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Case Study

At a Glance                          Baptist Health Systems
Organization
                                     Uses Technology to Improve Medication
Baptist Health Systems
Jackson, Miss.                       Management, Eliminate Errors
– 640-bed Medical Center
– 25-bed acute long-term care        Patient safety efforts at Baptist     Hospital management recently
  hospital                           Health Systems have focused           took a harder look at protecting
– Cancer center                      on the reduction of medication        patients throughout the entire
                                     errors — mistakes that can quickly    medication management process:
                                     lead to serious adverse events.       from prescribing to transcribing
Solution Spotlight                   After evaluating best practice and    to dispensing to administering
– AcuDose-Rx®                        automation opportunities, Baptist     to monitoring. With the help of
– Clinical Consulting Group          selected end-to-end technologies      McKesson’s Clinical Consulting
                                     and automation solutions from         Group, 40-plus nurses and
– Horizon Admin-RxTM
                                     McKesson. The result? Baptist         pharmacists participated in
– Horizon Expert                     achieved a medication dispensing      a medication management
  DocumentationTM                    accuracy rate of 98%, a 38%           review. They assessed more than
– Horizon Expert OrdersTM            reduction in medication order-        4,000 orders, and about 80
– Horizon Meds ManagerTM             to-delivery time, and a bar-code      staff members were involved in
– ROBOT-Rx®                          medication scanning rate of 94%.      150 hours of process redesign
                                     The health system also recouped       workshops.
                                     more than 25,000 nursing hours
Critical Issues                      each year, saving the organization    Together, the Baptist and McKesson
–   Patient and medication safety    $937,000 annually.                    team resolved more than 230
–   Inefficient, manual processes                                          process issues and redesigned
–   Operational inefficiencies
                                     Challenges                            34 workflows to automate the
                                     Jackson, Miss.-based Baptist Health   medication management process.
–   Financial performance                                                  After identifying risk areas
                                     Systems includes a 640-bed medical
                                     center, a 25-bed acute long-term      through the root cause analysis,
Results                              care hospital, community clinics      leaders realized that the health
                                     and a nationally recognized           system needed to revamp existing
– Achieved a 94% bar-code
                                     cancer center. Patient safety and     medication management processes.
  scanning compliance rate, with
                                     clinical quality have always been     Such extensive analysis also
  70% of nurses and pharmacists
                                     strategic areas of focus for this     made it possible to invest only in
  noting the system prevented
                                     industry leader.                      technologies that met the needs
  mistakes
                                                                           of an optimal clinical workflow.
– Eliminated pharmacy callbacks
  related to legibility issues and   “Patient safety has risen to the
                                     forefront because the industry        Answers
  missing time/date stamps for
                                     has counted the number of             A multidisciplinary selection
  medication orders
                                     adverse events occurring during       committee evaluated solutions
– Reduced medication time from       hospitalization,” says Eric McVey,    from multiple vendors and chose
  order to delivery by 38%           vice president and chief medical      to implement a comprehensive
– Recouped 25,000 nursing hours      officer. “There’s been somewhat       medication safety solution suite
  and 2,000 pharmacy hours           of a body count — and that really     from McKesson. Key components
  annually                           gained the attention of providers.”   of the solution include: ROBOT-Rx®,
– Saved more than $937,000 in
  nursing costs alone
Case Study

“We will continue to assess      AcuDose-Rx® and Horizon Meds                           time has been slashed by 38%. In
                                 Manager™, medication dispensing                        addition, the organization reports
care, identify potential areas   and pharmacy automation tools;                         completely eliminating pharmacy
for improvements and             Horizon Admin-Rx™ and Horizon                          callbacks related to legibility issues
                                 Expert Documentation™, a bar-code                      and missing time/date stamps for
implement technologies           medication administration system                       medication orders.
                                 and care documentation solution;
that support the optimal         and Horizon Expert Orders™, a                          Through pharmacy automation
patient care experience.         computerized physician order                           and robotics, Baptist also achieved:
                                 entry/clinical decision support                        a medication dispensing accuracy
Our clinicians and patients      (CPOE/CDS) system.                                     rate of 98%; a 90% reduction
                                                                                        in medication restocking time;
deserve nothing less.”           System selection was just the start.                   a 50% reduction in expired
                                 The success of the initiative also                     medications; and a 50% reduction
                                 required buy-in from the entire                        in missing dose volume. The health
Eric McVey                       staff — a tall order considering                       system also credits the McKesson
                                 the project called for considerable                    technologies with saving more than
Vice President/                  change. To engage staff, leaders                       2,000 pharmacy hours annually.
Chief Medical Officer            positioned the initiative as a pillar
                                 of Baptist’s patient safety mission,                   The improvements for nursing are
Baptist Health Systems           not just an ancillary IT project.                      also impressive. Since implementing
                                                                                        the bar-code administration system,
                                 “Physician championship is essential                   the hospital has maintained a
                                 to getting staff members to see the                    94% compliance rate. More than
                                 big picture,” notes Scott Groom,                       70% of nurses and pharmacists
                                 chief information officer. “We were                    report that the system has
                                 fortunate to have the sponsorship                      helped them avoid medication
                                 of several of our key physician                        errors. And by equipping nurses
                                 leaders. Their perspective helped                      with medication carts stocked
                                 everyone to see the project as much                    with first-dose medications
                                 more than just an information                          and documentation tools, the
                                 technology initiative.”                                organization has recouped more
                                                                                        than 25,000 nursing hours each
                                 Results                                                year, which translates into more
                                 McVey and other Baptist                                time for patient care and $937,000
                                 executives believe the technology                      in savings.
                                 implementations and process
                                 enhancements have paid off in                          “We know that the quest to
                                 significant efficiency gains, quality                  provide safe patient care is never-
                                 improvements and a stronger                            ending,” says McVey. “We will
                                 financial position.                                    continue to assess care, identify
                                                                                        potential areas for improvement
                                 For example, through the                               and implement technologies that
                                 combination of CPOE and                                support the optimal patient care
                                 electronic medication verification                     experience. Our clinicians and
                                 by pharmacists, order-to-delivery                      patients deserve nothing less.”

McKesson Provider Technologies   Copyright © 2008 McKesson Corporation and/or one of its subsidiaries. All rights reserved. AcuDose-Rx and
                                 ROBOT-Rx are registered trademarks of McKesson Information Solutions LLC. Horizon Admin-Rx, Horizon
5995 Windward Parkway            Expert Documentation, Horizon Expert Orders and Horizon Meds Manager are trademarks of McKesson
Alpharetta, GA 30005             Information Solutions LLC. All other product or company names mentioned may be trademarks, service marks
                                 or registered trademarks of their respective companies. PRT340-08/08
http://www.mckesson.com
1.800.981.8601

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Baptist Health Systems: Uses Technology to Improve Medication Management, Eliminate Errors

  • 1. Case Study At a Glance Baptist Health Systems Organization Uses Technology to Improve Medication Baptist Health Systems Jackson, Miss. Management, Eliminate Errors – 640-bed Medical Center – 25-bed acute long-term care Patient safety efforts at Baptist Hospital management recently hospital Health Systems have focused took a harder look at protecting – Cancer center on the reduction of medication patients throughout the entire errors — mistakes that can quickly medication management process: lead to serious adverse events. from prescribing to transcribing Solution Spotlight After evaluating best practice and to dispensing to administering – AcuDose-Rx® automation opportunities, Baptist to monitoring. With the help of – Clinical Consulting Group selected end-to-end technologies McKesson’s Clinical Consulting and automation solutions from Group, 40-plus nurses and – Horizon Admin-RxTM McKesson. The result? Baptist pharmacists participated in – Horizon Expert achieved a medication dispensing a medication management DocumentationTM accuracy rate of 98%, a 38% review. They assessed more than – Horizon Expert OrdersTM reduction in medication order- 4,000 orders, and about 80 – Horizon Meds ManagerTM to-delivery time, and a bar-code staff members were involved in – ROBOT-Rx® medication scanning rate of 94%. 150 hours of process redesign The health system also recouped workshops. more than 25,000 nursing hours Critical Issues each year, saving the organization Together, the Baptist and McKesson – Patient and medication safety $937,000 annually. team resolved more than 230 – Inefficient, manual processes process issues and redesigned – Operational inefficiencies Challenges 34 workflows to automate the Jackson, Miss.-based Baptist Health medication management process. – Financial performance After identifying risk areas Systems includes a 640-bed medical center, a 25-bed acute long-term through the root cause analysis, Results care hospital, community clinics leaders realized that the health and a nationally recognized system needed to revamp existing – Achieved a 94% bar-code cancer center. Patient safety and medication management processes. scanning compliance rate, with clinical quality have always been Such extensive analysis also 70% of nurses and pharmacists strategic areas of focus for this made it possible to invest only in noting the system prevented industry leader. technologies that met the needs mistakes of an optimal clinical workflow. – Eliminated pharmacy callbacks related to legibility issues and “Patient safety has risen to the forefront because the industry Answers missing time/date stamps for has counted the number of A multidisciplinary selection medication orders adverse events occurring during committee evaluated solutions – Reduced medication time from hospitalization,” says Eric McVey, from multiple vendors and chose order to delivery by 38% vice president and chief medical to implement a comprehensive – Recouped 25,000 nursing hours officer. “There’s been somewhat medication safety solution suite and 2,000 pharmacy hours of a body count — and that really from McKesson. Key components annually gained the attention of providers.” of the solution include: ROBOT-Rx®, – Saved more than $937,000 in nursing costs alone
  • 2. Case Study “We will continue to assess AcuDose-Rx® and Horizon Meds time has been slashed by 38%. In Manager™, medication dispensing addition, the organization reports care, identify potential areas and pharmacy automation tools; completely eliminating pharmacy for improvements and Horizon Admin-Rx™ and Horizon callbacks related to legibility issues Expert Documentation™, a bar-code and missing time/date stamps for implement technologies medication administration system medication orders. and care documentation solution; that support the optimal and Horizon Expert Orders™, a Through pharmacy automation patient care experience. computerized physician order and robotics, Baptist also achieved: entry/clinical decision support a medication dispensing accuracy Our clinicians and patients (CPOE/CDS) system. rate of 98%; a 90% reduction in medication restocking time; deserve nothing less.” System selection was just the start. a 50% reduction in expired The success of the initiative also medications; and a 50% reduction required buy-in from the entire in missing dose volume. The health Eric McVey staff — a tall order considering system also credits the McKesson the project called for considerable technologies with saving more than Vice President/ change. To engage staff, leaders 2,000 pharmacy hours annually. Chief Medical Officer positioned the initiative as a pillar of Baptist’s patient safety mission, The improvements for nursing are Baptist Health Systems not just an ancillary IT project. also impressive. Since implementing the bar-code administration system, “Physician championship is essential the hospital has maintained a to getting staff members to see the 94% compliance rate. More than big picture,” notes Scott Groom, 70% of nurses and pharmacists chief information officer. “We were report that the system has fortunate to have the sponsorship helped them avoid medication of several of our key physician errors. And by equipping nurses leaders. Their perspective helped with medication carts stocked everyone to see the project as much with first-dose medications more than just an information and documentation tools, the technology initiative.” organization has recouped more than 25,000 nursing hours each Results year, which translates into more McVey and other Baptist time for patient care and $937,000 executives believe the technology in savings. implementations and process enhancements have paid off in “We know that the quest to significant efficiency gains, quality provide safe patient care is never- improvements and a stronger ending,” says McVey. “We will financial position. continue to assess care, identify potential areas for improvement For example, through the and implement technologies that combination of CPOE and support the optimal patient care electronic medication verification experience. Our clinicians and by pharmacists, order-to-delivery patients deserve nothing less.” McKesson Provider Technologies Copyright © 2008 McKesson Corporation and/or one of its subsidiaries. All rights reserved. AcuDose-Rx and ROBOT-Rx are registered trademarks of McKesson Information Solutions LLC. Horizon Admin-Rx, Horizon 5995 Windward Parkway Expert Documentation, Horizon Expert Orders and Horizon Meds Manager are trademarks of McKesson Alpharetta, GA 30005 Information Solutions LLC. All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. PRT340-08/08 http://www.mckesson.com 1.800.981.8601