Getting Governance Right with Bidirectional EHR Integration

Doctor with laptopHealth information technology in America has undergone a sea change since implementation of the HITECH and Affordable Care Acts, and the order sets management market has been no exception. Hospitals have new considerations when it comes to order sets and quality-based reimbursement, and ongoing order set governance has unseated clinical content development as the top priority for most hospitals using evidence-based order sets.

When we first introduced ProVation® Order Sets to the market, hospitals were heavily focused on achieving and demonstrating Meaningful Use of a certified electronic health record to capitalize on the new CMS EHR Incentive Program. For many hospitals there was just one catch - they didn’t have the evidence-based order sets they needed to populate the CPOE component of their EHR systems and demonstrate compliance. Clinical content was king, while ongoing order set maintenance and governance were considerations for another time.

Fast forward several years and hospitals have so thoroughly embraced and demonstrated Meaningful Use of CPOE and clinical decision support (CDS) that CMS is considering dropping both from Meaningful Use criteria. Over the course of this evolution, most hospitals have built out their evidence-based order set libraries and are largely satisfied with them, but there is an important caveat. Because of their very nature, evidence-based order sets require ongoing governance that can create a serious drain on clinical and informatics staff time.

Wolters Kluwer believes that rich and seamless integration between HIT systems is critical to the next phase of healthcare quality improvement. Through interoperability we can help our clients reduce their costs associated with order sets governance, and help improve patient care. Integration with electronic health records is something our clients have been asking us to make a top priority, and we are delivering on that feedback by introducing bidirectional integration between ProVation Order Sets and Cerner Millennium®.

Wolters Kluwer has a decade-long history of successful integration with Cerner that includes clinical decision support, evidence-based medical content and procedure documentation software. These initiatives have been driven by a mutual embrace of structured data and a commitment to interoperability, and laid the foundation for our ProVation Order Sets bidirectional integration with Cerner Millennium.

Recently declared generally available, ProVation Order Sets bidirectional integration with Cerner Millennium underwent beta testing at several customer sites, including Trinity Health. Evaluators there were impressed with the depth of integration and the symbiotic value integration delivers.

"Bidirectional integration with Cerner Millennium gives us a downtime database of usable order sets that reflect the actual production content, and an efficient workflow to track and validate PowerPlans when they are new and when they are due for review," said Jillane Boser, Clinical Informatics Nursing Lead at Trinity Health. "The order sets are accurate, they translate very well between the systems, and will assist us in providing the best possible care to our patients."

ProVation Order Sets is driven by intuitive process tools for authoring, collaborative review and approval, and powered by the trusted clinical content of UpToDate® Decision Support. It streamlines cumbersome governance processes and helps providers adopt evidence-based medicine at the point of care, speeding compliance with the quality measures driving reimbursements.

To learn more about ProVation Order sets bidirectional EHR integration, click here.