Becker's Hospital Review

27 Executive Briefing Sponsored by: T he American Medical Association (AMA) reports that physicians are spending up to six hours a day working with their electronic health record (EHR) to comply with documentation mandates. This is contributing to record-high levels of physician burnout and dissatisfaction with the practice of medicine. While this has been a topic of conversation that has grown over the last few years, it shouldn't surprise anyone. EHRs are transactional systems that were designed for regulatory purposes, not for easing workflow. They "check a box" and review and manage tasks to ensure your institution is compliant with meaningful use. They were never meant to be about care, rather they were intended to reduce billing-related headaches. Another issue that has arisen relates to the emergency of antibiotic- resistant illnesses. According to the Centers for Disease Control and Prevention, antibiotic resistance is one of the biggest health challenges of our time. More than two million people get an antibiotic-resistant infection each year. This results in the death of more than 20,000. It's time that providers have the ability to leverage their EHR to serve as part of the solution to this challenging problem. It's increasingly important that hospitals and health systems help their clinicians sort through the noise and find high-value, actionable opportunities more efficiently. To achieve this goal, healthcare administrators are forced to balance justifying their EHR investment with the delivery of clinical care. This requires technology that's complementary to the EHR, aligned to diverse clinical workflows and wrapped with analytics, resulting in a unique clinical lens that can identify opportunities to improve care and reduce costs. Clinical efficiencies and standardization can only be achieved with focused technologies coupled with the clinical expertise to implement and guide best practices. Enter Premier® – the enabler of clinical excellence for hospitals and health systems, ensuring that their technology and infrastructure create efficiencies and support standardization to guarantee the best possible patient care and protect the bottom line. Avoiding Sinking Margins and Justifying EHR Investment Premier has a direct line of sight into the innerworkings of hospitals and health systems from both clinical and financial vantage points. Due to the sheer amount of data Premier sits on, the company's experts can articulate what works in organizations, provide an enterprise view of clinical performance along with perspective on how they compare, and identify opportunity – all without disrupting workflow. The lens into the innerworkings of your organization that Premier provides includes: • Helping administrators see the broader context of opportunities and associated risk simultaneously • Helping clinical teams act immediately using real-time surveillance across patient populations to protect patients and the organization's bottom line • Supporting organizations as they address methods to effectively change provider behavior at the point of order for the best care at the lowest price Under the new reality of value-based care, efficiencies and standardization are key to not only thriving, but simply surviving. Read on to see examples of how Premier has impacted organizations through efficiencies and standardized care. Case Study – No Change Management Required In 2017, AdventHealth of Florida decided to tackle the way care was being delivered across its 45+ hospital enterprise. In its goal to become a high reliability organization, this meant removing unwarranted care variation to provide exceptional care for all patients. After assessing its level of readiness to implement care transformation, AdventHealth set out to better manage patients across facilities and ensure patients were always receiving the right care, which is easier said than done. To this end, AdventHealth leaders had a significant interest in advanced, or "intelligent" clinical decision support (CDS) that would take identified opportunities to reduce care variation and make them actionable for providers within the workflow – at the point of care. The EHRs, which had been implemented across the board, needed to be optimized. AdventHealth had been working extensively with Premier to reduce expenses related to labor, supply chain and drug formulary. They had also identified opportunities to reduce care variation and costs across the system. It was determined that the next area to address was intervention at the point of decision-making, driving real change in the way patients received care. Medical errors – both acts of omission and commission – were of concern, and intelligent CDS was identified as the solve. It was here that Premier connected AdventHealth with the recently-acquired Stanson Health team who had developed a CDS technology with an intelligent approach to delivering guidance that fosters behavior change. Key to the CDS technology is an evidence-based clinical content and alert library that are seamlessly integrated into the clinical workflow/EHR. Alerts are triggered based on an array of data points existing within the EHR. Once fired, the alert contains three pieces of information for the physician: Bringing up the Bottom Line: Using Surveillance and Guidance to Streamline Efficiency and Standardize Care

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