Lakeland’s completed a big bang implementation across their acute and ambulatory care settings in 2012 using a “speed to value approach.” Through standardizing care by using evidence based guidelines, the development of collaboratively developed key performance indicators, and the development of a quality focused-team oriented culture, Lakeland has significantly reduced adverse drug events, hospital acquired infections and VTE, and improved population health outcomes of the residents of southwest Michigan. Through improved documentation, efficiencies, and the cost avoidance resulting from those improved outcomes, Lakeland Healthcare has generated neatly $22 million in return on investment in two years.
Lakeland Healthcare | Davies Enterprise Award
Since the implementation of the EHR, Lakeland has seen substantial improvement in clinical outcomes and decreases in safety and risk issues. Some of the significant results demonstrated from the project include a reduction in transcription related adverse drug events (ADEs) from 30 pre EHR implementation to 0 in 2013. Barcode scanning compliance rates have increased significantly, which has led to a reduction in the number of medication administration errors.
With a five year project budget of $60 million, in the first three years of the project Lakeland has documented $24.4 million in savings compared to $37 million spent in the same timeframe related to the implementation of the EHR. In addition Lakeland's leadership has formed a team to focus on tracking and optimizing ROI related to the implementation of the EHR.
With the implementation of an Electronic Health Record (EHR) in 2012, Lakeland re-launched a multi-faceted radiation safety program to ensure the safety of young adult and pediatric patients receiving radiation exposure for benign diagnosis. Since this program was introduced, 57 at-risk patients have been identified for monitoring and 26 CT studies cancelled or changed to a different exam with lower radiation exposure for these patients.
Through adherence to EHR-based clinical decision support order sets and analytical review of outcomes, Lakeland was able dramatically decrease and sustain the mortality rate to surpass the top decile baseline and save 62 lives.
Lakeland's care model is being used to take new Joint Commission measures, like VTE and Immunizations, to near perfection within the year. In the 2013 Hospital List of Top Performers on Key Quality measures, Lakeland is one of only 14 hospitals to meet the 95% composite rate for the new VTE measure. Since tracking the measure in 2013, Lakeland has succeeded in only having one Hospital Acquired Potentially‐Preventable Venous Thromboembolism. Lakeland has also nearly perfected compliancewith the influenza immunization measures, which has resulted in a significant decline in flu-related hospitalizations among their patient population.