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Outcomes

Software from Crossings Healthcare Solutions has helped many facilities improve outcomes in several key areas, including transcription reduction, electronic documentation adoption and more.

Solution: Enhanced Dynamic Documentation

This enhanced documentation tool automates physician documentation and incorporates advanced clinical decision support.

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Transcription Reduction by Facility

Crossings’ Enhanced Dynamic Documentation solution resulted in significant transcription reduction expense with an average reduction of 69 percent across facilities.

Enhanced Dynamic Documentation - Transcription Reduction by facility

Comparing Enhanced Dynamic Documentation Results to Industry Leaders and National Average

Crossings’ Enhanced Dynamic Documentation solution has resulted in:

  • High electronic documentation adoption of 96 percent10 percent higher than national health system leaders
  • Reduction in transcription to 3.8 percent9 percent lower than national health system leaders
  • Significant use of dynamic documentation of 73.7 percent49 percent higher than national health system leaders

Enhanced Dynamic Documentation Results

Transcription Reduction at Academic Medical Center — First 45 Days

Crossings’ Enhanced Dynamic Documentation tools resulted in high adoption of Dynamic Documentation at an academic medical center following discontinued use of best of breed electronic Physician Documentation solution.

Enhanced Dynamic documentation GW reduction

Expected Transcription Reductions after Completion of a Successful Physician Documentation Project

Crossings’ Enhanced Dynamic Documentation solution has resulted in ~$4.5 million transcription expense reduction across UHS facilities and ongoing transcription expense reduction of greater than $3 million per year.

Expected Transcription Reductions after Completion of a Successful Physician Documentation Project

Solution: Quality Advisors

This tool alerts physicians about a patient’s core measure status and provides actionable tools to address gaps.

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Improved CHF Outcomes

Significantly improved congestive heart failure core measure performance with Quality Advisors.

  • Alerted to 12,338 patients with CHF core measure deficiencies between 7/1/2013 and 10/17/2014
  • Activated across 25 hospitals between 7/1/2013 and 6/30/2014

Quality Advisors -- CHF

Improved Stroke Outcomes

Significantly improved stroke core measure performance with Quality Advisors.

  • Alerted to 2,994 patients with stroke core measure deficiencies between 7/1/2013 and 10/17/2014
  • Activated across 25 hospitals between 7/1/2013 and 6/30/2014

Quality Advisors -- stroke

Improved AMI Outcomes

Significantly improved acute myocardial infarction core measure performance with Quality Advisors.

  • Alerted to 7,847 AMI patients with AMI core measure deficiencies between 7/1/2013 and 10/17/2014
  • Activated across 25 hospitals between 7/1/2013 and 6/30/2014

Quality Advisors -- AMI

Solution: Inpatient Physician Notification

This award-winning package includes Order Renewal, Catheters and Central Lines Management and non-disruptive Physician Communication MPages.

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Improved Quality Tracking

Significantly improved quality tracking with the inpatient physician notification module.

Inpatient Physician Communication: Urinary catheter and central lines across 25 facilities over an eight-week period (8/1/14 – 9/30/14).

Type

Central Venous Line

Total line days

7734

Discontinued from component

1074

Documented continuations

2147

Type

Peripherally Inserted Central Catheter

Total line days

21484

Discontinued from component

2318

Documented continuations

2993

Type

Urinary Catheter

Total line days

84808

Discontinued from component

20499

Documented continuations

6902

Type Total line days Discontinued from component Documented continuations

Central Venous Line

7734

1074

2147

Peripherally Inserted Central Catheter

21484

2318

2993

Urinary Catheter

84808

20499

6902

Enhanced Communication

Significantly enhanced communication with the inpatient physician notification module.

Inpatient Physician Communication: 245-bed acute care facility over a 25-week period (4/1/14 – 9/13/14).

Who sent communication to physician

Nursing

Total communications entered

1290

Total communications with actions taken by physician*

535

% of communications with actions taken by physician

42%

Who sent communication to physician

Pharmacy

Total communications entered

611

Total communications with actions taken by physician*

231

% of communications with actions taken by physician

38%

Who sent communication to physician

Case Management

Total communications entered

373

Total communications with actions taken by physician*

143

% of communications with actions taken by physician

38%

Who sent communication to physician

Clinical Nutrition

Total communications entered

301

Total communications with actions taken by physician*

127

% of communications with actions taken by physician

42%

Who sent communication to physician

Social Services

Total communications entered

91

Total communications with actions taken by physician*

24

% of communications with actions taken by physician

26%

Who sent communication to physician

Other Physician

Total communications entered

31

Total communications with actions taken by physician*

10

% of communications with actions taken by physician

32%

Who sent communication to physician

Occupational Therapy

Total communications entered

31

Total communications with actions taken by physician*

10

% of communications with actions taken by physician

32%

Who sent communication to physician

Physical Therapy

Total communications entered

24

Total communications with actions taken by physician*

12

% of communications with actions taken by physician

50%

Who sent communication to physician

Speech Therapy

Total communications entered

21

Total communications with actions taken by physician*

13

% of communications with actions taken by physician

62%

Who sent communication to physician

Totals

Total communications entered

2775

Total communications with actions taken by physician*

1104

% of communications with actions taken by physician

40%

Who sent communication to physician Total communications entered Total communications with actions taken by physician* % of communications with actions taken by physician

Nursing

1290

535

42%

Pharmacy

611

231

38%

Case Management

373

143

38%

Clinical Nutrition

301

127

42%

Social Services

91

24

26%

Other Physician

31

10

32%

Occupational Therapy

31

10

32%

Physical Therapy

24

12

50%

Speech Therapy

21

13

62%

Totals

2775

1104

40%

*Physician clicked “acknowledged” or “ignored” in MPage