RH Books 2015_HiResNoMarks_ELS 2015 Book_02-15

RED HOUSE HEALTHCARE MARKETING

CONTENT

EXECUTION COMPONENTS:
- Whitepaper
- Use Case
- Case Study
- Infographic

Elsevier Clinical Solutions

CASE STUDY

Elsevier Order Sets

How Elsevier helped University of Kentucky HealthCare®
bring order to their order sets.

EXECUTIVE SUMMARY
With more than 9,000 healthcare workers across four hospitals,
80 specialized clinics and over 140 outreach programs, University
of Kentucky HealthCare® struggled with an inefficient order set
management process. The clinicians had to maintain thousands of
scattered order sets, search for applicable evidence, and navigate
through complex workflows.
In February 2013, UKHC began using Elsevier Order Sets, a solution
that allows order sets to be easily authored, reviewed, and managed
in a collaborative environment.
Today, UKHC creates order sets in a fraction of the time, and
workflow and management has significantly improved for all users.

Case Study

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Population Health Management
(PHM) and the role of trusted clinical
decision-making content

Population Health Management technologies are helping organizations understand at-risk populations and implement
solutions for better patient outcomes.

When combined with trusted clinical decision-making content, the result is lower costs while enhancing quality of care and
patient experience.

Identifying At-Risk Populations and Enabling Care Teams
Population Health Management (PHM) helps organizations understand at-risk populations and put solutions in place to be more
proactive in that populations’ care in order to mitigate risk. Health Information Technology (HIT) and clinical analytics guide
institutions and providers with key data during this process.

In one demonstrative case, healthcare planners used retrospective analytics to look at a population of 77,000 diabetics. By looking at
claims data in terms of clinical outcomes and spending, analysts recognized a sub-population of 1,800 diabetic patients who sought
care for lower extremity wounds, with costs near $14M in the previous year.
These planners then implemented a population health management plan
targeting diabetic patients with patient engagement tools. They used
future analytics to monitor whether their intervention had positive
clinical and cost effects.

In this example, decision-makers drew from well-organized information to
develop a PHM plan. In turn, the care team implementing the plan relied
on a coherent body of clinical knowledge to impact wellness outcomes.

Clinical Reference with Context
across the Care Continuum

As one of the four pillars of a practice platform, clinical reference with context has the potential to help healthcare
organizations achieve practice interoperability. The key is selecting a solution with trusted, evidence-based information and
the ability to adapt to the schedule, workflow, preferences and information needs of various caregivers.

Elsevier, the most trusted name in clinical information, offers multiple solutions to achieve practice interoperability,
including ClinicalKey, a clinical reference search engine that helps health professionals make better decisions at any point of
patient care.

ClinicalKey’s Provides the Enables easy discovery, Empowering Clinicians to Provide
Smart Search most complete and sharing and application Safer, More Consistent Care
technology answers current collection of of clinical content
questions quickly trusted content Date: 06/12/2015
Contributors: Peter Edelstein, MD, Chief Medical Officer
Consistent, Caregiver-Specific Clinical Reference Michelle Troseth, MSN, RN, DPNAP, FAAN, Chief Professional Practice Officer
By giving clinicians and caregivers access to trusted, role-specific content from the same evidence-based solution, ClinicalKey can
be used to standardize care in different settings across the care continuum. Consistent information can be used by any health Executive Summary In 2011, $2.8
professional at any location. billion was spent on
First, do no harm—it is a familiar and fundamental principle in healthcare. hospital treatment for
For example, an interprofessional approach to evaluating patients’ progression of goals is critical for a smooth transition out of the But, all too often providers are putting patients at risk of considerable harm. Medicare patients
hospital setting. Care teams leverage interprofessional rounding as a way to assess the patient’s status and determine any necessary harmed in skilled
interventions. When rounding in a surgical critical care unit, the physician can access clinical reference information in ClinicalKey to According to a 2014 report by the Department of Health and Human Services, nursing facilities.
review possible secondary diagnoses and the nurse can access the same reference source specific to new medications just ordered from 2008-2012, 33% of Medicare patients were harmed in some way during
to assure awareness of dosage, side effects and teaching points. their skilled nursing facility stay, with 59% of those incidents being clearly 1
or likely preventable.1 Since over half of the residents who experienced harm
This is just one example of how a team with access to the same consistent, evidence-based knowledge source contributes to safer returned to a hospital for treatment, the estimated cost equates to $2.8 billion
care with smoother transitions. spent on hospital treatment for harm caused in skilled nursing facilities in 2011.2

Use Case Hospitals themselves haven’t performed much better. A classic study found that
nearly 20% of patients experience adverse events three weeks post-discharge,
nearly three-quarters of which could have been prevented.3

Although the national quality emphasis began over a decade ago following
the landmark IOM reports, To Err is Human and Crossing the Quality Chasm,
moving the patient safety needle has been slow. Fragmented and disjointed
care leads to complications, including: medication errors, preventable hospital
readmissions, and unnecessary pain and suffering for patients. Failures in care
coordination can increase costs by $25 to $45 billion annually.4

Patients and family members can play a significant role in preventing errors
and reducing harm, but the responsibility for providing quality care and patient
safety falls to individual physicians, nurses and other care providers. Increased
care coordination contributes to better understanding for patients and is more
manageable for both patients and providers. Care coordination is highlighted as
one of the six priorities of the National Quality Strategy, formally established as
part of the Patient Protection and Affordable Care Act.

While patient safety progress has been measured, understanding the cause
of medical errors and strategies to reduce harm is simple compared with the
complexity of clinical practice.5 Moreover, peer-reviewed research indicates that
a proactive approach to patient safety could prove more beneficial and effective
than the reactive approach common today.

Whitepaper

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RED HOUSE HEALTHCARE MARKETING

Infographic
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Why Health Literacy Should
Be Healthcare’s Next Priority

What is health literacy? The other 88%: are more likely
to take incorrect
The ability to obtain, understand, and use health are less likely to drug dosages
information to make appropriate health decisions use preventative
care2 are more likely to
12%Only of adults living in the U.S. skip necessary tests3
may not schedule
are proocient in health literacy1 critical follow-up
visits correctly

are at risk for
poorer overall
health status4

Annual Healthcare Costs $13,000

U.S. Individuals

Between $106 billion and $238 billion $3,000 Average annual healthcare
cost for a person with
The estimated annual cost of low health literacy Average annual healthcare low health literacy7
to the U.S. economy5 cost for a person with
high health literacy6

What can healthcare institutions and public
health systems do to help solve the problem?

The Challenges

READING LITERACY VERBAL LITERACY

8th Grade 10th Grade Patients may hide their confusion
from caregivers because they’re too
Average reading Average reading embarrassed to ask for help, causing
level of adults level of most verbal communication breakdowns
nationwide health-related
information7

The Solution: First Steps

Provide care teams with Assume patients have low
tools to assess patient health literacy until you can
health literacy levels
connrm otherwise8

Encourage the use of Consider a “teach back” Remove unneeded complexity
plain language in written strategy in which patients from treatment regimens10
materials and in verbal explain back health concepts

communication in their own words9

Recognize that the current care system must change

Increasing health literacy will require a commitment from leadership at all levels of care. Health
literacy advocates are needed to encourage greater awareness of the far-reaching impact of this
issue. Health literacy should be a national priority.

1 Koh, HK, Brach C, Harris LM, and Parchman M. A “proposed health literate care model” would constitute a systems approach to improving patients’ engagement in care. Health AA.
2013;32(2): 356-357.

Infographic2 IOM and Nielsen-Bohlman L, Panzer AM, Kindig DA. Health Literacy: A prescription to end confusion. Washington DC: The National Academies Press; 2004.

3 IOM and Nielsen-Bohlman L, Panzer AM, Kindig DA. Health Literacy: A prescription to end confusion. Washington DC: The National Academies Press; 2004.

4 IOM and Nielsen-Bohlman L, Panzer AM, Kindig DA. Health Literacy: A prescription to end confusion. Washington DC: The National Academies Press; 2004.

5 Vernon J, Trujillo A, Rosenbaum S, DeBuono B. Low Health Literacy: Implications for National Health Policy. University of Connecticut. Storrs, CT: National Bureau of Economic Research;
2007.

6 Weiss B. “Health Literacy: A Manual for Clinicians,” JAMA; 2007; 306 (10): 1122-1129.

7 Kutner M, Greenberg E, and Baer J. A rst look at the literacy of America’s Adults in the 21st century. National Center for Education Statistics; 2006.

8 Koh, HK, Brach C, Harris LM, and Parchman M. A “proposed health literate care model” would constitute a systems approach to improving patients’ engagement in care. Health AA.
2013;32(2): 356-357.

9 Koh, HK, Brach C, Harris LM, and Parchman M. A “proposed health literate care model” would constitute a systems approach to improving patients’ engagement in care. Health AA.
2013;32(2): 356-357.

10 Pashe-Orlow M. Caring for patients with limited health literacy. JAMA. 2011;306(10):1122-1129.

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RED HOUSE HEALTHCARE MARKETING
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VI. PROMOTIONAL
SUPPORT

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RED HOUSE HEALTHCARE MARKETING

CONTINUING MEDICAL EDUCATION (CME) REFRESH Dear [name of contact],

GOAL:
Introduce updated CME features within ClinicalKey and
promote awareness.

STRATEGY:
Develop materials that could be displayed and distributed
throughout hospitals.

EXECUTION COMPONENTS:
- Flyer
- Email
- Outlook Template
- Poster
- Table Tent

© 2015 Elsevier Inc. All rights reserved.

Email

© 2015 Elsevier Inc. All rights reserved.

Outlook Template

NEW

Managing CME Just Got Easier

ClinicalKey has provided free Internet Point-of-Care CME credits for the clinical searches
subscribers perform daily. Now it’s even better.
CME credits will now be issued from the Elsevier Office of Continuing Medical Education,
which means:

• CME can be earned, redeemed and tracked right from your personal account
through your institution’s ClinicalKey subscription.

• You can earn 0.5 AMA PRA Category 1 Credit™ for each search conducted through
ClinicalKey. Searches will be tracked when accessing CME accredited content.
• CME credits can be accessed on desktop or mobile devices.
• Credits can be claimed up to two years after the date of accrual.

Visit ClinicalKey.com to register for your free personal account
and simplify your CME.

Flyer

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