Tier 1 Organizations

Case Study Title & Example of Successful Outcomes

Health IT

TJC National Goal or NPP Priority Impacted

Princeton Baptist Medical Center

• A 22% decrease in electronic infection markers indicates the potential to not only reduce healthcare associated infections (HAIs) in a hospital but to decrease the costs associated with these infections.

RFID

Reduce the risk of Healthcare Associated Infections
NPSG.07.01.01   
NPP Goals: Safety
NPP - Infrastructure supports*

Southeast Texas Medical Associates

• EHR and business intelligence tools drive quality metrics on its entire population of 7,600 diabetes patients, and all providers can calculate all 12 Framingham risk scores in one second.

EHR

NPP - Patient and family engagement
NPP-Population health
NPP-Safety
NPP-Care Coordination
NPP-Infrastructure supports*

Tier 2 Organizations

Case Study Title & Example of Successful Outcomes

Health IT

TJC National Goal or NPP Priority Impacted

Texas Health Resources

• Best practice advisories fire every 4 hours to physicians until VTE Prophylaxis is ordered or documentation given as to why not warranted. Nurses also receive advisories every 4 hours until they contact the physician regarding consideration of VTE prophylaxis.

EHR, CPOE, CDSS

Improve the safety of using medication -
NPSG 03.05.01
NPP – Safety
NPP – Care coordination
NPP – Infrastructure supports*

Tier 2 Organizations
(contd)

Case Study Title & Example of Successful Outcomes

Health IT

TJC National Goal or NPP Priority Impacted

Nemours

• The rate of complete documented outpatient medication reconciliation improved from 30% of encounters to near 90%. 

EMR & CPOE

Improve accuracy of patient identification
NPSG.01.01.01
Reduce the risk of healthcare associated infections
NPSG.07.05.01
Accurately & completely reconcile medications across the continuum of care
NPSG.03.06.01*
NPSG.08.01.01
NPSG.08.02.01
NPSG.08.03.01
NPSG.08.04.01
Universal Protocol
UP.01.01.01
UP.01.02.01
UP.01.03.01 NPP – Safety
NPP – Care Coordination
NPP – Infrastructure supports*

Veterans Healthcare System of the Ozarks

• VHSO has sustained twenty-one months with no major complication within their inpatient population, a major accomplishment in a setting with an average patient turnover rate of 6.35 per month.

CPRS

NPP – Safety
NPP – Care coordination
NPP – Infrastructure supports*

Virginia Commonwealth University Health System

• Consistently exceed 95% in ensuring their heart failure patients receive appropriate written discharge instructions and education at time of care transition, sustained for seven quarters.

EHR
CPOE

Accurately & completely reconcile medications across the continuum of care
NPSG.08.01.01
NPSG.08.02.01
NPSG.08.03.01
NPSG.08.04.01
NPP - Patient and Family Engagement
NPP – Safety
 NPP – Care coordination
NPP – Infrastructure supports

Tier 1 Organizations

Case Study Title & Example of Successful Outcomes

Health IT

Bassett Health Network Cooperstown, NY

“The Use of Perioperative Information Technology to Improve Quality of Patient Care and Operating Efficiency in an Academic Teaching Hospital”.  37% increase in compliance of documented hand-off communication between providers. Read Case Study

Surgical information system

Eastern Maine Medical Center, Bangor, ME

“The Impact of Education and Computerized Provider Order Entry (CPOE) on Standardization and Reduction of Blood Transfusions in a Community Hospital”. 25%+ reduction blood acquisition costs; significant reduction, inpatient transfusions. Read Case Study

View a presentation by Eric Hartz, MD, CMIO, Eastern Maine Medical Center >>

EHR, CPOE, Data mining

Mercy Des Moines – Mercy Heart Hospital
Des Moines, IA

“Patient Safety Improvements through Real-Time Inventory Management.” Fulfilling TJC requirements of removing expired products from the shelf. 568% ROI, improved charge capture, right-sizing inventory, taking advantage of bulk-inventory order opportunities. Read Case Study

RFID

Queens Long Island Medical Center
Queens, NY

“Queens Long Island Medical Center Improves Quality and Physician Satisfaction with EHR Backbone and Patient Centered Medical Home Initiative”. 4% improvement in quality of diabetic care, 21% decline diabetes-related mortality, reduction $18,000/patient healthcare costs. Read Case Study

EHR

Greater Rochester Independent Practice Association
Rochester, NY

“Electronic prescribing significantly and measurably improves the quality and efficiency of patient care in a teaching-hospital’s outpatient medical clinic.” Renewals, decreased, 1-week to 24 hours.  Patient complaints reduced 50%, prescription-related phone calls reduced 80%. Read Case Study

View a presentation by James Garnham, Greater Rochester Independent Practice Association (GRIPA) >>

E-Prescribing, HIE, CDS

University of Rochester Medical Center
Rochester, NY

“Facilitating Safe and Efficient Patient Handoff, Using a Home-Grown e-Signout System that is Integrated with Other Hospitals Systems.”  More then 90% of cases, active signout record. Read Case Study

E-Signout tool

Tier 2 Organizations

Case Study Title & Example of Successful Outcomes

Health IT

Advocate Health Care –
Chicago, IL

“Reducing Venous Thromboembolism Using a Clinical Decision Support Alert in the Electronic Medical Record.” Decreased alerts, 10% decrease in VTE rate, cost avoidance, VTE, $3500/patient. Read Case Study

View a presentation by Joel Shoolin, VP Informatics, Advocate Healthcare >>

CDS

EHR

Brigham and Women's Hospital 
Boston, MA

“Using Technology to Improve Medication Safety at Brigham and Women’s Hospital.” Med errors fell 55%, dispensing errors fell 85%, transcription errors eliminated after the implementation of bar code/eMAR. Read Case Study

View a presentation by Michael Sweet, Brigham and Women’s Hospital >>

CPOE, Bar code, Smart Pumps, Pharm IS

Elgin Gastroenterology 
South Barrington, IL

“Improving Colorectal Cancer Screening and Outcomes using an EMR Automation Model.” Increased referrals, improved documentation, profiling of physician adherence. Read Case Study

EHR

Graybill Medical Group 
Southern CA

“Improving Wellness and Care Management with an Electronic Health Record System.” 10% increase in mammograms. 18.25 days wait for office visits and 26.93 for preventive care visits, reduced to three days. 5% increase in physician’s patient load. Read Case Study

View a presentation by Leslie Chapman, Director Finance/Information Technology, Graybill Medical Group >>

EHR

Kaiser Permanente S CA
Southern CA Region

“Proactive Office Encounter—Optimal Integrated Care for Every Patient Encounter.” 30% increase in colon cancer screenings, 11% increase in breast cancer screening, 5% increase in cervical cancer screening, 13% improvement in cholesterol control. Read Case Study

EHR

Marshfield Clinic 
Marshfield, WI

“You Can’t Manage What You Can’t Measure.” (Quality reporting to eliminate gaps in care and improved compliance). 24% increase BP control, 10% increase A1C control, 24% increase LDL control. Read Case Study

EHR

Memorial Healthcare System
Miramar, FL

“Clinical Decision Support Helps Memorial Healthcare System Achieve 97 Percent Compliance with Pediatric Asthma Core Quality Measures.” Computer-generated alerts, identify pediatric asthma patients, achieving a 97% compliance rate with Joint Commission core measure. Read Case Study

CDS

Memorial Hermann 
Houston, TX

“Use of Clinical Decision Support Interventions to Reduce Harm from Anticoagulation Therapy.” Reduction in the administration of warfarin. Reduction in incidence of documented bleeding complication. Net cost savings costs
$12,403, and potential revenue of $917,822.

EHR, CPOE

NorthShore University HealthSystem 
Evanston, IL

“Making the Electronic Health Record Do the Heavy Lifting:  Reducing Hospital Acquired Urinary Tract Infections at NorthShore University HealthSystem (NorthShore) in Evanston, Illinois”.  10% reduction patient days with urinary catheter, 20% decrease CAUTIs, $200,000 in avoided charges. Read Case Study

EHR

Norwood Hospital
Norwood, MA

“Integrated Technology: Strengthening the Foundations of Patient Safety.” Pyxis override rate, 0.7%; Alaris pump dictionary compliance, 96.7%; Medication scan rates, 90% monthly avg; Patient BMV scan rates, 94% monthly avg; CPOE inpatient utilization, 83% (national avg, 75%); 92% decrease in illegible orders with CPOE.

EHR