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Case Study

                                     Covenant Health
                                     Improves OR Producti...
Case Study

“Horizon Surgical Manager        “Horizon Surgical Manager is                          offset times needed ad...
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Covenant Health Case Study


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Covenant Health Improves Operating Room productivity and profitability with McKesson Horizon Surgical Manager

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Covenant Health Case Study

  1. 1. Case Study Covenant Health Improves OR Productivity and Profitability At a Glance with Horizon Surgical Manager Organization Covenant Health Covenant Health, a comprehensive Horizon Surgical Manager integrates Knoxville, Tenn. health system with five acute-care with Covenant’s registration, hospitals in eastern Tennessee, patient accounting, clinical nursing – Five acute-care hospitals wanted to ensure its caregivers documentation and materials – Methodist Medical Center of worked in unison. With disparate management systems, sharing data Oak Ridge processes impeding operational longitudinally across the continuum – Fort Sanders Regional improvements, Covenant Health of care. “The patient doesn’t have Medical Center implemented an integrated to repeatedly answer the same surgery solution from McKesson. questions,” explains Rhonda – Parkwest Medical Center The decision not only improved Crabtree, Covenant’s Information – Fort Loudoun Medical Center communication but also increased Technology Business Consultant. – Fort Sanders Sevier Medical revenue and improved OR (operating Center room) capacity and throughput. “Before the patient finishes interop, the preoperative record is available Challenges for viewing. Clinicians in post-op, Solution Spotlight PACU and on the floor can access Striving to consolidate processes, – Horizon Surgical Manager the OR record via Horizon Clinicals® Covenant standardized master – STAR Patient Accounting and the HorizonWP® Physician files but found its facilities still Portal.” operated independently. Covenant needed consistency in its surgery Critical Issues Crabtree notes that the integration suites, its most profitable depart- – Productivity hindered by lack of Horizon Surgical Manager with ment. Variances in OR turnover of standardization McKesson’s STAR Patient Accounting rates, scheduling accuracy and system allows the billing process to – Lack of integration between staff cost per case affected begin immediately. “Physician surgery and other departments Covenant's productivity and offices can go online, view the revenue potential. Additionally, – Inefficient scheduling processes record and begin billing on the different OR information systems – Large variances between actual day of surgery, instead of waiting existed across the enterprise. and scheduled case time three days for paperwork.” Covenant needed a solution that – High room turnover rate would streamline processes and Results optimize productivity. Covenant quickly realized improve- Results Answers ments across the enterprise, most – Standardized OR information notably at Methodist Medical To improve data integration, system and processes Center. Previously an efficient Covenant Health upgraded all – Increased OR volume, adding ORSOS One-Call™ customer, facilities to the Horizon Surgical $1.5 million in annual revenue Methodist tightly scheduled cases, Manager™ system. All of overbooking by 10 minutes per case – Accommodated more surgeons Covenant’s acute-care facilities on average. With Horizon Surgical without adding staff now work cohesively. Manager, that variance is less than – Boosted staff productivity one minute. – Improved resource utilization
  2. 2. Case Study “Horizon Surgical Manager “Horizon Surgical Manager is offset times needed adjustment to better than anything we could have improve efficiency,” she says. is better than anything we imagined,” relays Crabtree. “We can block time more accurately and Covenant is particularly pleased could have imagined. . . . drive our productivity up. Now we with the system’s preference Now we can accommodate can accommodate more physicians card management tool, which without having to add staff.” automatically recommends items more physicians without to be added or removed based She adds, “Methodist can on actual usage. having to add staff.” potentially schedule several additional surgical cases per day, “I’ve never seen a system with an which contributes to a $1.5 million out-of-the-box tool that’s this Rhonda Crabtree increase in annual revenue.” robust as far as making predictive changes,” says Crabtree. “The Information Technology Covenant soon began to analyze accuracy is really pretty amazing.” Business Consultant average staff cost per case at Covenant uses Horizon Surgical each facility, tracking significant Manager to track inventory, record Covenant Health variances. “We use this data to supply use and forecast future needs. ensure the proper skill mix is available while bringing more The Patient Tracking module of predictability to the cost and Horizon Surgical Manager profitability of each case,” communicates case, patient and Crabtree explains. room status, as well as staff roles and locations. “Clinicians can see if Using Horizon Surgical Manager, the next patient is in holding yet,” Covenant measures the average reports Crabtree. “If a patient time a patient spends in each phase hasn’t shown up at the hospital, of care. “We can tell if patients are they can quickly reorder cases. It’s spending too much time in the post especially effective for add-on anesthesia care unit (PACU), which patients because it shows when can produce a bottleneck that lab work is complete.” ripples throughout the surgical suite,” reports Crabtree. “We can Patient Tracking also eases waiting anticipate and correct problems.” room anxiety by displaying the patient’s progress on large-scale With Horizon Surgical Manager, monitors for the family to follow. Covenant analyzes turnover time by quarter, month, room or doctor, as “Now everyone is truly working well as by case type or procedure. together,” she says. “And we’ve “A high turnover time for open- only scratched the surface of what heart cases makes sense, but some Horizon Surgical Manager will do. It’s an extremely powerful system.” McKesson Provider Technologies Copyright © 2008 McKesson Corporation and/or one of its subsidiaries. All rights reserved. HorizonWP is a registered trademark of McKesson Information Solutions LLC. Horizon Clinicals, Horizon Surgical Manager, 5995 Windward Parkway ORSOS One-Call and Pathways Healthcare Scheduling are trademarks of McKesson Information Solutions LLC. Alpharetta, GA 30005 All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. PRT223-05/08 1.800.981.8601