1. Online Nurse Advice
Oakkar Oakkar, CEO, Keona Health
Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1

2. Solution Overview
 High Level Solution Description:
• Online Nurse Advice helps practices more efficiently manage their
telephone triage or nurse advice call volume and helps patients find the
right care, at the right time, and the right place.
 Healthcare/Business problem addressed:
• Practices receive a 43% reduction in unit labor cost, increased billable
hours, and higher value visits.
• Payers and ACOs see a 4:1 ROI in triage by improving utilization of
value-based and appropriate care services.
 The application developed addresses the following
category:
 Innovative approaches to addressing value-based care imperatives.
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3. Solution Overview - Benefits
$922 Per ED vist
Payer
Look for advice Reduce unit
online labor cost
80% 43%
Patient Contact Center
Save Costs
Of practice’s patients willing
Add Value 62% to switch for online access
Provider
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4. Usability and Design
1. Patients go to their own provider’s website or mobile app,
click Online Nurse Advice, then fill the questionnaire.
2. The nurse messages or calls the patient back with advice.
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5. How It Works
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6. UNC Case Study Results
Improving Patient Outcomes:
• 5.4% of patients had emergencies
and weren’t aware
• 32% had a more urgent problem
than they were aware of
Improving Cost of Care:
• 6.3% thought they had emergencies but were guided to a
lower level of care
• 17% were recommended self-care
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7. Development Stage
 Please indicate the development stage as of the Phase 1
Submission Date: 2/3/2013
 Code development in progress
 Code complete
 Online Nurse Advice is a finished product in use at several
health systems and clinics, and the new Allscripts interface is
at a fully functional alpha stage.
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8. Integration Description
 Write Clinic Notes To the Patient’s Chart
• Online Nurse Advice collects history from the patient. Nurses then review
the history, add their assessment, match the patient record, and save a
clinic note. This offers the nurse a smooth experience without switching
screens.
• In Phase 2, we’ll read med, problem, and allergy lists, which will make it
easier for patients to remember and update their history.
 APIs/Web Services Calls Used
• SearchPatients api action
• SaveNote api action
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9. Go to Market Plans
 Provide information on business plans, including:
• How will the solution be brought to market
• Direct sales force with outbound marketing, adding channel partnerships
next year
• Which Allscripts customer segments will be targeted
• Allscripts Professional and Enterprise
• First targeting peds and OB practices with over 10,000 calls per year
• What is the proposed price point for the solution
• $2.50 per call or $0.50 per member per month
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10. Video Demonstration
 Demo of Online Nurse Advice
 Value-Based Outcomes
• Keeps Jane out of the ED with fast response for same day appointment
• Saves nurse time by converting a 10 minute phone call into a 1 minute
message
 Link To Video:
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11. Why this solution should be selected!
 Perfect for value-based care initiatives because it improves
outcomes and cost of care, and these improvements have
been measured with clients
 Online Nurse Advice is already in use at several health
systems and clinics
 Already signed Chapel Hill Children’s Clinic as a pilot site for
phase 2
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