Case Study

                                       Atlantic Health
                                       Creates a Fully ...
At a Glance                         Answers                                   error-prone transcription practices
Using data provided in the system’s     With solutions such as patient            At a Glance
executive dashboards, manage...
“From everyone’s perspective,    on programs such as hospital                             – The combination of CPOE, an
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Atlantic Health:Creates a Fully Integrated Electronic Health Record with Advanced Technologies


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Learn how Atlantic Health significantly expanded its clinical offerings to elevate its level of care with electronic health record software from McKesson Physician Practice

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Atlantic Health:Creates a Fully Integrated Electronic Health Record with Advanced Technologies

  1. 1. Case Study Atlantic Health Creates a Fully Integrated Electronic Health Record with Advanced Technologies Atlantic Health is the largest Challenges health system in northern New When Linda Reed, RN, MBA, Jersey and a leading provider of became the chief information stroke, cancer and cardiac care. officer in 2004, she quickly Atlantic Health is a leading Throughout its 100-year history, identified gaps in Atlantic Health’s provider of stroke, cancer and Atlantic Health has been among clinical application infrastructure. the first to offer groundbreaking cardiac care. Its flagship hospital, technologies, such as CyberKnife – “We needed to significantly expand a robotic radiosurgery system for our clinical offering to support the Morristown Memorial, is nonoperative cancers – and the higher level of care our patients MagnetTM-designated for Merci Retrieval SystemTM to remove expect and to enable us to remain blood clots from stroke patients. competitive,” notes Reed. “And excellence in nursing services Innovation is a differentiator while our patient safety record was and helps attract patients from good, we wanted to do more.” and houses New Jersey’s only the surrounding area and regional trauma center. New York City. Objectives included creating an integrated EHR for every patient, Overlook Hospital is home However, Atlantic Health with patient information accessible had focused for years on an to authorized caregivers anytime, to the pioneering Atlantic IT infrastructure that mostly anywhere. The organization Neuroscience Institute, supported its admission, also wanted to standardize discharge, transfer (ADT) and clinical processes, provide caregivers New Jersey’s first comprehensive financial processes, and different with clinical decision support, and solutions were in place from better measure and enhance stroke center. In addition to a hospital to hospital. To meet its patient outcomes. children’s hospital, cardiovascular enterprisewide mission to deliver high-quality, safe and affordable Atlantic Health created its first center and cancer center, the healthcare, Atlantic Health application-based strategic plan, partnered with McKesson to with medication and patient safety health system includes a host implement a broad range of improvement topping the list. of support services and systems, including an electronic health record (EHR) solution. “Our No. 1 goal is patient safety,” residency programs. With the new systems in place, says Trish O’Keefe, RN, chief nursing Atlantic Health has not only officer, Morristown Memorial. connected and standardized “We focused on performance and care across its system, but process improvement to improve also improved patient safety, quality, reduce the potential for reduced costs and enhanced adverse drug events, and enhance its revenue stream. patient care.”
  2. 2. At a Glance Answers error-prone transcription practices For more than 15 years, Atlantic — saving nurses valuable time Organization now spent caring for patients Health and McKesson have enjoyed Atlantic Health a unique relationship. The health Morristown, N.J. system has been a McKesson CPOE also has improved access to beta partner and an early adopter patient clinical data and decision – Health system with eight major of multiple McKesson products. support tools — one of Atlantic facilities including Morristown It has helped design, build, test Health’s key goals. Order sets are in Memorial Hospital, Overlook and implement key business and place and evidence-based clinical Hospital and Goryeb Children’s financial solutions. protocols are being developed to Hospital promote best practices, expedite – 1,197 licensed beds order entry and enable clinicians to So when it launched its aggressive – 63,000 inpatient visits clinical and medication safety more easily follow safe medication initiative, Atlantic Health turned practices, including weight-based – 148,000 emergency visits to McKesson for a powerful solution dosing formulas for pediatric – 580,000 outpatient visits patients. set including Horizon Clinicals® and capabilities from McKesson Solution Spotlight Automation for nursing Care at the bedside is safer and documentation, computerized better. McKesson’s nursing – Horizon Admin-RxTM provider order entry (CPOE), documentation system with – Horizon Business InsightTM automated triggers helps nurses medication administration, clinical – Horizon Clinicals® alerts, pharmacy robotics, and more. meet regulatory requirements Although the full technology rollout for assessing pain, fall risk, skin – Horizon Expert OrdersTM won’t be complete for another breakdown and more. Nurses – Horizon Meds ManagerTM also use a point-of-care system two years, positive changes are – HorizonWP® Physician Portal already apparent. to electronically scan bar-coded wristbands and medications, helping – Pathways Contract For example, the integration of to ensure “five rights” checking ManagementTM Horizon Expert OrdersTM, McKesson’s before patients receive medications. – PatientCompassTM CPOE solution, with the pharmacy – Practice Partner® has reduced medication processing “McKesson’s medication time. The CPOE system helps administration solution has – RelayHealth® secure online improved our care environment,” communication service physicians follow best practices when selecting therapies and says O’Keefe. “Every inpatient unit – ROBOT-RX® has embraced it, and nurses feel doses, while the pharmacy system – STARTM Patient Accounting supports pharmacists’ ability to it has made a marked change provide appropriate medication in their practice. Our patients therapies for patients. Clinical alerts welcomed it, too. It’s tangible proactively notify physicians of evidence of our commitment patients whose clinical condition to safety.” changes. A pharmacy order imaging system has accelerated In addition, O’Keefe credits retrieval of scanned physician orders technology such as Horizon Business and improved prioritization of InsightTM, which provides real-time STAT orders. And, pharmacy system performance improvement analytics integration with the electronic and feedback, with playing a medication administration record key role in Morristown Memorial has eliminated repetitive and achieving MagnetTM designation.
  3. 3. Using data provided in the system’s With solutions such as patient At a Glance executive dashboards, managers accounting, contract management Critical Issues can continuously monitor where and RelayHealth’s Web-based they stand or need to improve. account management service – Lack of systemwide application that enables online transactions, infrastructure To connect with its physician the health system works more – Patient safety community, cut costs and ultimately efficiently and improves revenue – Lack of connectivity and create EHRs shared across both the cycle management. communication across the inpatient and outpatient settings, care continuum Atlantic Health deployed Practice Future plans include Partner®, McKesson’s ambulatory implementation of Horizon – Caregiver satisfaction EHR, and the financial and clinical Enterprise Revenue ManagementTM, – Inability to measure and interactive services of RelayHealth®. which will streamline workflow affect outcomes To date 500 physicians have signed while enabling informed decision – Inability to track patient interest on to RelayHealth. making, automated necessity in services checking and coordination of care. “We offer RelayHealth to physicians “We expect the system to help as a tool to enhance patient care,” us automate many of the manual Results says Reed. “Some are skeptical at financial processes that currently – Reduced medication error rate first, but when they see how it can exist,” explains Nancy Kaminski, to less than 1% (CPOE live units) transform their office, improve director of patient financial services. patient communication and reduce “We’ll also have a single database – Achieved 95% medication costs by moving everything online, tied with Horizon Clinicals®, which administration scan rate they welcome it.” will tighten the revenue cycle so – Reduced medication processing we collect every dollar we’re time by 40% Patients love RelayHealth because entitled to collect.” – Connected 500 physicians on they can communicate with their the RelayHealth network physicians at their convenience, The patient experience will be receive lab results and referrals enhanced with Web-based – Provided 10,000 patients online, and renew medications registration, e-statements and financial and clinical interactive easily. Ten thousand patients are online account management. services through Atlantic Health’s now registered users. The program virtual information exchange has been a key consumer marketing Atlantic Health also maintains powered by RelayHealth effort as well, with a section of provider and facility information – Decreased days in A/R to 39 the company’s Web site featuring through McKesson’s call center – Enhanced ability to track RelayHealth access. application. Call center marketing outreach and representatives can seamlessly monitor physician search trends Reed believes RelayHealth is the research information for perfect catalyst to create anywhere, prospective patients, including anytime information access for both medical specialty, education, patients and physicians. “Eventually, office location, board certification, everyone will have a personal portal hospital affiliation and insurance with e-bank, e-shop and e-health plans. In keeping with Safe Harbor components. We want to be a dot laws, a random listing of providers on that portal.” is rotated after referral activity. A Web solution offers patients a Atlantic Health has experienced class and screening registration financial improvements as well. service, with detailed information
  4. 4. “From everyone’s perspective, on programs such as hospital – The combination of CPOE, an services, health screenings, and enterprise pharmacy system and our long relationship health education seminars. automated central dispensing Detailed reports enable hospital have reduced medication with McKesson has been management to assess and processing time during peak terrific … It’s a partnership improve demand for services. usage by an average of 40% all about improving Future plans also include deploying – More than 60% of Atlantic an enterprise visibility system to Health’s physicians use McKesson’s patient care.” improve day-to-day hospital physician portal, a Web gateway efficiency and manage patient that provides secure access to throughput. Using large, electronic important inpatient and Linda Reed, RN, MBA “whiteboards,” the system will outpatient data from across display data from clinical, ADT, the health system Vice President/ environmental services, transporter Chief Information Officer and other systems against the – Physicians say CPOE helps them hospital’s floor plan, enabling enter orders more efficiently Atlantic Health caregivers and managers to respond 80% of the time more quickly and adjust as needed. – 500 physicians and 10,000 Results patients are connected for Implementation of McKesson clinical and financial interactivity technologies has helped Atlantic through Atlantic Health’s virtual Health become more competitive, information exchange powered improve medication safety through by RelayHealth a closed-loop process, reduce costs and enhance revenue efficiencies — – Days in accounts receivable (A/R) all while streamlining the patient have been reduced to 39 experience and increasing safety across the continuum of care. “From everyone’s perspective, our Results include: long relationship with McKesson has been terrific,” Reed says. “There’s – For each patient care unit live open communication, a willingness on bar-code scanning, nearly 95% to hear what’s of concern, and we of medications are now scanned both work hard to drive that before administration to patients change together. It’s a partnership all about improving patient care.” – In areas where CPOE is live, the medication error rate is less than 1% per month. Residents use the technology to enter 90% of their orders McKesson Provider Technologies 5995 Windward Parkway Alpharetta, GA 30005 Copyright © 2009 McKesson Corporation and/or one of its subsidiaries. All rights reserved. Horizon Clinicals, HorizonWP, Practice Partner, RelayHealth and ROBOT-RX are registered trademarks of McKesson Information Solutions LLC. Horizon Admin-Rx, Horizon Business Insight, Horizon Expert Orders, Horizon Meds Manager, Pathways Contract Management, Patient Compass and STAR are trademarks of McKesson Information Solutions LLC. All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. PRT387-04/09