El Hospital Marina Salud de Dénia | Davies Enterprise Award

Marina Salud is a private company managing the health of the population within the Marina Alta area of Spain. The area is home to approximately 200,000 year-round inhabitants, many of whom are retirees making the effective management of chronic conditions a high priority. Marina Salud has a network of 34 primary care facilities, 2 ambulatory centers and a 206 bed hospital. With a mission focused on providing quality and accessible public health to the Marina Alta area, Marina Salud operates under a 15 year contract that covers 150,000 people on a per-capita basis of 660€ (approximately $890) per person.

Since the implementation of an EHR in 2008, Marina Salud has seen significant improvements in productivity, efficiency, and quality of care across the continuum. Faced with a per capita payment model , improving clinical care and the resulting cost avoidance are critical components to remaining financially sound. Using a Using a comprehensive EHR-enabled quality improvement strategy focused on adherence to best practice protocols and technology-enabled patient engagement strategies, Marina Salud drove hospitalization rates for patients with CHF down by 33 percent. Readmission rates for patients with CHF were reduced by 35 percent. Hospitalization and readmission rates for patients with COPD were reduced by 21 percent and 15 percent respectively. Lowering readmission and hospitalization rates, along with improvements in acute care that significantly reduced length of stay, has resulted in over 22 million euros in savings since implementation of an EHR in 2010.

Utilizing comprehensive EHR-enabled quality improvement strategy focused on adherence to best practice protocols and technology-enabled patient engagement strategies, Marina Salud drove hospitalization rates for patients with CHF down by 33 percent. Readmission rates for patients with CHF were reduced by 35 percent. Hospitalization and readmission rates for patients with COPD were reduced by 21 percent and 15 percent respectively.

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Lowering readmission and hospitalization rates, along with improvements in acute care that significantly reduced length of stay, resulting in over 22 million euros
in savings since implementation of an EHR in 2010.

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Using advanced clinical decision support algorithms and an aggressive response to potentially septic patients led to decreasing sepsis mortality at of led to a 32 percent reduction in sepsis mortality.

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After implementing the decision support rule, the average number of Torax XR to patients under 60 years old related to the preoperative protocol dropped from an average of 813 per year and 53 percent of all chest X-rays performed to this age group to 39 and 4 percent. The decrease equates to a 95 percent reduction in chest X-rays believed not to add clinical benefit. As of July 2014, the savings have been more than $27,381.71 at internal costs and $136,642.20
at benchmark costs.

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For cervical cancer screenings, the ability to identify the target population in any care environment resulted in an 84% increase in the screened population percentage in the first year after implementation. Marina Salud increased screenings from 1,300 patients in 2012 to 2,400 in 2013 and are projecting 2,800 screenings in 2014.

Read the Cancer Screening Case Study