The Ohio State University Wexner Medical Center | Davies Enterprise Award

The Ohio State’s Wexner Medical Center (OSUWMC) is central Ohio’s only academic medical center. OSUWMC serves all patients and populations, with the uninsured and Medicaid population comprising approximately 25% of the organization’s patient mix. OSUWMC has a staff of approximately 16,000, with over 1,500 physicians, 900 fellows/residents and 500 mid-level providers.

OSUWMC is the first two time winner of the Davies Award, first winning in 2001. OSUWMC has launched a clinical data mart designed to monitor the use of anti-microbial medication. Through the utilization of policies developed as result of analysis of data from the data mart, significant reduced the use of IV ciprofloxacin and a corresponding reduction of C. difficile infection rates.
Using health maintenance alerts and standardized care, OSUWMC has significantly improved chronic disease management, including a 5% increase in the number of diabetic patients with HgbA1c under control.

In addition, the OSUWMC IT department implemented a facility charge calculator within the EMR to more accurately code levels of service based on chart documentation in the Emergency Department. With the implementation of the charge calculator, OSUWMC has realized approximately $50 million in gross revenue per year from charges that would have been otherwise missed under the old system.

 

In 2008, The Ohio State University’s Wexner Medical Center (OSUWMC) developed an antimicrobial stewardship program to monitor potential overuse, under use and misuse of antimicrobial agents. To gather information, OSUWMC built a data mart in 2013 that extracted data from its electronic medical record system. The program has resulted in clinical initiatives leading to decreased use of particular antimicrobial agents and an estimated $7.7 million in savings.

Read OSUWMC's Clinical Care Surveillance and Medication Delivery Case Study

 

As part of its enterprise EMR implementation, The Ohio State University Wexner Medical Center (OSUWMC) examined the inconsistencies in assigned levels of service between two Emergency Departments. OSUWMC discovered that they were below the industry standard with respect to the level of service, and according to a third-party’s estimates, OSUWMC was missing approximately $15 in charges per emergency department visit. In partnership with ED nursing, the OSUWMC IT department implemented a facility charge calculator within the EMR to more accurately code levels of service based on chart documentation. With the implementation of this tool, OSUWMC has realized approximately $50 million in gross revenue per year from charges that would have been otherwise missed under the old system.

Read the OSUWMC Workflow Analysis and Improvement Case Study

 

The Ohio State University’s Wexner Medical Center decided to make an investment during the initial EMR install to purchase a medical device integrator (MDI) to capture this data for permanent storage in the patient chart. Through the patient monitoring solutions that OSUWMC implemented, the organization realized consistency (93% of vitals were captured by a device automatically), timeliness (81% of vitals were validated within one hour), and confidence in patient safety (established foundation for deterioration monitoring). In addition to clinical benefits, OSUWMC also saved time and resources for nursing staff (96 hours of time savings for nursing per week, or 2.4 nurses per year for the 7 nursing units studied).

Read The Ohio State University Wexner Medical Center Medical Device Connectivity Case Study

In 2007, The Ohio State University Wexner Medical Center (OSUWMC) made the strategic decision to abandon its “best-of-breed” strategy in favor a single-vendor model. Since the full “big bang” EMR implementation in 2011, OSUWMC has observed reductions in dictations and downtimes and has also measured improvements in revenue and Meaningful Use metrics. OSUWMC invested an estimated $47 million in the EMR platform and realized an estimated initial savings of $55.5 million. Additionally, as a result of the organization’s implementation decisions, OSUWMC has seen increased involvement of patients in their care with over 125,000 patient portal users, improvement in chronic disease management, early detection of potential patient deterioration, the reduction of medication events with harm, an increase in the number of error-free medication administrations, and continued success with required quality metric.

Read OSUWMC's Value Proposition 

Keywords: 
Medical Device, Davies, electronic health record, diabetes, Medication Management