Selected Case Studies

HIMSS and co-sponsor American Society for Quality (ASQ) are proud to announce the selection of  26 submissions selected as part of its first Stories of Success! all call for case studies. Click here to see the news release and a list of those selected.

Download the Fact Sheet Featuring the May 2012 Case Studies

Download the Fact Sheet Featuring the November 2011 Case Studies

Download the Fact Sheet Featuring June 2011 Case Studies

Download the Fact Sheet Featuring February 2011 Case Studies

Download the Fact Sheet featuring 2010 Case Studies

Stories of Success Meaningful Use Case Studies

The following case studies are from mature organizations that have successfully addressed many meaningful use topic areas.  These snapshots provide insight into what can be achieved through leveraging health information technology and serve as guideposts.

Southeast Texas Medical Associates (SETMA)
Eastern Maine Medical Center (EMMC)
Texas Health Resources (THR)
Greater Rochester Independent Practice Association (GRIPA)

 

Organizations

Case Study Title & Example of Successful Outcomes

Health IT

TJC National Goal or NPP Priority Impacted

Electronic Health Records/Computerized Order Entry/Clinical Decision Support EHR/CPOE/CDS

Advocate Health Care –
Chicago, IL

“Reducing Venous Thromboembolism Using a Clinical Decision Support Alert in the Electronic Medical Record.” Decreased alerts, 10% decrease in VTE rate, cost avoidance, VTE, $3500/patient. Read the case study

View a presentation by Joel Shoolin, VP Informatics, Advocate Healthcare >>

CDS

EHR

Reduce the risk of Healthcare Associated Infections
NPSG.07.01.01
NPP Goals: Safety
NPP - Infrastructure supports*

Brigham and Women's Hospital 
Boston, MA

“Using Technology to Improve Medication Safety at Brigham and Women’s Hospital.” Med errors fell 55%, dispensing errors fell 85%, transcription errors eliminated after the implementation of bar code/eMAR. Read the case study

View a presentation by Michael Sweet, Brigham and Women’s Hospital >>

CPOE, Bar code, Smart Pumps, Pharm IS

 

Chinese Community Health Care Association
San Francisco, CA

CCHCA’s approach to improving care, increasing coordination and reducing enterprise wide costs by implementing a “Searchable” Health Information Exchange.
Improved accuracy of problem lists for patients by 25%

Read the case study

   

Community Health Network
Indianapolis, IN

“Time was saved on the nurse intake and accuracy in recording the details of medications was improved.”

Read the case study

HIT: EHR, Medication Reconciliation

NPSG: 03.06.01 – Record and pass along correct information about a patient’s medicines

Eastern Maine Medical Center, Bangor, ME

“The Impact of Education and Computerized Provider Order Entry (CPOE) on Standardization and Reduction of Blood Transfusions in a Community Hospital”. 25%+ reduction blood acquisition costs; significant reduction, inpatient transfusions. Read the case study

View a presentation by Eric Hartz, MD, CMIO, Eastern Maine Medical Center >>

EHR, CPOE, Data mining

 

Elgin Gastroenterology 
South Barrington, IL

“Improving Colorectal Cancer Screening and Outcomes using an EMR Automation Model.” Increased referrals, improved documentation, profiling of physician adherence.

Read the case study

EHR

 

Graybill Medical Group 
Southern CA

“Improving Wellness and Care Management with an Electronic Health Record System.” 10% increase in mammograms. 18.25 days wait for office visits and 26.93 for preventive care visits, reduced to three days. 5% increase in physician’s patient load.

Read the case study

View a presentation by Leslie Chapman, Director Finance/Information Technology, Graybill Medical Group >>

EHR

 

Greater Rochester Independent Practice Association
Rochester, NY

“Electronic prescribing significantly and measurably improves the quality and efficiency of patient care in a teaching-hospital’s outpatient medical clinic.” Renewals, decreased, 1-week to 24 hours.  Patient complaints reduced 50%, prescription-related phone calls reduced 80%. Read the case study

View a presentation by James Garnham, Greater Rochester Independent Practice Association (GRIPA) >>

E-Prescribing, HIE, CDS

 

Institute for Family Health

Promoting Access to Services in At-Risk Populations: Advanced Use of an EHR at the Institute for Family Health

Patient Portal - Tracking data show that patients have used the portal to send over 27,000 messages to their providers, requested 4,500 prescription renewals, and scheduled 4,100 appointments.

Through the diabetes registry, a cohort of 1,241 patients was identified with clinical measures indicating a lack of diabetes control (A1c > 9, blood pressure >140/90, or LDL > 130). An outreach team has contacted these patients for care management services, resulting in dramatic reductions in the number of patients with uncontrolled diabetes measures.

Read the case study

EHR, Patient Portal

NPP – Engaging patients and families in managing health and making decisions about care
NPP – Ensure patients receive coordinated care across all Providers, Settings and Levels of Care.
NPP – Improve the health of the population

Kaiser Permanente S CA
Southern CA Region

“Proactive Office Encounter—Optimal Integrated Care for Every Patient Encounter.” 30% increase in colon cancer screenings, 11% increase in breast cancer screening, 5% increase in cervical cancer screening, 13% improvement in cholesterol control. Read the case study

EHR

 

Maimonides Medical Center New York, NY

Closing the Communication Gap Between Diagnostic Radiology and Clinicians

Impact on workflow:

  • 35/74 (47%) Clinicians responded the CTRM has significantly expedited patient management
  • 4/74 (8%) Clinicians responded that patient satisfaction has increased because of this system

28/74 (37%) Clinicians responded that there has been no impact since such implementation.

Read the case study

Critical Test Result Management System

NPSG: Improve the effectiveness of communication among caregivers.

NPP: Safety

Marshfield Clinic 
Marshfield, WI

“You Can’t Manage What You Can’t Measure.” (Quality reporting to eliminate gaps in care and improved compliance). 24% increase BP control, 10% increase A1C control, 24% increase LDL control. Read the case study

EHR

 

Memorial Healthcare System
Miramar, FL

“Clinical Decision Support Helps Memorial Healthcare System Achieve 97 Percent Compliance with Pediatric Asthma Core Quality Measures.” Computer-generated alerts, identify pediatric asthma patients, achieving a 97% compliance rate with Joint Commission core measure. Read the case study

CDS

 

Memorial Hermann 
Houston, TX

“Use of Clinical Decision Support Interventions to Reduce Harm from Anticoagulation Therapy.” Reduction in the administration of warfarin. Reduction in incidence of documented bleeding complication. Net cost savings costs
$12,403, and potential revenue of $917,822. Read the case study

EHR, CPOE

 

Miramont Family Medicine

Improving the Health of the Patient Population

The percentage of diabetic patients at Miramont Family Medicine with documented A1C's has gone from 42% to 91.4%.

Read the case study

EHR & Integrated Registry

NPP – Improving the health of the population

Murphy Medical Center 
Murphy, NC

 

After we had the eMedRec up and running the discrepancies between the dictated discharge summary and eMedRec dropped to 14%. The average number of phone calls that required clarification for NH patients dropped from 60% to approximately 15% after eMedRec utilization.

Read the case study

HIT: EHR, CPOE, eMedRec, ePrescribing

NPSG: Improve effectiveness of communication among caregivers
Improve the safety of using medications
Meaningful Use Goal:  Electronic Medication Reconciliation to improve Patient Safety and Care Coordination

Nemours

An Organized Strategic Focus to Achieve National Patient Safety Goals (NSPGs) Augmented by an Electronic Medical Record (EMR).

  • The rate of complete documented outpatient medication reconciliation improved from 30% of encounters to near 90%. 

Read the case study

EMR & CPOE

Improve accuracy of patient identification
NPSG.01.01.01
Reduce the risk of healthcare associated infections
NPSG.07.05.01
Accurately & completely reconcile medications across the continuum of care
NPSG.03.06.01*
NPSG.08.01.01
NPSG.08.02.01
NPSG.08.03.01
NPSG.08.04.01
Universal Protocol
UP.01.01.01
UP.01.02.01
UP.01.03.01 NPP – Safety
NPP – Care Coordination
NPP – Infrastructure supports*

NorthShore University HealthSystem 
Evanston, IL

“Making the Electronic Health Record Do the Heavy Lifting:  Reducing Hospital Acquired Urinary Tract Infections at NorthShore University HealthSystem (NorthShore) in Evanston, Illinois”.  10% reduction patient days with urinary catheter, 20% decrease CAUTIs, $200,000 in avoided charges. Read Case Study

EHR

 

Norwood Hospital
Norwood, MA

“Integrated Technology: Strengthening the Foundations of Patient Safety.” Pyxis override rate, 0.7%; Alaris pump dictionary compliance, 96.7%; Medication scan rates, 90% monthly avg; Patient BMV scan rates, 94% monthly avg; CPOE inpatient utilization, 83% (national avg, 75%); 92% decrease in illegible orders with CPOE. Read Case Study

EHR

 

Queens Long Island Medical Center
Queens, NY

“Queens Long Island Medical Center Improves Quality and Physician Satisfaction with EHR Backbone and Patient Centered Medical Home Initiative”. 4% improvement in quality of diabetic care, 21% decline diabetes-related mortality, reduction $18,000/patient healthcare costs. Read Case Study

EHR

 

Southeast Texas Medical Associates

Improving Population Healthcare and Safety Through
Real-time Data access, Auditing and Reporting

  • EHR and business intelligence tools drive quality metrics on its entire population of 7,600 diabetes patients, and all providers can calculate all 12 Framingham risk scores in one second.

Read the case study

EHR

NPP - Patient and family engagement
NPP-Population health
NPP-Safety
NPP-Care Coordination
NPP-Infrastructure supports*

Texas Health Resources
Arlington, TX

Using Technology to Reduce Catheter-Associated Urinary Tract Infections
Average number of catheter line days

  • With protocol – 1.41 days
  • Without protocol – 1.88 days

Best practice protocol usage from 12/2011 to 5/2012

  • 26% to 37% increase

Read the case study

 

NPSG
Use proven guidelines to prevent infections of the urinary tract that are caused by catheters.
Partnership for Patients Goal

Keep patients from getting injured or sicker.  Area of focus: Preventing CAUTI

Texas Health Resources

Reducing Venous Thromboembolism (VTE) using
Clinical Decision Support

  • Best practice advisories fire every 4 hours to physicians until VTE Prophylaxis is ordered or documentation given as to why not warranted. Nurses also receive advisories every 4 hours until they contact the physician regarding consideration of VTE prophylaxis.

Read the case study

EHR, CPOE, CDSS

Improve the safety of using medication -
NPSG 03.05.01
NPP – Safety
NPP – Care coordination
NPP – Infrastructure supports*

University Medical Practice Associates (UMPA)

Driving Improvement of Diabetes Care in Upper West Side and Harlem neighborhoods of New York City through Clinical Decision Support and Analytics

Examples of successful outcomes:

  1. In 4 months, the following improvements were noted:
    1. %  of patients with HbA1c <8.0 from 77% to 76%
    2. %  of patients with HbA1c >9.0 reduced from 15% to 12%
    3. % of patients who had dilated eye exam increased from 17% to 46%
    4. % of patients who had blood pressure <140/90 increased from 61% to 72%

Read the case study

EHR, CDSS, Analytics tools

NPP goals:

  1. Improve health of the Population
  2. Engage Patients and Families in Managing Health and Making Decisions about Care
  3. Ensure Patients Received Well-Coordinated Care across all Providers, Settings, and Levels of Care

Meaningful Use Goal(s):

  1. Improve Population Health
  2. Engage Patients and Families
  3. Improve Care Coordination

University of Rochester Medical Center
Rochester, NY

“Facilitating Safe and Efficient Patient Handoff, Using a Home-Grown e-Signout System that is Integrated with Other Hospitals Systems.”  More then 90% of cases, active signout record. Read Case Study

E-Signout tool

 

Veterans Healthcare System of the Ozarks

The Use of a Cognitive Aid within the Electronic Record can greatly improve the effectiveness of communication among care givers and reduce patient injuries from falls.

  • VHSO has sustained twenty-one months with no major complication within their inpatient population, a major accomplishment in a setting with an average patient turnover rate of 6.35 per month.

Read the case study

CPRS

NPP – Safety
NPP – Care coordination
NPP – Infrastructure supports*

Virginia Commonwealth University Health System

Using Health Information Technology - CPOE to Advance Performance Improvement in Heart Failure Patients at Virginia Commonwealth University Health System.

  • Consistently exceed 95% in ensuring their heart failure patients receive appropriate written discharge instructions and education at time of care transition, sustained for seven quarters.

Read the case study

EHR
CPOE

Accurately & completely reconcile medications across the continuum of care
NPSG.08.01.01
NPSG.08.02.01
NPSG.08.03.01
NPSG.08.04.01
NPP - Patient and Family Engagement
NPP – Safety
 NPP – Care coordination
NPP – Infrastructure supports

Weill Cornell

TruData: The Facilitator of Clear Communication at Weill Cornell

TruData maps test results from 19 different agencies to a standard name, has transformed over 12 million lab test results and providers can trend the data electronically regardless of resulting agency.

Read the case study

EHR

NPSG.02.03.01
Improve staff communication
in regard to getting important test results to the right staff person on time
NPP – Improve the Safety of America's Healthcare System
Eliminate Waste While Ensuring the Delivery of Appropriate Care

Data Mining

Eastern Maine Medical Center, Bangor, ME

“The Impact of Education and Computerized Provider Order Entry (CPOE) on Standardization and Reduction of Blood Transfusions in a Community Hospital”. 25%+ reduction blood acquisition costs; significant reduction, inpatient transfusions. Read Case Study

View a presentation by Eric Hartz, MD, CMIO, Eastern Maine Medical Center >>

EHR, CPOE, Data mining

 

Riverside Regional Medical Center

Using Embedded Analytics through Information Technology to "NIP" MDROs in the Bud

Total Facility HAI rate reduction from 2009 to 2010 : 17% incidence reduction for MRSA, VRE and Cdiff infections; MRSA HAI reduction of 42% from 2008 to 2010 Direct correlation of decrease in HAIs with increase in presumptive isolation and reduction in time to isolation

Read the case study

Data mining tool – NIP-IT

NPSG 07.03.01 Preventing Multidrug-Resistant Organism Infections

Radio Frequency Identification

Mercy Des Moines – Mercy Heart Hospital
Des Moines, IA

“Patient Safety Improvements through Real-Time Inventory Management.” Fulfilling TJC requirements of removing expired products from the shelf. 568% ROI, improved charge capture, right-sizing inventory, taking advantage of bulk-inventory order opportunities. Read Case Study

RFID

 

Princeton Baptist Medical Center

Efficacy of an Electronic Hand Hygiene Surveillance and Feedback Monitoring Device Against Healthcare Associated Infections

  • A 22% decrease in electronic infection markers indicates the potential to not only reduce healthcare associated infections (HAIs) in a hospital but to decrease the costs associated with these infections.

Read the case study

RFID

Reduce the risk of Healthcare Associated Infections
NPSG.07.01.01
NPP Goals: Safety
NPP - Infrastructure supports*

Surgical information System

Bassett Health Network Cooperstown, NY

“The Use of Perioperative Information Technology to Improve Quality of Patient Care and Operating Efficiency in an Academic Teaching Hospital”.  37% increase in compliance of documented hand-off communication between providers. Read Case Study

Surgical information system