News Article | February 20, 2017
ORLANDO, Fla.--(BUSINESS WIRE)--HIMSS Conference 2017-- Caradigm®, the leader in enterprise population health, today announced that the Palmetto Health Quality Collaborative (PHQC), the clinically integrated network affiliated with Palmetto Health is now live on Caradigm solutions to drive population health through its clinically integrated network. The PHQC has implemented the Caradigm Care Management and the Caradigm Intelligence Platform, and is working to deploy Caradigm Risk Management and Quality Improvement. Palmetto Health is the largest and most comprehensive integrated health care system in the South Carolina Midlands region and its clinically integrated network, the Palmetto Health Quality Collaborative, has over 1,200 participating providers. Caradigm Care Management supports the PHQC’s interdisciplinary care teams in sharing patient information, streamlining time-consuming workflows, and ensuring all members of the care delivery team are able to work at the top of their license. With these improvements, the care teams will be better able to transition high-risk patients moving from inpatient or Emergency Department care back into the community or to a patient-centered medical home. The PHQC participates in a variety of value-based population health initiatives including a Medicare Shared Savings Program, commercial ACO products, and the management of the Palmetto Health self-insured employee population. The PHQC collaborates with other clinically integrated networks in South Carolina to achieve state-wide goals through the Care Coordination Institute (CCI). CCI led the PHQC’s Caradigm implementation building on the experience and expertise from launching the Caradigm solutions with the MyHealth First Network (MyHFN). Neal Singh, CEO and President of Caradigm said, “Caradigm’s mission is to help innovative organizations like the Palmetto Health Quality Collaborative build the technology infrastructure they need to redesign their systems of care. We applaud the PHQC for their efforts to align the delivery of healthcare to population health in order to improve patient outcomes.” The Palmetto Health Quality Collaborative (PHQC) is a regionally recognized clinically integrated network comprised of more than 1,200 physicians and six hospitals to drive targeted improvements in health care quality and efficiency. Since its inception in 2010, the PHQC has been committed to increasing the quality of care patients receive by setting higher performance and quality expectations for participating physicians. Through a focus on prevention, optimal treatment of diseases and the coordination of care across the continuum, the PHQC continues to strive to create value by improving outcomes for its patients and reducing costs for employers and payers. The Care Coordination Institute (CCI) provides services and solutions to meet the evolving needs of clinically integrated networks (CINs), and healthcare providers. CCI designs and delivers innovations that advance health and accelerate the transformation of healthcare. By developing, implementing and evaluating care delivery models, tools and supportive services, CCI enables healthcare providers and organizations to take total responsibility for those they care for. Working collaboratively with its customers and partners, CCI challenges how healthcare services are delivered, managed and financed in support of a meaningful and sustainable transformation of the healthcare delivery system. The Care Coordination Institute (www.ccihealth.org) delivers innovative solutions to clinically integrated networks with over 3,500 independent and employed providers caring for 2.5 million patient lives. Caradigm is an award-winning population health company dedicated to improving patient care, advancing the health of populations and reducing healthcare costs. Its enterprise software portfolio encompasses all capabilities critical to delivering effective population health management, including data control; healthcare analytics; care coordination and management; and wellness and patient engagement. Caradigm’s 200+ customers include Greenville Health System, Billings Clinic and Virtua and other large integrated delivery networks, ACOs, academic medical centers, government facilities and community hospitals. Caradigm solutions are operating in more than 1,500 hospitals worldwide, connect to over 500 customer systems and to data for more than 175 million patients. In addition, its identity and access management solutions are employed daily by over 1.2 million users, ensuring patient privacy and security by safeguarding access to patient health information. Based in Bellevue, WA, Caradigm has been recognized as one of Healthcare Informatics’ Top 100 vendors. To learn more, go to www.caradigm.com
News Article | February 20, 2017
ORLANDO, Fla.--(BUSINESS WIRE)--HIMSS Conference 2017-- Caradigm, the leader in enterprise population health, today announced Caradigm® Risk Stratification, a patient list application integrated with Caradigm’s solution suite including Caradigm® Care Management, an enterprise care coordination workflow application. Being natively integrated with the C aradigm suite brings unique benefits to provider organizations looking to identify and manage the care of patients in value-based programs. Risk Stratification can aggregate data from multiple EMRs in real time, create segmented patient lists using clinical indicators, identify patients that meet defined criteria, and streamline enrollment into programs within Care Management so that care teams can engage patients more quickly to drive better outcomes. It can be implemented rapidly as an add-on to deployed Caradigm solutions. The application also includes a standard set of out-of-the box lists, and can support the creation of custom lists, with plans to plug in third-party predictive risk algorithms. “For value-based care to impact the quality of healthcare delivery, data from across the healthcare community must be aggregated for use in reporting and analytics, which then must be connected to care workflows,” said Caradigm President and CEO Neal Singh. “Caradigm Risk Stratification bridges the gap between disjointed patient lists and care management workflows for high-risk patients, with a vision to include claims data, behavioral indicators, social determinants and financial indicators. Linking the analysis of real-time clinical risk indicators to population health workflow applications like Caradigm Care Management enables your team to work more efficiently and deliver care to your patients more quickly.” Caradigm is an award-winning population health company dedicated to improving patient care, advancing the health of populations and reducing healthcare costs. Its enterprise software portfolio encompasses all capabilities critical to delivering effective population health management, including data control; healthcare analytics; care coordination and management; and wellness and patient engagement. Caradigm’s 200+ customers include Greenville Health System, Billings Clinic and Virtua and other large integrated delivery networks, ACOs, academic medical centers, government facilities and community hospitals. Caradigm solutions are operating in more than 1500 hospitals worldwide, and connect to about 500 customer systems and to data for more than 175 million patients. In addition, its identity and access management solutions are employed daily by over 1.2 million users, ensuring patient privacy and security by safeguarding access to patient health information. Based in Bellevue, WA, Caradigm has been recognized as one of Healthcare Informatics’ Top 100 vendors. To learn more, go to www.caradigm.com.
News Article | February 15, 2017
The Excelera network consists of point-of-care specialty pharmacies owned by health systems and academic medical centers. The network provides members nationally scaled infrastructure and support to help them develop best practices and gain access to limited-distribution drugs and biologics and restrictive payer agreements so members can provide continuity of care for their patients with complex and chronic conditions requiring specialty drugs and biologics. The network also serves as a national platform for collaboration to optimize outpatient specialty drug therapy for population health. “Partnering with Excelera to develop our specialty pharmacy operations is a win for our most complex patients, who will receive comprehensive specialty services more expeditiously than if we were to go it alone,” said Kyle Townsend, Director of Pharmacy Services Billings Clinic. “Plus, we get the benefit of access and insight from thought leaders across the country who are grappling with the same challenges of providing high-quality care at a reduced cost with the best possible patient outcomes.” “Billings Clinic is a physician-led, integrated multispecialty group practice that exemplifies the highest national standards in hospital care and management,” said Jim Fox, Chief Executive Officer of the Excelera network. “We are pleased to welcome Billings Clinic into our national network and look forward to building an enduring relationship.” Specialty pharmaceuticals are expensive drugs that require special handing and administration and are often used to treat the most ill and clinically complex patients. The Excelera organization will partner with Billings Clinic to develop key specialty pharmacy capabilities including training, operations, data aggregation, reporting for drug manufacturers and payers, revenue cycle management and pharmacy business office. ExceleraRx Corp. supports the Excelera® Specialty Pharmacy Network, a national network of specialty pharmacies based at health systems and academic medical centers, enabling member organizations to gain access to limited distribution drugs and restricted payer agreements. The Excelera network provides national-scale efficiency and collaboration to improve quality and value of outpatient specialty drug therapy for population health outcomes. Excelera’s mission is to “provide tools, technology and best practices around high-performing specialty pharmacy capabilities to network members, so that they can provide integrated, coordinated care to complex patients at the point-of-care leading to improved health outcomes and decreased healthcare costs.” For a current list of Excelera specialty pharmacy network members, or for more information about becoming a member of the Excelera national specialty pharmacy network, visit excelerarx.com or follow us on LinkedIn. Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, Billings Clinic is governed by a board of community members, nurses and physicians. At its core, Billings Clinic is a physician-led, integrated multispecialty group practice with a 304-bed hospital and Level II trauma center. Billings Clinic has more than 4,100 employees, including 450 physicians and advanced practitioners offering more than 50 specialties. More information can be found at http://www.billingsclinic.com
News Article | February 15, 2017
Billings Clinic, Montana’s largest healthcare organization, and InSight Telepsychiatry are pleased to announce a new partnership to increase inpatient and emergency psychiatric coverage. The program is designed to lessen wait times for psychiatric evaluations, admission, and treatment decisions. The partnership gives Billings Clinic staff access to a team of remote psychiatrists who can do psychiatric evaluations, follow-up consultations and medical consultations through telehealth using video calls. Nurses and emergency department physicians can now connect patients with a remote telepsychiatry provider in as little as an hour. The telepsychiatry program runs from 10 p.m. to 8 a.m., 7 days per week. Since, psychiatric emergencies often happen at night or on weekends, this schedule means that individuals in crisis are able to get the care they need more quickly. The program is a result of a partnership between Billings Clinic and InSight Telepsychiatry, the leading national telepsychiatry organization and partner of MHA Ventures, a subsidiary of the Montana Hospital Association. Montana, like many other states across the country, struggles to have sufficient psychiatric coverage in its hospitals and clinics due to a national shortage of psychiatrists. At nearly double the national average, Montana has the highest suicide rate in the United States with more than 23 suicides per 100,000 people. Additionally, over 75% of Montana’s population has inadequate access to psychiatry. So with the option to utilize remote providers, telepsychiatry and other telemedicine services represent unprecedented access to specialists who are typically difficult to recruit in rural and underserved areas. “Really, the best thing about a program like this one,” says InSight’s Medical Director Jim Varrell, MD, “is that Montanans now have access to psychiatric services where they may not have had previously.” ”This partnership is another step for Billings Clinic toward improving mental health care for people in crisis,” said Lyle Seavy, Billings Clinic Director of Psychiatry, “We are addressing those peak times when staffing is a challenge to help meet the needs of our patients, help reduce strain on our staff and help improve the experience for people in a mental health crisis.” As a result of the partnership, the telepsychiatry program is expected to expand into additional Billings Clinic facilities. In addition to facility-based models of telepsychiatry, InSight is also working with the Montana chapter of Mental Health America to offer telemental health care to individuals in their home or other private spaces online. Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, Billings Clinic is governed by a board of community members, nurses and physicians. At its core, Billings Clinic is a physician-led, integrated multispecialty group practice with a 285-bed hospital and Level II trauma center. Billings Clinic has more than 4,000 employees, including more than 400 physicians and advanced practitioners offering more than 50 specialties. More information can be found at http://www.billingsclinic.com. InSight is the leading national telepsychiatry service provider organization with a mission to increase access to quality behavioral health care through telehealth. InSight’s behavioral health providers bring care into any setting on an on-demand or scheduled basis. InSight has 18+ years of telepsychiatry experience and is an industry thought-leader. More information can be found at http://www.InSightTelepsychiatry.com. --------------------------------------------------------------------------------------------------------------------------------------------------  Suicide: Montana 2016 Facts and Figures. (2016). In American Foundation for Suicide Prevention. Retrieved January 12, 2017, from [2 Mental Health Care Health Professional Shortage Areas (HPSAs). (2016, September 8). In Kaiser Family Foundation. Retrieved January 12, 2017, from http://kff.org/other/state-indicator/mental-health-care-health-professional-shortage-areas-hpsas/?currentTimeframe=0
News Article | February 21, 2017
AURORA, Colo. and BILLINGS, Mont., Feb. 21, 2017 /PRNewswire/ -- Billings Clinic, Montana's leader in pediatric specialty care, and Children's Hospital Colorado (Children's Colorado), one of the nation's top 10 children's hospitals, today announced they have formed a care alliance to...
Burke J.M.,Billings Clinic
Cytokine and Growth Factor Reviews | Year: 2010
Monoclonal antibody therapy for cancer has significantly altered the natural history of several common cancers. This success was attained only after many years of failure to understand the technical limitations of antibody therapy. In order to further exploit the immune system, tumor vaccine strategies are an active research focus. Virus based immune agents including GM-CSF armed vectors are among these early efforts. Herpes, adenovirus, and vaccinia based vectors encoding GM-CSF have reported intriguing early clinical trial results that are reviewed here. © 2010.
Burke J.,Billings Clinic
Cytokine and Growth Factor Reviews | Year: 2010
Approximately 50,000 cases of superficial bladder cancer are diagnosed annually in the United States. Immunotherapy utilizing intravesical BCG is the most effective standard therapy for superficial transitional cell carcinoma of the bladder. Based on ease of administration, limited systemic dissemination, and the demonstrated activity of immunotherapy, superficial bladder cancer is an excellent target for virus based gene and immunotherapy. Thus far, clinical trials of virus therapy for bladder cancer have yielded mixed results. In this paper the results of several virus based clinical trials for bladder cancer are reviewed. © 2010 Elsevier Ltd.
Weaver D.T.,Billings Clinic
Current Opinion in Ophthalmology | Year: 2013
PURPOSE OF REVIEW: To examine and review digital retinal imaging via telemedicine as an important screening and diagnostic tool in the management of retinopathy of prematurity (ROP). RECENT FINDINGS: The use of wide-angle digital retinal photography to detect clinically significant ROP has been described in numerous reports since 2000. Comparisons with the gold standard of binocular indirect ophthalmoscopy have been favorable. Digital image capture can provide more objective information for disease detection, thereby facilitating internet consultation and retrospective analysis as part of the electronic medical record. As the presence of plus disease in ROP is now the most important criteria for determining the need for laser treatment, computer-based image analysis can potentially provide additional benefit to digital retinal imaging. Telemedicine screening also allows for the extension of diagnostic expertise to underserved areas in both the developed and third world. The role of telemedicine in ROP education will impact both screening efforts and traditional fellowship training in future years. SUMMARY: As the worldwide incidence of ROP continues to rise, the use of telemedicine for screening, diagnostic and educational purposes will assume increasing importance in the delivery of healthcare for premature infants. © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Billings Clinic | Date: 2014-07-07
A computerized system manages health documents in a computer database. Each document in the database is associated with an author, which is in turn associated with group. When documents for a patient are listed for a user, the computerized system uses the users own group assignment within the database to organize and present the patient documents. Rules associated with the users group create ad hoc categories of documents that are of special interest to the user.
Weaver D.T.,Billings Clinic
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus | Year: 2012
To demonstrate the feasibility of telemedicine screening for retinopathy of prematurity (ROP) by summarizing the results of our experience screening premature infants at a distant hospital in a rural location. Records of all premature infants remotely screened for ROP at a neonatal intensive care unit in Great Falls, Montana, from January 1, 2007 to June 30, 2011, were retrospectively reviewed. The RetCam II imaging system was used to capture retinal images, which were posted on a secure server for evaluation by one of two pediatric ophthalmologists. Infants suspected of having ROP approaching the criteria for laser treatment were transferred to a hospital, where a diagnostic examination was performed and treatment administered when indicated. All other infants received an outpatient diagnostic examination within 2 weeks of discharge. A total of 582 telemedicine examinations were performed on 137 infants during the study period. Of 13 infants transferred for referral-warranted ROP, 9 ultimately required laser treatment. Good outcomes were noted in all cases, with none progressing to stage 4 or 5 ROP. Telemedicine ROP screening detected patients at a remote site in need of laser treatment, allowing prompt transfer with no poor outcomes over a 4.5-year period. Our experience demonstrates the utility of remote screening for ROP. Copyright © 2012 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.