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The Rolla Daily News - Rolla, MO
  • Company hired to standardize doctors' orders

  • An arrangement with a San Francisco-based technology company, hammered out and formalized last month, was fully adopted Wednesday night by the Phelps County Regional Medical Center board of trustees.
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  • An arrangement with a San Francisco-based technology company, hammered out and formalized last month, was fully adopted Wednesday night by the Phelps County Regional Medical Center board of trustees.
    "They're ready to go," Chief Medical Office Dr. Don James told the board following his presentation. "They were ready to go last month."
    Motive Medical Intelligence will provide information technology services that will mean patients can be assured they will receive the same care as other patients and it will be the latest care.
    The service provided by Motive Medical Intelligence to standardize doctor's order sets will take place in three phases, Dr. James explained at the board meeting.
    The first phase will cost the hospital $40,000. Motive personnel will come to Rolla to meet with physicians about needs and to determine what components of existing computer programming can be "harvested" to work with the new program that Motive Medical Intelligence will provide.
    Phase Two will cost the hospital another $40,000 as Motive works with order sets for 10 diagnostic groups, standardizing each of the groups.
    Phase Three will cost another $40,000, plus $25,000 per year for the following two years. This phase will be implemented after the other two are up and running, for it is a review of best practices, Dr. James said.
    "We will pay as we go," Dr. James said, so the outlay of cash won't be in one large payment.
    Phases One and Two will have some overlap.
    Dr. John T. Park, chairman of the board of trustees, told the Daily News after the meeting that this move is not in response to the Affordable Care Act, also known as Obamacare.
    Rather, its purpose is to design the software so that physicians, as they keep electronic medical records, will provide standard care for all patients.
    "Standardizing order sets would allow each physician to treat medical conditions the same way," according to a press statement from PCRMC.
    That means this: "… if a patient had a community-acquired pneumonia that every case would be treated exactly the same," according to the statement.
    "The concept of standardization follows best practices and ensures that each pneumonia patient would be treated by the most current-evidence-based protocols regardless of the attending physician.
    Motive Medical Intelligence officers flew in from San Francisco to talk to the board at the meeting last month. They were Paola Dell'Osso, vice president of sales; Jeanne Cohen, CEO; and Dr. Rich Klosco, chief medical officer.
    The company will provide the hospital with a computerized product that will add on to the electronic medical record-keeping program being used at the hospital.
    This collaboration is the result of an earlier decision by the hospital board that physicians standardize all their order sets, thus making use of the electronic medical record possible.
    Page 2 of 2 - Park and James went to work on a plan to streamline the medical record, according to the press statement, and Dr. James called in Motive to help.
    "Standardization of care has been well-documented to result in better outcomes for the patient, shorten length of stay during hospital treatment and produce more efficient uses of lab and diagnostic X-ray and other hospital resources," according to the statement.
    Standardizing care will be used in all "diagnostic categories," especially the top 100 most frequently treated illnesses.
    "For example, PCRMC will standardize care for conditions such as acute myocardial infarction, congestive heart failure, diabetes, fractured femurs, caesarian section and more," according to the statement.
    The goal is to have the standardized care program in place by the end of this year and completely operational in early 2014.
    In other business or discussion at Wednesday night's meeting:
    • The board heard a report on quality assurance from Linde Merrow, administrative director of clinical quality and measurement. Merrow reviewed the 10 targeted areas in the Partnership for Patients. In all areas, the hospital has improved from its baseline set in 2012.
    • The board approved the financial report from Chief Financial Officer Ed Clayton.
    • The board also approved the report from Chief of Staff Dr. Mary Graham.

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