reporting on steroids: alternatives to cognos impromptu
DESCRIPTION
Reporting on Steroids: Alternatives to Cognos Impromptu. Kenneth N. Sable, MD, FACEP Vice Chairman for Operations, Department of Emergency Medicine, Maimonides Medical Center. Presentation Outline. Who Are We? What Are We Trying to Do? Cognos : The Good and Bad Custom Reporting Framework - PowerPoint PPT PresentationTRANSCRIPT
Copyright © 2011 Allscripts Healthcare Solutions, Inc.
Copyright © 2011 Allscripts Healthcare Solutions, Inc.
Reporting on Steroids: Alternatives to Cognos Impromptu
Kenneth N. Sable, MD, FACEPVice Chairman for Operations, Department of Emergency Medicine,Maimonides Medical Center
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Presentation Outline• Who Are We?• What Are We Trying to Do?• Cognos: The Good and Bad• Custom Reporting Framework• Real Applications• Questions?
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Who Are We?• Kenneth N. Sable, MD, FACEP
• Vice Chairman for Operations• University of Pennsylvania, Bachelor’s Degree in
Computer Science and Engineering
• Corey M. Weiner, MD• Director, Division of Medical Informatics• Duke University, Bachelor’s Degree in Biomedical
Engineering
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
What Are We Trying to Do?• Your Allscripts ED database contains a wealth of
data that can be effectively and efficiently mined to improve: patient care, administrative management, and financial operations
• With some creativity and the right tools, you can take full advantage of your vast data warehouse that is Allscripts ED
• Focus on patient safety, quality assurance, performance metrics, and mitigating liability and risk
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
What Are We Trying to Do?• Create an automated, graphical dashboard for key
performance metrics for daily distribution to clinical and administrative leadership
• Create automated, dynamic reports to assist quality assurance and improvement activities
• Automate process of managing both physician and nursing signoff for the Incomplete Board!
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Cognos: The Good and Bad• Our experience with Cognos Impromptu
• Pros: • Catalog provides user-friendly method of generating SQL queries
• Cons: • Still on version 7.0 in Allscripts ED• Output limited to PDF format within Allscripts ED• No ability to add URL or other dynamic content• Slow to process
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Custom Reporting Framework• Custom reporting framework
• Pros: • Allows for maximal customization and control• Fast to process• Increased flexibility to meet future demands and requirements
• Cons: • Requires a fair amount of technical background
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Technology• Perl: Practical Extraction and Report Language• SQL functions and procedures• Google Charts API• Reporting Formats: XLS, CVS, PDF
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Real Applications• Daily Dashboard• Automated Dynamic Reports
• Managing Incomplete Board
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Internal Medicine and Orthopedics Central Lines
Pediatric Cultures Congestive Heart Failure
Rapid HIV Durable Medical Equipment
Stress Tests Domestic Violence
| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard• Goals:
• Automated and consistent measurement and delivery of key performance indicators (KPI) to department staff and hospital leadership
• Proactive monitoring for trends affecting clinical, non-clinical, and financial operations
• Increase overall transparency of ED operations
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Daily Dashboard
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Automated Dynamic Reports• Goals:
• Deliver focused, customized reports to support both internal and external clinical and financial operations (Internal Medicine, Orthopedics, Durable Medical Equipment)
• Increase efficiency in specific patient care activities (Rapid HIV, Stress Tests, Congestive Heart Failure)
• Assist with hospital-wide quality assurance and improvement activities (Central Lines, Pediatric Cultures, Domestic Violence)
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Automated Dynamic Reports
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Acct # MR # Patient Name Current Address Phone # Age/Sex Insurance Arrival Date Chief Complaint Status Primary Dx Secondary Dx Order Date Result ED MD Disposition MD
123456789 12345678 TEST, PATIENT 4802 10TH AVENUE BROOKLYN, NY 11219 7185551212 34y/M WORKMAN'S COMP
OTHER (-123456-)2011-07-09
00:02:47.620 P-FOOT:T PDSCHG Infection - wound
status post trauma
HIV test - negative
2011-07-09 00:09:15.000 Negative Cohen,Hillary (MD) Cohen,Hillary (MD)
123456789 12345678 TEST, PATIENT 4802 10TH AVENUE BROOKLYN, NY 11219 7185551212 26y/F BLUE CROSS PPO
(ABC-12345678-)2011-07-09
01:30:33.333 CHECKUP PDSCHG Worried - well
HIV test - negative
2011-07-09 01:37:05.000 Negative Dickman,Eitan (MD) Bialeck,Suzanne
(MDRES)
123456789 12345678 TEST, PATIENT 4802 10TH AVENUE BROOKLYN, NY 11219 7185551212 18y/M HLTH1ST MCD HMO
NONMMC (-123456789-)2011-07-09
02:11:17.777 P-TOES:NT PDSCHG Laceration - toe(s), right
HIV test - negative
2011-07-09 02:18:23.000 Negative Cohen,Hillary (MD) Cohen,Hillary (MD)
123456789 12345678 TEST, PATIENT 4802 10TH AVENUE BROOKLYN, NY 11219 7185551212 32y/M SELF-PAY () 2011-07-09
15:00:07.943 FOUNDSTREE PDSCHG Drunkenness
HIV test - negative
2011-07-09 15:03:03.000 Negative Barriac,Fiona (MD) Barriac,Fiona (MD)
123456789 12345678 TEST, PATIENT 4802 10TH AVENUE BROOKLYN, NY 11219 7185551212 19y/F
UNITED HEALTHCARE COMMUNITY PL (-
AB12345A-)
2011-07-09 20:56:50.113 ANXIETY
HIV test - negative
Routine medical exam
2011-07-09 20:59:52.000 Negative Suau,Salvador (MD)
123456789 12345678 TEST, PATIENT 4802 10TH AVENUE BROOKLYN, NY 11219 7185551212 25y/F HLTH1ST MEDICAID
HMO MMC (-AB12345U-)2011-07-09
21:25:25.867 HEMATURIA PDSCHG Infection - urinary
tract (UTI)
HIV test - negative
2011-07-09 21:26:50.000 Negative Barriac,Fiona (MD) Barriac,Fiona (MD)
123456789 12345678 TEST, PATIENT 4802 10TH AVENUE BROOKLYN, NY 11219 7185551212 39y/M SELF-PAY () 2011-07-09
22:21:22.630 ABDOMPAIN HIV test - negative
2011-07-09 22:23:06.000 Negative Barriac,Fiona (MD)
Rapid HIV
| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Automated Dynamic Reports
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Central LinesAcct # MR # Patient Name Admission Date Bed Location Procedure Date Procedure Note
123456789 12345678 TEST, PATIENT 2011-05-01 11:15:29.597 Telemetry - Medical 2011-05-01
23:49:26.397
The right femoral area was anesthetized with The skin was not anesthetized. . Catheter introduced via Saldinger technique. A large bore single lumen catheter was placed . The procedure was
performed without complications . With good blood return from all ports. The patient tolerated the procedure well. CPT-4 Code: Percutaneous child/adult - 36489 without using ultrasound guidance
123456789 12345678 TEST, PATIENT 2011-05-01 12:09:00.000 MICU 2011-05-01
19:20:37.707
The right internal jugular area was anesthetized with . Using the anterior approach the vein was punctured. Catheter introduced via Saldinger technique. A triple lumen catheter was placed using
ultrasound guidance . The procedure was performed without complications . With good blood return from all ports. Chest x-ray ordered. The patient tolerated the procedure well.
123456789 12345678 TEST, PATIENT 2011-05-01 21:03:24.313 Urology 2011-05-02
07:45:16.493
The right internal jugular area was anesthetized with 5 ml's of lidocaine . Using the anterior approach the vein was punctured. A triple lumen catheter was placed using ultrasound guidance . The procedure was performed without complications . With good blood return from all ports. Chest
x-ray ordered. The patient tolerated the procedure well.
123456789 12345678 TEST, PATIENT 2011-05-02 08:57:00.000 SICU 2011-05-02
12:24:47.850
The right femoral area was anesthetized with . Using the anterior lateral/posterior approach the vein was punctured. Catheter introduced via Saldinger technique. A large bore single lumen
catheter was placed without using ultrasound guidance . The procedure was performed without complications . With good blood return from all ports. The patient tolerated the procedure well.
123456789 12345678 TEST, PATIENT 2011-05-02 10:14:43.070 CICU 2011-05-02
11:12:15.063
The right internal jugular area was anesthetized with 5 ml's of lidocaine 1% . Using the anterior lateral/posterior approach the vein was punctured. Catheter introduced via Saldinger technique. A
large bore single lumen catheter was placed using ultrasound guidance . The procedure was performed without complications . With good blood return from all ports. Chest x-ray ordered. The
patient tolerated the procedure well.
123456789 12345678 TEST, PATIENT 2011-05-04 08:23:33.910 MICU 2011-05-04
11:12:50.560
The left femoral area was anesthetized with 3 ml's of lidocaine 1% . Catheter introduced via Saldinger technique. A triple lumen catheter was placed using ultrasound guidance . The procedure was performed without complications . With good blood return from all ports. The patient tolerated
the procedure well.
123456789 12345678 TEST, PATIENT 2011-05-04 15:32:07.740 CICU ^ K41801 2011-05-04
21:38:38.667
The right internal jugular area was anesthetized with 2 ml's of lidocaine 1% without Epinephrine . Using the anterior approach the vein was punctured. Catheter introduced via Saldinger technique.
A large bore single lumen catheter was placed using ultrasound guidance . The procedure was performed without complications . With good blood return from all ports. The patient tolerated the
procedure well.
| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Automated Dynamic Reports
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Pediatric CulturesAcct # MR # Patient Name Age Arrival Date Culture Type Culture Date Culture Result Culture Status
123456789 12345678 TEST, PATIENT 6w/F Jul 6 2011 1:53AM Blood Culture Jul 6 2011 2:56AM NO GROWTH 3 DAYS Pending
123456789 12345678 TEST, PATIENT 6w/F Jul 6 2011 1:53AMUrine Culture - URINE
RANDOM - Catheterized
Jul 6 2011 2:56AMNO GROWTH 1 DAY
(ET: 1 DAY 6 HOURS)
Final
123456789 12345678 TEST, PATIENT 3y/F Jul 6 2011 2:30AM Throat Culture - Throat Jul 6 2011 4:29AM
NO BETA HEMOLYTIC STREPTOCOCCUS GP A ISOLATED
(ET: 1 DAY 4 HOURS)
Final
123456789 12345678 TEST, PATIENT 18m/M Jul 6 2011 8:21AM Throat Culture - Throat Jul 6 2011 10:59AM
NO BETA HEMOLYTIC STREPTOCOCCUS GP A ISOLATED
(ET: 21 HOURS)
Final
123456789 12345678 TEST, PATIENT 7y/F Jul 6 2011 9:26AM Throat Culture - Throat Jul 6 2011 11:08AM
NO BETA HEMOLYTIC STREPTOCOCCUS GP A ISOLATED
(ET: 21 HOURS)
Final
123456789 12345678 TEST, PATIENT 5y/F Jul 6 2011 10:00AM Urine Culture - URINE RANDOM Jul 6 2011 10:34AM NO GROWTH 1 DAY
(ET: 22 HOURS) Final
123456789 12345678 TEST, PATIENT 11m/F Jul 6 2011 12:22PM Urine Culture - URINE RANDOM Jul 6 2011 1:11PM
ESCHERICHIA COLITHIS ALERT
VALUE WAS CALLED TO AND READ BACK BY DR.BAZIAZ 7/7/11
Final
123456789 12345678 TEST, PATIENT 4y/F Jul 6 2011 1:00PM Throat Culture - Throat Jul 6 2011 2:40PM
NO BETA HEMOLYTIC STREPTOCOCCUS GP A ISOLATED
(ET: 18 HOURS)
Final
123456789 12345678 TEST, PATIENT 17m/M Jul 6 2011 1:14PM Blood Culture - Venous Blood Jul 6 2011 3:26PM NO GROWTH 3 DAYS Pending
123456789 12345678 TEST, PATIENT 3y/M Jul 6 2011 6:47PM Blood Culture Jul 6 2011 7:17PM NO GROWTH 3 DAYS Pending
| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Managing Incomplete Board• Goals:
• Automate the process of tracking and notifying physicians and nurses about remaining charts on the incomplete board after a defined period of time
• Mitigate liability and risk from incomplete charts• Improve CQI• Improve cash collections by faster turnaround times on
entire coding/billing process
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Managing Incomplete Board
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Managing Incomplete Board
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| Copyright © 2011 Allscripts Healthcare Solutions, Inc. A Connected Community of Health
Questions?• Kenneth N. Sable, MD, FACEP
• Corey M. Weiner, [email protected]
• Emil Soleyman-Zomalan, [email protected]
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