What is a Redox EMR Integration?

Integrating MedBridge with your EMR creates a seamless end-user experience and allows a simple workflow for your clinical staff. From a patient’s chart in the EMR, a provider can launch MedBridge from their existing workflow and use Single Sign-On to bypass entering additional credentials, and MedBridge will direct them to the patient profile to customize their Home Exercise Program (HEP).

After saving the HEP, it can be automatically recorded back to the EMR as a PDF or text program note. 

Benefits & ROI

Maximize time savings and organizational profitability by:

• Saving up to 5 minutes per patient while increasing patient engagement. That equals a time savings of 250 hours per year and potential additional revenue of $33,000 per clinician per year for new evaluations and $30,000 per clinician per year for patient visits.^{1, 2, 3}
• Reducing errors in patient care by eliminating manual entry and duplication of records.

Streamline clinician workflows by allowing clinicians to:

• Create high-quality digital exercise programs from within Epic without going to an outside application.
• Reduce redundant data creation by instantly creating patient records within MedBridge.
• Simplify patient program sharing with our electronic sharing options and easy patient program access.
• Patients who receive their program electronically have an engagement rate higher than 80 percent.⁴

Optimize the patient experience by:

• Integrating patient education and home exercises into the EMR for easier access to care programs, leading to improved adherence and outcomes.
• Improving patient rapport by reducing administrative burden and freeing up more time with patients.
• Quickly and easily identifying low adherence and remediating with two-way communication and targeted patient education.

Key Features

• Single Sign-On
• Automatic HEP documentation
• Instant patient record creation

Considerations

• Requires a connection to Redox. A list of Redox-supported EMRs is available here.
• MedBridge will work directly with your Interface, HL7, Connectivity and Application Analysts, and other IT teams to build the integration.
• IT and networking resources will be needed to facilitate end-to-end connectivity.
• Clients in Citrix environments may not be able to play videos due to the constraints of the environment.

Implementation Process

• Kickoff call to discuss requirements and process details.
• Redox SSO and VPN configuration details exchanged between Redox and Client.
• Build decision points reached for integrated HEP solution.
• Client configuration of MedBridge ‘button’ and MDM/HL7 writeback in interface completed. 
• Test users configured for end-to-end testing and testing completed in MedBridge staging.
• Admin, superuser, and clinician training completed.
• Full Client roster updated in MedBridge with EMR’s unique identifier for each user.
• Client, MedBridge, and Redox builds pushed to production for go-live.
• Integration is enabled and final validations are completed.

Redox EMR Integration Flow

1. LAUNCH MEDBRIDGE FROM ENCOUNTER RECORD USING SINGLE SIGN-ON (SSO) FROM WITHIN EMR 
   1. After the clinician locates the MedBridge button within the encounter record, this facilitates the SSO process with Medbridge, taking the clinician to the patient profile or the HEP Builder.

2. VIEW PATIENT PROFILE IN MEDBRIDGE
   1. If the patient has a prior record in MedBridge, the clinician lands on the patient profile where they can review adherence data and previous home exercise programs (HEPs) or create a new HEP for the patient. If the patient does not have a previous record, the clinician lands on the MedBridge HEP Builder (see step 3 below). Information passed from the EMR will include the patient's MRN, first name, last name, preferred name, date of birth, email, and phone number.

3. CREATE AND CUSTOMIZE HEP IN MEDBRIDGE
   1. The clinician can create, customize, or update the HEP in MedBridge by adding individual exercises and education for the patient, and can then share the program with the patient. We suggest using text or email. When programs are shared digitally with patients, patients are nine times more likely to log in than when they receive access instructions on paper.⁵ Patients can access a PDF via a web login.

4. SAVE HEP PRESCRIPTION BACK TO EMR
   1. When the clinician saves an HEP in MedBridge, it will automatically be sent to the patient chart in the EMR as either a PDF or text description.
   2. Note: Organizations in Citrix environments may experience limitations with viewing HEP videos.

References

1. Overall time savings: Assuming 50 5-day weeks per year and 12 patient visits per day.

2. Cost savings on new evaluations: Assuming 45 minutes per new evaluation, 333 new patient evaluations per year, and a reimbursement of $100/visit.

3. Cost savings on patient visits: Assuming an average of 30 minutes per visit and 500 visits per year.

4. In a sample of MedBridge RTM patients, those who received an electronically shared program in the previous 12 months had an engagement rate of over 80 percent.

5. Based on MedBridge internal research.