Centura Health Combines RPM, Carts, and Epic EHR for Extended Telehealth

Centura Health Combines RPM, Carts, and Epic EHR for Extended Telehealth

For greater than a century, Centura Well being, primarily based in Centennial, Colorado, has labored to outline the care of the entire individual. The group claims that it enhances lives and strengthens communities by honoring thoughts, physique, and spirit in equal measure.

Moreover, he says he understands that how care is delivered is as significant because the care itself, which is why he listens and connects with each affected person he serves.

THE PROBLEM

Centura Well being had skilled points with its set of digital care instruments previous to the primary strike of COVID-19 in the USA. Very similar to the remainder of the healthcare {industry}, initially of the pandemic, the affected person load was overwhelming.

“Digital care required a rethinking of technique to deal with interoperability, affected person expertise, supplier expertise and price,” mentioned Gerard Frunzi, director of digital care at Centura Well being. “Interoperability points have resulted in lots of guide steps to get data between techniques and accomplished duties.

“Person expertise gaps have highlighted the significance of easy-to-use telemedicine instruments, as they immediately impression the effectivity of scientific providers,” he continued. “Then and now, the supplier decides whether or not or to not settle for telehealth as a service of their apply primarily based on the expertise of the clinician. Conventional end-to-end digital care suppliers had been and nonetheless are costly on the budgets of annual operations.”

Centura Well being’s Epic Digital Well being File supplied many of the performance out there for telemedicine providers, so it will definitely transitioned to the Epic Video Consumer for digital care.

Centura Well being acquired simply over $997,000 in FCC grants for telemedicine. The funds are used for 2 initiatives. Centura will full the transition by the tip of the yr. Telemedicine carts will transition to Iron Bow, leveraging Cisco’s back-end and distant affected person techniques. Monitoring will shift to well being restoration options.

PROPOSAL

Aligning new applied sciences and options with Epic EHR has created extra environment friendly telehealth care pathways, Frunzi defined.

“Companies have transitioned and in some instances accomplished the scientific course of and workflow,” he mentioned. “Implementing further Epic telemedicine options decreased errors. Some further options allowed course of flexibility when the know-how broke.

“For instance, a affected person having problem launching the video product on a pc may then obtain by way of SMS a direct hyperlink to a smartphone for a profitable telemedicine go to,” he added.

Increasing the telehealth cart fleet and changing getting older know-how will tackle an necessary want in Centura Well being’s system, he mentioned. The COVID-19 surges have highlighted this lack of know-how. Discharge help, together with suspending care at residence, was one other strategic want for care basically and for managing COVID-19 surges, he added.

MARKET

There are numerous telemedicine know-how and repair suppliers within the well being informatics market in the present day. Well being Informatics Information launched a particular report highlighting many of those distributors with detailed descriptions of their merchandise. Click here to learn the particular report.

TRY THE CHALLENGE

Making use of for FCC funds and executing the seller choice course of was carried out by Frunzi’s four-person staff, scientific administration, IT and distributors for construct and configuration, and authorized workers and regulatory.

“A corporation’s digital technique is usually tied to the potential of its EHR, and when that system is feature-rich, it regularly evolves,” Frunzi famous. “Epic is steadily increasing telemedicine options and performance. That is very true in system integration for video strolling.

“Performance round instructions, notes and alerts has additionally expanded to assist tele-enabled workflows for monitoring ER, inpatient and distant sufferers,” he continued. “Telehealth carts presently function individually from Epic, leveraging the identical video product as our built-in cellphone system.”

Units managed by Centura Well being have already got the best instruments to have interaction immediately with video cart and room techniques, decreasing session coordination time in inpatient and emergency environments, it mentioned. he provides.

Centura Well being is increasing its ministry with a brand new hospital, St. Francis InterQuest in Colorado Springs, which is designed as a hospital of the longer term. This undertaking is separate from FCC funded work.

“The wealthy integration of GetWell Community leisure with Epic and Cisco ExtendedCare within the new hospital will create industry-leading interoperability,” Frunzi mentioned. “Every inpatient and emergency room can have its personal devoted video unit above the leisure tv.

“Suppliers and caregivers will have interaction the video workflow immediately by Epic, eradicating any want for native cart motion,” he added. “The answer additional contains scientific interpretation, family-centric rounding, and automatic discharge assist. System innovation at St. Francis InterQuest extends far past digital care choices.”

RESULTS

Centura Well being has not but rolled out the brand new telehealth carts or totally changed distant affected person monitoring know-how, so it has not but recorded any metrics of success. Affected person expertise survey scores had been the baseline measure of success for ambulatory care.

“The brand new options and repair choices for residence video conferencing have solved many of the issues that had been taking place earlier than,” Frunzi reported. “We proceed to refine these with interventions like a self-help hyperlink in SMS reminders to assist affected person self-service. Spotlight automated know-how assessments to make sure the video device sees a digicam , a microphone and a loudspeaker.

“Implementing a brand new Epic Dashboard characteristic has helped give the clinic advance discover when a affected person checks in late or just isn’t but on video earlier than their video go to,” a- he continued. “This dashboard characteristic additionally tells the clinic when the whole lot goes effectively and the affected person is ready within the room. This enables clinics to focus the restricted power of staff members the place it’s wanted and know when it isn’t vital.”

On the peak of COVID-19, most organizations peaked round March and Might 2020, then fell to what’s a brand new regular common for the previous six months, he mentioned.

“Centura is now specializing in the previous six months as a baseline towards which to measure the longer term success of affected person expertise interventions and the mix of telehealth providers,” he defined. “This measure extends to inpatient and emergency division session. The discount in transfers and hospital stays is the deliberate measure demonstrating the success of those packages sooner or later.”

Twitter: @SiwickiHealthIT
E mail the creator: [email protected]
Healthcare IT Information is a HIMSS Media publication.


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