Workflow

Nine councils in the UK have been awarded a share of up £700,000 to design and deploy digital innovations for social care through a project led by the Local Government Association (LGA), commissioned by NHS Digital. In June, it was announced that twelve local authorities would receive £20,000 each to identify how digital technology could help address local challenges and improve services, part of a "discovery" funding phase, and initial reviews have now been published by the LGA. “All of this year’s cohort have shown true innovation which made it extremely difficult to decide who to fund for implementation,” said Kate Allsop, Digital Lead on the LGA Community and Wellbeing Board. “The discovery phase has enabled a detailed study of user needs to determine the scope of some really interesting projects.” A pilot in Wirral will now see the council provide biometric wearable devices to people with autism and complex learning disabilities with a view to analyse the data collected to spot anxiety triggers. In London, Havering Council is looking to design an app for social care workers to streamline recruitment processes and ensure information such as employment history or training can be securely shared. The other seven projects will be led by Bracknell Forest Council, Isle of Wight Council, Lincolnshire County Council, Nottingham City Council, Shropshire Council, Stockport Metropolitan Borough Council, and Sunderland City Council. Last week, NHS Digital announced that the Care Provider Alliance would receive £784,000 to create a new service that would offer digital support for the care provider sector, looking to drive uptake of existing resources.  Twitter: @1Leontina Contact the author: lpostelnicu@himss.org

Claus Duedal Pedersen, Chief Innovation Officer for the Centre for Innovative Medical Technology at the Odense University Hospital in Denmark, talks about shortening the road from academic research to the practical world of the healthcare system.

Douglas Gentile, Chief Medical Information Officer at the University of Vermont Health Network, discusses how lessons learned from past failures helped his organization figure out four critical components needed for successful data governance.

Nick Dougherty, managing director of MassChallenge HealthTech, is energized by all the pilots converting to broader implementation and the “end of pilot purgatory”; he is also working on an assessment review to help innovators get over the security hurdles that bog down project launches.

Further, 38 percent of online appointments are booked after hours, which helps with both patient retention and new patient acquisition.

Jennifer Esposito, general manager of Health and Life Sciences at Intel, explains how AI benefits workflows with its direct impact to be a seamless integration for physicians and the patient experience.

The Reaction Data research shows the vendor holds 81 percent market share and details the runners up along with other findings.

Expanding from hospital assessments, the patient safety group will publish a national report by this time next year, with data on individual ASCs available by 2020.

Mazen Sobh, regional business manager at CareStream in the Middle East, outlines the financial, technical, clinical and security benefits of cloud computing for imaging but says key advantage is patient access in a variety of care settings.

Penn Medicine is pursuing a new initiative it says will innovate electronic health records for 21st Century medicine. The goal, officials say, is to make the technology more interactive and responsive to clinicians – nudging the EHR into a new era where it's not just a documentation system but a crucial tool for care delivery. WHY IT MATTERS Since EHRs have become ubiquitous over the past decade, they've grown into an intrinsic part of the ways healthcare is administered. They've also earned no shortage of annoyance, if not downright scorn, from many clinicians frustrated by how they impact their jobs. As Penn Medicine explains, many physicians simply see EHRs as "static, digital remakes of paper charts that can increase workload, contribute to burnout and create barriers to delivering high-quality patient care." And oftentimes that's exactly what they are. But as is often the case, much depends on how such tools are used. So Penn Medicine leadership has undertaken a multi-pronged approach to making EHRs more responsive to clinicians and streamlining them to work better for better outcomes in the era of precision medicine and population health management. The Penn Medicine Nudge Unit – billed as the first behavioral design team developed at a health system – is key to the mapping of these new approaches to the EHR experience. For instance, it has devised new tweaks for Penn's Epic system designed to help ensure clinicians prescribe statins for their cholesterol patients, get cardiac patients referred for rehab after heart attacks and only order advanced imaging tests for the patients who need them most. David Asch, MD, executive director of the Penn Medicine Center for Health Care Innovation, has previously explained how behavioral economics and psychology are key to engaging patients to make meaningful changes. The same holds true for physicians, he says, which is why he's advocated for EHR customizations that, among other things, enable and encourage doctors to "subscribe" to their patients' clinical data, gaining social media-like updates in real time when certain interventions are needed. "Ultimately, we need to move past the idea that the EHR is just an administrative tool, and see it as a clinical tool – like a scalpel, or a medication, or an X-ray machine," Asch said in a statement announcing the new project. "We judge these tools by the degree to which they facilitate good patient care, and we should be judging the EHR against the very same standard." THE BIGGER TREND Much has been said, here and elsewhere, about the "post-EHR era," but Penn Medicine's efforts appear to be intent on making it a reality there – boosting the ability of IT systems to deliver enhanced care in the 21st Century. No longer just a data repository or a glorified billing system, the EHR – when properly designed, configured and used – could have a huge impact on how care is delivered, especially as the complex new era of connected devices, patient-generated health data, genomic medicine and artificial intelligence continues to come into focus. A chief goal at Penn Medicine, officials said, is to alleviate if not eliminate the need for clinicians to spend undue time looking for needles in data haystacks, getting pertinent patient information in a more "actionable, tailored manner." That's why the health system has also launched a new innovation contest designed to get teams from across Penn Medicine to identify the lowest-hanging fruit for EHR transformation. IT professionals, data scientists, educators and others will work with clinicians and staff to help conceive and refine various design and usability improvements. In addition, new so-called "sprints" – collaborative clinical workgroups to help to streamline and improve EHR interactions and engagement with email and  digital media – will be a key component of the new initiative going forward. ON THE RECORD "We recognize that EHRs are no longer just part of how clinical care is documented, but they are central to how clinical care is delivered," said J. Larry Jameson, MD, dean of Penn's Perelman School of Medicine, in a statement. "Increasingly, health information technology plays a foundational role in each domain of our work: patient care, educating the next generation of physicians and scientists, and biomedical research." Ralph Muller, CEO of the University of Pennsylvania Health System added: "Everything that shapes patient care should be designed to support the best possible outcomes. Electronic health records are a natural focus because they connect to everything we do." Twitter: @MikeMiliardHITN Email the writer: mike.miliard@himssmedia.com