A different way to see a patient through his/her EMR data is to present needed data in disease-defined views. Based upon a production predecessor in clinical use at Partners HealthCare, the SMART Diabetes Monograph app is an initial prototype to demonstrate the mechanical usability and cognitive efficiency that monographs can provide for disease diagnosis and disease management.
HEART Pathway is a clinically validated decision support tool that improves health outcomes, reduces unnecessary healthcare costs and standardizes care for patients presenting to the Emergency Room with chest pain. HEART Pathway is designed for more accurate risk stratification of patients who present to the Emergency Room with chest pain, identifying patients unlikely to benefit from hospitalization or stress testing/cardiac imaging who can safely be discharged home from the ED.
Sepsis is the body’s overpowering reaction to infection which can lead to organ damage, organ failure, and death. Approximately 27 million people in the world develop sepsis each year, and, in Georgia alone, the mortality rate was 85 deaths per 100,000 persons. Total spending in US hospitals in 2011 was 20.3 billion, which was 5.2% of hospital costs. For each hour that treatment (antibiotics) of sepsis is delayed, mortality increases by about 8%.
The Chest Pain App is an innovative new way to display patient data in the electronic medical records. Based on a given chief complaint of the patient, the app can be programmed to display different data elements from the patient’s in-house medical records or from an outside source. For example: In the busy emergency room, the physician can use this app to see the five most important data elements from the health information exchange for patients with chest pain.
The HSPC Bilirubin Risk Chart is a SMART on FHI® app based on Intermountain Healthcare’s HELP2 Bilirubin app. This app is for demonstration purposes only and is not approved for clinical use. It was created to highlight the concept of the HSPC model, which creates a method of sharing clinical apps currently locked up in a single organization or EHR vendor and make it available to all healthcare providers. Jaundice occurs in most newborn infants.
The Premier AKI Staging app assists clinicians aiming to follow the clinical practice guidelines established by Kidney Disease Improving Global Outcomes (KDIGO). The app is targeted at practitioners caring for adults and children at risk for or with Acute Kidney Injury, including contrast induced acute kidney injury. Effective care of acute complex conditions such as acute kidney injury (AKI) rests in the early detection, early intervention, and coordination of care.
OpenHRE™ not only provides a great resource for implementing a Health Information Exchange, it provides great tools to allow users to make additions to its functionality. Lightbeam Health Solutions is both a founder and supporter of the OpenHRE™ Community, a consortium of communities and organizations throughout America that are working together to achieve secure and sustainable health information exchange. Established in 2004, the OpenHRE™ Community shares important findings and deliverables with each other, and collectively contributes to the continuing design, development, and distribution of the OpenHRE™ Toolkit, developed by Lightbeam Health Solutions.
For providers, Meducation® TimeView™ displays a patient’s adherence history across all prescribers in an intuitive, longitudinal format, permitting interventions to be tailored quickly and appropriately. The Meducation® TimeView™ Report shows Visual representation of all medications that a patient has filled over the last 6 months Identification of gaps in adherence, as well as “overfill” indicators: Black triangle indicates a prescription fill date and duration. White space or a red block indicates where a patient has stopped filling their prescription Prescribers of each medication that the patient has filled Identification of gaps in adherence, as well as “overfill” indicators Chronic medications with a green, yellow, or red percentage indicating the PDC (Proportion of Days Covered) adherence score or each med, calculated per the PQA measure for Star Ratings.
The Agency for Healthcare Research and Quality (AHRQ), in partnership with the MITRE Corporation and OCHIN, developed a SMART on FHIR® app that serves as a dashboard or summary for managing chronic pain and pain-related treatment within the electronic health record (EHR). The app was developed as part of an ongoing project called CDS Connect, which provides a platform for authoring and sharing publicly-available clinical decision support (CDS) knowledge resources. The SMART on FHIR® app summarizes pain-related information in a single view, such as pain-related diagnoses, medications, lab results, and pain assessment scores.