Studies Show IV-EHR Interoperability with Auto-Documentation Improves Charting and Charge Capture Accuracy

Findings of the two studies presented at the American Society for Health-System Pharmacists (ASHP) Midyear Clinical Meeting in Anaheim, California, support the value of IV-EHR interoperability with improved hospital charting and financial performance.

San Clemente, Calif. December 4, 2018 – ICU Medical, Inc., (NASDAQ: ICUI) announced that a Pennsylvania hospital’s capture of more than $1.1 million in additional reimbursable billing claims correlates to its implementation of smart pump-electronic health record (EHR) interoperability with auto-documentation. The company also announced during the ASHP Midyear Clinical Meeting in Anaheim that IV-EHR interoperability with its LifeCare PCA™ infusion pumps with auto-documentation improves charting of IV opioid administration, which may increase the safety and efficiency of infusion-to-oral conversion.

IV-EHR Interoperability
Patient data for both studies were collected from Penn Medicine Lancaster General Hospital in Lancaster, Pennsylvania, and presented separately during the ASHP professional poster presentations.

In the first study, “Impact of Smart Pump-Electronic Health Record (EHR) Interoperability With Auto-Documentation on Infusion-Therapy Current Procedural Terminology (CPT) Code Billing Claims at a Community Hospital,” researchers analyzed admissions data to determine the impact of smart pump-EHR interoperability on Current Procedural Terminology (CPT)-coded infusion therapy billing claims submissions. Among patients where auto-documentation of infusion start and stop times was enabled with smart pump-EHR interoperability, CPT code submissions were significantly higher.

Lancaster General, after implementing IV-EHR interoperability with auto-documentation, was able to submit additional CPT-coded billing claims equivalent to $1,147,652 in corresponding Medicare Addendum B reimbursement amounts. The increases in submitted billing claims reached significance in emergency department (ED) and non-ED units, as well as for inpatients and outpatients. The diverse units and patient admission status impact of the technology suggests that these results are generalizable for the broad population of hospitalized patients.

In the second study, “Impact of Patient-Controlled Analgesia (PCA) Smart Pump-Electronic Health Record (EHR) Interoperability With Auto-Documentation on Chart Completion in a Community Hospital Setting,” researchers investigated whether IV-EHR interoperability with LifeCare PCA pumps that include auto-documentation improves the completion of charting tasks for opioid pain management medications delivered through the pump. The LifeCare PCA pump is the first and only PCA infusion pump with full IV-EHR interoperability.

IV-EHR interoperability with auto-documentation led to a significant increase in the number of total chart fields completed and the percentage of charts achieving 100 percent completion. In addition, the number of incomplete charts was significantly reduced with auto-documentation.

Improved charting of IV opioid administration may be associated with safer infusion-to-oral conversion and provides improved information on the quality of pain management and the progression of clinical conditions. Accurate infusion documentation of opioid administration also provides information for continuous quality improvement initiatives.

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