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.
Framework for Success: Provider Workflow Optimization Hits New Heights
The story of a Midwest integrated health delivery system and Crossings Healthcare Solutions started at the Cerner Healthcare Conference in the fall of 2015. By the next summer, the “Provider Workflow Optimization (PWO) Project” was underway with an early 2017 live date.
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Crossings’ Enhanced Dynamic Documentation Success
A nine hospital faith-based organization, part of the largest non-profit health system in the United States, rolled out Crossings’ Enhanced Dynamic Documentation platform over three months. Prior to the conversion, the physicians used a mix of Cerner’s standard out-of-the-box dynamic documentation, powernotes and transcription for their documentation.
Project Outcomes
- Total transcription expense decreased by 80 percent
- Organization saved $4 for every $1 invested in the Crossings’ project
- Physicians spend nearly two and a half minutes less time creating notes than their counterparts NOT using Crossings’ Enhanced Dynamic Documentation tools
- Electronic Documentation was > 90 percent within the first six months of use
- Provider experience positively transformed
- Nine-hospital ministry exceeds overall health system adoption average
Physician Feedback
- “Surpassed my expectations.” (Family Practice Physician)
- “My notes are improved in quality.” (Family Practice/Pediatrics Physician)
- “I am actually more efficient.” (Primary Care Physician)
- “Some things are now easier in the hospital chart than in physician office. OP note in hospital is so easy and quick, can be completed right after the case is finished. Makes day-to-day activities easier and more convenient.” (OB/GYN Physician)
- “Following the conversion, providers almost universally happy with the product. Crossings was very well received.” (Medical Executive Committee Chief)
Dynamic Documentation Paired with Crossings’ Enhancements Displaces Transcription
One hospital’s metrics showing how adoption of Crossings’ Enhanced Dynamic Documentation drove down Transcription, PowerNote and Clinical Note usage, enabling significant cost savings and ROI. Data from Cerner Lights On.
Electronic Documentation Percentage
Health System with Crossings tools performs stronger than Cerner National Health System Leaders*
*The National Health System Leaders are the most efficient health system from a adjusted time perspective across all health systems. This health system’s metrics are displayed on all comparison graphs and charts. Due to the selection method, it is possible for a specific health system to exceed the National Health System Leaders performance in a given category.
- Green is National Health System Leaders
- Blue is the Health System using Crossings Dynamic Documentation enhancements
Transcription Reduction by Facility
Crossings’ Enhanced Dynamic Documentation solution resulted in significant transcription reduction expense with an average reduction of 69 percent across facilities.
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 percent — 10 percent higher than national health system leaders
- Reduction in transcription to 3.8 percent — 9 percent lower than national health system leaders
- Significant use of dynamic documentation of 73.7 percent — 49 percent higher than national health system leaders
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.
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.
Solution: Quality Advisors
This tool alerts physicians about a patient’s core measure status and provides actionable tools to address gaps.
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
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
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
Solution: Inpatient Physician Notification
This award-winning package includes Order Renewal, Catheters and Central Lines Management and non-disruptive Physician Communication MPages.
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