Integrated EMR Program Putting the Brakes on Readmissions and Medication Errors.
Sophisticated Program Reigns in Readmissions and Medication Errors
Working with Elation Health, an electronic health records vendor, agilon health created a new program, enabled through an integrated workflow with the provider’s EHR, to notify MDX Hawai’i PCPs when their patients are discharged from the hospital. The new initiative reminds physicians to promptly see post-discharge patients for follow-up exams, which can help prevent hospital readmissions. Preliminary results of a pilot study using the new integration reveal physicians who participated had a patient readmission rate 31% less than the rest of the market during the same time period.
The study, which was rolled out in September 2018, involved 54 primary care physicians who received notifications pushed by MDX Hawai’i into their electronic health records when their Medicare Advantage members were discharged from the hospital. The majority of physicians were then able to see patients for follow-up appointments and medication reconciliations within two weeks post-discharge.
Research shows that patients who visit PCPs 14 days post-discharge have a lower chance of readmissions and reactions to their medications. The national average of patients having medication errors post-discharge is 50%.
The preliminary results showed over 90% of the post-discharge visits occurred in the critical first 14-day period. All physicians involved in the study performed a post-hospitalization visit and medication reconciliation within 30 days — 300% more frequently than non-pilot primary care physicians. Following this successful pilot, the program is being expanded to more than 100 primary care physicians within the MDX Hawai’i network.