Hawaii Pacific Health (HPH) | Davies Enterprise Award

2016 Davies Awardee Hawaii Pacific Health (HPH), a not-for-profit health system of hospitals, clinics, physicians, and care providers devoted to improving the health of the people of Hawaii and the Pacific Region is the second organization to be awarded the Davies twice. HPH was first awarded a Davies in 2012 for bringing technology and teamwork together in some innovative ways to transform healthcare in Hawaii and have again utilized information technology and teamwork to accomplish the following:

  • Achieved improved patient access and population management by using data analytics, data transparency and technological automation.
  • Attained the goal of reducing the average length of stay through improving sepsis identification and treatment through order sets and alerts and use of best practices algorithms.
  • Reduced the average length of stay of diabetic patients through the use of EMR order sets, a system wide hypoglycemia management protocol, and the use of wireless glucometer integration.

HPH improved access to primary care services through the use of IT data analytics, data transparency and technological automation. To address the needs of a growing population and fewer Primary Care Physicians, they had to accomplish this goal through the creation of a data warehouse, integrated ancillary technology to its EHR and optimized EHR to drive metrics, engage patients and take control of population health management.  

As a result, a noticeable a 20% increase of attributed lives without adding any Primary Care Physicians. Additionally, there was improvement in their ambulatory quality metrics to the 90th percentile nationally, reduction in Medical Cost Trends and an addition of six million dollars in monthly downstream net patient revenue.

Read the Hawaii Pacific Health Patient Access Case Study

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.

This action resulted in length of stay (LOS) improvement for all sepsis patients from 11.32 days in 2012 to 9.74 days in 2016. There were additional positive trends for severe sepsis and septic shock patients. The exciting story from these results is that 275 people survived a sepsis event because of the improvements that were implemented.

Read the Hawaii Pacific Health Sepsis Case Study

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. Given that poorly managed blood glucose is a known as a contributing factor in both areas, HPH identified this clinical area as needing evaluation. They eventually developed a system-wide hypoglycemia management protocol, achieved wireless glucometer integration and provided staff and physicians with training.  After the adoption of the computer directed insulin dosing system (CDIDS), utilization increased to greater than 90% of titratable IV insulin infusions.

The results were better glucose control with Computer-directed insulin dosing system versus usual care. 39.8% of all glucose values in the ICU setting were above the recommended limit (Glucose 180 mg/dl) with usual care. With Computer-directed insulin dosing system for intravenous insulin, the hyperglycemia rate was much lower representing just 16.6% of all glucose values.

Read the Hawaii Pacific Health Glycemic Control Case Study