New solution designed to ease transition to value-based care
Allscripts took another key step in delivering an Open, Connected Community of Health with the release of Allscripts Care Director. The new solution coordinates outpatient care across healthcare settings. With the industry shift toward value-based care, Allscripts Care Director will help healthcare organizations more effectively manage patient care post hospital discharge and importantly, better address preventable readmissions, a key requirement now that hospitals could be subject to penalties for excess readmissions under Medicare.
Allscripts Care Director extends the Allscripts Care Management suite, enabling true care coordination across all settings: home care, physician practices, hospitals, post-acute care facilities, and community services. The web-based solution can help health organizations by: managing at-risk patients, improving transitions of care, reducing potential readmissions, decreasing redundancies and connecting all care settings. Patient information can be imported directly into Care Director, or pulled from Sunrise Clinical Manager or certain other third-party EHR systems via Allscripts Care Management. Although available to implement as a standalone solution, Care Director’s strength lies in its integration with Allscripts Care Management, the widely adopted and proven Care Management system at 900 hospitals nationwide.
“Ensuring successful transitions of care is a huge priority for our organization,” said Ruth McNaughton, RN, Senior Director Care Coordination, Administrator Hospitalist Group, Jordan Hospital. “Allscripts Care Director is an extension of our care management strategy that enables us to efficiently serve our patients as they head into their next phase of treatment outside the hospital. Allscripts Care Director improves handoffs and follow-up, which ultimately means better results for our patients.”
Improving care collaboration
Care Director is instrumental in achieving the patient results that value-based care will require. Here’s how the solution works:
The health organization’s care coordinator enrolls the patient into Allscripts Care Director, reviews clinical information and risk assessment and defines the care team.
The care coordinator develops additional care plan elements such as education, transportation, counseling and goals.
The care coordinator shares the care plan with the patient and the care team that facilitates transitions of care and collaboration.
The care coordinator then assigns owners to the goals and interventions on the plan.
The care coordinator measures the patient’s progress by recording completion progress toward goals.
Allscripts Care Director benefits
Patient Stratification — manage high risk, high utilization and chronically ill patients via risk scoring.
Care Coordination — coordinate care across care settings using assessments to identify gaps in care, and care plans to track measurable goals and interventions.
Transitions of Care — coordinate transitions of care between all care settings including home care, physician practices, post-acute care facilities, community services and hospitals.
Analytics — capture and report on data as well as share with analytics tools to measure improvements in the care process and patient outcomes as part of an organization’s overall population health management strategy.
“Allscripts Care Director is another building block as we deliver the tools our clients need to succeed in the future world of health care,” said Cliff Meltzer, Executive Vice President of Solutions Development, Allscripts. “Care Director’s improved coordination and metrics will significantly elevate patient results as we move toward an Open, Connected Community of Health.”
Allscripts delivers the insights that healthcare providers require to generate world-class outcomes. The company’s Electronic Health Record, practice management and other clinical, revenue cycle, connectivity and information solutions create a Connected Community of Health for physicians, hospitals and post-acute organizations. For more information, visit www.allscripts.com.