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Learn more about the apps on your ribbon

LAB COSTS
The ARUP App, powered by the IllumiCare Smart Ribbon, provides clinicians with a high-level view of the financial and clinical impact of lab orders including access to the ARUP Consult® web tool and ARUP Frequency Algorithms. We never tell the provider not to order another test. We just provide them with the context they need to make a proper judgment about whether the utility of that next test is worth the cost and patient risk.

LABS ORDERED BY COST AND DATE
Labs ordered in the current admission are sorted by cost per test, with the most recent test date noted.

PHLEBOTOMY BLOOD LOSS
IllumiCare uses a patent-pending method for estimating phlebotomy blood loss (ml) by day of length of stay. This reinforces that labs have both human and economic cost.

PROBABILITY OF A LAB-INDUCED ANEMIA
We provide clinicians with a probability of hospital-acquired anemia associated with phlebotomy blood loss. Blood transfusions are expensive for the hospital and potentially problematic for patients.

 
What is ARUP Consult?

ARUP Consult is a web-based laboratory test selection tool that provides point-of-care diagnostic and interpretive information for clinicians.  ARUP Consult assists providers with test selection and interpretation among nearly 300 diseases and provides clinical background and diagnostic information. The content is expert-authored by ARUP and University of Utah, congruent with the latest medical guidelines and literature.

 

When should I use ARUP Consult?

ARUP Consult can be used to ensure providers are utilizing the latest best practices when they suspect a nuanced disease.  Searching ARUP’s extensive database will enhance the providers knowledge and ensure they are utilizing the most up to date clinical practice to care for their patients.

 

Why doesn’t ARUP Consult contain information on all diseases?

ARUP Consult is a lab focused tool that aids in the clinical diagnosis of disease.  It is not a replacement for broader content providers, rather, it narrows the scope of information and provides it in an easily digestible format for providers at the bedside.

 

How can I contact ARUP if I have questions about their recommendations?

Please contact ARUP at arupconsult@aruplab.com if you have questions or suggestions specific to their content.

 

REAL-TIME COST TRANSPARENCY
We ask for “value-based care” but how are providers supposed to make value judgments if they don’t know what things cost? The Stewardship App teaches and reinforces a value mindset by exposing real hospital costs to providers and nudging in their clinical workflow when lower cost opportunities exist, supplemented with clinical guidance and citations. The result is an average of $86+ per admission in hard-dollar savings, adding up to millions of dollars.

ATTRIBUTED TO THE RESPONSIBLE PROVIDER
The app uses your own wholesale acquisition cost for medicines and your direct, variable cost accounting data for labs to give a true representation to providers of what things cost. More importantly, we know the cost of every order, by every provider, the provider specialty and the patient’s acuity. From that, we understand variation in practice patterns among similar providers. We use machine learning to turn our understanding of each provider’s practice tendencies into personalized contextual education. Content is delivered to the right provider at the right time…but not too often.

Stewardship home screen

Stewardship home screen

 

What timers can be seen and what are they?

The following timers will be displayed based on the patient’s current patient class/type: Inpatient (Length of Stay based on patient days), Observation (length of time patient has been on observation status), and ED (time since the patient checked in).

How is C Diff % Risk calculated?

This is the iatrogenic C Diff risk, related to current active scheduled medications. Our calculations consider the specific risk that exists for each specific antibiotic and/or protein pump inhibitor as well as the compounding affect that occurs when the patient has been prescribed multiple antibiotics and/or PPIs concurrently.

How is Fall Risk calculated?

The fall risk represents the relative risk of falling based on the intake of scheduled sedatives and opioids if aged 65 or greater. Please note, this calculation only considers current scheduled medications. Medications prescribed as PRN are not currently factored in as a part of this fall risk calculation.

What lab costs are displayed in the Stewardship app?

Lab costs derive from the Medicare Allowable Rate. The costs are not charges or what the patient pays.

How is blood loss calculated?

IllumiCare calculates the total phlebotomy blood draw that occurs based on the average amount of blood that must be drawn for each test ordered. We do consider other factors in our calculation, for example, when multiple lab tests are ordered at the same time, they may leverage the same blood draw.

What Rad costs are displayed in the Stewardship app?

Rad costs derive from the Medicare Allowable Rate. The costs are not charges or what the patient pays.

The Resources App is a repository that contains informational content (ex: clinical articles) relevant to the patient being viewed in the EHR or content that has been previously saved by the user. The informational content can be broken down into two categories: Clinical Resources and Patient Education. This app could be one location used to house content for lab/med databases, UTD, Sanford Guide, ARUP, NNI, Dynamed, and guidelines funded by pharma through OPRx and CRX.

 
What is the Resources App?

The Resources App is a repository that contains informational content (ex: clinical articles) relevant to the patient being viewed in the EHR or content that has been previously saved by the user. The informational content can be broken down into two categories: Clinical Resources and Patient Education.

Can the article content be viewed from within Resources?

Yes! In order to view the content, simply click on the card you would like to view.

What are Sources?

The Resources app displays content from third party sources. ARUP, UpToDate, & Sanford Guide are just a few examples of sources that content may come from. Source content is not shown unless relevant or searched for.

Can sources be configured?

The Configure button allows users to manage (add/remove) which source content appears in the app. If a source has been deselected, that source’s content will not be available.

Does the patient chart need to be open for the app available to me?

No, the Resources app will be present on the ribbon at all times.

Where is the Patient tab?

The patient tab is not displayed to users unless a patient is being viewed in the EHR. If you are not viewing a patient, you will only see the saved tab and have the ability to search all articles.

Can resources articles be shared?

Yes, the articles can be shared via text message, email, or printed locally and distributed.

Can multiple resources be shared at once?

Yes! If desired, the share page allows users to select more than one article to share.

Can resources be saved?

Yes! All saved resources can be found under the “Saved” tab. You may save content by clicking the star on the content cards.

What are Topics?

Topics are derived from the Patient’s health data. Topics may be filtered by selecting them.

COMPARE SPENDING
The Variations App allows a provider to compare on a DRG-adjusted basis his/her real-time spending per admission with their specific sub group, and highlights specific opportunities for improvement. A physician’s moving average is also provided.

HOW IS MY CARE RISK ADJUSTED?
IllumiCare creates cohort of patients based upon their final DRG. This cohort methodology allows IllumiCare to compare the costs of patients within DRG groups such that the cohorts have similar acuity. Creating cohorts with homogeneous acuity and specialty provides a stable basis for comparing physician resource utilization.

HOW DO I KNOW WHAT IS GOOD?
A provider’s overall percentile, when compared with their peers, is presented in a run chart graph widget. The area in green means that cost outcomes were above the median of the group, while red means that costs were below the median. The higher the percentile, the lower the overall costs.

WHERE DOES MY VARIABILITY COME FROM?
IllumiCare details specific areas where a provider uses more resources than their peers in the incremental breakout of resource utilization. Areas such as medication category, imaging modality and lab are all detailed to show overall incremental cost difference over the last two months.

Coming Soon!

Who are my peers and how is my care risk adjusted?

Peer groups are established working with your administration and medical staff office.  Utilizing your credentialed specialty and your patient care patterns your peer group was selected to ensure a homogeneous cohort. IllumiCare creates cohort of patients based upon their final DRG.  This cohort methodology allows IllumiCare to compare the costs of patients within DRG groups such that the cohorts have similar acuity. Creating cohorts with homogeneous acuity and specialty provides a stable basis for comparing physician resource utilization. 

How do I know what’s good?

The providers overall percentile, when compared with their peers, is presented in run chart graph widget.  The area in green means that your cost outcomes were above the median of the group and the are in red means that your costs were below the median.  The higher your percentile the lower your overall costs.

How do I see where my variability comes from?

IllumiCare details specific areas where a provider uses more resources than their peers in the incremental breakout of resource utilization.  Areas such as medication category, imaging modality and lab are all detailed to show your overall incremental cost difference over the last two months.  Selecting a category with a cost delta provides a view of the specific medications where your resource utilization differs from your peers.

UpToDate is the only clinical decision support resource associated with improved outcomes. More than 80 research studies demonstrate its impact on improved patient care and hospital performance. The knowledge contained in UpToDate is evidence-based and continuously updated, but it is not merely an aggregation and report of the latest research; UpToDate presents a comprehensive synthesis of the evidence, followed by recommendations that can be acted on at the point of care.

 
What is UpToDate?

More than 1.7 million clinicians in 190+ countries rely on UpToDate® to make the best care decisions and stay abreast of contemporary standards in the workflow and on-the-go. UpToDate is the only resource associated with improved patient outcomes and hospital performance, and studies show that clinicians who use UpToDate change their decisions 30 percent of the time. More than 6,900 world-renowned physician authors, editors, and reviewers use a rigorous editorial process to synthesize the most recent medical information into trusted, evidence-based recommendations. Every day, clinicians view topics covering 25 specialties over 1.5 million times.

When should I use UpToDate?
With UpToDate® in the workflow, you can help reduce unwanted care variability for your patients with interactive evidence-based pathways related to specific clinical questions and lab monographs to quickly help interpret abnormal results and choose next steps. UpToDate makes it easy to access critical content anywhere you are.
Will I get CME Credit for my UpToDate searches?
The UpToDate®  app provides the same service you are accustomed to in the web browser including tracking of CME's, but now associating it with your EMR login.

PATIENT SPECIFIC OBS CALCULATION
If a patient is on observation status, a timer will appear in the Smart Ribbon. The value represents the amount of time the patient has been on obs status. The numerical value will turn red after the patient exceeds the amount of time determined by your health system. The status will be displayed by a key performance indicator on the Ribbon icon. The icon will be the blue clock if the patient has not been on obs status longer than the limit set by the health system, otherwise it will be a red alert circle.

HOW IS OBS TIME CALCULATED?
The observation timer shows the current time a patient has been in an observation status. This is based upon the provider order to place them into the observation status.

WHY IS OBS TIME RED?
After 24 hours the Obs timer turns red to indicate that the patient is nearing the Two Midnight Rule. This is a visual reminder of the duration of time they have spent in that status.

 
THE CONTROLLED SUBSTANCE APP SYNTHESIZES BOTH STATE PMP OPIOID TRACKING IN THE OUTPATIENT SETTING WITH INPATIENT CONTROLLED SUBSTANCE EXPOSURE.

Both inpatient and outpatient exposures increase risk on chronic opioid therapy. Yet, most current solutions are limited to only outpatient fills (what’s in the state PMP database). The Controlled Substance app contains both inpatient and outpatient controlled substance exposures along with a milligram morphine equivalent calculator.

 
THE PDMP APP SYNTHESIZES BOTH STATE PMP OPIOID TRACKING IN THE OUTPATIENT SETTING WITH INPATIENT CONTROLLED SUBSTANCE EXPOSURE.

Both inpatient and outpatient exposures increase risk on chronic opioid therapy. Yet, most current solutions are limited to only outpatient fills (what’s in the state PMP database). The PDMP app contains both inpatient and outpatient controlled substance exposures along with a milligram morphine equivalent calculator.

 
What is a Prescription Drug Monitoring Program?

A Prescription Drug Monitoring Program (PDMP) established by the state collects, monitors, and analyzes prescribing and dispensing data submitted by pharmacies and dispensing practitioners.

 

How does this help me care for patients?

A PDMP report provides a synopsis of the controlled substance prescriptions that have been filled by the patient to assist providers in the prescribing decisions in regards to the patient in question.

Why do I need to look at this?

Many states, as well as insurances, are implementing guideline & law changes that require providers to check the state Prescription Drug Monitoring Database prior to prescribing controlled substances in certain situations.

 

Will auto-login still work if I reset my password within the PDMP portal?

If you are a Pharmacist and reset your password in the PDMP portal, you will be prompted to enter in your new credentials during the auto-login process. After successfully entering your new credentials, you will only need to use your PIN to log in to the PDMP portal until your credentials change again. If you are a Provider, the app will contiue to work as usual when you change or reset your password.

VigiLanz is a clinical surveillance platform that can perform meaningful data analysis across your entire hospital, helping you make smarter business decisions and optimize care. The Vigilanz app utilizes the power of VigiLanz’s rule engine and activations by incorporating them into the clinical workflow allowing clinicians to ensure clinical and workflow efficiency.

 
What is Vigilanz?

VigiLanz is a clinical surveillance platform that aggregates data from multiple sources into real-time actionable insights.

How does this help me (pharmacists) care for patients?

VigiLanz patient app brings patient specific insights and activation acknowledgement into the clinical pharmacist’s native EMR workflow and eliminates the need for a separate login to the VigiLanz portal.

How does this help me (physician) care for patients?

VigiLanz patient app brings patient specific insights and activation to the attention of physicians, thus increasing the speed at which patients therapies can be optimized.

What do you want me to do with this information & access to Vigilanz content?

Vigilanz activations can now be actioned without having to log into an additional portal and will be presented to providers during their regular clinical workflow.  Being cognizant of the alerts will help increase the efficiency of care provided and increase the quality of care.

VigiLanz is a clinical surveillance platform that can perform meaningful data analysis across your entire hospital, helping you make smarter business decisions and optimize care. The Worklist app powered by VigiLanz utilizes the power of VigiLanz’s rule engine and activations by incorporating them into the clinical workflow giving clinicians the ability to filter targeted views of triaged activations across the facility to ensure clinical and workflow efficiency.

 
What is the Worklist app?

The Worklist app powered by VigiLanz utilizes the power of VigiLanz's rule engine and activations by incorporating them into the clinical workflow giving clinicians the ability to filter targeted views of triaged activations across the facility to ensure clinical and workflow efficiency.

Can I look at activations for another facility?

Yes, users that are authorized to see activations across various facilities within your health system. To change facility, find the location pin and facility name in the top right of the app. Click on this and you will be able to switch between facilities.

What is a filter?

Filters allow users to drill down further into what activations they want to see. Users can filter activations based on: unit, status, custom rule group, priority, time-frame, and encounter status.

What is a favorite?

User's have the ability to create, remove, and edit favorites! Favorites allow users to save filtered views they will use often. A user can select a favorite and it will load activations based on the filters within the favorite.

HIGH PRIORITY CLINICAL ANNOUNCEMENTS
Announcements are high priority clinical posts that may be relevant to specific facilities within your health system or relevant to your health system as a whole. New and past announcements are displayed on the home screen when you first open the app.

  • Administrators may create, edit, save drafts, delete, and recover any announcements within their health system
  • Calculated on every med, lab and radiology order
  • Save as a 'Draft' and post at a later time
  • Admins can edit already posted announcements
  • Announcements appear on the ribbon with an illumination
  • Post to individual regions within your health system

 

 
 
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Contacting IllumiCare support staff:

1st - Click the lightbulb on the right side of your ribbon to open the ribbon menu

2nd - Click Help & Support

3rd - Let our support staff know how they can help you.