Our innovation benefits you


While hospitals across the country are increasing patient safety, streamlining administration and reducing costs with information-unifying software systems, there can be gaps that require additional innovation. This was the case when Universal Health Services, Inc. (UHS) implemented a suite of Cerner solutions across its 25 Acute Care hospitals in 2009. The conversions were very successful including voluntary Computerized Physician Order Entry (CPOE) with 65 to 90 percent adoption across UHS facilities. However, users found room for improvement regarding renewing electronic orders quickly enough, meeting requirements without disruptive alerts and improving quality of communication between providers.


“Doctors want to be alerted at the right time with actionable information if they haven’t attended to something important,” said Ori Lotan, MD, Chief Medical Information Officer. “We wanted to make it easy for them to do the right thing.”


With this goal in mind, UHS assembled a group of physicians, nurses, programmers and information specialists to develop Clinical Decision Support advancements leveraging the Cerner Millennium® system. The group created a new layout for physician and nurse views that improves system usability and consolidates data more effectively, allowing faster decision-making. In 2013, the team joined forces with Cerner to build the Inpatient Physician Notification and the Discharge Core Measure Advisor using Cerner’s MPages and Discern Advisor platforms. By the summer of 2014, the two modules were launched across UHS hospitals and the group, named Crossings Healthcare Solutions (Crossings), was established as a wholly owned subsidiary of UHS.


Crossings won the 2014 Accelerator Award from Clinical Innovation + Technology magazine, and Ehab Hanna, MD, Chief Medical information Officer at UHS of Delaware, Inc., was named the 2014 winner of Cerner’s Physician Idol award for the design of Crossings’ Inpatient Physician Notification tool. The Discharge Core Measure Advisor is also making waves. Since its implementation, UHS’ Quality department has evolved from a retrospective approach to core measure compliance to real-time core measure review. From July 2013 to October 2014, Advisor flagged nearly 25,000 patients with discharge deficiencies for stroke, acute myocardial infarction and congestive heart failure. As a result, core measure performance system-wide has improved.


“This is the stuff we really love to do,” says Lotan. “We think the Cerner Millennium system gives us the opportunity to create the intelligence that is really the promise of healthcare IT.”


Watch a video of Ori Lotan, MD, Chief Medical Information Officer of Crossings Healthcare Solutions, and Ehab Hanna, MD, Chief Medical Information Officer of  UHS of Delaware, Inc., describe the Inpatient Physician Notification and Discharge Core Measure Advisor, and the difference they have made to system usability and clinician satisfaction.


See what Cerner is saying about Crossings Healthcare Solutions! >


Volume 1, Issue 1 – Spring 2015