UC Davis Medical Center - Davies Enterprise/Organizational Award

UC Davis Medical CenterThe UC Davis Health System (UCDHS), an integrated academic health system with a mission to improve lives and transform healthcare to achieve its vision of a healthier world through bold innovation.

The organization has over 7,700 faculty and staff, including 1,300 physicians and 1,500 registered nurses. The Health System delivers primary, secondary and tertiary care through a 619-bed fully accredited hospital with a Level I trauma center, with over 30,000 annual admissions, and 100-plus specialty and primary care clinics supporting more than 900,000 outpatient visits per year.

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Return on Investment

The Electronic Health Record (EHR) and associated technologies have had a dramatic impact on the UC Davis Health System (UCDHS). UCDHS has realized significant returns on the clinical technology investment in the form of enhanced revenues and reduced costs. The organization has invested an estimated $160 million in capital costs from 2002 to 2013, and saved an estimated $63 million in hard dollars for this same time period. There are many other "soft‟ savings gained and costs avoided in the past few years and in the future due to the EHR such as CMS EHR meaningful use penalties.

UCDHS has shown that once the core elements of an EHR are deployed and an organization is actually using the software to support all of its care, it starts to think very differently about clinical content and clinical processes. The new perspective and approaches enabled by UCDHS‟ EHR are driving improvements in clinical quality and cost reduction. There is no question that these new tools will enable dramatic improvements in care delivery and care quality that were simply not possible in the legacy fragmented paper-based care processes.

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Clinical Value

UCDHS used a five step process to implement the EHR to optimize clinical value. 

  • Step One - create a clinical governance structure for EHR implementation.
  • Step two - develop broad informatics expertise.
  • Step three – design and implement reliable and standardized clinical workflows.
  • Step four - transform safety and quality programs. As the implementation of the EHR progressed, UCDHS quality and safety programs were redesigned to leverage the benefits of the EHR.
  • Step five - align health system goals and empower clinicians with EHR functionality.

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Telehealth

While telemedicine consultations had been the foundation of the CHT telehealth program for many years, program leadership realized that a broader, more comprehensive approach including telehealth education, advancing the telehealth policy environment, and expanding the use of broadband and health information technology throughout the State is needed if transformational change is to occur.

As a result, UCDHS and the CHT have identified the specific need for state- wide initiatives impacting the future of clinical technology in healthcare. The goal of this effort is coordination across the patient’s continuum of care for improved quality of care and patient outcomes.

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Privacy and Security

UCDHS took a holistic approach to create a multi-faceted Privacy & Security Program aimed at  achieving the careful balance between safeguarding protected health information (PHI) and avoiding  overly restrictive access controls which could interfere with patient care. UCDHS created a number of innovative processes and software tools to manage access to clinical content.

The organization has also made significant investments in modern security technology that is unusual for care providers, and has had a special focus on encrypting client computers, secure thumb drives, relevant  emails, and computer backup media.

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Health Information Exchange

UCDHS has been able to exchange 3.7 million patient records of multiple types since October 2008. The success of HIE at UCDHS has been a key element of earning the designation in 2011, 2012, and 2013 as one of the ‘Most Wired’ healthcare organizations and the ‘Most Connected Hospital’ in 2011 and 2012, and was the 102nd organization to qualify for Stage 7 in the HIMSS Analytics EMR Adoption Model in 2012.

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