Retiring Your Ambulatory EMR

Helping you to eliminate data silos and retire ambulatory systems resulting from the acquisition of regional physician practices – ensuring a single, 360-degree patient view via your primary EMR

No. of US hospital-owned physician practices in 2015

Between 2012 and 2015, the number of physician practices employed by hospitals grew by 31,000, which is an 86% increase over three years. By 2015, that number grew to 67,000 physician practices nationwide that were hospital-owned.

As strategic initiatives to buy general and speciality physician practices continue to dominate the healthcare delivery landscape in the United States, hospitals face significant challenges as to how they efficiently and successfully integrate physicians, and their patient population, into the healthcare system.

One critical issue is how to transition the workflow of these physicians and their staff from their practice-owned ambulatory EMR to the centralized hospital-owned EMR to ensure the efficient and safe delivery of care for patients.

Challenge 1
“As a hospital clinician, how can I access patient data from the ambulatory EMR from the regional physician’s practice we acquired?”

Your hospital’s Electronic Medical Record (EMR) systems go some way to aggregating data and providing a view of a patient – but, that view is incomplete. And where does that leave all of the data from the acquired practice? It often remains siloed in the legacy ambulatory EMR. Inaccessibility to this data increases patient risk and jeopardizes safety, creates more work for those treating the patients (leading to group inefficiency), all while still having to pay maintenance and support on the legacy ambulatory application, not to mention the costs incurred to staff and support it. But, there is a solution…

The Answer

The fact is that most of the data that the EMR consumes isn’t real-time data or recently created information. It’s generally reference or legacy data that isn’t likely to change. BridgeHead’s HealthStore® Independent Clinical Archive (ICA) extracts, ingests and indexes the data from the old ambulatory system into a central repository, allowing you to then retire that application and save associated operational and staffing costs. More importantly, the patient’s recent and historic healthcare data can then be easily accessed either directly through HealthStore or via your hospital’s enterprise EMR with a single search interface for all content, thereby providing a 360-degree patient view.

For more information on how to complete your organization’s patient record, read about BridgeHead HealthStore® →

Challenge 2
“Who’s going to abstract the patient charts from the acquired ambulatory EMR and how can we avoid transcription errors?“

Too often the physicians of the acquired practice are tasked with the painstaking process of manually abstracting the charts for each of their patients into the acquiring hospital’s ambulatory EMR. Physicians, who have experienced system migrations during their career, understand that this chart-by-chart abstraction is often couched under the heading of ‘training’. It’s not training its tedium! In practical terms it means a physician’s 12 hour day is extended while they move the patient records for the next day’s appointments. Through this manual process, errors can inadvertently occur due to fatigue and transcription short cuts can be necessary due to available time. The end result can be medication errors, lost context as to why a patient made an appointment, and declining physician morale and satisfaction rates. But, there’s no need to unnecessary risks…

The Answer

Data drives care decisions. Without access to the correct and relevant information and the right care co-ordination, patients will suffer. BridgeHead’s HealthStore® Independent Clinical Archive (ICA) provides a central repository for all of the patient’s recent and historic healthcare data. By automating the transformation of patient charts into documents (using open data standards), which are then ingested and indexed within HealthStore, physicians and their staff avoid the laborious and time consuming process of manually translating records from ambulatory systems into the hospital’s EMR. But, more importantly, by letting us take care of the data migration process, you significantly reduce any clinical risk from inconsistent data largely borne out of human error. Instead, BridgeHead does all of this for you. The result: improved clinical workflow allowing physicians to spend more time with patients, thereby reducing the risk of poor patient’s outcomes, higher physician satisfaction rates, and the more reimbursement services physicians and hospitals get.

Learn how to automate your patient chart abstractions with BridgeHead HealthStore® →

You may also be interested in:

Independent Clinical Archive a Great Gift Amid Hospital Acquisitions

Becker’s Hospital Review discusses the trend in hospitals acquiring physician practices and the role of Independent Clinical Archives →

Overview Video: Legacy Application Retirement

Why should healthcare systems consider retiring their legacy applications? Watch this video to understand some of the problems these systems cause and a potential solution →


Data Migration for Legacy Applications

Stop ‘burning’ money on old, obsolete IT/clinical applications maintained only to preserve the data in them. Find out how to retire your legacy applications while your data lives on →

What are your obsolete applications costing you?

The culmination of legacy applications cost hospitals hundreds of thousands of dollars. This discusses a strategy for retiring and managing these assets →

Discover how BridgeHead Software can help your organization integrate data from newly acquired physician practice’s ambulatory systems into your Enterprise EMR. Contact us and let’s get started.

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