Mountain States Health Alliance and Creighton University School of Medicine select Allscripts Electronic Health Record and Practice Management for physicians

Chicago 08 January 2010Mountain States Health Alliance (MSHA) has selected the Allscripts Electronic Health Record (EHR) and Practice Management (PM) solutions for 300 employed and affiliated physicians and mid-level providers to enhance the quality of patient care, improve patient communications, and better manage the cost of care delivery. Creighton Medical Associates (CMA) has done the same for its 228 physicians and mid-level providers. In addition, CVS Caremark has signed an agreement with Allscripts that will position both companies to help accelerate adoption of e-prescribing technology.


Mountain States Health Alliance (MSHA) provides comprehensive care to people across 29 counties in Tennessee, Virginia, Kentucky, and North Carolina. MSHA's integrated delivery system includes 14 hospitals, 21 primary care centres, and 231 employed physicians in 75 offices managed by Blue Ridge Medical Management Corporation, a wholly-owned MSHA subsidiary.

"The Electronic Health Record is a critical initiative for our organisation because it enables us to bring the future of health care to patients in our region", stated Steve Kilgore, President of Blue Ridge. "Allscripts gives our providers the ability to connect to one another and to other providers throughout the region, leading to further integration, better co-ordination of care, and ultimately improved outcomes for our patients."

All Blue Ridge physicians, physician assistants and nurse practitioners will receive the Allscripts solutions, enabling Blue Ridge to join a connected community of caregivers, quickly sharing data for enhanced patient care across the community.

MSHA also will provide the Allscripts Electronic Health Record at a subsidized rate for the 70 physicians of ETSU Physicians and Associates, the group practice of the James H. Quillen College of Medicine at East Tennessee State University (ETSU). In providing Allscripts for ETSU's physicians, MSHA is taking advantage of recent changes to the federal Stark regulations that now allow hospitals to provide assistance to non-employed physicians in purchasing health care information technology.

Allscripts will interface the Electronic Health Record with MSHA's Siemens Soarian hospital information system, enabling Blue Ridge and ETSU physicians to share up-to-date information on hospitalized patients back and forth with hospital providers. Physicians in all MSHA settings will have access to patient information including lab orders and test results, medications, problem lists, allergies and hospital discharge summaries.

Richard Eshbach, Vice President and Chief Information Officer of MSHA, said the health system also plans to connect its Electronic Health Record and inpatient systems to CareSpark, a non-profit regional health information exchange, to connect electronically with regional physicians using technology from other vendors.

Richard Eshbach said MSHA selected Allscripts following an exhaustive review of other products on the market, in part because the health system was already using the Allscripts Vision practice management system. "This is a long-term commitment and partnership and we wanted someone who had advanced EHR functionality like Allscripts Enterprise, someone who shared our vision for health information exchange and clinical integration, plus real staying power in the market. That's what we saw with Allscripts."

MSHA currently uses the Allscripts Homecare solution to automate and connect Mountain States HomeCare & Hospice's 240 providers. "Our goal is to integrate and share information back and forth between the home care, hospital and physician office settings for full clinical integration and improved patient care", stated Richard Eshbach.

As part of the Electronic Health Record deployment, MSHA will deploy the Allscripts Clinical Quality Solution (CQS), which draws data from the EHR and practice management system to automate the quality reporting requirements of government and payer-funded "pay-for-performance" programmes. CQS also delivers real-time clinical decision support information to improve the quality of patient care through pro-active management of chronic diseases.

"Mountain States Health Alliance has set itself apart as a leader among hospitals nationally by delivering on a strategy to not only automate their own physicians but connect to the communities in which they provide services, offering full electronic health records as well as practice management and full interoperability with their hospital systems as well as CareSpark, their successful regional health information organisation", stated Glen Tullman, Chief Executive Officer of Allscripts. "By partnering with Allscripts, Mountain States and Blue Ridge physicians are encouraging more widespread and rapid adoption of technologies that will ultimately lead to better care for patients and more productive and informed interactions for physicians."

The Allscripts Electronic Health Record automates clinical work flow and gives physicians immediate access to critical data from hospitals, labs, pharmacies, payers and patients. Health care providers can access the Electronic Health Record at any time, whether they are in the clinic, at the hospital or on-call at home. By automatically tracking key patient metrics and providing automated decision support, the web-based solution helps physicians evaluate and improve their practices and enables them to deliver more effective disease management, preventive care, and long-range health maintenance.

Allscripts Practice Management combines sophisticated scheduling and Revenue Cycle Management tools to help physician practices become more efficient and more productive while improving service to patients.

Mountain States Health Alliance, a not-for-profit health care organisation based in Johnson City, Tennessee, operates a family of hospitals serving a 29-county, four-state region - Northeast Tennessee, Southwest Virginia, Southeastern Kentucky and Western North Carolina. Mountain States offers a large tertiary hospital, several community hospitals, two critical access hospitals, rehabilitation, a children's hospital, a behavioural health hospital, home care and hospice services as well as a comprehensive medical management corporation. Its 10.000 team members and associated physicians are committed to its mission of bringing loving care to health care.

Creighton Medical Associates (CMA) is a multispecialty group practice whose physicians make up the faculty of Creighton University School of Medicine. Organized in 1994, CMA providers represent 36 specialties and serve more than 100.000 patients annually at the Creighton University Medical Center campus, community-based clinics in the Omaha metropolitan area, and rural outreach clinics in Iowa and Nebraska.

"The Allscripts Electronic Health Record is a critical strategic imperative for CMA in documenting quality and improving our ability to safeguard patient safety", stated Steve Lanspa, M.D., President and Chief Medical Officer of Creighton Medical Associates. "Above all, the EHR will help us advance our mission of providing excellent, cost-effective care to our patients while supporting the academic mission of Creighton University School of Medicine."

CMA also will deploy the Allscripts Clinical Quality Solution (CQS), which draws data from the Electronic Health Record and CMA's practice management system to automate the quality reporting requirements of government and payer-funded "pay-for-performance" programmes. Pay-for-quality programmes aim to lower the overall cost of health care by providing financial bonuses to physicians who deliver high quality care. In addition to its reporting functionality, CQS delivers real-time clinical decision support information to physicians, improving their ability to pro-actively manage chronic conditions such as diabetes, heart disease and high blood pressure.

"Creighton University School of Medicine is one of the leading medical schools in the nation largely because the faculty physicians of CMA are among the best in their fields", stated Glen Tullman, Chief Executive Officer of Allscripts. "By partnering with Allscripts and deploying innovations like our Clinical Quality Solution, CMA is demonstrating its commitment to further improving the quality of care they provide while also lowering the cost of delivering that care."

Creighton selected Allscripts following an exhaustive review of other products on the market for the company's reputation, market-leading technology and commitment to continued innovation. "Allscripts was chosen because a large faculty selection committee felt it accommodates the teaching as well as caring missions of CMA", stated Dr. Lanspa. Allscripts will integrate the Electronic Health Record with CMA's existing practice management system from GE to enable CQS and connect the group's business and clinical operations.

Creighton Medical Associates is the academic, multispecialty faculty group supporting the clinical and academic missions of Creighton University School of Medicine in Omaha, Nebraska. Organized in 1994, CMA has 228 physicians and mid-level providers representing 36 specialties. As a division of the School of Medicine, CMA serves more than 100.000 patients annually at the Creighton University Medical Center campus, community-based clinics in the Omaha metropolitan area, and rural outreach clinics in Iowa and Nebraska.

The agreement between CVS Caremark, the United States' largest pharmacy health care provider and Allscripts, the largest provider of e-prescribing and Electronic Health Record (EHR) solutions will enhance the ability of CVS Caremark to support its payer and employer clients in driving e-prescribing adoption throughout their networks. As part of this agreement, CVS Caremark will transition the thousands of providers now using the company's proprietary iScribe e-prescribing tool to Allscripts e-prescribing and retire iScribe.

Considered the "on-ramp to the electronic health care highway", e-prescribing often serves as a first step toward adoption of a full EHR, which provides e-prescribing capabilities while also automating the everyday clinical tasks of caregivers and connecting them to key health care stakeholders. Under the agreement, iScribe users will also have the opportunity to transition to a full Allscripts EHR, enabling them to qualify under the American Recovery and Reinvestment Act (ARRA) for between $44.000 and $64.000 in federal incentive payments beginning in 2011.

The Centers for Medicare and Medicaid Services already provides financial incentives for e-prescribing under the Medicare Improvements for Patients and Providers Act (MIPPA). As adoption of e-prescribing technology and EHRs increases in response to these significant federal incentives, CVS Caremark will focus its efforts at the point-of-care. That work will include initiatives with market experts such as Allscripts to deliver enhanced information about plan design, drug formulary, generic options, potential drug interactions, and eventually care plans to providers at the point-of-care to help improve quality, ensure safety and provide the most cost-effective treatment protocols.

CVS Caremark's goals are to promote savings for the patient, payers and employers; enhance the customer experience at the pharmacy; and improve patient medication compliance which can help improve health outcomes. Given CVS Caremark's ability to enhance pharmacy health care at multiple touch-points, the company is well-positioned to take the lead at developing and implementing new programmes and initiatives that help deliver the right information to guide physician and caregiver medication decision making at the point-of-care.

"This represents a natural progression of our work in the expanding e-prescribing industry", stated Troyen Brennan, M.D., M.P.H., Executive Vice President and Chief Medical Officer of CVS Caremark. "We helped define this market through our participation as one of the founders of the Surescripts network which connects prescribers to critical prescribing information and the pharmacy, and as an early provider of e-prescribing tools. Working directly with Allscripts in this next phase will strengthen our ability to deliver scalable e-prescribing solutions, which include valuable information, to meet our clients' business and clinical goals."

The agreement with Allscripts, along with a broader ePrescribing and eHealth strategy involving the two companies, increases the ability of CVS Caremark to reach prescribers beyond that provided by investment in a single clinical tool. Allscripts offers physicians in independent practice and in larger groups or institutions a wide variety of solutions to meet their needs, ranging from a standalone mobile smartphone e-prescribing solution to robust EHR with embedded e-prescribing technology.

"Electronic prescribing is a proven technology that can improve health outcomes by reducing medication errors, leading to lower health care costs", stated Glen Tullman, Chief Executive Officer of Allscripts. "With this partnership, CVS Caremark has demonstrated its continuing leadership in the promotion of patient safety by preparing former iScribe physicians to take advantage of the new federal incentives for adoption of electronic health records, which let them not only e-prescribe but automate and connect their clinical operations for higher quality and greater efficiency. We also look forward to working with CVS Caremark to provide valuable new information that will help physicians and caregivers better manage patient care."

CVS Caremark is the largest provider of prescriptions in the United States. The company fills or manages more than 1 billion prescriptions annually. Through its unmatched breadth of service offerings, CVS Caremark is transforming the delivery of health care services in the United States. The company is uniquely positioned to effectively manage costs and improve health care outcomes through its more than 7000 CVS/pharmacy and Longs Drugs stores; its Caremark Pharmacy Services division - pharmacy benefit management, mail order and specialty pharmacy; its retail-based health clinic subsidiary, MinuteClinic; and its on-line pharmacy,

Allscripts uses innovation technology to bring health to health care. More than 160.000 physicians, 800 hospitals and nearly 8000 post-acute and homecare organisations utilize Allscripts to improve the health of their patients and their bottom line. The company's award-winning solutions include electronic health records, electronic prescribing, revenue cycle management, practice management, document management, care management, emergency department information systems and homecare automation. Allscripts is the brand name of Allscripts-Misys Healthcare Solutions Inc. More company news is available in the VMW January 2007 article Emageon to resell Allscripts TouchWorks solution.

Source: Allscripts

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