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 360 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.
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 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.
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
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.
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.
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.