Prime Healthcare Chooses Hiteks to Implement Real-Time Sepsis Surveillance at 25 Hospitals Nationally

(New York, NY – May 16, 2017) – Hiteks Solutions Inc., a medical informatics software company focused on EHR integrated clinical workflow solutions, was selected by Prime Healthcare Services, a nationally recognized health system with 44 hospitals in 14 states, to be the software provider for the improvement of Prime Healthcare’s real-time active sepsis surveillance and other quality conditions.

Sepsis, due to its rapid onset and the diverse assortment of variables that influence the nature of how to treat it, is the single most lethal illness in American hospitals and is actively monitored and reimbursed by CMS for provider compliance with Core Measures reporting bundles. Hospitals that show compliance with sepsis Core Measures have also been shown to reduce morbidity and mortality in patients who succumb to sepsis and related conditions (i.e. severe sepsis, septic shock).

According to Hiteks’ CEO Gerry Petratos, MD, MS: “Computerized methods have previously been shown to have a positive impact on sepsis quality care and clinical workflows due to the enhanced ability to identify potential cases through data algorithms applied to clinical records.” Hiteks continuously applies its clinical Natural Language Processing to find infection sources, and artificial intelligence software to identify lab results and vital signs from real-time data feeds from the EHR system. Once a combination of the triggers are found which meet the SIRS (Systemic Inflammatory Response System) criteria, Hiteks issues alerts, which have been found to be over 90% predictive of a sepsis case, to the performance improvement team who in turn will contact the charge nurse and/or hospitalist in charge of that patient. These alerts provide advice on the current status and next steps such as initiating a sepsis protocol or administering fluids or antibiotics. Prime Healthcare and Hiteks extract data from MEDITECH and Epic to provide data availability from the EHR system which enabled the Hiteks software to be applied as a hosted service.

According to Prime’s Performance Improvement team, “We were looking for the best solution on the market to enhance patient safety. The solution needed to integrate into our MEDITECH and Epic environment with a high predictive value for sepsis, severe sepsis and septic shock. In addition we wanted to ease the resources required to manage the process of active surveillance, intervention and abstraction to surpass the 75% threshold required to meet the CMS Core Measures. Hiteks proved to be the right vendor and it has been a positive experience working with the team to achieve our clinical, quality and reporting goals.”

Clinical Challenges in Sepsis Surveillance

According to Hiteks’ Chief Medical Officer, Martin J. Coyne, MD, MS: “The greatest challenge with sepsis is in determining the timing (known as Time Zero) of the specific diagnosis in a family of Sepsis conditions from which the patient is suffering. This varies between latent/early sepsis, sepsis, severe sepsis, or septic shock. Physicians must make this determination in a timely manner, typically within a 3-hour window which requires a sepsis protocol to be initiated to improve the chances of cure. Depending on the nature of the patient’s illness, physicians must adapt the mixture of fluids, antibiotics, vasopressors, and in some cases steroids accordingly. But due to sepsis having such a rapid onset, the window of time in which physicians must be able to make this determination is too small (3 hours) to make on his or her own.” Hiteks continuously processes structured lab (Lactate and Creatinine) and vital sign (Temperature, Heart Rate, Blood Pressure) data, along with mentions of infection sources (Pneumonia, Appendicitis, etc.) and chronic co-morbidities in physician notes to more quickly diagnose sepsis within the 3-hour window.

Hiteks introduces textual identification of infection sources in combination with the Systemic Inflammatory Response (SIRS) criteria to enable a high true positive rate when it comes to Sepsis surveillance. In addition, Hiteks uses chronic diseases identified in the notes to adjust lab result thresholds (i.e. Lactate, Creatinine) so that these do not create false positives. This has improved patient safety and helps healthcare systems to benefit from automated surveillance to increase quality scores due to the higher likelihood that Hiteks can identify cases sooner. Finally, Hiteks reduces the resources required to abstract data for Core Measures reporting, saving time and money to achieve an accurate compliance rate with CMS.

About Hiteks Solutions:

Hiteks is a leading provider of hosted EHR integrated software solutions with its Insight: Real-Time Revenue Rescue platform enabling real-time feedback to clinicians at the point of care. Hiteks is implemented in over 60 hospitals in over 15 States, and is doubling its clients this year. HIteks’ software reviews all the relevant structured and textual data automatically and provides feedback to the EHR in less than one second. For more information, please visit www.hiteks.com

About Prime Healthcare:

Prime Healthcare is an award-winning national hospital system with 44 acute-care hospitals providing more than 43,500 jobs in 14 states. Fourteen of the hospitals are members of the Prime Healthcare Foundation, a 501(c)3 public charity. Based in California and one of the largest hospital systems in the country, Prime Healthcare is committed to ensuring access to quality healthcare. It has been recognized as among the “100 Top Hospitals” in the nation 38 times and among the “15 Top Health Systems” three times, and is the only “10 Top Health System” west of the Mississippi. For more information, please visit www.primehealthcare.com.

Hackensack Meridian Health Implements Hiteks’ Real-Time Physician Insight Technology to Optimize Diagnoses and Quality Care

NEW YORK – April 26, 2017 – Hiteks Solutions Inc., a medical informatics software company focusing on EHR integrated clinical workflow solutions for physicians, announces that Hackensack Meridian Health has chosen Hiteks to power Epic’s NoteReader module, which prompts physicians to add suggested Diagnoses and Medications directly from the physician’s Notes. Hiteks also helps translate clinical diagnoses into ICD-10 compliant terms that are compatible with back-end claims coding solutions to improve revenue cycle.

Hiteks’ Insight solution integrates with the EHR clinical Notes workflow to immediately suggest new and more specific diagnoses in physician documentation. This not only reduces the amount of time physicians must document for each patient, but also allows for more accurate concurrent coding of HCC, MCC/CC, and Quality diagnoses. The benefits of clinicians using Hiteks’ powered solutions include fewer coding queries, higher CMI and RAF scores due to the enhanced clinical specificity in the record, and fewer false positive, non-specific and redundant alerts for quality issues. By optimizing the clinical documentation process, physicians can focus on patient care instead of looking up or responding to clinical specificity queries and quality alerts.

According to Dr. Lauren Koniaris, CMIO at Hackensack Meridian Health, “Hiteks software is integrated into the clinical workflow and enables physicians using the software to have higher compliance with its suggestions. The Epic integration is truly a time saver and seamless experience for the clinicians.”  Hiteks initially implemented its solution at Hackensack University Medical Center within Epic Care version 2014, and then upgraded its configuration for Epic Care version 2015 in Inpatient, ED and Ambulatory systems. Dr. Sarah Timmapuri, Chief Quality Informatics Officer and a practicing Cardiologist at Hackensack Meridian states that “the impact we are having on physician documentation across our enterprise workflow is significant. We’ve found that doctors who use NoteReader have significantly fewer queries and greater control and reconciliation of the problem list. Hiteks identifies new diagnoses otherwise kept hidden in Physicians’ Notes along with Echo and other procedure and pathology reports. In addition, it helps ease Problem Oriented Charting by helping to maintain the Problem List.”

Dr. Gerry Petratos, CEO of Hiteks since 2011, states: “Hiteks’ mission as an innovator has always been to constantly find ways to get the right information directly to physicians with high accuracy and speed. That’s why we’ve developed a state-of-the-art documentation surveillance solution which helps identify deficiencies and missed financial opportunities as early as possible to be able to correct them through a single click by a physician. This automation frees up significant time for administrative HIM staff to be able to review the entire chart and focus on applying coding rules that are not as easy for a computer to accomplish, such as lack of diagnoses and adding medical necessity justification for any particular diagnosis.”

In the ambulatory setting, Hiteks offers further specificity in the diagnostic process, which it draws from an amalgamation of variables from the History of Presenting Illness (HPI), the patient’s medical history and any relevant information regarding the nature of the patient’s illness. Hiteks’ solutions support risk-adjustment for outpatient payment models by optimizing Hierarchical Condition Categories (HCC).

In 2013 Hiteks began its collaboration with Hackensack Meridian Health to create a suite of applications with high return on investment for both financial and patient safety metrics. Hiteks differentiates from other solutions with its speed, accuracy and configurability by incorporating a modern clinical Natural Language Processing (NLP) engine with artificial intelligence and insurance algorithms that allow physicians to document more efficiently, thoroughly, and immediately while improving their compensation and quality scores. Hiteks enables enhanced EHR usability by providing immediate feedback to physicians at the point they are finishing their documentation, while the patient is still being seen. Maintaining an updated problem list also helps reduce the alert fatigue that comes from EHR alerting functions by suppressing alerts when a particular diagnosis, sign or symptom is present.

About Hiteks Solutions:
Hiteks is a leading provider of hosted EHR integrated software solutions with its Insight: Real-Time Revenue Rescue platform enabling real-time feedback to clinicians at the point of care. HIteks’ software reviews all the relevant structured and textual data automatically and provides accurate feedback to the EHR in less than 1 second. To contact Hiteks please visit www.hiteks.com.

AccessCT: A Real-Time Patient Screening For Medical Studies Software

AccessCT enables greater enrollment rates to pivotal studies in shorter periods of time, speeding up the time it takes to publish studies and get new drugs approved and on the market.

For the first time in the medical and pharmaceutical industries, the ability to scale large Multi-Center clinical trials on a national level is now available by way of AccessCT, an EHR-integrated service and the latest of an expanding suite of physician documentation software offered by medical informatics company Hiteks Solutions. Leveraging conductivity within Electronic Health Records (EHR) systems, Hiteks offers a seamless E-Screening based solution for data access to patient records that enables physicians to more effectively and efficiently identify potentially eligible patients for sponsored trials.

How It Works

AccessCT determines whether patients qualify as participants for medical based studies by interpreting the studies’ inclusion and exclusion criteria. These criteria are programmed against a real-time data feed from the EHR of structured and narrative patient records. The Hiteks clinical Natural Language Processing and Artificial Intelligence engine (the fastest and most accurate in the industry) then processes the data instantaneously (within one second) and uses its findings to identify whether there is a match between the patient data and the study.

For patient records that match with enough criteria, physicians receive a highly predictive alert with the option to refer the patient to the study’s Research Coordinator, who can then conduct a more rigorous screening of lab tests and patient history and obtain patient consent before the decision is made on formal enrollment. Once selected, the small percentage of prospective patient participants who qualify for a trial can now gain the opportunity to choose to participate based on the national and international footprint of various EHR system hospitals and physician practices.

The provider controls the authorization to refer a patient, the decision of which he or she bases on the real-time recommendations of AccessCT. Providers can elect to refer their patients into trials either locally, through a regional study site, or through virtually implemented methods if made available by the sponsor. Providers who are interested in leveraging AccessCT simply need to turn on the connection within their EHR, which shares data securely with Hiteks. Pharmaceutical companies can also leverage this platform by communicating their study protocols with Hiteks, who will then process the trial’s inclusion/exclusion criteria and develop a budget with the Development team.

Why AccessCT Defies Its Predecessors

Patient participant selection for clinical studies by way of manual chart reviews is a very laborious and expensive process, whereby overly complex and time-consuming selective methods of identifying trial sites cause most patients throughout the nation to not even be considered for studies. AccessCT simplifies and streamlines this process by utilizing EHR connectivity and workflow processing to conduct E-Screening.

Studies show that E-Screening is a far more resourceful and proficient mechanism for generating such identifications when compared to manual chart reviews because it bypasses the need for costly and time-consuming manual feasibility and site selection [1]. Pilots of EHR E-Screening have shown that when an institution uses EHR data to identify patients, researchers can double or even triple their participant enrollment rate [2].

There is no cost to physicians since the costs are paid for by the Pharmaceutical Sponsors or existing Investigator Trial Budgets, who gain the ability to get their study data submitted to the FDA faster, and publish studies from their trial data sooner. In addition, those hospitals and physicians who are already participating or will soon participate in clinical studies can elect to have their recruitment handled through the use of AccessCT. As a result, trial sites can become more competitive financially and reduce their own costs of trial participation.

To learn more about AccessCT and the other solutions in the Hiteks’ Insight suite that are transforming the medical industry, you can reach them online at www.hiteks.com, via email at info@hiteks.com or by phone at 212-920-0929.

References:

[1] Thadani, SR et al. Electronic Screening Improves Efficiency in Clinical Trial Recruitment. J Am Med Inform Assoc. 2009;16:869–873. DOI 10.1197/jamia.M3119.

[2] Kleczko, J et al.  Using EPIC electronic health record system to assist with screening patients for cancer clinical trials, results from a pilot study in the MPD Program. Tisch Cancer Institute at Mount Sinai Health System.

Cutting Sepsis Detection And Diagnosis From Months To Seconds

Learn all about Hiteks’ sepsis surveillance solution from Insight, the VigilantQA. We also offer NoteReader CDI, Medication Reconciliation, and Diagnosis Optimization solutions, which you can review on our homepage.

Sepsis has a rapid onset that worsens dramatically with each hour that physicians do not treat it. But since symptoms resemble those of a number of other acute illnesses, diagnosing sepsis can take months. There are hundreds of rules that physicians must explore before arriving at the conclusion that the patient’s suffering from sepsis. But this span of time is unsustainable when matched with how rapidly the condition becomes lethal.

Consequently, sepsis claims the lives of over 750,000 patients in America per year. And that’s just accounting for those who are in hospitals. Not to mention expenses. The cost of treatment, due in part to the incongruity between diagnosis and treatment, is among the most expensive conditions. One publication estimated a yearly cost of up to $20 billion.

But we are in the midst of an information technology revolution. With the resources we now have, there’s no reason why this crisis should persist in American hospitals. The time has come to make a change. Healthcare providers not only have the capacity, but the duty to protect those patients at risk of dying from sepsis. If the greatest challenge a physician faces regarding sepsis treatment is time, then time they shall have.

Introducing VigilantQA, Hiteks’ Real-Time high-risk sepsis surveillance and diagnosis solution from Hiteks’ Real-Time Revenue Rescue Insight platform. By incorporating VigilantQA into hospital floors, hospitals have the capacity to eliminate an age-old problem. They’ll have the opportunity to save countless lives across the nation. VigilantQA transforms the process of detecting, diagnosing and treating high-risk sepsis from what once lasted up to several months into what is now a matter of minutes, sometimes seconds.

How The VigilantQA Works

This brand new, groundbreaking medical software solution utilizes an algorithm that allows for automated, Real-Time surveillance of patients at risk of rapid onset sepsis. It’s software that aggregates and analyzes all relevant structured and unstructured data on patients’ current status and medical history. With that information, it arrives at a definitive conclusion with tremendous immediacy. Once the VigilantQA delivers its diagnosis, it then provides advice on treatment intervention for antibiotic selection, follow-up labs and fluids. It also delivers alerts to the nurse and other floor staff early on when the patients are first showing signs of risk, along with the follow-up required to close the loop with the Performance Improvement department who are responsible for reporting the QA.

How VigilantQA Will Influence The Future Of Medicine

The mortality rate for one of the most efficient killers that American hospitals have seen in years will soon drop significantly. Physicians will now have the ability to monitor their patients in real-time for quality conditions to a greater degree, allowing them to focus their efforts on developing better, more innovative treatments for sepsis, as they will now be able to respond in time to produce promising results. Patient safety and satisfaction will increase, more people will go home happier and healthier, and the United States will have substantially weakened a problem that once annually took the lives of hundreds of thousands of individuals.

To learn more about our state of the art sepsis monitoring Solution, give us a call at 212-920-0929 and ask about Hiteks’ VigilantQA from Real-Time Revenue Rescue Insight.

What Will Customers Demand From Their Software In 2017?

Over the past decade, we’ve witnessed the rise of artificial intelligence at an unprecedented rate of technological advancement. No longer is AI a feature of science fiction films. We’re now face to face with the task of establishing standards and expectations for the AI technology that already exists. Along with AI’s entrance into the mainstream came the popularization of bot-based technology and adaptive software.

Some of these technologies have simply not yet reached a standard that is ready for mass production. For example, you may recall when Internet trolls corrupted Microsoft’s Tay chatbot with hate speech. It reached the point that its makers had no choice but to remove it 24 hours after launching. Meanwhile, we’ve also seen other new technologies enter the market that are actually reshaping entire industries. For example, workflow management and clinical documentation improvement software (CDI) has transformed the healthcare industry to the point that it could become a standard for all hospitals in coming years.

The challenge is determining what features of new software will be most crucial to longevity in a highly competitive field. What will we as a society demand from our artificial intelligence in the years to come? We submit that these three features will be crucial:

Adaptiveness

Our expectations are going to evolve along with the resources that we have available to us. It will not be long before expect our software to adapt to complex changes in circumstances. Soon we’ll want our software to provide suggestions and predictions for us. For example, one of the most advantageous features of CDI software in healthcare is its ability to organize a sophisticated collection of patient information and provide a diagnosis, treatment plan, and code for billing, which the software draws from a collection of several thousands of options instantaneously.

Omnichannel Integration

The Internet of Things has raised the stakes for software as a whole. No longer will we consider applications that are incompatible with other technologies acceptable. In order for an automation technology to last, it must integrate with its counterparts, to the point that it centralizes everything into one cohesive, easy-to-use organism. Such is the case for Hiteks’ ConcurDI software, which is being showcased nationally to Clinical Documentation Improvement Specialists. Instead of having several separate apps under the same umbrella, Hiteks’ Insight: Real-Time Revenue Rescue software integrates workflow management, documentation, coding for billing, sepsis surveillance, and more into one central application integrated with the data from the EHR and in some cases, communicating back to the EHR to store the audit of responses solicited from the clinical users.

Exceptional Security Features

Hackers pose more of a threat than ever before. Cybersecurity goes far beyond American political campaigns. Hackers have dipped their hands in literally any industry that stores its information online. Hackers have infiltrated cars, homes, and even hospitals, holding their victims for ransom or worse. This, then increases the need for better security features, because lack thereof will eventually lead to customers taking their business elsewhere because it’s too much of a risk to their assets and privacy.

Hiteks Solutions provides front-end, point-of-care solutions for physicians, nurses and Quality Improvement staff in as many as 15 different states throughout the US. To learn more about how we are influencing the medical industry, give us a call at 212-920-0929 or reach out to us via email at info@hiteks.com.

Inside The Hiteks ConcurDI: Real-Time CDI

Hundreds of hospitals all across the nation are signing up to bring Hiteks to their facilities. Why? Because healthcare is one industry that deserves a clear and easy-to-use workflow system. In no other profession is sound communication more important. That’s why we believe it’s time to move our standards and expectations forward. By using Hiteks’ ConcurDI Real-Time CDI workflow solution, we can make doctors and nurses more effective. Here’s a brief look into some of the advantages doctors and nurses would have upon using our software.

Fewer And More Efficient Queries To Physicians And Higher Risk Adjustment:

An excess of documentation queries can lead to excruciatingly slow and tedious processing and audits, in some extreme cases, can even lead to worsening of patient health. Seeing as how doctors often must see dozens of patients per day, it’s only natural for them to overlook the full specificity of a diagnosis in their documentation every once in awhile. But these small errors can complicate the entire flow of information between all of the necessary people. But with Hiteks’ workflow solution, that won’t happen because physicians are provided a real-time point of care reminder to supplement the relevant data, effectively minimizing the margin of error.

More Up-To-Date Problem List Management:

If each physician must work independently, the chances of one person’s problem list differing from someone else’s is too high. In 2016, with all of the technological resources we have at our fingertips, this is unacceptable. With Hiteks, everyone will manage the same problem list for each patient. So that anytime anyone makes a change or update, everyone will be aware of it.

Safer Patient Care:

Quality patient care depends largely on how well informed the physician is. Because better information, which our software automatically checks and organizes, leads to more accurate understanding of the severity and nature of patient illnesses, which translates to better treatment, the result is better treatment outcomes and safer care. Our customers can attest to this.

Hiteks offers an EpicCare- powered NoteReader solution for physicians along with a CDI Specialist solution for real-time queries that are conducive to both inpatient and ambulatory patient environments. The above information describes our Basic Package, which is now available as a special offer. We also offer a Professional Package and an Enterprise Package. To learn more about what Hiteks can do for you, give our office a call at 212-920-0929.

How Hiteks Will Change The Healthcare Industry As We Know It

There is a reason why the government began to mandate the use of EHR software in hospitals and other healthcare facilities nationwide. The reason is that digital technology an unquestionably more efficient and effective means of operating any business. That’s especially so for businesses within the healthcare industry. The industries that manage to take full advantage of new technologies gain the potential to become a well-oiled machine. That is, provided it has the right software and prepares its workforce to use it effectively.

Coding Is Crucial Due To Complex Health Insurance Policies

In a nation where insurance policies can be gruelingly complex, documentation is key. Now that EHRs are the mainstay, efficiency and accuracy is much higher. Physicians can now document patient conditions for quality and Case Mix (inpatient) and HCC Scoring (ambulatory) faster and more effectively. By entering the data into a system that automatically reconciles between different parts of the chart, coders can draw from well organized patient billing information. This will maximize revenue for the facility as a whole.

What Hiteks’ Software Algorithm Do

Hiteks’ Real-Time Communications software is not just used to improve revenue. It also allows physicians and nurses to be more attentive to their patients. Hiteks offers VigilantQA for Sepsis Surveillance with state of the art proprietary algorithms. Our technology can also plug in existing algorithms from the providers. The algorithms recognize complex medical data combinations and thresholds for multiple clinical specialties. That includes infections disease, heart disease, and nephrology. Now you won’t have to lose valuable patient care time to synthesize data. With our software, you’ll be able to rely on our engine to identify patient conditions that require attention.

Our Technology Organizes Everything For You

With Hiteks’ front end solution, AdvocateMD (powering Epic NoteReader and related modules), you can streamline the process of coding diseases and diagnoses. Every year hospitals lose months to deciphering, transcribing and translating masses of patient information into data codes. Coders constantly have to seek out physicians or nurse practitioners to ask clarification on notes. This slows the billing process and gets in the way of patient care. That burden will no longer exist, thanks to Hiteks. Our technology will automatically organize everything.

Hiteks’ Real-Time Communications Solutions are vendor neutral and are currently integrated with Epic and Meditech EHR Systems. We operate out of New York City and are open for business. To learn more about our AdvocateMD or VigilantQA programs, contact us on our contact page or call us at 212-920-0929 for additional information.

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