This Case Study was presented by Henry County Health Center CEO Robb Gardner at National Rural Health Association's Critical Access Conference in October, 2013 then as a webinar for NRHA members in December, 2013. By all accounts, Henry County Health Center is an innovative CAH. Pioneering vision has led to several state, national, and international awards, which include being named a Gold Intranet Innovation Award recipient, 7-time Most Wired Hospital, Top 100 Hospital of Choice, Web Health Award recipient, HFMA MAP Award Winner, and Baldridge Leadership rating recipient. Join CEO Robb Gardner to learn firsthand how their intranet has supported and encouraged innovation. Key improvements include process improvement using their Census Board; Policy, Contract, and Forms Management; electronic Board communication; electronic benefits enrollment; and clinician quick links. During his healthcare career as a clinician and administrator, Robb’s core emphasis has consistently been focused on a patient-centric approach. As the CEO of Henry County Health Center, his role is to remove barriers and provide the necessary tools for associates and providers to succeed in their roles at the health center. Robb has found technology to be essential in achieving these goals. Through the health center’s portal, associates have access to one central location to find the resources they need. This technology is one example of how HCHC has incorporated the philosophies of Baldrige and LEAN to provide more efficient and effective work processes to help meet the needs of associates and medical staff. Robb’s emphasis on quality patient care and process improvement is the foundation to achieving HCHC’s mission, and the health center’s portal plays a significant role in accomplishing this objective.

1. Transforming Internal
Communications with a
State-of-the-Art Intranet
Henry County Health Center
&
HospitalPortal.net
NRHA Webinar
December 4, 2013

2. A recording of this webinar is
available at:
https://www2.gotomeeting.com/register/
489393682

3. Henry County Health Center (HCHC)
•
•
•
•
•
•
Located in Southeast Iowa in Mount Pleasant
Established in 1921
25 Acute Care Beds (CAH)
49 Bed Long-Term Care Facility
On Campus & Remote Provider Clinics
Host Outreach Clinics & Provide Offices for
Other Medical Services
• 315 Associates
• One of the Community’s Largest Employers
and Area Healthcare Services Provider

4. HCHC Intranet Portal Progress Timeline
2003
2006
2007-08
Developed 1st
HCHC Employee
Portal
**
Clinician Portal Did
Not Exist
Redesigned
HCHC Employee
Portal
**
Implemented
Intranet CMS
HospitalPortal.Net
Xcel Portal Reporting
Tool Access
**
Employee/Physician
Remote Access
**
Online Policy
Management
2010
2011-12
2012-13
Virtual Meeting
Center
**
Online Election of
Benefits
**
Forms Project
Census Board
**
Contract & Quality Plan
Management
**
Quality Dashboard
**
Redesign
Board Portal
**
Project Management
**
Explore Use of
Social Tools

5. HCHC Intranet Portal 2003

6. HCHC Intranet Portal 2013

7. What is the first
thing I look at
when I get to my
office in the
morning?

8. The Census Board
Collaboration & Process Improvement

9. Quality Dashboards

10. Personalized Reminders

11. Policy Management

12. Contract management

13. Policy Manager Repurposed for Contracts
Revised Global Key Words:
• Notice to Terminate
• Initial Term
• Renewal Frequency
• Effective Date
• Renewal Type or Expiration Date
• Certificate of Insurance

14. Calendar Component
Repurposing Technology

15. Calendar Component
Repurposing Technology

16. Forms Library
Innovation & Creativity

17. Forms Library
Innovation & Creativity

18. Clinical Forms Project

19. Clinical Forms Project
A total of 728 forms were submitted. The forms were organized and assignments were
made for Print Shop, dept/multi, category, status, and moderator. The category
definitions are:
•
•
•
•
•
Consent: Agreement to a course of action. to permit, approve, or comply; agree,
as to an expressed wish or a proposed action.
Form: Documentation of one-time or single data entry. Example: Screenings,
Summaries.
Flowsheet: Documentation of multiple time entries. Example: Vital Signs Sheet,
Blood Glucose Monitoring, Code Blue Flowsheet.
Information: Information provided to associate to assist in patient care. Example:
Patient Questionnaires, Patient Surveys, Worksheets.
Education: Information given to patient regarding care and treatment.
Guidelines, Instructions.

20. Clinical Forms Project
Forms Committee Findings:
•
•
•
•
•
Multiple versions of same forms exist. Example: Progress Note.
Inconsistent use of font, style and logos.
Moderator roles (ownership) needed to be established.
Departments submitted forms that were not consistent with current posted Print Shop forms and will need to
compare to the Print Shop to determine status of current posted forms.
Need to get electronic version for paper submissions.
Next Steps
•
•
•
•
Moderators were assigned for all forms except Consents and forms used in multiple departments with no
clear owner. Consents are being reviewed by the CNO and Risk Manager.
The Forms Committee recommended all forms to be reviewed. HCHC is currently conducting a “Last Call”
for forms
Once all forms have been provided electronically, the forms will be imported and set up in a Forms
Management Module. Moderators will be then assigned, and an annual review schedule will be developed.
The Forms Committee has developed a standard layout. The standard layout will become required for
forms as part of their first annual review. The Forms Committee is developing a Forms Policy and
Procedure.

21. Clinical Forms Project
Assessment
Consent
CPSI-Eform
CPSIFlowsheet
Diagnostic
Report
Downtime
Education
E-Form
Flowsheet
Form
HR Form
Information
Obsolete
Orders
Total
Category
0
0
1
2
0
3
0
0
0
0
0
0
0
0
0
1
0
0
4
0
8
0
0
0
1
6
5
0
0
5
0
0
0
0
0
18
2
0
0
2
1
4
12
7
44
CPS / PULMONARY REHAB
0
3
0
0
0
0
11
0
3
1
0
2
10
4
34
CPS / RESPIRATORY THERAPY
CPS / SLEEP LAB
DEC
ED
EMS
HIS
INFUSION THERAPY
LABORATORY
MEDSURG
NURSING
OB
PARK PLACE
PHARMACY
PUBLIC HEALTH
RADIOLOGY
REHAB SERVICES
SURGERY
SWAT
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
3
0
0
16
3
1
4
0
14
0
9
13
0
3
4
2
4
41
125
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
5
0
0
1
0
0
0
6
0
0
0
11
0
0
0
0
0
0
0
18
2
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
23
0
0
0
2
35
0
11
2
0
0
0
0
7
0
81
0
0
18
0
0
0
3
0
0
0
4
1
0
5
4
0
10
24
92
0
0
1
1
0
0
2
0
0
0
0
0
0
0
0
0
0
0
4
0
0
5
8
0
0
1
1
3
0
1
13
0
6
0
2
3
2
60
0
3
0
11
2
0
2
1
7
0
7
21
0
19
1
31
4
18
133
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
5
4
3
0
0
0
0
10
1
3
6
0
8
12
11
1
4
88
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
13
0
27
0
1
1
12
0
0
9
3
5
0
10
8
2
1
2
1
12
9
87
5
12
32
76
5
1
27
7
74
1
61
64
2
42
23
47
54
98
728
DEPARTMENT
ANESTHESIA
CPS
CPS / CARDIAC REHAB

22. Clinical Forms Project
DEPARTMENT
ANESTHESIA
CPS
CPS / CARDIAC REHAB
CPS / PULMONARY REHAB
11
7
44
32
CPS / RESPIRATORY THERAPY
5
CPS / SLEEP LAB 12
DEC 31
ED 34
EMS
4
HIS
0
INFUSION THERAPY 20
LABORATORY
3
MEDSURG 23
NURSING
0
OB 48
PARK PLACE 50
PHARMACY
0
PUBLIC HEALTH 42
RADIOLOGY 20
REHAB SERVICES 45
SURGERY 48
SWAT 97
TOTAL 576
Total
Multi
Dept
Dept/Multi
1 12
0 7
0 44
2 34
0
0
1
42
1
1
7
4
51
1
13
14
2
0
3
2
6
1
152
5
12
32
76
5
1
27
7
74
1
61
64
2
42
23
47
54
98
728

23. Electronic Paystubs

24. Benefits Enrollment

25. Clinician Quick Links

26. Xcel Portal & CPSI Financial Center
Integration

27. Maintenance Request & Radiology
Equipment Service Call Form

28. Training Materials
Example of Excel 2010
Class
•
•
•
•
Class Registration
Assignments
Unit PowerPoints
Class Files
Left Menu also has links to
FEMA Active Shooter
Training and a HIPAA
Training Video

29. Radiology Department
•
•
•
•
•
PTO Calendar
Staff Contact List
Departmental
Forms
Power Point
Presentation
Departmental
Meeting Minutes

30. Committee Materials

31. Upcoming
Board Portal with User Annotation

32. Contacts
Robb Gardner
CEO
Henry County Health Center
407 South White Street
Mount Pleasant, IA 52641
319.385.6560
gardnerr@hchc.org
Regan Sonnabend
Director of Sales
HospitalPortal.net
5105 Tollview Drive
Suite 215
Rolling Meadows, IL 60008
847.632.0434 ext 276
rsonnabend@hospitalportal.net
www.hospitalportal.net