__________ __________

Ease the adoption of new care approaches Help your clinicians get on board with change and standardize care — without overburdening them

in the process. Engage them with content that is relevant, trusted, and delivered seamlessly as part of their workflow, on rounds and on-the-go.

Harmonize care to achieve clinical effectiveness

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http://healthclarity.wolterskluwer.com

of patients who watched a multimedia engagement program kept their blood pressure under control — compared to 53% who did not.13

__________ __________

Activate your patientsConduct scalable and personalized outreach and educational programs

to patients so they can participate in their care.

Empower patients to learn more about their condition, adhere to their treatment plans, and embrace lifestyle changes that can keep them out of the hospital.

Unwanted variability in care is a global problem.

What’s at stake? The sustainability of health systems.

__________ __________

Break the decision silos: Align care with a common playbook Work with a single trusted partner to enable confident decision-making

and provide solutions that align care teams and patients.

Improve quality and lower costs with solutions that can increase efficiencies, harmonize decision-making, and activate patients.

Using a common care playbook can help hospitals and health systems:

✓Optimize clinician workloads

✓Empower patients

✓ Increase patient and clinician satisfaction

✓Manage costs

✓ Improve outcomes

There is a way forward: 3 steps to effective, harmonized care

“As an organization, reducing variations in the care we provide is essential to our efforts to improve patient safety, clinical outcomes and patient satisfaction.”

— Keith Griffin, MD, CMIO for Novant Medical Group, U.S.A.

In Singapore, decision support in the workflow changed clinician decisions of the time.10

An academic medical center in California saw a increase in EHR usage after moving their decision support into their EHR.11

: difference in diagnostic error rateIn Japan, a study found that physicians equipped with an evidence-based decision support solution had a significantly lower diagnostic error rate when compared to the control group of unequipped physicians.12

Medical expenses spent on unnecessary hospitalization and surgery in Korea

Time spent on EHR tasks per hour of direct patient care by primary care physicians in the US7

US physicians who report symptoms of burnout8

Trainees in the UK who describe their workload as unmanageable9

Dollars wasted in Australia due to clinical ineffectiveness

In the U.S., the Advisory Board estimates that unwarranted variation in care represents a problem — per $1 billion in revenue — for a typical healthcare organization.6

What drives unwanted variability? Behaviors.

#ClinicalEffectiveness #HarmonizeCare

In Practice: The Case of Atrial Fibrillation (AF)5

AF is the most common cardiac arrhythmia. The most feared complication is a blood clot that can lead to a stroke or even death. Anticoagulant therapy reduces that risk by almost 70%.

patients do not receive appropriate therapy

patients with diabetes, hypertension, and hyperlipidemia never fill their first prescription3*

*in OECD countries

patients with chronic heart failure receive inappropriate drug prescriptions2*

“We partner with our customers to help them reduce variability in care, which is one of the most vexing challenges they face today. Our expert solutions help align decision making across care teams and patients, enabling more consistent and cost-effective care.”

— Denise Basow, MD, CEO, Clinical Effectiveness, Wolters Kluwer, Health

Almost in antibiotics prescribed in the U.S. are unnecessary.4

Variation in the rate of major obstetrical

complications among US hospitals

Variation in reoperation rates after hip surgery in German hospitals

Variation in mortality rates after colon cancer surgery

in Swedish hospitals

Variation in the rate of bypass surgery mortality

in UK hospitals1

Sources: 1 Michael E. Porter, The Strategy to Transform Health Care and the Role of Outcomes, Michael E. Porter, OECD Policy Forum, January 2017. Accessed 12/10/2018 https://www.oecd.org/health/ministerial/

policy-forum/Michael-Porter-Presentation-OECD-Health-Forum-2017.pdf 2 Appropriateness of Prescriptions of Recommended Treatments in Organisation for Economic Co-operation and Development Health Systems: Findings Based on the Long-Term Registry of the European

Society of Cardiology on Heart Failure. Maggioni, A. P. et al. Value in Health, 18(8), 1098-1104. 2015. doi:10.1016/j.jval.2015.08.005 Accessed 10/12/2018 3 Aspirin Instead of Oral Anticoagulant Prescription in Atrial Fibrillation Patients at Risk for Stroke. Hsu JC et al. J Am Coll Cardiol. 2016 Jun 28;67(25):2913-23. https://doi.org/10.1016/j.jacc.2016.03.581

Accessed 12/10/2018 4 Patient, Provider, and Practice Characteristics Associated with Inappropriate Antimicrobial Prescribing in Ambulatory Practices. Schmidt ML et al. Infect Control Hosp Epidemiol. 2018 Mar;39(3):307-315.

https://doi.org/10.1017/ice.2017.263 5 Aspirin Instead of Oral Anticoagulant Prescription in Atrial Fibrillation Patients at Risk for Stroke. Hsu, JC, et al, J Am Coll Cardiol 2016; 67:2913 https://doi.org/10.1016/j.jacc.2016.03.581 6 Tethered to the EHR: primary care physician workload assessment using EHR event log data and time-motion observations. Brian G. Arndt, MD et al. Ann Fam Med September/October 2017 vol. 15

no. 5 419-426 DOI: 10.1370/afm.2121 Accessed 12/10/2018 7 Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors. Daniel S. Tawfik, MD, MS et al. Mayo Clinic Proceedings. November 2018. Volume 93, Issue 11,

Pages 1571–1580. https://www.mayoclinicproceedings.org/article/S0025-6196(18)30372-0/fulltext 8 Hospital workforce: fit for the future? October 2015. A report by the Royal College of Physicians. https://www.rcplondon.ac.uk/guidelines-policy/hospital-workforce-fit-future 9 Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors. Udemezue O. Imo. BJPsych Bull. 2017 Aug; 41(4): 197–204. https://doi.

org/10.1192/pb.bp.116.054247 10 Utility of the Electronic Information Resource UpToDate for Clinical Decision-Making at Bedside Rounds, Singapore Med J 2012; 53(2): 116–120 11 Wolters Kluwer customer usage report 12 Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: A retrospective study. International Journal of Medical Informatics. Taro Shimizua et al.

Volume 109, January 2018, Pages 1-4. https://doi.org/10.1016/j.ijmedinf.2017.09.010 13 Source: Analysis of 6,509 Patients. Centura Health. May 2014-Nov 2014

Variation in complication rates from radical prostatectomies in

Dutch hospitals

Reduce unwanted

variability

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