I recently traveled to Orlando Florida to speak at the national Amazing Charts Users Conference (ACUC). I planned to spend a few days in the Solution Lab as an expert resource for Clinical Decision Support (CDS). I was also scheduled to speak at the sessions for “Optimizing Patient Care through Efficient Use of Clinical Decision Support.”
I was soon disabused of the notion that I was there to lecture anyone on anything. The roundtables in the Solution Lab were a place for sharing ideas and solutions, for laughing and learning together. Attendees moved between tables, sharing workflow tips and workarounds. New features were examined and practiced. We compared short cuts and discovered pain points. Discussions generated new ideas for enhancements.
Each person who visited the Solutions Lab brought a unique perspective. I learned that our user community makes novel use of the CDS features inside Amazing Charts. Some practices have staff complete the CDS interventions, while others use it for in-depth tracking of tests, as well as innovative custom practices.
A few specialty practices were interested in creating “custom” clinical decision support to meet Meaningful Use (MU) requirements. Since these specialists don’t apply preventive wellness measures as often as primary care physicians, they wanted to identify and create interventions that were meaningful to their practices.
Another practice was interested in using CDS to track the status of 2016 Physician Quality Reporting System (PQRS) compliance. While Amazing Charts CDS does not report PQRS, it can help the user track completed measures and identify gaps.
We expect to see a greater emphasis on quality data as the entire healthcare system shifts to a more value-based payment environment. Taking incremental steps now to track interventions, capture data, and evaluate outcomes may help with clinical practice improvements and ease the transition coming with the Medicare Access and CHIP Reauthorization Act (MACRA).
All in all it was a very worthwhile experience for me and for the many users I encountered. I thought I was going to teach, but instead I found that I was part of an exciting and accidental collaboration with our user community.