Point-of-care decision support aids providers in urgent care.
MedStar Simulation Training & Education Lab (SiTEL) and MedStar Institute for Innovation (MI2)
At the 14 MedStar PromptCare locations across Maryland, the District of Columbia, and Northern Virginia, providers offer care for patients experiencing a range of illnesses and injuries. With extended hours of operation and locations near where people live and work, providers in the PromptCare setting can face a steady flow of patients requiring care for cold and flu symptoms, sprains and strains, insect bites, and other non-emergency conditions.
The diversity of the urgent care environment can make it especially challenging for providers to keep a pulse on the latest evidence-based guidelines for the various conditions requiring care—and to inform their patients accordingly.
To develop and deploy solutions that enable the most current and correct clinical practice—and that enable patients to be active, informed participants in their care—the MedStar Simulation Training & Education Lab (SiTEL) proposed the development of a performance support tool for use by MedStar PromptCare providers at the point of care. In 2017, MedStar Health and EvidenceCare entered into a partnership to bring its decision support tool to the health system’s clinicians, beginning with urgent care providers.
To customize the application for use in MedStar PromptCares, MedStar SiTEL and MI2 worked with MedStar Quality & Safety to identify and design protocols for the 16 most common and highest acuity urgent care complaints reported by PromptCare patients. The effort also harnessed expertise from the MedStar Health National Center for Human Factors in Healthcare, which provided usability research and technical advice.
While assessing a patient, a PromptCare provider may use EvidenceCare to document the patient’s condition and access information on evidence-based protocols that will guide treatment. When a provider searches a chief complaint or diagnosis, the application will provide recently-validated recommendations for treatment and probe for the latest known risks to the patient. As the provider works in EvidenceCare, the application automatically captures details about treatment decisions. Integration within MedStar’s electronic health record (EHR) further simplifies documentation, saving the provider notes to the patient record. For added benefit, providers earn continuing education credit by using EvidenceCare since they are learning about the latest advancements while delivering that care.
Providers can also use EvidenceCare’s patient education feature, which allows them to easily create and share information that will help patients better understand their care. In addition to capturing treatment decisions, patient care summaries highlight the evidence supporting the provider’s diagnosis, frequently asked questions, and patient resources—all in an easy-to-read format.
Currently in pilot phase, EvidenceCare is expected to be launched to more than 100 physicians, nurse practitioners, and physician assistants across all 14 MedStar PromptCare locations in early 2020.
With EvidenceCare offering quick access to the latest evidence-based protocols for the most common and highest acuity urgent care complaints, MedStar PromptCare providers will be equipped to deliver safe, effective, personalized care that drives improved patient outcomes. Key performance indicators include systemwide quality measurements.
In addition to reduced risk to patients, use of EvidenceCare in the urgent care setting is expected to decrease documentation time for providers, allowing them to serve more patients and reduce waiting times.
MedStar Institute for Innovation News Feed, “MedStar Health Enters Partnership to Support Providers’ Decision-Making at the Point of Care”
Note: The patient information presented in the interface example on this page is fictitious.