medCPU Binder

medCPU

TM

Accuracy is not optional.

®

A quantum leap in decision support solutions

medCPU ADVISOR

™

Our solution provides one platform and customized best-practice actionable modules for all your enterprise-wide decision support needs

The medCPU Advisor™ solution benefits your organization with: Single decision support solution that addresses a wide spectrum of clinical specialties

Proprietary technology that reads & comprehends all free text & structured data entered into any EMR and ancillary systems

EMR-agnostic platform

Customized, up-to-date evidence-based clinical & compliance modules Increased adherence to the organization’s best practice guidelines

Precise alerts in real time, at the point-ofcare without interrupting clinician workflow Fully customized and serviced solution No alert fatigue No training required on the part of clinicians

Daily, quarterly and customized reports

Enhanced patient care delivery

Minimal organization’s IT resources involvement

Costs reduction

medCPU ADVISOR

™

30%-90% of Clinical Data Is Unstructured Our Solution While other decision support systems work with only partial data, our proprietary technology reads and understands all free text and structured data entered into any EMR and ancillary system to create complete, normalized patient profiles.

The solution remains invisible unless a deviation is identified from evidence-based guidelines. At the moment of deviation – the medCPU Advisor™ delivers an actionable prompt via the medCPU Advisor Button™ that presents the clinician with recommendations enabling him/her to correct the deviation within their workflow. This highly accurate decision support solution assists clinicians to adhere to the hospital’s best practices, avoid potential errors, and enhance patient care.

medCPU OK

1. Full Data Acquisition

EMR Dictations Discharge Summaries Labs CPOE ADT Other ancillary systems

2. Medical Text Processor

Accurate & Complete Patient DB

3. Decision Support Engine

Reporting

Customized Evidence-Based Modules

Accurate Prompts at the Point-of-Care on Discrepancies in Care Delivery

A Better Way Now Exists medCPU ADVISOR ™

Captures Acquires all free text + structured data medCPU Reader™ accurately and continuously acquires all information including free-text notes, dictations, and structured documentation from EMRs and ancillary systems without the need for high-level interfaces or integration on the client’s part.

Understands Interprets all data The medCPU Context Engine™ solves the traditional Natural Language Processing (NLP) accuracy limitation, and achieves 95+ percent accuracy of content extracted from free text – recovering 30% - 90% of information not retrievable by other systems – ensuring a complete, normalized patient profile.

Analyzes patient data with best practices No other system provides the level of sophistication in medCPU’s growing, customized portfolio of evidence-based modules – encompassing a wide-spectrum of medical disciplines.

Advises Alerts in real-time The medCPU Advisor™ decision support (DS) solution working behind the scenes, activates the medCPU Advisor Button™ only when necessary. When the DS recognizes, at point of care, deviations in care and/or compliance – within milliseconds the button appears – without interrupting clinical workflow.

Provides accurate recommendations medCPU Advisor™ provides evidence-based recommendations and accurate prompts that assist in eliminating alert fatigue – resulting in enterprise-wide improvement in patient care and compliance.

Delivers Offers services enterprise-wide medCPU Advisor is an enterprise-wide DS solution that is fully serviced by our teams of expert clinicians and technologists.

Requires no training Because the medCPU Advisor is intuitive – it requires no training on the part of clinicians.

medCPU SUITE OF MODULES The medCPU Advisor ›› ››

Delivers precise, evidence-based recommendations, in real-time, in workflow Helps improve patient care, regulatory compliance and cost reduction

Suite of Clinical Modules OBSTETRICS

Assess, treat and manage a broad spectrum of low- and high-risk pregnancies with a focus on inpatient labor and delivery best practices. Resulting improved safety and quality outcomes benefit patients and providers alike.

The module improves compliance with guidelines from the American Academy of Obstetrics and Gynecology, the American Board of Obstetricians and Gynecology, the Centers for Medicare & Medicaid Services, the American Congress of Obstetricians and Gynecologists, and other institutions.

RADIOLOGY

Use protocols to guide clinicians for appropriate imaging orders, target overutilization and underutilization of imaging, resulting in enhanced patient safety, quality and compliance. Selected advanced imaging modalities are encompassed in the module. The module is a compilation of the ACR Appropriate Use Criteria and other best practice guidelines which are established to promote appropriate use of advanced diagnostic imaging services.

STROKE

Improve patient care and safety during acute and subacute phases of stroke in the ED and inpatient settings.

Target reductions in readmissions by validating proper discharge procedures. Measure compliance with stroke quality measurements. Developed in collaboration with the American Heart Association, the American Stroke Association, the Brain Attack Coalition.

VTE PROPHYLAXIS

Monitor compliance with protocols for Venous Thromboembolism (VTE) prevention and treatment in the inpatient setting. Track key VTE Prophylaxis and related measures to support improved quality and patient safety initiatives. The module follows the VTE Prophylaxis measures endorsed by the National Quality Forum, aligned with Centers for Medicare & Medicaid Services, and used in the Joint Commission’s ORYX hospital accreditation program.

CHF

Evaluation, staging and management of patients according to best practice guidelines is supported at the point of care in the outpatient setting. This module is designed to increase adherence with selected guidelines from the American Heart Association Functional Classification, Heart Failure Association Get with the Guidelines program and Centers for Medicare & Medicaid Services.

DIABETES

Based on best practices, ensure patients receive appropriate care and screening in a timely manner in outpatient settings. Guide clinicians in identification and management of associated risk factor/ comorbidities for Diabetes such as hyperlipidemia, HTN in order to improve patient care, quality and compliance. The module is based on Centers for Medicare & Medicaid Services guidelines, Physician Quality Reporting System (PQRS) measures, and evidence-based guidelines from professional governing bodies.

PEDIATRIC ASTHMA

Confirm diagnosis of asthma, assess quality of symptom control and select plans of care, including recommendations on steroid treatment, whether to admit patients and prevention of readmission. As the mainstay of asthma management remains pharmacotherapy, the module can help in recommendations regarding the most appropriate medication and possible drug interactions.

medCPU, Inc. • www.medcpu.com Proprietary & Confidential

Suite of Compliance Modules ICD-10

Increase compliance of documentation associated with correct ICD-10 coding for selected clinical conditions. In real time, the module prompts the clinicians for appropriate and thorough documentation of the complete clinical case to enable correct diagnostic coding.

INPATIENT-ONLY PROCEDURES

Assist clinicians to ensure the accuracy of the patient status based a review of the inpatient-only procedures. With more than 1,700 CPT codes identified as inpatient-only procedures, hospital providers may not be aware of the procedures that the Centers for Medicare & Medicaid Services considers appropriate as inpatientonly procedures.

VALUE-BASED PURCHASING

Improve adherence with Medicare’s Effective Clinical Care Measures by prompting clinicians when non-compliance is identified for selected measures. The module includes measures are in 5 clinical areas that Medicare is focused on improving through better care and containment of costs and reported under the Hospital Inpatient Quality Reporting (IQR) Program. It can additionally assist clinicians with guidance on pneumococcal vaccination in the outpatient setting by flagging risk factors and finding the right vaccine based on a patient’s vaccination history.

READMISSIONS REDUCTION

Address readmission reduction goals enterprise-wide with decision support. This module can assist with critical decisions and guidance at discharge and during the first 30 days post-discharge for acute myocardial infarction, heart failure and pneumonia.

PEDIATRIC COMPLIANCE AND EFFICIENCY

This module enables an organization to appropriately leverage the resources of the hospital facility and reduce waiting time of a decision for patients in the observation area. Additionally, this module supports compliance with medication reconciliation (national safety goal) to be sure the patient is prescribed the needed home meds.

PEDIATRIC COMPLIANCE PLAN INITIATION

This module provides the identification of the need for a physician order for a care plan or best practice guideline, where available, in order to deliver defined best practices for the clinical condition consistently across all patients and providers in the inpatient setting.

ALTERNATIVE QUALITY CONTRACT (AQC) (BCBS OF MASS ACCOUNTABLE CARE ORGANIZATIONS) Assists providers in meeting Blue Cross Blue Shield of Massachusetts Alternative Quality Contract (AQC) Measures, as part of the BCBS ACO contracts with providers. The module enables clinicians to remain aligned with AQC, which has been shown (New England Journal of Medicine, 2014) to improve quality of patient care and to lower costs.

Accuracy is not optional.®

medCPU www.medcpu.com

medCPU, Inc. • www.medcpu.com Proprietary & Confidential

SOLUTIONS CENTER

THE ACADEMY medCPU CENTER FOR ADVANCED SOLUTIONS IN HEALTHCARE

SOLUTIONS CENTER 2015

CENTER FOR ADVANCED SOLUTIONS IN HEALTHCARE Improving clinical, financial & operational performance at the point-of-care

ADVISORY COMMITTEE Mary Jo Cagle, M.D. – EVP & CMO, Cone Health Karen Davis, Ph.D., R.N. – Director of Nursing, Departments of Medicine & Radiology, Johns Hopkins Health System Loran Hauck, M.D. – VP & CMO, Adventist Health System (FL) John Hensing, M.D. – EVP & CMO, Banner Health Rich Liebowitz, M.D. – CMO & SVP Medical Affairs, NewYorkPresbyterian Hospital Mark Montoney, M.D. – CMO, Tenet Healthcare Fred Slunecka – COO, Avera Health EXECUTIVES-IN-RESIDENCE Mark Dixon – Former Regional President, Fairview Health Services Keith Marton, M.D. – Former SVP and CMO and Quality Officer, Providence Health & Services Charles Watts, M.D. – Former SVP of Medical Affairs and CMO, Northwestern Memorial HealthCare

IDENTIFYING BREAKTHROUGH INNOVATIONS Health systems today are working to improve quality and lower costs. Reducing variation is necessary to accomplish this objective. The Academy medCPU Center for Advanced Solutions in Healthcare is dedicated to accelerating research, development and testing of solutions that effectively reduce clinical, financial and operational variation.

Improving Quality and Lowering Costs at the Point-of-Care The Academy medCPU Center for Advanced Solutions in Healthcare interacts with Top-100 health systems to increase the quality of care and improve clinical, financial and operational performance at the point-of-care. The outputs include identifying gaps, studying solutions, conducting projects and disseminating results.

The Solutions Center Approach The Challenge Top-100 health systems are building a market base to best position themselves for change.

At the core of transformation, healthcare risk is being transferred from employers and governments to providers and consumers. To excel in the evolving marketplace, integrated health systems are prioritizing resources to improve their clinical, operational and financial performance at the point-of-care.

The Opportunity New technology, sophisticated analytical capabilities and data-driven protocols and processes are facilitating the usefulness of the exponentially increasing streams of clinical, financial and administrative data. Identifying, understanding and addressing variation in clinical and financial outcomes at the point-of-care through high-precision aviation-standard technologies will improve quality and lower costs.

Solutions Center Framework The Process The Academy medCPU Center will: engage leaders in key organizations to identify gaps in clinical, financial and operational point-of-care performance; conduct pilot projects to study, test and refine solutions to fill the gaps across diverse health system environments; disseminate results through case studies, publications and seminars at Academy meetings.

About The Health Management Academy The Academy provides unique, executive peer learning, complemented with rigorous and highly targeted research and advisory services to executives of Top-100 health systems. These services enable health system and industry members to cultivate the relationships, perspective, and knowledge not found anywhere else.

Peer Learning

Research

Leadership Development

• Forums

• Health System

• Leadership Programs

• Trustee Institute

• Consumer

• Collaboratives

• Health Policy

• Fellowships

• Advisory

THE ACADEMY KNOWLEDGE NETWORK PEER LEARNING

RESEARCH

TOP-100

LEADERSHIP DEVELOPMENT

The Academy has created the first and only knowledge network exclusively focused on Top-100 health systems.

This learning model is based on a proven approach refined over 16 years working side-by-side with members.

About medCPU medCPU delivers accurate real-time enterprise decision support software and services through its proprietary Advisor technology. medCPU captures the complete clinical picture from clinicians’ free-text notes, dictations, discharge summaries and structured documentation entered into any Electronic Medical Record (EMR), and analyzes it against a growing library of best-practice content, generating real-time precise prompts for best care consideration. medCPU’s founding multi-disciplinary team has been pioneering new clinical decision support for nearly 20 years, delivering intelligent error reduction software systems to hospitals across the United States. medCPU’s applications include clinical and compliance support solutions.

For more information, visit www.medCPU.com.

medCPU

© THE HEALTH MANAGEMENT ACADEMY 515 Wythe Street, Alexandria, VA 22314 (703) 548-1022 www.hmacademy.com

NEWS

medCPU Interviews & Articles Click on the links below to view the publications Applied Radiology Implementing clinical decision support for advanced medical imaging studies intrepid.MEDIA (audio) Why Clinical Decision Support (CDS) matters!

Health IT Outcomes Satisfying The CMS Mandate For Clinical Decision Support In Advanced Imaging Orders American Healthcare Leader The Heart of Patient-Centered Care Becker’s Health IT & CIO Review The Centers for Medicare and Medicaid services five rights of clinical decision support: What’s really required for effective decision support HIT Leaders & News How clinical decision support fills gaps in clinical data for higher quality care Managed Healthcare Executive Four ways clinical decision support can improve outcomes Becker’s Health IT & CIO Review How clinical decision support systems reduce medical errors and misdiagnose The Healthcare Guys Six End-User Hurdles That Can Trip Up Healthcare IT Implementations Imaging Technology News CDS as a Trusted Resource Electronic Health Reporter Implementing New Technology: Working From the Ground Up AlleyWatch medCPU Ranked in Top 10 of NYC startups That Raised the Most Amount of Capital in May IntrepidNow Podcast (audio) Nancy Zimmerman, RN: How Clinical Decision Support (CDS) Improves Diagnosis Pittsburgh Magazine (special advertising section) An Interview With Sonia Ben-Yehuda HIT Leaders & News Why clinicians ignore clinical decision support systems: How to fix it?

Group Practice Journal Stretch Your EHR Investment

medCPU Interviews & Articles Click on the links below to view the publications Patient Safety & Quality Support What Clinical Decision Support Can Offer IntrepidNow Podcast (audio) Dr. Allan Strongwater: Understanding the Comprehensive Care for Joint Replacement (CJR) program Healthcare Informatics CMIO Robert Donnell, M.D. on the Journey of Clinical Decision Support at Froedtert Health IntrepidNow Podcast (audio) Dr. Eyal Ephrat: Technology’s Role In Reducing Deaths Caused by Medical Error Executive Insight Combating Alarm Fatigue: Clinical decision support in the fight against alarm fatigue Advance Healthcare Network Meaningful Use Stage 3: Aligning clinical decision support with population health goals Health IT Outcomes Reducing Diagnostic Errors Through Clinical Decision Support Executive Insight Improving Safety and Utilization: Leveraging Clinical Decision Support to Close Gaps in the Continuum Advance Healthcare Network Is Your CDS ICD-10 Aware?

Milwaukee Journal Sentinel Move to electronic health records begins to transform health care Healthcare Informatics UPMC’s Rasu Shrestha: Innovation is About Behavior Change, Technology Should be Invisible HealthIT Interoperability Health IT Interoperability Helps Connect Medical Staffs Health IT Outcomes How CDS Helps Standardize Quality Across A Care Network Becker’s Hospital Review CDS and physician engagement: Improving radiology utilization Becker’s Infection Control & Clinical Quality Meaningful use stage 3: How CDS supports CQMs Imaging Technology News Radiology and CDS: Greater Opportunity Than Meets the Eye Advance Healthcare Network CDS and CDI Come of Age

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Medicine is changing at a rapid pace. Stay ahead.

Contact medCPU today.

1.646.741.0490 or www.medCPU.com