear to be conservative and would likely be much higher today based upon ongoing analysis.
In late 2011, SVH transitioned to eSummit as its system-wide EHR, and as of June 2012, both the ProVation MultiCaregiver and ProVation MD products interface directly into the house-wide EHR. This integration allows patient information to be updated in a timely manner and made available to all hospital clinicians involved in a patient’s care. Staff members are utilizing the data-reporting tools and realizing the benefits in full measure. These tools include a monthly review of inpatient and outpatient stats, as well as procedure types. Because of efficiencies with the technology’s report-building capabilities, we are able to use the data for high-level analysis and planning.
Specifically, the difference in the amount of time it takes to build a report has been noteworthy – decreasing from one hour to three minutes. Report data is now being used for initiatives such as conducting physician audits, reviewing documentation practices and pinpointing weak areas that need follow up.
Satisfaction and ease of use for staff and physicians proved to be a huge asset for making the transition, and strong confidence in the availability of technical support boosted acceptance of the new products into workflow. Patient satisfaction has also increased because intuitive navigation eliminates the need to ask repeatedly for the same information.
From the initial phone call with a patient to the onsite history and forward, ProVation software eliminates duplication and provides our physicians, nurses and other staff members with intuitive navigation that addresses all unique parameters of patient care provided at the GI center.
While ASCs are not faced with the same regulatory pressure to deploy EHR technology as hospitals and physicians, the benefits of making this investment are clearly evident, including substantial cost savings and the ability to provide an enhanced level of patient care. SVH’s GI Center is not a free-standing ASC, but the operational practices and workflows run parallel and are comparable. When considering which technology to deploy, it is important to analyze whether a particular solution can address the specific workflow needs unique to these environments. Technology created for hospitals will have limitations in this regard, potentially leading to difficult deployments and clinician pushback.
As demonstrated by SVH’s experiences, leveraging advanced technology is a winning proposition for GI Centers; these specialized units can position themselves well for the future of healthcare by choosing the right technology.
Others who contributed to the development of this article include: Steve Neary, ancillary system administrator; Brett Close, systems and technology center specialist; Susan Pogue, BSN, RN, GI center clinical supervisor; and Dallas Kucera, BSN, RN, GI center staff nurse.
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