Case Study
At a Glance
Texoma HealthCare System
Organization Reaps Dividends from Building an EHR
– Texoma HealthCare System, Profile medical care and reduces the risk
Denison, Texas of errors. There are many reasons
Positive change is sweeping across
– Beds: 263 the plains of north Texas and to implement an EHR, but the
– Five facilities southern Oklahoma. Texoma bottom line is that it’s the right
HealthCare System located in thing to do.”
– Inpatient visits per year: 10,230
Denison, Texas, leads the change
– Outpatient visits per year: by building an integrated To achieve its goal, Texoma needed
42,485 electronic health record (EHR) an integrated IT solution with an
for the patients it serves in advanced technology platform.
five counties across two states. Texoma selected McKesson’s
Solution Spotlight Paragon™ Community HIS, which
– Paragon Community HIS Challenge is built on Microsoft Windows®
– Horizon Patient Folder technology with an open
Texoma used three disparate architecture. With its integrated
– Horizon Business Folder legacy platforms for different clinical and financial modules, the
– Horizon Medical Imaging aspects of the organization. Paragon solution will put Texoma
The proprietary architecture on the road to building an EHR.
– EC2000 Claims Administrator made it difficult to extract useful
– Pathways Compliance Advisor data for analysis of patient care To supplement the Paragon solution
and operations; plus maintenance and to provide the framework for
and support were costly. A move the EHR, Texoma implemented
Critical Issues to a single-source, integrated McKesson’s electronic document
– Multiple legacy products solution would reduce IT costs management systems, Horizon
on proprietary architectures while enhancing quality of care. Patient Folder™ and Horizon
– Costly maintenance and Business Folder™. These solutions
support Answers enable hospitals to capture,
– Access and analysis of As a practicing physician, Texoma index, store and retrieve patient
integrated data across president and CEO, W. Mackey information, and automate and
the system Watkins, M.D., brings a unique streamline medical records and
perspective and vision to the business office processes. Texoma
business of healthcare. To him, also implemented McKesson’s
Results IT enables better healthcare and Horizon Medical Imaging™ picture
– Reduced software maintenance outcomes for patients. The key to archiving communications system
costs by $285,000 per year better care is information — the to include radiology images in the
right information at the right time EHR and to reduce the costs and
– Saved $50,000 per year in the right place. inefficiencies associated with film.
by reducing hard copy reports The Paragon WebStation for
– Reduced A/R days by 2.6 “An electronic health record pays Physicians solution was selected to
for a cash infusion of $820,000 dividends in quality, recruitment, give an integrated online view of
– Reduced HIM A/R days by 1.6 staff efficiency and satisfaction,” the EHR.
for a one-time benefit of says Watkins. “Consumers are
almost $525,000 demanding HIT that improves
– Reallocated 3 FTEs, saving
$88,000 per year

Case Study
“An electronic health record Seamless integration among the Texoma’s progress toward a
McKesson applications enables complete EHR has yielded significant
pays dividends in quality, Texoma’s medical staff to have operational and financial benefits.
recruitment, staff efficiency anytime, anywhere access to Texoma reduced three FTEs in its
laboratory results, radiology reports, business office for an annual savings
and satisfaction. Consumers transcription, medical images, of $88,500. The organization made
bedside clinical documentation and a significant cut to its IT budget
are demanding HIT that the longitudinal patient record. by reducing its HIS software
improves medical care and maintenance costs by $285,000
Data analysis and claims manage- per year. Texoma also eliminated
reduces the risk of errors. ment processes were addressed by more than $170,000 in annual
McKesson’s revenue cycle solutions. radiology film expenses and
There are many reasons to For example, the EC2000™ Claims reduced its annual hard-copy report
implement an EHR, but the Administrator system automated distribution costs by 50%, saving
claims management to reduce errors, more than $50,000 a year.
bottom line is that it’s the while the Pathways Compliance
Advisor™ monitoring tool supported Texoma decreased its accounts
right thing to do.” claims editing for compliance coding receivable (A/R) days by 2.6 and
and regulatory guidelines. achieved a one-time cash flow
benefit of $820,000. The organization
W. Mackey Watkins, M.D. Results also eliminated final review of
The clinical and financial solutions outpatient claims. Texoma reduced
President and CEO, its HIM A/R days (from discharge
from McKesson have helped Texoma
Texoma HealthCare System make significant strides. By the to coding) by 1.6 days, creating
metrics in the American Hospital a one-time cash flow benefit of
Association’s white paper, “Forward almost $525,000.
Momentum: Hospital Use of
Information Technology” (2005), “Advanced technology and an EHR
Texoma is in Stage 2 of EHR have provided a competitive edge
implementation (with 8-11 EHR in starting a hospitalist program
functions fully implemented) and and in recruiting highly qualified,
has outpaced 75% of community tech-savvy physicians and special-
hospitals in implementing an EHR. ists,” says Texoma CIO Ty Sweeney.
Texoma expects to be in the final “Even patients are interested in the
stage, Stage 3 (12-15 EHR functions new technology when nurses enter
fully implemented), by fall 2007. their documentation at the bedside
In addition, Hospitals & Health using a wireless tablet PC. These are
Networks included Texoma in the exciting times. It’s amazing to see
Most Improved category of its what IT can do to improve the
2006 Most Wired survey. quality of care.”
Copyright © 2006 McKesson Corporation and/or one of its subsidiaries. All rights reserved. EC2000, Horizon
Business Folder, Horizon Medical Imaging, Horizon Patient Folder, Paragon and Pathways Compliance Advisor
McKesson Provider Technologies are trademarks of McKesson Information Solutions LLC. Windows is a registered trademark of the Microsoft
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