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How UK clients are preparing for the future of healthcare

Editor’s Note: In October, nearly 50 healthcare leaders gathered for the first Allscripts Client Experience (ACE) User Group in the UK. Clients shared their experiences with electronic patient record (EPR) systems and discussed getting ready for the eras of population health management and precision medicine. This is the first in a two-part blog series that shares some highlights from the day-long event in Birmingham.

When discussing lessons learned, our clients recognise that implementing an EPR is only the start of a journey; medicine is always developing. Allscripts and clients engaged in several conversations about how best to prepare for the future of healthcare.

The promise of precision medicine

Phillip LaJoie, director of operations at 2bPrecise, talked about the growth of precision medicine and genomics in the UK – and why it is important for healthcare organisations to “begin with end in mind” as they develop point-of-care strategies.

Acknowledging the creation of the new Genomic Medicine Services in the UK, LaJoie noted that advances in science and patient interest are accelerating the need for healthcare providers to bring the value of precision medicine into the clinical workflow. “Precision medicine is almost certainly going to become the new ‘standard of care,” he said. “It is not a question of ‘if,’ but ‘when.’”

He added that platforms like that offered through 2bPrecise allows organisations to start in areas that make sense for them (e.g., pharmacogenomics, oncology, pediatrics) – and then scale across the enterprise.

Taking a patient-centered approach to population health management 

At the same time, hospitals are increasingly looking to hook themselves into their local healthcare communities, to support the new models of care proposed by the Five Year Forward View.

Dr Farrier said that when Wrightington, Wigan and Leigh started on its digital journey, he thought the priority would be to share information with other hospitals, or with GPs. However, he said, hospitals were only interested in discharge summaries, and “GPs want our information much less than we want theirs.” So, he has become convinced that “the people we need to hook up with are patients” – the people who interact with all parts of the system.

The Dudley Group’s Adam Thomas, digital strategy director and clinical safety officer, agreed with this idea. Dudley is not only implementing an EPR but using technology to support a multi-speciality provider vanguard. So far, it has focused on refreshing community infrastructure and devices, and on sharing information between its main hospital, hospices and GPs.

But the ambition is to redesign care plans, to make sure clinical staff always have the information they need to carry out effective consultations, and to empower patients to “look at their own care plans” and “take action on what is in front of them.”

Delivering on the quadruple aim 

A series of roll-outs will take Dudley in this direction. Dr Michael Blackman, medical director for population health and analytics at Allscripts, said it would not be alone.

Population health management will be essential to deliver on the ‘quadruple aim’ of better experience, better health, lower cost and better working lives for staff in the US, the UK and other countries, he said.

Dr Blackman added that healthcare communities should prepare in much the same way as they would prepare to scale a mountain. First, they should establish a data aggregation ‘base camp’, using a product such as dbMotion, from which they can add risk stratification and analytics, care co-ordination, and eventually, patient portals, chatbots and all the other tools to “bring patients into the loop.”

Allscripts: growing and investing for the future

Richard Strong, vice president, international services, stressed that in a consolidating EPR-provider market worldwide, Allscripts was continuing to grow and invest in its products.

Strong noted that Allscripts spends 17% of its revenues on R&D, and that the company is also buying companies and forming partnerships that can “support clients in their daily business.”

James Hodgin, head of solutions in the UK, said Allscripts would be investing in its patient administration system, Sunrise EPR, regional and personal health solutions. He also announced the creation of a user council, to make sure that “our technology vision supports yours.”

Ellen Loch, senior outcomes consultant, explained how Allscripts can help trusts gain coveted HIMSS Electronic Medical Record Adoption Model (EMRAM) Stage 6 and Stage 7, which recognise the highest levels of digital maturity.

Working in close collaboration with our clients, Allscripts commits to providing the solutions they need to prepare for the future of healthcare. Through ACE-UK, we were able to connect and share ideas on how to improve the solutions that will enable true digital transformation.

To learn more from UK clients, check out our recent eMagazine about Digital Transformation in the UK.

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