Updates & Innovations Fall 2010
St. John HealthPartners is offering Health ePractice, a unique Electronic Medical Record (EMR) solution at the substantially reduced cost of $149 per physician per month, inclusive of Healthcare Information Exchange (HIE) and Patient Portal (see figure 1 for details). St. John Providence Health System will fund the majority of the cost of this package, and together with St. John HealthPartners, will offer you the support to implement the product and use it successfully to achieve Meaningful Use standards and obtain potential monetary rewards.
Almost 130 practices have already achieved Patient-Centered Medical Home (PCMH) designation, and this year, St. John HealthPartners has doubled the number of PCMH designated practices and physicians.
Even within a health care system, disjointed care compromises patient health and operational efficiency. For patients, navigating health care is an experience comparable to navigating a chain of islands without a boat or a map. Over the years, insurers, employers and the US government have sought solutions, with limited success, to develop systems offering high-quality, cost-effective care with appropriate utilization.
Involvement of the peritoneum, or peritoneal carcinomatosis (PC) is a common method of spread of gastrointestinal and gynecologic cancers. Considered to be stage IV disease, peritoneal carcinomatosis was traditionally thought of as incurable and treated with systemic chemotherapy alone. With systemic therapy alone the median survival for patients with PC from gastrointestinal tumors has been only 3-7 months. Furthermore, up to 35% of patients with peritoneal carcinomatosis from gastrointestinal tumors have peritoneal disease only. Over the past 15 years, in an effort to provide these patients with a greater chance of survival, PC has been approached by surgical oncologists as a localized disease and select patients have been offered cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) with encouraging improvements in survival.
Surgical advances to relieve complications from Crohn’s disease and ulcerative colitis, two forms of inflammatory bowel disease (IBD), offer improved outcomes and higher patient quality of life.
Although 2% of women and 4 % of men have been diagnosed with obstructive sleep apnea, data indicates prevalence of the disease is much higher. As obesity continues to affect a growing percentage of the population, related conditions like sleep apnea also become more common. Typical symptoms of sleep apnea are excessive daytime sleepiness, and during the night, many patients report snoring, stopping breathing and gasping for air.
St. John Providence Health System offers a one-stop shop where patients at risk for Cardiovascular disease (plaque buildup in the arteries of the brain, heart, abdominal aorta and lower extremities) can receive a series of diagnostic tests that can detect vascular disease, a frequent cause of stroke and heart attacks, all within one hour and at a low price. The clinic was created in response to patient demand and the changing health care and economic climate. This approach to screening creates a new avenue for access to care with the goal of improved outcomes for those at risk.
In August, Ascension Health granted $4 million to St. John Providence to fund the CPOE (Computerized Physician/Provider Order Entry) initiative as part of eCare. CPOE will allow providers to input patient orders electronically.
For elderly patients and individuals with limited mobility following surgery or an illness, leaving home for a doctor’s appointment may be impossible. Home Care Physicians brings the doctor’s office to the patient’s home, offering physicians and their patients a temporary or long-term solution. Patients are referred back to their primary care physicians for ongoing care, and communication with the referring physician allows exceptional continuity of care. Many insurances including Medicare, cover the cost of home care for patients.