Rush University recognized that approximately 23 percent of U.S. veterans who served in Afghanistan and Iraq suffer from post-traumatic stress disorder (PTSD). Despite the availability of effective evidence-based treatments for PTSD, research has suggested that less than 20 percent of these veterans actually receive these interventions. Furthermore, of the veterans who receive evidence-based PTSD treatments, close to 40 percent do not complete them and therefore do not receive adequate therapeutic doses. Consequently, it is important to identify ways to increase access to evidence-based PTSD treatments and to help veterans stay engaged in treatment so that they can complete their course of therapy.
To address these critical needs, the Road Home Program: Center for Veterans and Their Families at Rush University Medical Center developed an intensive treatment program for veterans with PTSD. The three-week-long program offers a combination of evidence-based PTSD treatments and adjunctive services. Rush is one of the first health systems in the country to offer intensive PTSD treatment, so it was important to ensure that this novel PTSD treatment delivery method was effective.
Innovating for Improved Veteran PTSD Care
The Road Home Program worked to address veterans not receiving adequate amounts of therapy by systematically capturing clinical data, including but not limited to PTSD and depression symptom severity at various time points. This was performed while using existing technology available through the electronic medical records and survey tools. All data capture tools were designed with input from clinicians, researchers, and system administrators to ensure that the collection of program data could be completed in short amounts of time to minimize any potential burden on clinicians. Moreover, the systems were designed so that captured data could be easily extracted and analyzed to assist with program evaluation.
As a result, the Road Home Program at Rush University Medical Center was able to improve access to evidence-based treatments for veterans with PTSD. Ongoing, data-driven program evaluation led to continuous improvements in program effectiveness. According to research published by Road Home clinicians, clinical outcomes from the three-week-long intensive program demonstrate that the intensive program is highly effective and that participation in the program leads to large reductions in PTSD symptoms. In addition, program completion rates are much higher (91.5 percent) compared to standard outpatient PTSD treatment. Veterans also report very high satisfaction with the program and would recommend it to their veteran peers.
The organization was able to standardize the Road Home Program data-capture system and share it with other academic medical centers who offer similar programs for veterans with PTSD. As a result, PTSD programs and clinical outcomes can be directly compared to ensure that the veterans served receive the highest quality care possible.
Since it first began to offer intensive treatment services in 2015, the Road Home Program has closely tracked clinical outcomes and patient satisfaction through custom flowsheets in the electronic medical records and external survey tools. By continuously analyzing its program-based data – such as veterans’ PTSD symptom improvement over the course of the program and at short, medium, and long-term follow-up time points – the Road Home Program has been able to make changes to further increase effectiveness and has been recognized as one of the most effective intensive treatment programs in the country.
HIMSS Davies Award of Excellence
The HIMSS Davies Award of Excellence recognizes outstanding achievement of organizations that have utilized health information technology to substantially improve patient outcomes and value. The HIMSS Davies Award of Excellence is the pinnacle of the HIMSS Value Recognition Program and highlights organizations promoting health information and technology-enabled improvements in patient and business outcomes through sharing evidence-driven best practices on implementation strategies, workflow design, change management and patient engagement.
“Rush University Medical Center’s Road Home Program demonstrates how information and technology can facilitate improving behavioral health,” said Jonathan French, CPHIMS, senior director of Quality and Value Based Care Initiatives at HIMSS. “By standardizing processes and monitoring data to ensure that patients are improving, Rush has significantly improved the lives of our wounded warriors. For improving the lives of our veterans with PTSD through the thoughtful application of information and technology, HIMSS is proud to recognize Rush as a HIMSS Davies Award recipient.”
“Rush is proud to receive the HIMSS Davies Award of Excellence, as striving for excellence is the bedrock of everything we do at Rush,” said Dr. Larry Goodman, CEO of Rush University Medical Center and the Rush System. “While this award symbolizes information technology achievement and expertise, we are especially proud that it also reflects the collective efforts by clinical, operational, and business teams to drive technology-enabled improvements for our patients. The Davies Award is excellence, and excellence is the commitment we make to our patients, families, students, communities — and each other.”
Rush University will be recognized during the 2019 HIMSS Global Conference & Exhibition, February 11-15 in Orlando, Florida.
Learn more about how Rush University Medical Center has embraced the value of health information and technology: explore three award-winning use cases.