Wheaton Franciscan Healthcare Creates Electronic Health Record,Improves Care Quality
Case Study Wheaton Franciscan Healthcare Creates Electronic Health Record, Improves Care QualityWheaton Franciscan Healthcare In 2003, Wheaton Franciscan Without standardized clinical Healthcare committed to a new processes and an integrated EHR –is a Catholic, not-for-profit business model and strategies which makes patient informationorganization with more than to optimize clinical outcomes, accessible to authorized caregivers physician relations and financial anytime, anywhere – Wheaton100 sites in Wisconsin, Iowa and performance. The health system would be unable to realize its partnered with McKesson to clinical and financial goals.Illinois. It offers a wide range implement a broad range ofof healthcare services including systems in nine hospitals and more “Our goal was to leverage than 70 clinics across two states technology across our system toworld-class heart care, leading in three years. In combination improve the quality of patient care with process and culture change, by giving clinicians access to criticalbaby and mother care, and Wheaton has successfully information that is accurate, timelynationally ranked orthopedic transformed its patient-care and actionable,” says John Oliverio, delivery process. An integrated president and chief executiveservices. Wheaton Franciscan- electronic health record (EHR) officer. solution was the key enabler.The Wisconsin Heart Hospital The organization has not only Objectives were developed toCampus consistently ranks in the connected and standardized care standardize clinical processes with but also improved productivity evidence-based best practice,top 1% nationwide for inpatient and quality, enhanced revenue improve clinical quality and and reduced costs. Over five years, patient safety, engage physicians,and emergency department care. financial benefits are expected and maximize documentationWheaton Franciscan-St. Joseph to total more than $70 million. compliance. By identifying the In fact, fifth-year performance benefits of each component of theCampus is Magnet™-designated suggests a potential operations EHR and monitoring results, the improvement of $22.2 million. organization could stay focused onfor excellence in nursing services its goals.and recognized in the Thomson Challenges Wheaton Franciscan Healthcare “We needed to concentrate onReuters annual 100 Top U.S. is a Catholic, not-for-profit supporting caregivers because that’s organization with more than our core business,” says Greg Smith,Hospitals National Benchmarks chief information officer. “We 100 sites in Wisconsin, Iowastudy. Wheaton Franciscan and Illinois. The health system wanted to develop a systemwide is dedicated to delivering approach where we could identifyHealthcare–Elmbrook Memorial quality care through advanced best practices and change clinical technology, highly trained staff, practice and the associated policiesis the recipient of two and procedures. Finally, we needed and superior and compassionateHealthGrades 2009 Specialty service. to underpin it with technology to make that new practice concrete.”Excellence awards for the qualityof its general surgery andjoint-replacement surgery.
At a Glance Wheaton wrote the business strong executive physician support, case for its EHR four years ago. but it was coupled with strongOrganization “Interconnectivity, sharing of involvement from practicingWheaton Franciscan Healthcare information and patient safety physicians in the field.”Wheaton, Ill. were essential to the strategic plan,” says Nancy Weber, chief Enhancing Quality– Health system with 16 hospitals nursing officer for the Iowa While some quantitative results including All Saints, St. Francis, region. The initiative required take months or years to fully Franklin, Elmbrook Memorial, massive change management from realize, quality measures were Wheaton Franciscan-St. Joseph caregivers. Even sites that had realized almost instantaneously. and The Wisconsin Heart Hospital pieces of technology already in With the deployment of McKesson’s Campuses, Covenant Medical place were confronted with some document imaging solution, Center, Mercy Hospital and level of change as new applications doctors gained anytime, anywhere Sartori Memorial Hospital were implemented and old ones electronic access to view, complete redesigned.” and sign off on patient charts.– 3,500 physicians– 70 clinics employing 600 Answers “Physicians also use that physicians For more than 15 years, Wheaton information for real-time decision– 23,000 associates and McKesson have enjoyed a making,” explains Cardamone. solid and trusting partnership. TheSolution Spotlight health system has been a McKesson Not only has physician satisfaction beta partner and an early adopter been overwhelmingly positive but– Horizon Admin-Rx™ of numerous products. When the also the solution’s tremendous– Horizon Business Folder™ decision was made to implement an workflow automation has enabled– Horizon Clinicals® integrated EHR, Wheaton turned to Wheaton to completely transform the Horizon Clinicals® solution suite the staffing structure of its medical– Horizon Emergency Care™ from McKesson. records departments.– Horizon Expert Documentation™– Horizon Expert Orders™ A staged implementation approach A vast improvement in the was adopted. Two teams formed medication administration process– Horizon Homecare™ to oversee the initiative: the came with the implementation– Horizon Meds Manager™ governance team and the EHR of Horizon Admin-Rx™. Nurses– Horizon Patient Folder™ operations team. Each included use the point-of-care system to McKesson and Wheaton executives. electronically scan bar-coded– Horizon Practice Plus™ Additionally, technical, education wristbands and medications at the– HorizonWP® Physician Portal and communication teams bedside, helping to ensure “five- supported the work of the various rights” checking before patients application teams. A major key to receive medications. Additionally, success was significant engagement route of administration is present by physicians and clinical leadership on all doses, and discontinuation of in the design, testing and adoption meds is easy to see with no manual of the applications. input needed from nurses. Perhaps most important, patients say they “The physician engagement “feel safer.” model was instrumental,” notes Steve Cardamone, D.O., chief Patient safety was an overwhelming medical officer. “We had very driver for deploying Wheaton’s
EHR. With McKesson’s pharmacy And in the emergency department, At a Glanceinformation solution, up-to-date Horizon Emergency Care™ enhancespatient allergy information is collaboration among the care team Organizationnow shared across all facilities. while enabling a more efficientAdditionally, an enterprise workflow and patient management. Critical Issuesworkflow process ensures that – Compliance with the use ofallergy information is consistently Finally, in Wheaton physician technologycollected and documented. offices, billing, scheduling and workflow management improved – Patient safety, particularlyPatient safety also improved with with the implementation of Horizon medication and lab safetythe rollout of Horizon Expert Practice Plus™. Appointment – Clinician satisfactionOrders™. The computerized reminders are now automated, and – Financial healthprovider order entry (CPOE) solution enhancements have been made inreplaced paper orders and improved the appointment preregistrationaccess to patient data and decision- process and tracking of physiciansupport tools. The use of CPOE referrals. The patient itinerary Resultsalso helps to prevent potential provides staff with information on – Achieved 97% compliance inmedication errors by eliminating scheduled follow-up appointments. scanning medications prior toillegible orders. The number of no-shows has administration decreased. Co-pays are posted inStandardizing Care real-time to use system-generated – Reduced medication errors by receipts, improving collections at the 92% overallPhysicians can access CPOE andother solutions through HorizonWP® point of service. – Decreased mislabeled bloodPhysician Portal, a Web gateway specimens by 98%that provides secure access to Results – Cut patient-identification errorsinpatient and outpatient data across McKesson technologies have by 20%the health system. In addition to helped Wheaton to create a fully – Saved $310,000 due to thevital patient information, clinicians integrated EHR and standardize decreased need to redo lab worknow have a comprehensive, dynamic care enterprisewide. Medicationview of what medications patients and patient safety have improved. – Captured $100,000 in previouslyhave taken, what they are taking Productivity, quality of care, missed revenuesand what they will take. communication and revenue have – Improved clinician satisfaction also increased while costs haveWith Horizon Expert decreased.Documentation™, Wheaton nursesreview each patient’s status and “Each component of the solutiondocument information at the has held true to its commitments,”point of care. The solution enables says Susan Boland, chief operatingclinicians across multiple disciplines officer, Wheaton Franciscanto communicate, evaluate and Healthcare-All Saints. “And we’vecoordinate the patient’s care and seen a clear reduction in expenses.”progress. Nursing best practicesand guidelines are incorporatedinto the system to standardize carethroughout the enterprise. Theapplication also enhances nursingworkflow by making it seamless torecord assessments and vital signs.