2014 Davies Interoperability Case Study

In 2014, HIMSS conducted a survey of Davies Award Winners to learn more about interoperability practices and their effects on clinical outcomes.  The case study profiles below provide insight into each organization's approach to and best practices for interoperability, including:

  • Information systems and status
  • Key initiatives requiring interoperability for successful results
  • Interoperability design & implementation strategy
  • Investment for interoperability
  • Challenges / Barriers
  • Most important achievements to maintain successful interoperability
  • Data management practices
  • Data and Messaging standards supported
  • Referenced implementation guidelines and/or profiles
  • Types of data exchanged
  • Participation in 3rd-party HIE organizations
  • Establishment of hospital-owned HIE organization or network

Overview

Children's Medical Center of Dallas (Children's) is an academic medical center with 591 licensed beds. It has campuses in Dallas, Plano and Southlake, Texas, including an outpatient center in Southlake and 16 MyChildren's pediatric primary care practices throughout the Metroplex.

The services provided to the Metroplex include:

  • Level IV neonatal intensive care unit (NICU), the highest qualification as established by the American Academy of Pediatrics
  • A 20-bed dedicated pediatric cardiac intensive care unit, the largest heart center for children in North Texas
  • More than 50 specialty and subspecialty programs
  • Level I Trauma Center (the first pediatric hospital in Texas to be designated by the American College of Surgeons)
  • First TeleNICU in Texas providing physicians at other hospital NICUs with 24-hour access to the highly trained, board-certified UT Southwestern neonatologists on Children's medical staff
  • Major pediatric transplant center for kidney, liver, heart, intestinal and bone marrow transplants
  • Several centers among the largest in the country, including cancer, sickle cell and cystic fibrosis
  • Sole pediatric-only sleep center in Dallas accredited by the American Academy of Sleep Medicine

In December 2013, Children's accepted $18.9 million from the Rees-Jones Foundation to establish the Rees-Jones Center for Foster Care Excellence at Children's Medical Center, the state's first center dedicated to the advancement of health for children in the foster system.

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Case Study - Children's Medical Center of Dallas

Overview

The geographic service area of this rural organization covers five counties in southwest Missouri. It serves a population of 100,000. Citizen's Memorial Hospital is an Integrated Delivery Network - public hospital as well as non-profit entity - with 86 beds and 650 long-term care beds. A large percentage of the population is covered by Medicare and/or Medicaid.

The organization provides a broad number of services to support its patient population, including:

  • hospital (medical/surgical, ICU/telemetry, OB and geriatric psychiatry)
  • emergency room/Level III Trauma Center
  • ambulance services
  • STEMI center designation
  • hosted air ambulance
  • ambulatory surgery center
  • rural health clinics
  • specialty physician clinics
  • rehabilitation services
  • home health and hospice
  • home medical equipment
  • health transit
  • skilled nursing facilities/LTC
  • residential care
  • independent living apartments

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Case Study - Citizen's Memorial Hospital

Overview

Hawai'i Pacific Health is a not-for-profit Integrated Delivery Network with 564 inpatient beds. It is a family of hospitals and doctors focused on providing the highest quality and most accessible medical care to the people of Hawai'i and the Pacific region.

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Case Study - Hawai'i Pacific Health

Overview

St. Clair Hospital is a single hospital health system with 328 inpatient beds serving more than 500,000 residents of southwestern Pennsylvania. With 550 physicians and 2,200 employees, St. Clair Hospital is the largest employer in Pittsburgh's South Hills. Providing virtually every health care service that residents may need throughout their lives, the Hospital is focused on continuously enhancing its services and technologies to ensure that the community's health needs are met. The Hospital offers a comprehensive array of inpatient and outpatient services, including:

  • advanced cardiovascular services;
  • specialized care for women, children and infants;
  • diabetes treatment;
  • oncology services;
  • emergency care;
  • surgical services;
  • psychiatry; and
  • respiratory / pulmonary care.

During 2013, an exhaustive Community Health Needs Assessment was conducted and St. Clair Hospital has prioritized the following three issues in the community as top priorities:

  • Access to care
  • Inadequate prenatal care
  • Chronic and lifestyle-related conditions

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Case Study - St. Clair Hospital

Overview

Texas Health Resources (THR) is one of the largest faith-based, non-profit Integrated Delivery Networks in the United States. It includes 13 acute-care hospitals, one transitional care hospital and 2,950 licensed hospital beds. THR employs more than 22,000 people, and over 5,500 physicians have active staff privileges. Annually the system has more than 1.3 million inpatient and outpaitnet visits, including 24,000 deliveries and 469,000 emergency visits.

THR has a history as a high quality organization. Their focus is on excellence in patient care through quality outcomes and patient care standards. There are 4 magnet hospitals, 9 hospitals with Pathways to Excellence designation, hospitals designated as Stroke Centers of Excellence, hospitals awarded Baby Friendly status, and bariatric centers of excellence. In addition, THR has always been a leader in innovation, through adoption of the EHR in 2006, as well as multiple awards and recognitions for their use of technology. They currently have 10 EMRAM Stage 7 hospitals, and 4 EMRAM Stage 6 hospitals.

THR is proud of their accomplishments, and strive to continue their recognition as a national leader in using technology to improve patient outcomes.

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Case Study - Texas Health Resources

Keywords: 
interoperability, Davies, clinical outcomes, Case Study