HEI Shared Experiences
Greg Wolverton, CIO at ArCare, shares how interoperability improved patient experience and outcomes.
Pamela Arora, SVP & CIO at Children's Health, shares how population health initiatives extend care beyond the hospital walls and into the community where patients live.
Jim Veline of Avera Health discusses the importance of building bridges between population management and telemedicine.
R. Hal Baker, SVP and CIO of Wellspan Health, discusses how open notes and instant release of lab and imaging results have been of great value to WellSpan’s patients.
Learn more from the most recent Nicholas E. Davies Award winners:
Enterprise winner use cases
Ambulatory winner use cases
Community Health winner use cases
Davies Award Winner Case Studies - Hawaii Pacific Health
Hawai‘i Pacific Health realized that sepsis was a major area of focus to improve care and reduce the average length of stay. Consequently, a sepsis team was formed at three of the hospitals to drive improvements through order sets and alerts using the best practices algorithms from High Value Healthcare Collaborative.
Hawaii Pacific Health continues to focus on areas to reduce length of stay and also identify reduction in surgical complications subsequently implementing EMR order sets to support best practices.
HPH improved access to primary care services through the use of IT data analytics, data transparency and technological automation.
Davies Award Winner Case Studies - Children's Hospital of Orange County
CHOC Children's identified a need to standardize and expand their care guidelines program. They expanded from five active care guidelines to 35 standardized, evidence-based care guidelines in the EHR. As a result, average length of stay (LOS) for asthma patients fell from 2.14 days to 1.72 days between 2010 and 2016. Asthma 30-day readmissions fell from an average of 1.7 per quarter to 0.7 per quarter.
Catheter Associated Urinary Tract Infections (CAUTI)
Through education, a standardized care bundle and efforts to minimize urinary catheter use and duration, CHOC Children's achieved meaningful improvements in CAUTIs, including an overall reduction in CAUTI rate with only one instance in 2016, an increase in months with zero cases of CAUTI, and a decrease in use of urinary catheters.
Pediatric Early Warning System (PEWS)
CHOC Children's deployed a rapid response program and developed a Pediatric Early Warning System (PEWS), an electronic physiologic assessment tool to standardize language and process of clinical deterioration observation in non-ICU areas. The system leveraged patient data from the electronic health record (EHR) to assess all children for risk of deterioration.
Breast Milk Management
To eliminate wrong breastmilk reaching the wrong patient, CHOC Children's centralized breastmilk preparation, improved workflow and implemented a breastmilk bar coding system for positive patient identification. As a result, in fiscal year 2013 they reduced wrong milk being fed from three to zero incidents and reduced wrong labels on bottles from 16 to four.
Davies Award Winner Case Studies - Mercy Health
Mercy implemented a clinical documentation improvement (CDI) initiative and industry-leading analytics to transform clinical documentation workflow, to improve the accuracy of physician documentation, and to shrink the gap between the clinical documentation and the coding world.
Through EHR-based pathway development and continual monitoring of utilization, Mercy used the heart failure pathway on 63-83 percent of patients with heart failure during FY2016. They also reduced direct variable costs for all pathway conditions by approximately $28 million and by $800 per case for heart failure patients.
Mercy used a cost-per-case perioperative dashboard to identify key cost and outcomes data related to surgical procedures, which enabled them to reduce costs by $9.42 million, eliminate or minimize the use of certain surgical products, reduce variation, establish best practices across perioperative departments and ensure quality outcomes for patients.
Mercy reduced pneumonia mortality rates to one to two percent, a 60-80 percent reduction and well below national rates.