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Ewokian Release Notes

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Crimson <strong>Release</strong> <strong>Notes</strong><br />

Crimson Continuum of Care<br />

<strong>Release</strong> <strong>Notes</strong><br />

August 2017<br />

<strong>Ewokian</strong><br />

Research Technology Consulting<br />

©2017 Advisory Board • All Rights Reserved 1 advisory.com


Table of Contents<br />

1 Overview .............................................................................................................................................. 2<br />

2 What’s New .......................................................................................................................................... 2<br />

2.1 Improved Performance of Physician Scorecard ...................................................................... 2<br />

2.2 New Volume Column in Physician Scorecard ......................................................................... 2<br />

2.3 Physician Profile Page displaying All Physician Affiliations ..................................................... 3<br />

2.4 Other Fixes / Improvements .................................................................................................... 4<br />

3 What's Next? ....................................................................................................................................... 4<br />

3.1 Update to AHRQ V6.0 for ICD 9 .............................................................................................. 4<br />

3.2 New ICU Quality & Utilization Metrics...................................................................................... 4<br />

3.3 Updates to Readmission Methodology to exclude non-acute admissions .............................. 5<br />

1 Overview<br />

The <strong>Ewokian</strong> release offers Crimson Continuum of Care users with performance improvement to the<br />

Physician Scorecard and other updates.<br />

2 What’s New<br />

2.1 Improved Performance of Physician Scorecard<br />

We have been actively working on improving the overall performance of Electronic Review module. In this<br />

release, we have improved the performance of Physician Scorecard in the Create Reviews tab, reducing<br />

the time taken to load the scorecard by about 70%. Also, the performance of CSV export in E-Review<br />

Scorecard page has been improved.<br />

In the upcoming releases, we will make further investments in improving the performance of creating and<br />

downloading E-review.<br />

2.2 New Volume Column in Physician Scorecard<br />

Physician Scorecard (Create Reviews tab) now has a new volume column. The column indicates<br />

encounter volume by each provider. This would provide a quick view of volumes by physician/provider as<br />

required by accreditation bodies.<br />

©2017 Advisory Board • All Rights Reserved 2 advisory.com


2.3 Physician Profile Page displaying All Physician Affiliations<br />

Historically, Physician Profile page has been listing down only affiliations for which the physician has data<br />

in the application.<br />

Considering that members use Physician Affiliations section to be aware of the groups to which the<br />

physician belongs, which in turn helps them in measure mapping, we have enhanced the Physician Profile<br />

page to display all affiliations.<br />

Affiliation for which the physician does not have data in the application is kept as a collapsible section.<br />

They can be viewed in full by clicking on “Show Additional Affiliations” section, especially when a member<br />

needs to measure map. This would provide members transparency on all the affiliations that the physician<br />

belongs to, thus making measure mapping easier.<br />

Note: This functionality is available by default for super users and admins. This would be made available<br />

for Self Service Physicians upon request.<br />

©2017 Advisory Board • All Rights Reserved 3 advisory.com


2.4 Other Fixes / Improvements<br />

High Priority Issues Closed<br />

Feature<br />

Encounter<br />

Listing<br />

Description<br />

Fixed an issue where drilling down through encounters from a measure did not work in<br />

Internet Explorer<br />

E-Review Fixed an issue in electronic review that prevented exporting of more than 500<br />

physicians into CSV.<br />

AHRQ<br />

Normal Priority Issues Closed<br />

Top Decile and Top Quartile comparison methodology has been revised to consider a<br />

more accurate top decile/ top quartile population for AHRQ benchmarking.<br />

Feature<br />

E-Review<br />

E-Review<br />

On-Demand<br />

Description<br />

Fixed an issue in E-Review where Bulk Signing did not capture status change and<br />

signing actions as separate events.<br />

When a user clicks on the E-Review icon from the home page immediately after site<br />

restart, E-Review page used to error out. This has now been fixed.<br />

Fixed an issue in On-Demand where selecting a specific payer class in Focus did not<br />

reflect in the exported .csv report.<br />

3 What's Next?<br />

In the next 1-3 months we will be providing the following updates to your Crimson Continuum of Care site:<br />

3.1 Update to AHRQ V6.0 for ICD 9<br />

AHRQ has recently released V6.0 support for ICD 9. CCC will soon update to leverage this version from<br />

AHRQ. This update will be applicable to both AHRQ table metrics and Pay for Performance Dashboard.<br />

3.2 New ICU Quality & Utilization Metrics<br />

We will soon launch three new metrics that would aid members in ICU management initiative and in<br />

reducing over-utilization of the ICU. The metrics are Average ICU Days, ICU Mortality Rate and Average<br />

ICU Vent Days.<br />

These metrics are currently in beta testing phase. Please reach out to your Value Advisor if you would like<br />

to participate in the beta testing.<br />

©2017 Advisory Board • All Rights Reserved 4 advisory.com


Here is what you can do with these metrics<br />

<br />

<br />

<br />

<br />

<br />

<br />

Compare ICU outcomes with peers across the cohort<br />

Investigate ICU over-utilization by scanning through Primary Diagnoses<br />

Track trends in patient flow into the ICU and throughput<br />

Monitor mortality trends within the ICU<br />

Focus by specific diagnoses to track infections associated with ventilator usage<br />

Encounter drill down to track Hospital Days Vs ICU Days Vs ICU Vent Days<br />

3.3 Updates to Readmission Methodology to exclude non-acute admissions<br />

We have been actively working on improving our capabilities to better define admissions to non-acute<br />

settings within the acute care facility. This will improve the accuracy of Readmission methodology by<br />

excluding in-hospital transfers to Hospice, Psychiatric facilities, Swing Beds, SNF, Rehabilitation units,<br />

etc., from being flagged as readmissions. The change will ensure that we consider only acute admissions<br />

as part of our Readmission and Readmission with Exclusion metrics.<br />

The new capability will allow members to define non-acute admissions based on patient type or opt to use<br />

Crimson methodology to define non-acute admissions based on revenue codes. We will also provide<br />

additional facility to exclude non-acute admissions from readmission calculation based on discharge<br />

disposition codes.<br />

We will soon reach out to you with more details.<br />

©2017 Advisory Board • All Rights Reserved 5 advisory.com

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