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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.

New Report: QuantiaMD Positively Impacts Physicians’ Patient Safety Practices

65% of Physician Members Report Increased Confidence and Better Outcomes After Engaging in Expert-Led Presentations

July 8, 2015 — Waltham, MAQuantia, Inc. (Quantia), the Physician Engagement Platform, today announced key findings from the second in a series of reports on the impact of QuantiaMD on patient care. This Quantia Impact Report found that on average, 65 percent of physicians have implemented better patient safety practices after participating in expert-led presentations within Quantia’s web and mobile physician community, QuantiaMD.

These results suggest that when relevant clinical content is delivered by trusted experts in a convenient online format, physicians change the way they think about and practice medicine, which may lead to improved quality of life for millions of patients and significant cost savings for the health systems that serve them.

The report is based on a panel of physicians who had interacted with specific, expert-led presentations on QuantiaMD on the topics of Peripherally Inserted Central Catheter (PICC)-related deep vein thrombosis (DVT), PICC Line-Associated Bloodstream Infection (CLABSI), and sepsis within the past 30 to 90 days, and had since cared for patients at risk for these conditions. Below is an overview of the survey results:

PICC-related DVT survey results (n=431), based on QuantiaMD presentation “Common and Costly PICC-related DVTs,” delivered by Dr. Vineet Chopra, MD, MSc, University of Michigan:

  • 59% of respondents reported the presentation influenced how they manage the use of PICCs to reduce deep vein thrombosis (DVT)

PICC line-associated bloodstream infection survey results (n=474), based on QuantiaMD presentation “Reducing Risk of PICC-Associated Bloodstream Infection,” also presented by Dr. Chopra:

  • 55% of respondents reported the presentation influenced how they manage the use of PICCs to reduce central line-associated bloodstream infections (CLABSI)

Sepsis management survey results (n=409), based on QuantiaMD presentation “Sepsis:  A Review and Update,” delivered by Margaret Johnson, MD, Mayo Clinic Florida:

  • 81% of respondents reported that the presentation influenced how they diagnose and manage sepsis in patient care, of those respondents, 92% say they have adopted at least one of the key recommendations from the Surviving Sepsis Guidelines presented and 72% believe they may have prevented a sepsis patient death using the Surviving Sepsis Guidelines presented

The three examples above represent millions of dollars ($20 million to $30 million, conservatively speaking) in annual costs savings for a health system of 3,000 providers serving one million patients. Such savings could be realized if the same proportion of physicians in that sample system reported a similar level of influence as our survey respondents.

“In an effort to reduce costs and improve outcomes, health systems are making clinicians more accountable for infection control rates and other patient safety measures. In fact, 40% of our surveyed physicians say they have access to infection control data and/or reports from their health system’s analytic system, and are expected to act on this information as it relates to their practice,” said Dan Malloy, Executive Vice President of Quantia. “Health systems are finding that our platform helps them better engage their physicians on the topics that drive these patient safety measures through concise, expert-led interactive presentations—all within a community that physicians already value and trust.”

Quantia’s Physician Engagement Platform enables health systems and life sciences companies to deliver their own content– such as evidence-based guidelines, disease state education, and more—to their target physicians as they participate within the QuantiaMD community. The platform also offers leadership a window into physicians’ attitudes and behaviors on these topics, leveraging built-in polls and surveys, to help gain physician buy-in on key organizational initiatives and drive change.

Download the complete report at http://info.quantia-inc.com/scope.

About Quantia, Inc.

Quantia is on a mission to nurture the wisdom of the physician community – and tap into it to deliver better care.  Every day, our membership of over 225,000 physicians (about 1 in 3 nationwide) visits the award-winning web and mobile community QuantiaMD to learn from top experts and collaborate on a wide range of topics. Our blend of expert-led content, gamification, and social framework creates an environment physicians want to explore, serving up high quality interactions that inspire change. Health systems and life sciences organizations use this platform to boost engagement among physicians, improving performance and delivering higher quality, more consistent care.  Learn more at www.quantia-inc.com.

July 8, 2015 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.