Texas Health Resources Wins HIMSS Davies Award of Excellence

Texas Health Resources has been named as a recipient of the 2013 Enterprise HIMSS Davies Award of Excellence by the Healthcare Information and Management Systems Society (HIMSS), the nation’s major health information technology association.

The award recognizes excellence in the use of health information technology, specifically the use of the electronic health record (EHR), to successfully improve health care delivery processes and patient safety with a demonstrated return on investment.

“This prestigious recognition spotlights the collaborative work of our talented information technology team and compassionate caregivers,” said Barclay Berdan, FACHE, Texas Health senior executive vice president and chief operating officer. “North Texas patients are benefitting from the innovative application of technology to enhance the care they receive across our system.”

To win this award, organizations must demonstrate the value of the EHR in supporting delivery of patient care along with documenting improved patient outcomes, identifying challenges and describing solutions that could be implemented by other organizations.

Winners must also have achieved Stage 6 or Stage 7 on the HIMSS Analytics EMR Adoption Model (EMRAM)™. All of Texas Health’s 14 wholly owned hospitals have been awarded HIMSS Analytics EMR Adoption Model Stage 6 or above designation, a level achieved by only 13 percent of hospitals nationwide.

“Texas Health takes an innovative approach to everything we do, whether improving the quality of care or implementing advanced technology. The electronic health record and other innovations help us provide high-quality, coordinated care across our system,” said Dr. Ferdinand Velasco, Texas Health chief health information officer.

To be considered for the Davies award, Texas Health submitted five case studies that demonstrated how the system has fully integrated health information technologies to improve patient care and safety, and to advance research and cost control.

Following are summaries of the case studies, posted on the HIMSS website:

  • Venous thromboembolism (VTE): In 2008, Texas Health launched a program to help reduce VTE, or blood clots. The system was nationally recognized for using “Best Practice” alerts in the EHR to help reduce the risk of getting blood clots during hospital stays. By 2011, post-operative VTE rates were less than half of pre-program rates. Lowering post-op VTE rates has helped Texas Health to satisfy Surgical Care Improvement Project requirements, and to meet measures set forth by the Centers for Medicare and Medicaid Services. The initiative has resulted in a cost avoidance of more than $6 million. The savings represents about a 50% decrease in the number of VTEs over four years.
  • Clinical business intelligence: As a large, integrated health care system, Texas Health continues to grow and diversify through acquisitions. By 2011, all of the system’s wholly owned entities were on the same EHR platform. However, the acquisition of a large physician network introduced a variety of EHR installations. To obtain a 360-degree view of a patient’s care, data from disparate systems had to be integrated, including data from physician practices, hospitals, and post-acute providers. Through the system’s investment in a clinical business intelligence solution, Texas Health expects an annual return of $5 to $8 million from enhanced decisions and improved data quality from advanced analytics.
  • Clinical value: Texas Health has experienced significant value in our wholly owned hospitals’ common EHR in the areas of cost savings, cost avoidance and improved outcomes. Highlights include a 53 percent reduction in medication errors through a closed-loop medication administration process; 36 percent decrease in adverse drug events through increasing use of computerized physician order entry by physicians, resulting in $1.8 million in cost avoidance; a 34 percent reduction in overall fall rates, with a cost avoidance of more than $1 million; an increase from 88 percent to 99 percent in nursing compliance in use of screening tools; and a decrease from 1.8 to 1.2 days for in-dwelling catheter in patients.
  • Modified Early Warning System: Texas Health continuously explores ways to better and more proactively manage patients before they experience significant clinical events that negatively impact their recovery. The EHR has enhanced the clinician’s ability to aggregate patient information to make care decisions sooner, and with the best possible data. The Modified Early Warning System brings relevant information to the registered nurse with which to make immediate care decisions in critical situations. The success of this project has been beyond expectations: Cardiac arrest decreased by 38 percent in the first six months of use and cardiac arrest has since decreased to 65 percent. This represents cost avoidance $640,000 per year from increased MEWS surveillance.
  • Return on investment: Texas Health implemented a fully integrated EHR in 13 wholly owned hospitals between 2006 and 2011, and opened a 14th wholly owned hospital with a fully integrated EHR in 2012. With a capital investment of $65 million and operating expenses of nearly $162.6 million over the first 5 years, Texas Health has seen a measurable ROI including $5 million in staff reductions and efficiencies; $1.9 million in reduced forms cost; $63.8 million in Meaningful Use Stage 1 incentives; $23 million in Clinical Value and Cost Avoidance; and $17 million from decreased adverse drug events and incidence of VTE.

“These significant results are so much more than just numbers and facts. They represent lives saved and care enhanced as dedicated IT professionals and caregivers work together to help transform the delivery of health care in North Texas,” said Edward Marx, Texas Health chief information officer.

Texas Health will be recognized at the 2013 Annual HIMSS Conference & Exhibition in Orlando, Fla., on Feb. 23-27, 2014.

About Texas Health Resources
Texas Health Resources is one of the largest faith-based, nonprofit health systems in the United States. The health system includes 25 acute care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with Texas Health Resources. It includes the Texas Health Presbyterian, Texas Health Arlington Memorial and Texas Health Harris Methodist and Texas Health Huguley Hospitals, Texas Health Physicians Group, outpatient facilities, behavioral health and home health, preventive and fitness services, and an organization for medical research and education.

For more information about Texas Health Resources, call 1-877-THR-WELL, or visit TexasHealth.org.

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