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Learn more about the apps on your ribbon

THE TRIALS TRIANGLE OF SUCCESS
There’s now a way for the three main players in a local clinical trial ⎯ providers, patients, and coordinators ⎯ to all receive the maximal benefit from their trial experience. The solution comes in the form of a non-intrusive ribbon of information that floats above the EMR at the point of care, resulting in well informed providers, better educated patients, and clinically qualified referrals for busy trial coordinators.  What’s not to love about that.

 

TRIALS APP CAN BOOST PHYSICIAN REFERRALS

A survey of almost 6,000 people with cancer found that 85% were either unaware or unsure that participation in clinical trials was an option, though about 75% of these people said they would have been willing to enroll had they known it was possible.
Source: Harris Interactive Survey, 2001

A 2015 analysis of registered trials revealed that 19% were closed or terminated early because they could not accrue enough participants and as many as 86% of clinical trials do not reach recruitment targets within their specified time periods. Source: Contemporary Clinical Trials, Volume 66, March 2018, Pages 74-79

In a 2005 survey of nearly 2,000 cancer patients, 73% of those who joined a clinical trial said they did so because of their health care provider’s awareness of clinical trials.

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.

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.

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

 

 

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.

 
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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.