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Nebraska Medicine and Epic ahead of their time with a new patient engagement app for the Apple Watch

Information about appointments, medications and more coming to the wrists of patients with Apple’s newest device

Omaha, Neb – Apple has always been about innovation. The same can be said for Epic, the Verona, Wisconsin-based healthcare software company whose customers manage medical records for more than half the U.S. population, including patients at Nebraska Medicine. Now, Epic and Nebraska Medicine announce one of the first efforts to improve the patient experience using Apple’s first wearable device.

“We’re always looking for ways to improve the satisfaction of our patients,” said Michael Ash, M.D., chief transformation officer at Nebraska Medicine. “We recognize that as more of our patients use devices like the Apple Watch, we not only have to be able to use that technology to initially provide convenience for them, but we also have to envision how we can also improve patient outcomes via use of the device in the future.”

Epic’s MyChart app for Apple Watch, available now on the App Store, lets patients view messages from their care providers, upcoming appointment details, and information on their active medications. They can also see notices when new test results, billing statements and health maintenance reminders are accessible on their iPhones.

“It’s great to see Nebraska Medicine help lead the way on patient engagement with the Apple Watch,” says Sumit Rana, Epic’s senior vice president for research and development. “Wearables such as the Apple Watch have great potential to empower patients as active participants in their own healthcare and wellness while improving the overall care experience.”

Epic has development in the works based on the Apple Watch’s ability to “tap” wearers on the wrist to get their attention. Diabetic patients will be able to get reminders to test their blood sugar regularly, for example. Care organizations will also be able to use the watch to help patients get quicker access to high-demand specialty visits and services. Epic’s Fast Pass On the Go feature would allow a patient with an appointment three weeks out to get an Apple Watch alert if an earlier slot opens up – when another patient cancels an appointment, for example – and accept the new appointment time from the watch.

An Apple Watch app is also available for physicians who use Epic’s Haiku mobile application for the iPhone. Doctors can view their schedule, hospitalized patients and clinical summaries. They can also use Siri’s speech-to-text functionality to record a clinical note or a MyChart message to send to a patient.

Nebraska Medicine is the most esteemed academic health system in the region offering exceptional patient care combined with innovative research and education. Committed to advancing quality health care, Nebraska Medicine represents the clinical integration of The Nebraska Medical Center, the state’s largest and highest rated hospital, Bellevue Medical Center and UNMC Physicians. Our newly integrated organization allows us to strengthen our services by expanding collaboration with our partners and providing patients access to more than 1,000 physicians and 678 licensed hospital beds as well as approximately 40 specialty and primary care clinics in Omaha and the surrounding area. Find Nebraska Medicine online at www.nebraskamed.com.

June 19, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 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.

Sanford Health and Intelligent InSites Develop Bi-directional RTLS-EMR Integration

InSites Operational Intelligence Helps Increase Efficiency and Streamline Care at Sanford Health

April 2, 2015

Sanford Health and Intelligent InSites, in collaboration with Epic, have released a bi-directional integration between “OneChart,” (Sanford Health’s implementation of EpicCare EMR) and the InSites RTLS-based operational intelligence platform. This integration increases interoperability and efficiency while streamlining patient care and staff work flow.

The first of many use cases this integration enables and that Sanford Health will use at their Moorhead Clinic facility, involve patient check-in and exit. During registration, information about the Sonitor Sense Real Time Location System (RTLS) tags that patients are given is entered into the EMR system, and then automatically is sent to InSites along with basic patient demographic information. At the conclusion of a visit, the patient’s badge is placed in a designated area, which automatically disassociates it from the patient’s record.

“This is all about improving the experience not only for our patients but also for our staff,” said Meghan Goldammer, Vice President of Clinic Operations at Sanford Health. “Because data now can flow both ways between these two critical systems, staff will no longer need to switch back and forth between them or enter information in two places. Fewer keystrokes for staff means less waiting time and more care time for patients.”

“We’re thrilled to deliver this important integration together with Sanford,” said Shane Waslaski, President and CEO of Intelligent InSites. “We’ve seen greater demand for increased interoperability between EMR and RTLS operational intelligence systems because it enhances the value of both through increased efficiency, context, and decision-support.”

The integration also provides the ability for patient location and duration data to automatically flow to the EMR at various stages of the patient visit. Sanford staff will use this capability as more InSites use cases come on board across the health system.

This integration is part of a long-term partnership between Sanford Health and Intelligent InSites with the goal of co-developing innovative solutions to further transform patient and staff experiences. Sanford Health’s implementation of Intelligent InSites takes in real-time location data from tags and location transmitters provided by Sonitor Technologies, and interprets it into helpful intelligence in the form of tasks and notifications, visualized locations of people and equipment, and in-depth analytics and reporting.

About Sanford Health (http://www.sanfordhealth.org)
Sanford Health is an integrated health system headquartered in the Dakotas. It is the largest, rural, not-for-profit health care system in the nation with 43 hospitals and 243 clinics in nine states and three countries. With 27,000 employees, including 1,400 physicians in more than 80 specialty areas of medicine, Sanford Health is the largest employer in the Dakotas. Nearly $1 billion in gifts from philanthropist Denny Sanford have allowed for several initiatives, including global children’s clinics, genomic medicine and specialized centers researching cures for type 1 diabetes, breast cancer and other diseases.

About Intelligent InSites (http://www.intelligentinsites.com)
Intelligent InSites helps transform healthcare with real-time operational intelligence that improves care, enhances the human experience, and increases efficiency. Through its open, real-time technology platform, Intelligent InSites automatically collects and processes data from multiple data sources such as EHRs, financial systems, building systems, sensory and real-time location systems (RTLS), mobility solutions, and other healthcare IT solutions–then provides actionable intelligence to achieve cost savings, operational excellence, and better care. By utilizing the enterprise-wide architecture of the InSites platform, healthcare systems can leverage all legacy, current, and future data sources to optimize their technology investments across the entire organization, then have the flexibility to meet changing organizational, regulatory, and compliance needs.

April 3, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 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.

eClinicalWorks and Epic Work Collaboratively to Make EHRs Interoperable

Interoperability Between Systems Enables Real-time Communication Among Medical Providers in Different Care Settings 

WESTBOROUGH, Mass.—September 24, 2013—eClinicalWorks® today announces bi-directional interoperability between the eClinicalWorks electronic health records (EHR) system and Epic’s EHR system. This integration allows for real-time data transfer between the systems, facilitating coordination of care between providers in various care settings and ensuring that providers have more complete and accurate patient information at the time of care.

“Standards-based interoperability between systems is important for our customers and for our industry,” said Peter DeVault of Epic.  “Because both companies supported the national interoperability standards, we were able to quickly and efficiently implement this connection.”

EHR adoption has increased in recent years, shifting the industry focus to interoperability between systems, which allows for better transmission of data related to the care of a patient. Using the IHE PDQ integration profile to provide a high degree of certainty of a strong patient match as well as the XDR and XDS.b standards for clinical document exchange, eClinicalWorks and Epic have made this a standard part of their respective interoperability products. Examples of the type of data exchanged include medications, problem lists, allergies, discharge summaries and Continuity of Care Document (CCD). Having complete information at the point of care aids medical providers in making better and timelier decisions.

“Communication between EHRs aids the delivery of care and advances the industry as a whole,” said Dr. Raj Dharampuriya, chief medical officer and co-founder of eClinicalWorks. “We have been able to complete this real-time interoperability in a short time-frame by using industry standards and because both eClinicalWorks and Epic are committed to this common goal.”

September 24, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 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.

Nuance Powers Voice-Enabled Clinical Documentation in Mobile Electronic Health Records

Today, Nuance and Epic have announced that Nuance’s cloud-based voice recognition will now be available via Epic Haiku for the iPhone and Canto for the iPad.  The integration of Nuance’s cloud-based voice recognition in these mobile apps will allow clinicians to work more efficiently on-the-go, while raising the quality of patient care provided through the complete capture of the patient record.

BURLINGTON, Mass., – October 16, 2012 – Nuance Communications, Inc., (NASDAQ: NUAN) today announced that Epic electronic health record (EHR) customers can now experience voice-enabled clinical information capture through Epic Haiku for the iPhone™ and Canto for the iPad™. The integration of Nuance Healthcare’s cloud-based voice recognition in the Haiku and Canto applications will allow users to improve the quality of patient care and increase productivity as a result of streamlined mobile clinical documentation.

According to a recent study by Vitera Healthcare Solutions, nine-out-of-ten physicians are interested in mobile EHR solutions. Recent advancements in mobile EHRs, including voice-enabling clinical documentation and navigation, address this growing interest and provide clinicians with the same experience and functionality they’ve come to expect from their desktop EHR. With Epic’s mobile applications, clinicians will use their voice to work more efficiently on-the-go, while raising the quality of patient care provided through the complete capture of the patient record.

“Epic’s mobile applications provide valuable EHR access both inside and outside the hospital or clinic environment,” said Dr. Jeffrey Westcott, medical director, Cardiac Catherization Lab, Swedish Medical Center. “For me, it’s important to have the on-the-go accessibility provided by tablets and smartphones. Using voice recognition to document a note in Haiku or Canto allows me to seamlessly dictate the patient narrative into the electronic healthcare record using a workflow that suits my style and ensures my focus can remain on patients.”

Nuance’s cloud-based, medical voice recognition builds off of its proven success with the more than 450,000 clinicians worldwide who use Nuance’s Best-in-KLAS clinical documentation solutions on the desktop every day. By leveraging the existing desktop-focused interface, Nuance enables Haiku and Canto customers to connect to Nuance Healthcare’s voice recognition in the cloud. This connectivity will provide maintenance-free access and automatic updates of personal speech profiles, medical vocabularies and user-defined shortcuts. Customers can also enter progress notes, histories and physical exams via voice.

“Clinicians’ work lives are not conducive to a desk and chair; they need the flexibility of a mobile environment to support their workflow – between exam rooms, clinics and hospitals – and all at a moment’s notice,” said Janet Dillione, executive vice president and general manager, Nuance Healthcare. “Still, issues surrounding the adoption of mobile technologies remain, including limitations surrounding laborious touchscreen keyboards. With voice-enabled mobile EHR applications, clinicians can enjoy the benefits of the Nuance-powered functionality anytime, anywhere.”

To learn more about Nuance’s cloud-based, medical voice recognition solution, please visit: www.poweredbynuancehealthcare.com

Nuance Healthcare

Nuance Healthcare, a division of Nuance Communications, is the market leader in providing clinical understanding solutions that accurately capture and transform the patient story into meaningful, actionable information. Thousands of hospitals, providers and payers worldwide trust Nuance voice-enabled clinical documentation and analytics solutions to facilitate smarter, more efficient decisions across the healthcare enterprise. These solutions are proven to increase clinician satisfaction and HIT adoption, help organizations achieve Meaningful Use of EHR systems and support the shift to accountable care. Recognized as “Best-in-KLAS” 2004-2011 for Voice Recognition we invite you to learn more, http://www.nuance.com/for-healthcare/index.htm.

November 17, 2012 I Written By

Alego Health Adds Jobs, Continues to Grow and Displays EHR Industry Leadership Through Innovation

In just a few short years, Alego Health has risen to the forefront of the Electronic Health Record (EHR) industry. This innovative company, based just outside of Cleveland, has experienced tremendous growth. In fact, through one of its projects with a regional healthcare provider, the company has recently added 450 jobs. But job creation is not the only focus of the company. The company announced today that it has also developed an iPad application that is designed to effectively manage EHR implementations.

The company is adding jobs and clients to its growing portfolio and has developed an Alego-exclusive iPad application

Westlake, Ohio—Oct. 1, 2012— Alego Health, an industry leader in electronic health record consulting, training, implementation and support, announced today that it has added 450 new project jobs and is experiencing tremendous growth through its local, regional and national clients. Alego continues to lead the industry in technology innovation with the introduction of its application based on the Apple iPad platform, which is designed to effectively manage EHR implementations.

This week, Alego will commence work on one of its largest projects to date. The company has recently secured a contract with a large regional health system to provide 24-hour support to seven of its regional hospitals. The project features the optimization and installation of Epic EHR Software Modules: CPOE (Computerized Physician Order Entry), ASAP (Emergency Room Module), OpTime (Operating Room Module), and Stork (Obstetrics Module).

“This Go-Live highlights the strengths of the Alego Health operations team by deploying 450 support persons and overseeing the management of that number of people over several hospitals,” said Mike Zavadil, vice president of operations, Alego Health.

Alego Health continues to grow its portfolio of large implementations along with the consulting and other healthcare IT-related work with which it is currently involved.

In addition, the company has introduced an iPad application exclusive to Alego Health. This application is designed to provide the company’s clients with instant, accurate information with respect to their EMR/EHR implementation in addition to the communication, documentation, and interactive features of the application. By using this application, users are able to instantly upload workflow information, communicate with key client resources, provide real time analytics, review clinical end user interaction logs, and store necessary documents digitally and securely.

“This application sets us apart in the industry,” added Jonathan Levoy, vice president of business development & technology. “Not only is it a testament to our commitment to innovation and providing superior service, but it also affords us the ability to tweak our support in real time and ensure that all of our resources are allocated properly based on that particular client’s needs.”

About Alego Health

Founded in 2004, Alego Health, a minority, woman-owned company, headquartered in Westlake, Ohio,  is a healthcare IT solutions company that focuses on the implementation of electronic health record software and hardware including: EHR selection, consulting, Go-Live support, help desk support, training, clinical and data analysts, gap analysis, mobile implementations & solutions, and hardware. Learn more at www.alegohealth.com.

October 30, 2012 I Written By

8,000 Providence Health & Services Clinicians Across 27 Hospitals and 250 Clinics to Leverage Nuance Healthcare’s Voice Recognition to Support Enterprise-wide Electronic Health Record Adoption

Nuance Healthcare announced this morning, that Providence Health & Services will deploy Dragon Medical 360 | Network Edition for its 8,000 clinicians throughout 27 hospitals and 214 clinics. Their unique implementation strategy includes peer training and uniform documentation tools, designed to get the entire facility up and running on an Epic EHR system in a short timeframe.

Dragon Medical Positioned as Standard Practice for Driving EHR Adoption, Creating Comprehensive Patient Notes and Improving Care Coordination 

BURLINGTON, Mass., July 23, 2012Nuance Communications, Inc. (NASDAQ: NUAN) today announced that Providence Health & Services, ranked by Thomson Reuters among the top 20 percent of best-performing health systems in the country, is deploying Dragon Medical 360 | Network Edition across its healthcare enterprise, making medical voice recognition available at 27 hospitals and 250 clinics.  The organization-wide deployment of Dragon Medical will support Providence’s rollout of the Epic electronic health record (EHR) system by empowering clinical staff to document and navigate the EHR by speaking.

Over the next year, Dragon Medical will be seamlessly integrated with Epic for approximately 8,000 Providence clinicians.  Once fully deployed, clinicians will be able to interact with, document and navigate through the EHR simply by using their voice – a workflow that is proven to be more efficient and natural than typing alone, leading to faster EHR system adoption and improved physician satisfaction with EHR use.

“Dragon Medical builds upon our current Nuance-driven background speech workflow through eScription and will give physicians more documentation options,” said Laureen O’Brien, chief information officer, Providence Health & Services.  “We are very excited to make this tool available to all of our providers in order to enable them to be more efficient.  Using Dragon Medical allows clinician findings to be immediately part of patients’ medical records and available to all care providers, improving overall patient care and coordination, the provider’s experience and making healthcare more affordable.”

As part of the Dragon Medical deployment, Providence will provide its clinical staff with physician-led training and standard, voice-enabled documentation templates to enable faster adoption and assimilation with current established workflows.  The combined delivery of peer training and uniform documentation tools will empower physicians to embrace and navigate the EHR with voice, leading to improved adoption and workflow efficiencies.  With a voice-enabled EHR, documentation can be done by speaking in free-form or to trigger various clinical templates and medical record review, and sign-off can occur in real-time – eliminating the time lag and costs associated with medical transcription.

“We are pleased to be Providence’s strategic partner for their Epic EHR implementation.  Deploying voice recognition, at this point, is a standard best practice for electronic physician documentation and EHR adoption,” said Janet Dillione, executive vice president and general manager, Nuance Healthcare.  “Our voice-driven clinical documentation solutions have been embraced by more than 450,000 clinicians across 10,000 healthcare facilities.  Time and again, our solutions have been proven to create efficiencies in capturing the patient story and the required structured data.  Providence’s commitment to ensuring its entire physician base successfully adopts and utilizes the EHR is commendable and will result in high-value captured data that ultimately can be leveraged for better care delivery.”

Dragon Medical 360 | Network Edition is specifically designed for large-scale health systems to support advanced integration with leading EHR systems, within Citrix-based environments.  For information on all versions of the Dragon Medical family please visit: http://www.nuance.com/products/dragon-medical-family/index.htm.  Dragon Medical users have access to nearly 60 medical vocabularies and eight regional accent support models.  Dragon Medical also offers customizable commands such as Voice Shortcuts and Dragon Templates to help clinicians streamline the creation of Progress Notes, History of Present Illness (HPI) Assessments, Consultation and Referral Letters, as well as other Care Plan documentation.

Providence Health & Services

Providence Health & Services is a not-for-profit Catholic health care ministry committed to providing for the needs of the communities it serves – especially for those who are poor and vulnerable. In 2012, Providence affiliated with Swedish Health Services, expanding both organizations’ ability to carry out their individual missions. With this affiliation, the combined scope of services includes 32 hospitals, 350 physician clinics, senior services, supportive housing and many other health and educational services. The health system employs more than 64,000 people across five states – Alaska, California, Montana, Oregon and Washington – with its system office located in Renton, Washington. In 2011, Providence provided more than $651 million in community benefit, including nearly $204 million in free and discounted care for those who could not afford to pay for care. Providence Health & Services continues a tradition of caring that the Sisters of Providence began more than 155 years ago.

Nuance Healthcare

Nuance Healthcare, a division of Nuance Communications, is the market leader in providing clinical understanding solutions that accurately capture and transform the patient story into meaningful, actionable information. Thousands of hospitals, providers and payers worldwide trust Nuance voice-enabled clinical documentation and analytics solutions to facilitate smarter, more efficient decisions across the healthcare enterprise. These solutions are proven to increase clinician satisfaction and HIT adoption, supporting organizations to achieve Meaningful Use of EHR systems and transform to the accountable care model. Recognized as “Best-in-KLAS” 2004-2011 for Voice Recognition we invite you to learn more, http://www.nuance.com/for-healthcare/index.htm.

August 5, 2012 I Written By