Clinical Dashboard

Clinical decision-support and quality management within TouchWorks EHR

Allscripts Clinical Quality Solution

The Allscripts Clinical Quality Solution (CQS) is a clinical decision-support and quality management tool that integrates tightly with the Allscripts TouchWorks EHR. It consists of a web application which hosts the clinical dashboard that appears at the point of care in EHR, and an algorithm engine that computes dashboard results and reporting data. The algorithm engine is backed by a SQL Server data warehouse containing EHR and PM data that is refreshed nightly.

Two distinct content channels are available within CQS:

  1. Patient-Centered Care channel
  2. Hierarchical Condition Categories Diagnosis Recapture Channel

CQS Patient-Centered Care (PCC) channel

Key Benefits:

  • Automate key parts of reporting PQRS and ACO measures via the GPRO Web Interface
  • Accelerate NCQA Level 3 PCMH certification and recertification
  • Maximize quality scores that drive incentives for medical homes and CMS
  • Increase competitive advantage by outperforming other groups on quality measures
  • Contest claims-based payer data with clinical quality data from your EHR
  • Increase revenue through more patient visits driven by evidence based standards of care

Compare to Identify High Performing Practices

Administrators can look across the organization to compare by site, specialty, and other custom groupings with drilldowns to the individual provider level available. Target practices for quality initiatives or use for internal compensation programs or to determine shared savings distributions.

Intervene at the Point of Care to Improve Outcomes

PCC provides point-of-care decision support to physicians to make sure patients are up to date with recommended treatment, testing, and screening. It targets key chronic diseases and prevention at the time of the patient visit within the EHR workflow, assisting medical homes to deliver exceptional quality and qualify for performance-based payments.

Over 120 evidence-based measures target conditions including diabetes, cardiovascular diseases, asthma, behavioral health, pediatrics, and prevention. Measures are presented to physicians at the point of care on a dashboard accessed from within the patient’s chart. Patients are automatically placed in populations that drive appropriate actions. The dashboard shows the status of Care Actions (process measures) to be performed by the physician and the status of patient-specific Health Goals (goal measures). All high priority information is available at first glance and the measures automatically adapt to a patient’s condition and severity per evidence-based standard

Prep Your Daily Schedule of Patients in Advance

The CQS schedule enables pre-visit preparation and planning for a day’s list of patients. An alerts column on the schedule indicates if a patient has care standards that need to be addressed. This daily population view allows the clinical staff to see what is needed and place orders ahead of time, allowing physicians to optimize time with the patient and focus on the important issues that need to be addressed during the visit.

Proactively Target Populations With Care Gaps

Built-in Pursuit Lists can be used by care team members to identify patients for proactive outreach. Filtering and sorting of the registry by demographic, diagnosis, and clinical data is available. For example, “Show me all my diabetics with an elevated BP and an HbA1c > 8%.” In addition, custom filtering of the Pursuit List allows care teams to optimize their workflows to achieve multiple goals.

Use Performance Data to Continually Improve

Providers can self-assess their care team’s performance on quality measures with an aggregate patient view. Comparisons to peers are also available such as to a site or specialty, creating additional motivation to improve scores and to more actively use CQS.

CQS Hierarchical Condition Categories (HCC) Diagnosis Recapture Channel

Key Benefits:

  • Protects the group’s RAF score from falling and therefore the group’s profitability
  • Preserves investments made in chart audits identifying HCC codes
  • Ensures physicians renew the highest-value diagnoses so that the group’s RAF score accurately reflects the disease burden of its patients
  • Rules engine cuts through the complexity of program rules and only displays codes with monetary value
  • Diagnosis codes with monetary value are displayed in Allscripts TouchWorks EHR within the physicians workflow, prompting physicians at the point of care to take action
  • Reinforces value of proper HCC coding and that coding for CPT procedure payment is not enough in a risk-based world

Reduce Costly HCC Code Omissions at the Point of Care

The growth of Medicare Advantage plans is placing medical group reimbursements at risk if they don’t accurately report the disease burden of patients. The yearly renewal of HCC codes for each risk-adjusted patient is necessary to ensure profitability. Without an actively managed program, twenty percent or more of previous HCC codes may not be renewed each year. The Allscripts Clinical Quality Solution (CQS) HCC Diagnosis Recapture Channel brings diagnosis renewal directly to physicians at the point of care within Allscripts TouchWorks EHR virtually eliminating costly HCC code omissions.

The HCC Diagnosis Recapture Channel rules engine cuts through the complexity of program rules and displays codes with monetary value on a patient-specific dashboard. Codes for recapture are pulled from the patient’s previous two years of diagnosis history from the practice management system. The physician is presented with alerts to renew the most valuable diagnoses and to update care plans as needed to maximize payments and improve the health of their patients. Physicians can also drill down and see a detailed view of the patient’s HCC diagnosis history together with a simple “gap” calculation that quantifies at-risk value.

In addition, the HCC Diagnosis Recapture Channel automates the patient prioritization process to efficiently recapture codes of value. A Pursuit List presents to case managers a prioritized list of patients based on the value of the patient’s HCC codes that have not been renewed in the current year. This prioritizes call backs of the sickest patients so they get the care they need.

In summary, the HCC channel provides medical groups with a tool to proactively manage Medicare Advantage risk. It alerts physicians at the point of care to code appropriately, eliminating the need to correct charts after the fact. Medical groups are not only able to better manage their current risk contracts, but can explore increasing their risk sharing percentage or enter into full-risk arrangements.

  • For client support, 800-877-5678 (option 1, option 7)
  • For billing and finance, 800-877-5678 (option 3)