Baby Z was born 16 weeks early weighing just 2 pounds. His mother struggled to provide enough breastmilk—not a drop could be wasted. The bar code scanning system allowed the clinical team at Children’s Hospital of Orange County (CHOC) to closely track all milk, correctly calculate necessary additives for growth, and ensure no milk was wasted, while protecting all babies in the unit by safeguarding against the wrong milk going to the wrong patient.
A 279-bed children’s hospital in Orange County, Calif., Children’s Hospital of Orange County was named a 2016 HIMSS Enterprise Davies Award recipient this month for achieving improvements in patient care through the use of health information technology.
Since 1994, the HIMSS Nicholas E. Davies Award of Excellence has recognized the outstanding achievement of organizations that use health information technology to improve patient care while achieving cost savings. As an award recipient, CHOC will share case studies and lessons learned with other health care organizations.
“Assuring the highest quality and safest care to patients is a global challenge, and CHOC has placed the highest priority on improving safety, quality and outcomes for the kids we serve. There is no better return on investment in technology than achieving tangible improvements in each of these areas. The Davies Award reflects the strong partnership between technology and care providers, the product of which is improved health for our patients,” said Mark Headland, CIO, CHOC.
Named one of the best children’s hospitals by U.S. News & World Report (2016-17) and a 2016 Leapfrog Top Hospital for safe, quality care, CHOC has achieved recognition as a HIMSS Stage 7 EMR adoption hospital. CHOC is also a leader in the adoption of population health technologies and is a recent CMS CMMI grant recipient with the goal of utilizing care guidelines to improve patient outcomes.
“These examples of our institutional quality and safety initiatives are an important part of our mission to ‘to nurture, advance and protect the health and the well-being of children.’ As we now reach out to the larger community with our population health efforts, our focus extends to keeping well children well, as well as keeping those that that are ill as well as they are able to be,” added William Feaster, MD, CMIO, CHOC.
CHOC received the award from HIMSS based on four case studies that detailed how the use of health information technology and standardized clinical processes have improved patient care and the bottom line. The case studies included:
- Through education, a standardized care bundle, and EHR-enabled best practice guidance to minimize urinary catheter use and duration, CHOC significantly reduced catheter associated infections and urinary catheter use.
- Since the implementation of the revised evidence-based guideline and order set and home management action plan documentation for asthma, CHOC drove down the average length of stay for asthma patients from 2.14 days to 1.72 days. Asthma readmissions within 30 days also fell from an average of 1.7 per quarter to 0.7 per quarter.
- CHOC implemented an EHR-enabled Pediatric Early Warning System (PEWS) to trigger a rapid response team for rapidly deteriorating patients. As result, some 369 children have avoided resuscitation, with potentially as many lives saved.
- CHOC implemented centralized breast milk preparation including barcoding to effectively eliminate feedings of the wrong breast milk Efficiencies associated with the centralized processes for breast milk preparation resulted in significant annual savings.
“Children’s Hospital of Orange County demonstrates an enterprise-wide approach to collaboratively identifying clinical challenges, selecting IT interventions and developing workflows to address those challenges,” said Jonathan French, senior director of quality and patient safety and Davies program director with HIMSS. “Through using information technology to standardize care and continually look to improve care delivery and outcomes, CHOC has significantly improved the quality and patient safety outcomes for their patients. HIMSS is proud to recognize CHOC as a 2016 Davies Enterprise Award winner.”
CHOC will be recognized as a HIMSS Davies Award recipient at the 2017 HIMSS Conference & Exhibition from Feb. 19-23 in Orlando, Fla. For more information on the awards program, visit the HIMSS Davies Award website.