Washington Hospital: Uses EHR to Reap Clinical and Financial Gains for Chronic Disease Management


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Learn how Washington Hospital Uses electronic health record software from McKesson to reap clinical and financial gains.

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Washington Hospital: Uses EHR to Reap Clinical and Financial Gains for Chronic Disease Management

  1. 1. Case Study Washington Hospital At a Glance Uses EHR to Reap Clinical and Financial Organization Gains for Chronic Disease Management Washington Hospital Managing quality improvements Answers Washington, Pa. in chronic disease treatment is Washington Hospital selected – 24 residents a challenge for any physician McKesson’s Practice Partner® – 15 faculty practice, but even more so in a Patient Records, Practice Partner® family practice residency where Medical Billing and Practice Partner® – 58,000 visits per year much of the clinical staff includes Appointment Scheduler solutions. residents in constant transition. (Practice Partner version 9.2 from Solution Spotlight To improve the continuity of care McKesson is a CCHIT CertifiedSM – Practice Partner® Patient provided by its three-office family product for CCHIT Ambulatory EHR Records medicine residency, Washington 2006 and 2007.) This integrated Hospital implemented a fully system of medical billing software – Practice Partner® Medical Billing integrated electronic health record and practice management software – Practice Partner® Appointment (EHR) from McKesson, overhauled gives physicians access to patient Scheduler processes within the practice, and data anywhere, anytime. enlisted support from a research Critical Issues network to benchmark quality “Practice Partner has become a measures. The transformation regular part of our physicians’ – Limited continuity of care has helped the residency enhance and missed opportunities for daily care of patients,” explains patient care and benefit from a Jeff Minteer, M.D., associate managing chronic diseases regional pay-for-performance residency director, Washington – Low level of financial return program, increasing annual Hospital. “McKesson’s system on quality bonuses revenue by $50,000. gives our training physicians the ability to access information in Results Challenges multiple settings — from one of – Instituted process changes using Because it hosts a training our offices, the hospital or home.” the EHR that empowered program for residents, Washington administrative and nursing staff Hospital’s clinical staff is always Dr. Minteer extended the practice’s to take an active role in changing. In fact, patients are not use of the EHR when Highmark, diabetic disease management seen by their regular doctor 40% one of Washington Hospital’s of the time, resulting in missed largest payors, instituted a pay- – Significantly improved opportunities for managing for-performance program based performance against quality chronic diseases. Continuity of on quality improvement measures. standards for diabetic patients care was further inhibited by the The incentives ranged from $3 to $9 as measured by a national practice’s use of paper records. per visit, depending on the research organization With three residency sites practice’s performance against the – Maximized pay-for-performance separated by 20 miles, it was measures. Dr. Minteer chose to focus incentives offered by primary difficult for residents to evaluate on a disease management initiative payor, resulting in an additional patients in the hospital without for diabetics, a significant portion $50,000 per year in quality the information in their records. of the practice’s patient population. bonuses And when patients moved from office to office, record transfer Using the Practice Partner EHR was a problem. in conjunction with historical
  2. 2. Case Study “McKesson has given us population and patient data Results compiled by Practice Partner Washington Hospital achieved a step toward a longitudinal Research Network (PPRNet), substantial improvements in clinical patient record that is helping Washington Hospital identified outcomes among its diabetic patient the diabetic patients at highest risk population. Prior to the disease us resolve the segmentation for complications and measured management initiative, Washington the effectiveness of its new scored three points greater than of healthcare.” process changes. the median and zero at benchmark (defined as 90th percentile of Two major process changes were performance) on 13 diabetes-specific Jeff Minteer, M.D. instituted. The first identified measures when compared against diabetic patients when they came its peer group within a national Associate Residency Director in for an office visit. Staff created research organization (PPRNet). Washington Hospital a workflow chart in the Practice After the process changes, the Partner solution with a diabetic- hospital scored nine points greater specific flowsheet that was than the median and four points completed prior to the patient’s greater than the benchmark against visit. When the patient arrived for the same peer group. the visit, the resident would know the patient was diabetic and could Washington Hospital’s financial order any necessary lab work. performance also skyrocketed. Prior to the new processes, the residency The second process change received Highmark’s lowest level established outbound communi- of quality bonus. After the new cation for preventive care. Nurses processes, the bonus increased were trained as diabetes educators to the highest level, resulting in and communicated with the additional annual revenue of diabetic patients through e-mail $50,000. The financial gain enabled messages and mailings to help the practice to hire another nurse ensure they scheduled and to run the disease management completed their visits. program. “Already having an EHR in place “McKesson has given us a step was crucial for instituting a disease toward a longitudinal patient management program,” Dr. Minteer record that’s helping us resolve the explains. “Our EHR provides segmentation of healthcare,” says accurate clinical information Dr. Minteer. “We have better control extracted directly from the chart — and access to data and can evaluate and that information is available practice patterns, improve pay-for- to multiple members of the performance activities and lessen healthcare team.” errors with electronic reminders.” McKesson Provider Technologies Copyright © 2007 McKesson Corporation and/or one of its subsidiaries. All rights reserved. Practice Partner is a registered trademark of Physicians Microsystems Inc., a wholly owned subsidiary of McKesson Information 5995 Windward Parkway Solutions LLC. CCHIT Certified is a service mark of the Certification Commission for Healthcare Information Alpharetta, GA 30005 Technology. All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. PRT288-12/07 http://www.mckesson.com 1.800.981.8601