Centura Health | Davies Enterprise Award

2015 HIMSS Davies Enterprise Award of Excellence recipient Centura Health, manages 16 hospitals in Colorado and Kansas. These hospitals range from geographically remote, 30-bed hospitals, to a Level One Trauma center with 220 beds in a metropolitan area with a population of more than 2.5 million supporting over 90,000 inpatient admissions and over 1,000,000 outpatient physician and clinic visits per year. Through using health IT to standardize care, change patient behavior, and analysis of workflow, Centura has been able to

  • produced a 15.65% reduction in readmission for heartfailure, and has reduced the overall annual Per Member Per Year cost of care by 7.4%

  • reduce post-operation deep vein thrombosis and pulmonary embolisms by 58%

  • reduce catheter days by 38% since 2012

  • reduce catheter associated UTIs by 32%

  • reduce fall with injury rate by 24 percent.

Blood Management

Since the inception of the project, Centura Health has experienced a 58 percent decrease in the utilization of pRBCs compared to 2012. In 2013, 7.5 percent of admitted patients received transfusions, whereas in 2015 only 6.2 percent received transfusions. This constitutes 2,328 patients who were spared the risks of blood administration as a result of this effort. Additionally, in 2013 our units/patient ratio was 2.96. In 2015 this was reduced to 2.74. All facilities have shown a decrease in both the number of units transfused and the number of patients who received transfusion, despite an overall growth in number of patients treated in our system. Clinical Value case study for St. Clair Hospital demonstrating how St. Clair used Health IT to reduce hospital acquired C. diff infections, improve inpatient care for diabetic patients and increase the number of at risk patients that received pneumonia vaccinations.

Read the Blood Management Case Study

Return on Investment

Since Implementing an electronic health record across their enterprise in 2006, Centura Health has seen a positive return on investment of over $200 million dollars.

Read the ROI Case Study

Reducing VTE and CAUTI

To address potentially preventable VTE and CAUTI and reduce falls, Centura utilized electronic health record clinical order sets embedded into clinician workflow to standardize care and documentation. Risk scoring tools for VTE, CAUTI, and Falls were added to clinical workflows to alert clinicians of potential risks to ensure early preventative measures. As result, Centura has reduced post-operation deep vein thrombosis and pulmonary embolisms by 58%, reduced catheter days by 38% since 2012 and catheter associated UTIs by 32%

Read the VTE and CAUTI Case Study

Patient Safety: Falls Prevention

 Centura leveraged a standardized nursing workflow enabled by their EHR to reduce falls with injury rate by 24 percent, leading to a cost avoidance of $1,012,500 and 472 avoided hospitals days in two years.

Read the Centura Falls Prevention Case Study

Accountable Care and Population Health 

Using both Comprehensive Primary Care (CPC) Initiative and ACO alternative payment models enabled by risk stratification, clinical decision support, patient engagement, and analytics designed to improve population health outcomes, Centura has been able to significantly reduce hospitalizations associated with chronic disease management. Within the remote Durango, CO community, Mercy Family Medicine was able to cut hospital admission rate per 1000 for Ambulatory Care Sensitive Conditions by 27 percent. Across the Centura system, the use of a Medicare Shared Savings styled ACO model of care has produced a 15.65% reduction in readmission for heartfailure, and has reduced the overall annual Per Member Per Year cost of care by 7.4%

Read Centura's Population Management Case Study