logo logo

LOGO www.themegallery.com

HCHC I.T. Performance ExcellenceIowa HIMSS Fall 2007 Chapter Meeting

LOGO

www.themegallery.com

HCHC I.T. Performance Excellence…Where in the world is Mt. Pleasant, IA?

30 Miles West of Burlington / 50 Miles South of Iowa City

LOGO


HCHC I.T. Performance Excellence…About Henry County Health Center

Vision - To be the healthcare provider and employer of choice.

http://www.hchc.org

FY2007 Operating Statistics

Total Beds: 25-Bed Critical Access Hospital (49 Bed LTC Unit)Employees: 300Total Outpatient Visits: 49,963Total Discharges: 459Gross Revenue: $39,802,000Net Revenue: $25,583,000

I.T. Department FTEs: 41 Full Time Clinical Analyst (Reports to Vice President of Patient Services)1 Physician (Retired) Dedicated to I.T. Support and Training1 Physician (Active) Medical Director of I.T. (Serves on Steering Committee)

I.T. Department Operating Budget: $340KI.T. Department Human Resource Budget: $235K

LOGO


HCHC I.T. Performance Excellence…Misconceptions About “Most Wired”

The “Most Wired” award is based on how many

miles of cable have been run throughout the organization

LOGO


HCHC I.T. Performance Excellence…Misconceptions About “Most Wired”

The “Most Wired” award is based on the personality or caffeine intake of the CIO / I.T. Director

LOGO


The nation’s 100 Most Wired Hospitals and Health Systems have better outcomes than other hospitals on

four key measures: mortality rates, the Agency for Healthcare Research and Quality’s patient safety

measures, the Joint Commission’s Core Measures and average length of stay. This is the strongest evidence in

the nine-year history of the survey of an association between the implementation and adoption of information

technology and the quality and cost of patient care.

HCHC I.T. Performance Excellence…The “Most Wired” Vision

The “Most Wired” award was incorporated into the hospital strategic plan in 2003

LOGO


HCHC I.T. Performance Excellence…The “Most Wired” Vision

*From the Book “Good to Great” by Jim Collins

How does greatness happen?

In building greatness there is no single defining action, no grandprogram, no one killer innovation, no solitary lucky break, no miraclemoment…

Rather, the process resembles relentlessly pushing a giant, heavy flywheelin one direction, turn upon turn, building momentum until a point ofbreakthrough and beyond. This is known as the “Flywheel Concept”.

LOGO


HCHC I.T. Performance Excellence…About Henry County Health Center

Key Vendor Relationships

*Computer Programs and Systems (CPSI) - Health Information System, EMR*GE - Centricity EMR, Centricity Physician Office, Centricity PACS3M - Coding and ReimbursementNuance - Voice Recognition, DictationInnovision Corporation - CheckUp Personal Health ManagerHealthStream - Online Education and Training SystemPGP - Encryption*ProcessData - Employee PortalGlobal Health Exchange (GHX) - Supply Chain ManagementStayWell Custom Communication - Health Content, Calculators, Animations*Neotool, LLC - Interface Engine, HL7 Integration Consulting*NetDirect Systems - Physician Portal, Security ConsultingVerizon Wireless - Mobile SolutionsVeriSign - Web Site CertificatesSunGard Availability Services - Business ContinuityDell - Workstations Hewlett Packard - ServersCDW - Other HardwareCisco - InfrastructureSymbol - Wireless Infrastructure

*HCHC is a showcase or reference hospital for vendor

LOGO


HCHC I.T. Performance Excellence…The Most Wired Benchmark Survey

Wired for Business Processes: Electronically managing inpatient beds; checking drug supply for expiration dates and product recalls.

Wired for Customer Service: Providing patients with online test results, prescription refills, appointment scheduling, and tracking of chronic conditions; offering in-hospital Internet or wireless access.

Wired for Safety and Quality: Minimizing medication errors through bar coding and electronic drug-dispensing devices; providing online access to the results of imaging tests such as MRIs and EKGs; using automated alerts to prevent drug interactions or identify critical vital sign values in real time.

Wired for Workforce Management: Enabling online training and continuing medical education; posting human resources information online.

Wired for Public Health and Safety: Safeguarding medical information online; tracking trends in infections, conditions, and diseases; being able to rapidly restore clinical information in the event that a disaster causes data loss.

LOGO


HCHC I.T. Performance Excellence…Wired for Business Processes (Highlights)

Med/Surg and Pharmaceutical Automated Supply Chain (GHX)

Bar Code Technology - Equipment, Patients, Staff, Blood Supply, Surgical Supplies, Medical Supplies, Medication (Bulk),Medication (Unit Dose), Lab Samples

Manage Supply Recall and Expiration Dates - Mixture of Manual, Electronic Cabinets, Bar Coding

Payer Transactions - All EDI

Single Unified Wireless Infrastructure

Electronic Bed Boards - Med/Surg and Emergency Room

LOGO


HCHC I.T. Performance Excellence…Wired for Customer Service (Highlights)

Web Site / Patient Portal, including…

Pay Bill On-Line Preregister for ServicesUpdate Insurance Information Health Information / EducationHospital News / Calendar Maps / DirectionsJob Postings Health News / PublicationsProvider Directory Patient Satisfaction InfoVolunteer Opportunities Living Will FormsDonations Services IndexPictures of Newborns Ability to Create Medical History3-D Tour of Hospital

Specific Information on Alzheimer's, Dementia, Stroke, Cancer, Asthma, Depression, Diabetes, Gastrointestinal Diseases, Heart Disease, Hypertension, HIV / AIDS, Obesity, Pain Management, Substance Abuse, Women’s Health and much, much more.

Chronic Disease Management (Manually Entered) - Asthma, Diabetes, Cancer, Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, Heart Disease, and much more.

Patient Access to Internet (Bedside) – Provide Equipment and Connection

Internet Access for Patients and Visitors – Lobby, Waiting Rooms, Patient Rooms

LOGO


HCHC I.T. Performance Excellence…Wired for Safety and Quality (Highlights)

100% of Medication Orders Entered Electronically (Nurses and Pharmacists)

BCMA - Bar Coding Matching of Drug to Patient and Order at Bedside

Over 80% of Patient Record Available as Part of EMR

EMR accessible through Physician Portal from any location with Internet access and from any location with cellular service through the use of hospital provided cellular air cards

Over 80% of our physicians access hospital EMR and ambulatory EMR through the Physician Portal (including outside specialists)

Robust HL7 environment facilitates information sharing between the hospital and physician clinic

ePrescribing

LOGO


HCHC I.T. Performance Excellence…Wired for Safety and Quality (Highlights)

Radiologist 1

Radiologist 2

Radiologist 3

Radiologist 4 Radiologist 5

Diagnostic quality PACS images (Radiology, Cardiology, Neurology, and Nuclear Medicine) are available in the hospital, clinics, physician offices, and radiologist’s homes

LOGO


HCHC I.T. Performance Excellence…Wired for Workforce Management (Highlights)

Employee Portal / Clinician Portal available internally and from any location with Internet or cellular access

Portal Includes…

Benefits Information Employee Handbooks / PoliciesFlexible Spending Accounts Retirement Fund ManagementEducation Enrollment On-Line Application for EmploymentOn-Line Competency Testing Online Education and TrainingOn-Line Pre-employment Screening On-Line Resources for Education / EventsOn-Line Resources for Health and Safety Posting of Employment OpportunitiesReporting Employee Injury Over 40 On-Line Forms Links to Clinical Resources Links to Clinical ApplicationsOn-Line Forums Much, Much More

Also available electronically, either by e-mail or specific client / server application…

Employee Time Recording (Biometric) Enrollment (Dental, Health, Life)Payroll Deductions (Cafeteria System) Employee Time Off RequestWorkforce Management Tools Enterprise HR Management System

LOGO


HCHC I.T. Performance Excellence…Wired for Public Health and Safety (Highlights)

Security Technologies in use at HCHC…

Audit Tracking Digital SignaturesPasswords BiometricsEncryption Off-Site BackupsPhysical Device Locks Digital CertificatesFirewall Spyware FiltersContent Filters Pop-Up BlockersProximity Systems Single Sign OffStorage Area Network

Business Continuity Plan - Tested Quarterly, Mission Critical Operations Restored in < 72 Hours

Patient Portal - Personal Health Record

LOGO


HCHC I.T. Performance Excellence…Other Technologies

ASP for Multiple Physician Clinics - Clinical and Financial Applications

Help Desk Tracking System - Auto-notifications to technicians and users

Monitoring System (Monitors servers, connections, humidity, temperature, hard disk space, etc.)

Newly Constructed I.T. Training Room with Thin Client Stations

Host Iowa CPSI User Group Web Site

Windows Automated Installation Kit (WAIK)

Ethernet Security Cameras and Recorders

Lifeline

LOGO


HCHC I.T. Performance Excellence…Results

Patient Satisfaction (FY02 - 86.7% to FY07 - 90.2%)

Physician Satisfaction

Employee Satisfaction (Turnover FY03 - 15.89% to FY07 - 11%)

AR Days (FY02 - 110 to FY07 - 47)

Medication Errors (56% Reduction - BCMA)

Charge Capture

Question on Employee Satisfaction Survey: I have the right materials, technology, and equipment to do my job well. (FY03 - 82% to FY07 - 88%)

LOGO


HCHC I.T. Performance Excellence…Future Projects

Web Site Redesign - Content Management System (FY08)

Multimedia Content added to Web Site - Audio / Podcasts of eHealth Newsletters, Audio / Podcasts of Test and Procedures, Procedure Videos, and Clinical Wizards (FY08)

RSS Health News Feed (FY08)

Medical Equipment Feeds to EMR - EKG, Vital Signs, etc. (FY08, FY09)

CPOE (FY08)

Workstations in Patient Rooms (FY08)

Physician Documentation (FY08)

On-Line Pay Stubs (FY08)

Vocera (FY09)

Voice Over IP (FY09)

LOGO


Brian MoreauManager, Information TechnologyHenry County Health CenterMt. Pleasant, [email protected]

Member, Health Information Management System Society (HIMSS)Member, College of Healthcare Information Management Executives (CHIME)

HCHC I.T. Performance Excellence…Contact

LOGO www.themegallery.com

Iowa HIMSS Fall 2007 Chapter Meeting

HCHC I.T. Performance Excellence

logo logo

Health & Medicine

performance excellence

wired vision

wired award

wired hospitals

wired benchmark survey

health systems

public health

online training