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Wolters Kluwer and Vocera Arm Halifax Health with Rapid Sepsis Identification Solutions for Improved Patient Outcomes and Safety

Integrated Solutions Warn Clinicians of Patients at Risk of Sepsis in Just Seconds

September 26, 2017 – Wolters Kluwer Health and Vocera® Communications, Inc. (VCRA) have teamed to arm Halifax Health with a high-powered surveillance solution to advance its battle against sepsis. Linking the real-time clinical surveillance and analytics of the POC Advisor™ platform with Vocera’s hands-free communications technology and mobile app accelerates the diagnosis of sepsis and the timely delivery of patient-specific advice to nurses and other clinical staff at the point of care.

“Time is the enemy when it comes to sepsis, with the likelihood of death increasing by 8 percent for each hour that passes without treatment,” said Ginny Kwong, M.D., Vice President and Chief Medical Information Officer for Halifax Health. “Complicating early diagnosis is the need to aggregate data scattered across multiple clinical systems before it can be analyzed, and the results communicated to the point of care in a meaningful way.

“POC Advisor and Vocera integrate seamlessly into workflows to overcome these obstacles,” she continued, “quickly alerting our clinicians to a potential sepsis case so they can make the proper diagnosis and begin appropriate life-saving treatment to patients at the earliest, most treatable stages.”

Halifax Health is a two-hospital, 678-bed health system that is the largest medical provider in East Central Florida. A safety net hospital, Halifax is also one of the state’s busiest emergency departments, with more than 115,000 visits annually. Its goal in deploying a sepsis solution was to build upon the success of an internal campaign that resulted in a 33 percent improvement in mortality rates. They chose to implement POC Advisor because of its scientifically proven results, published patient outcomes and industry-leading precision and timeliness. Another key factor was interoperability with Halifax Health’s existing Electronic Health Record (EHR) and Vocera technology, making it easy for staff to use.

“At an average of nearly $19,000 per primary diagnosis, more than half of which is typically not reimbursed by Medicare, the financial cost of sepsis is staggering,” said Sean Benson, Vice President and General Manager of Specialized Surveillance at Wolters Kluwer Health. “At Halifax, POC Advisor analyzes more than 300 data points within a patient’s medical record to identify early signs of sepsis, warn caregivers of escalating risks and push evidence-based guidance to the point of care via the Vocera Badges and mobile apps that clinicians already use in their workflow. This results in faster diagnoses and treatment, which leads to reduced severity, decreased mortality and lower costs.”

POC Advisor is a clinical intelligence platform from Wolters Kluwer that aggregates, normalizes and analyzes patient data from disparate clinical systems to drive early detection with predictive accuracy. Real-time analytics leverage hundreds of rules built into the platform to account for possible comorbidities and medication abnormalities, enabling prescriptive alerts with unprecedented levels of sensitivity and specificity to warn clinicians of patient risks without alert fatigue. These findings, published in the Journal of American Medical Informatics Association, also revealed that POC Advisor cut sepsis mortality in half and reduced 30-day readmissions by 30 percent, while reducing length of stay.

The Vocera Badge is a hands-free, voice-controlled communication device that enables instant two-way and one-to-many conversations. It combines secure text messaging and alerting and enables voice calls with intelligent routing by name, role, group and availability.

“Many applications, technologies and devices have been implemented within hospitals and health systems, but they are used in silos. Too often, key connection points between these systems are missed. The integration between Vocera, POC Advisor and the EHR is helping Halifax Health extract key knowledge from each system, leverage platform functionality and share valuable information with the right clinicians at the right time with intelligent alerting,” said Rhonda Collins, MSN, RN, Chief Nursing Officer, Vocera. “It is a comprehensive and potentially life-saving assessment, detection and communication workflow that unfolds in less than one minute.”

For more information on POC Advisor, visit www.pocadvisor.com and follow @POC_Advisor on Twitter.

About Vocera

The mission of Vocera Communications, Inc. is to simplify and improve the lives of healthcare professionals and patients, while enabling hospitals to enhance quality of care and operational efficiency. In 2000, when the company was founded, we began to forever change the way care teams communicate. Today, Vocera continues to offer the leading platform for clinical communication and workflow. More than 1,400 hospitals and health systems around the world have selected our solutions for care teams to text securely using smartphones or make calls with our hands-free, wearable Vocera Badge. Interoperability between Vocera and more than 120 clinical systems helps reduce alarm fatigue, speed up staff response times, and improve patient care, safety and experience. In addition to healthcare, Vocera is at home in luxury hotels, nuclear facilities, libraries, retail stores and more. Vocera makes a difference in any industry where workers are on the move and need to connect instantly with team members and access resources or information quickly. Learn more at www.vocera.com, and follow @VoceraComm on Twitter.

About Wolters Kluwer

Wolters Kluwer N.V. (AEX: WKL) is a global leader in information services and solutions for professionals in the health, tax and accounting, risk and compliance, finance and legal sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with specialized technology and services.

Wolters Kluwer reported 2016 annual revenues of €4.3 billion. The company, headquartered in Alphen aan den Rijn, the Netherlands, serves customers in over 180 countries, maintains operations in over 40 countries and employs 19,000 people worldwide.

Wolters Kluwer Health is a leading global provider of information and point of care solutions for the healthcare industry. For more information about our products and the organization, visit http://www.wolterskluwer.com/, follow @WKHealth or @Wolters_Kluwer on Twitter, like us on Facebook, follow us on LinkedIn, or follow WoltersKluwerComms on YouTube.

For more information about Wolters Kluwer’s solutions and organization, visit www.wolterskluwer.com, follow us on Twitter, Facebook, LinkedIn, and YouTube.

September 27, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

JAMIA Study: Wolters Kluwer Surveillance System Reduces Sepsis Deaths

The Decision Support Software Improved Early Diagnosis Using Automated Data Analysis and Accurate Alerts Sent to Mobile Devices

May 25, 2016 – The Health division of Wolters Kluwer, a leading global provider of information and point of care solutions for the healthcare industry, announced today that The Journal of the American Medical Informatics Association (JAMIA) has published a study by researchers Sharad Manaktala, MD, PhD, et al. detailing a significant reduction in sepsis mortality using automated surveillance and real-time analysis. The study examines how clinicians at Alabama’s Huntsville Hospital decreased sepsis-related deaths by 53% during a 10-month period using a combination of clinical change management and electronic alerting from POC Advisor™, a highly-accurate clinical decision support (CDS) software. The system’s alerts detect sepsis early and guide clinicians to deliver the appropriate treatment, resulting in a breakthrough in alert accuracy, reaching 95% sensitivity and 82% specificity during the study period.

The study, “Evaluating the Impact of a Computerized Surveillance Algorithm and Decision Support System on Sepsis Mortality,” is currently available online and will appear in the June print edition of JAMIA.

Sepsis is the deadliest condition treated in hospital critical care units, claiming approximately 750,000 lives in U.S. hospitals every year. At an estimated $20 billion annually, it is also the country’s most expensive condition to treat. The risk of death increases significantly every hour sepsis goes untreated, yet early diagnosis has long been a struggle because many other acute medical conditions cause similar signs and symptoms.

Using an automated, real-time surveillance algorithm, POC Advisor aggregates, normalizes and analyzes patient data from disparate clinical systems and delivers early sepsis alerts and treatment advice to clinicians via mobile devices and portals. Hundreds of rules built into the platform account for variables specific to individual patients, including comorbidities and medication abnormalities, thereby maximizing the accuracy of alerts and advice.

“There is no single test to identify sepsis; it requires a clinical diagnosis. Delays in diagnosis are very common, resulting in delays in treatment,” said study co-author Stephen Claypool, MD. “Prior to this study, there hasn’t been a study of an electronic system that I’m aware of that has significantly improved mortality. That’s because most systems generate many false positive alerts, so they are ignored and outcomes are not improved. In this study, we used an electronic solution that takes into account existing patient co-morbidities and labs and adjusts the analysis on a patient-specific basis.

“This system is much more accurate, with a highly specific alerting system that minimizes alert fatigue,” added Dr. Claypool, Medical Director of Clinical Software Solutions at Wolters Kluwer. “In this study, Huntsville clinicians acted promptly on the alerting advice, so they were able to more effectively identify and treat sepsis well before a patient’s condition worsened. The end result was a dramatic improvement in mortality.”

The study also incorporated change management practices focused on sepsis education and process improvement for the clinical staff. The education program ensured that the nursing staff was properly trained to respond to sepsis alerts in a timely manner using the latest evidence-based practices.

“Efforts to develop similar CDS tools oftentimes fail because clinicians simply cannot trust the accuracy of the alerts. Either the system has low sensitivity and therefore does not identify all cases of sepsis, or low specificity, which leads to too many false positives resulting in ignored alerts,” said Sean Benson, Vice President and General Manager of POC Advisor at Wolters Kluwer Clinical Software Solutions. “If a tool is going to help doctors and nurses save lives, they have to trust that it works. Most CDS systems fail to achieve sensitivity and specificity levels higher than 50%. However, at the conclusion of our study, POC Advisor achieved alert sensitivity and specificity of 95% and 82%, respectively. That is unprecedented in published literature.”

The study’s publication in JAMIA follows the release of new definitions and clinical criteria for sepsis (Sepsis-3) from the Third International Consensus Definitions Task Force earlier this year. Dr. Claypool noted that while it more accurately defines the condition, Sepsis-3 does little to address the need for improved care.

“Currently, there is no medical evidence to suggest that the Sepsis-3 criteria will detect sepsis earlier than previous methods and in fact may lead to longer delays,” he said. “The reduction in sepsis mortality at Huntsville is a result of effective early alerts that allowed clinicians to treat the patients long before they suffered life-threatening organ dysfunction.”

Follow POC Advisor on Twitter.

About Wolters Kluwer

Wolters Kluwer N.V. (AEX: WKL) is a global leader in information services and solutions for professionals in the health, tax and accounting, risk and compliance, finance and legal sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with specialized technology and services.

Wolters Kluwer reported 2015 annual revenues of €4.2 billion. The company, headquartered in Alphen aan den Rijn, the Netherlands, serves customers in over 180 countries, maintains operations in over 40 countries and employs 19,000 people worldwide.

Wolters Kluwer shares are listed on Euronext Amsterdam (WKL) and are included in the AEX and Euronext 100 indices. Wolters Kluwer has a sponsored Level 1 American Depositary Receipt program. The ADRs are traded on the over-the-counter market in the U.S. (WTKWY).

Wolters Kluwer Health is a leading global provider of information and point of care solutions for the healthcare industry. For more information about our products and organization, visithttp://www.wolterskluwer.com/, follow @WKHealth or @Wolters_Kluwer on Twitter, like us on Facebook, follow us on LinkedIn, or follow WoltersKluwerComms on YouTube.

May 26, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Wolters Kluwer to Showcase its Decision Support Solution for Improving Sepsis Outcomes at HIMSS16

MINNEAPOLIS–(BUSINESS WIRE)–The Health division of Wolters Kluwer, a leading global provider of information and point of care solutions for the healthcare industry, will showcase its cloud-based decision support platform for the improved diagnosis and treatment of sepsis in Booth #5537 at the HIMSS16 Conference & Exhibition. POC Advisor™, which reduced sepsis mortality by 53 percent at Huntsville Hospital, integrates and functions seamlessly with the clinical workflow, leveraging electronic alerts and patient-specific, evidence-based treatment advice to drive down sepsis rates.

In December 2015, Halifax Health, East Central Florida’s largest healthcare provider, decided to partner with Wolters Kluwer to adopt POC Advisor into its clinical workflow. Halifax, home to Florida’s largest emergency department (ED) with more than 116,000 emergency visits annually, will be the first to adopt POC Advisor for use in the ED.

“Administering early treatment is imperative to surviving sepsis; however, a number of other conditions present with similar symptoms, which makes diagnosis at the onset challenging.” said Zabrina Evens, M.D., Sepsis BPCI Medical Director for Halifax Health. “For example, in an emergency environment, especially one with a patient population as large as ours, it’s extremely difficult for clinicians to scrutinize the data necessary for early identification for every patient. Partnering with Wolters Kluwer provides our staff with the best opportunity to improve sepsis care and save patients’ lives.”

Sepsis is the deadliest condition treated in hospital critical care units, claiming approximately 258,000 lives in U.S. hospitals every year. At an estimated $20 billion annually, it is also the country’s most expensive condition to treat. The risk of death increases every hour sepsis goes untreated, making early identification crucial to improving outcomes.

POC Advisor uses automated, real-time surveillance that aggregates, normalizes and analyzes patient data from disparate clinical systems to deliver early sepsis alerts and treatment advice to clinicians via mobile devices and clinical portals. With hundreds of rules built into the platform to account for variables specific to individual patients, including comorbidities and medication abnormalities, POC Advisor ensures that alerts are both highly sensitive and specific.

“Diagnosing and treating sepsis is a formidable challenge for providers, especially at a time when clinicians’ responsibilities continue to become increasingly complex and demanding. POC Advisor leverages patient data within the EHR, using real-time analytics and delivering highly accurate alerts and medical advice directly to the point of care without disrupting the clinical workflow,” said David A. Del Toro, President & CEO of Clinical Software Solutions at Wolters Kluwer. “POC Advisor exemplifies our commitment to improving the quality of care by providing latest tools and medical evidence to save lives.”

For a demonstration of POC Advisor, visit the Wolters Kluwer (Booth #5537) at the HIMSS16, taking place February 29-March 4 in Las Vegas.

About Wolters Kluwer
Wolters Kluwer is a global leader in professional information services. Professionals in the areas of legal, business, tax, accounting, finance, audit, risk, compliance and healthcare rely on Wolters Kluwer’s market leading information-enabled tools and software solutions to manage their business efficiently, deliver results to their clients, and succeed in an ever more dynamic world.

Wolters Kluwer reported 2014 annual revenues of €3.7 billion. The group serves customers in over 170 countries, and employs over 19,000 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands. Wolters Kluwer shares are listed on Euronext Amsterdam (WKL) and are included in the AEX and Euronext 100 indices. Wolters Kluwer has a sponsored Level 1 American Depositary Receipt program. The ADRs are traded on the over-the-counter market in the U.S. (WTKWY).

Wolters Kluwer Health is a leading global provider of information and point of care solutions for the healthcare industry. For more information about our products and organization, visit http://www.wolterskluwer.com/, follow @WKHealth or@Wolters_Kluwer on Twitter, like us on Facebook, follow us on LinkedIn, or follow WoltersKluwerComms on YouTube.

February 25, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.