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A Publication of Beacon Partners October 2011 CPOE DRIVES BETTER OUTCOMES 1.800.4BEACON | www.beaconpartners.com BOSTON • CLEVELAND • SAN FRANCISCO • TORONTO Case Study In 2004, Mercy Health Partners of Toledo, Ohio began the progressive initiative of transforming its paper-based, manual- entry clinical documentation and order management system to an efficient electronic health record (EHR). Initial challenges, recognized and defined by Beacon Partners, included: Physician opposition Lack of governance structure Clinical transformation Strategic planning, including realistic timelines, budget and resources Need for a CPOE corporate model Mercy recognized the need to partner with experts who could lead this process and provide clinical consulting expertise. To meet this need, they engaged Beacon Partners to determine the cost of this endeavor and to create and operationalize the implementation of all components included under the corporate model EHR umbrella. Scope of Services Understanding Mercy’s challenges and working with their executive and physician leadership, the Beacon Partners team executed its proven implementation methodology. Beacon Partners established an effective governance team to lead the transition process, make key decisions and maintain the project as a constant organizational priority. Our consultants worked with Mercy to complete all aspects of the transition, including: Designing and building: CPOE process Multidisciplinary clinical documentation Clinical data warehouse Bar-coded Rx administration Lifetime results repository Performance metrics and clinical decision support Medication reconciliation with full CPOE integration Physician documentation CPOE with two-way pharmacy interfaces Extensive clinical decision support Change management Defining the CPOE corporate model Re-engineering the clinical process Recruiting, training and managing Mercy’s EHR team over a 5½- year period Providing application analysts and project managers to support the hospital during the transition Through Beacon Partners’ leadership of our CPOE project, we were able to establish Mercy Health Partners as a leader among community hospitals with CPOE. Kenneth Bertka, MD, FAAFP, CPHIMS Practicing Family Physician CMIO for Catholic Healthcare Partners, Northern Region

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Page 1: Beacon Partners Case Study Cpoe Drives Better Outcome

A Publication of Beacon Partners October 2011

CPOE DRIVES BETTER OUTCOMES

1.800.4BEACON | www.beaconpartners.com BOSTON • CLEVELAND • SAN FRANCISCO • TORONTO

Case Study

In 2004, Mercy Health Partners of Toledo, Ohio began the

progressive initiative of transforming its paper-based, manual-

entry clinical documentation and order management system

to an efficient electronic health record (EHR). Initial challenges,

recognized and defined by Beacon Partners, included:

• Physician opposition

• Lack of governance structure

• Clinical transformation

• Strategic planning, including realistic timelines, budget and resources

• Need for a CPOE corporate model

Mercy recognized the need to partner with experts who could lead

this process and provide clinical consulting expertise. To meet this

need, they engaged Beacon Partners to determine the cost of this

endeavor and to create and operationalize the implementation of

all components included under the corporate model EHR umbrella.

Scope of Services

Understanding Mercy’s challenges and working with their executive

and physician leadership, the Beacon Partners team executed its

proven implementation methodology. Beacon Partners established

an effective governance team to lead the transition process, make

key decisions and maintain the project as a constant organizational

priority. Our consultants worked with Mercy to complete all aspects

of the transition, including:

Designing and building: • CPOE process

• Multidisciplinary clinical documentation

• Clinical data warehouse

• Bar-coded Rx administration

• Lifetime results repository

• Performance metrics and clinical decision support

• Medication reconciliation with full CPOE integration

• Physician documentation

• CPOE with two-way pharmacy interfaces

• Extensive clinical decision support

• Change management

• Defining the CPOE corporate model

• Re-engineering the clinical process

• Recruiting, training and managing Mercy’s EHR team over a 5½-y ear period

• Providing application analysts and project managers to support the hospital during the transition

Through Beacon Partners’ leadership of our CPOE project, we were able to establish Mercy Health Partners as a leader among community hospitals with CPOE.

Kenneth Bertka, MD, FAAFP, CPHIMS Practicing Family Physician CMIO for Catholic Healthcare Partners, Northern Region

“ “

Page 2: Beacon Partners Case Study Cpoe Drives Better Outcome

As the largest independent healthcare management consulting firm in the country, Beacon Partners

is chosen by organizations in the healthcare community to provide expertise in the adoption of

information technology to improve overall operational and financial performance. With our strategic

approach and depth of experience, Beacon Partners is uniquely qualified to help organizations

navigate the challenges in healthcare and optimize their potential to deliver the highest possible

level of patient care.

1.800.4BEACON | www.beaconpartners.com BOSTON • CLEVELAND • SAN FRANCISCO • TORONTO© 2011 Beacon Partners

101111

Client Profile • Comprised of nine hospitals in Northwest Ohio, and

is part of the Catholic Healthcare Partners system

based in Cincinnati, Ohio

• Includes a tertiary care center with a pediatric

hospital and large neonatal intensive care unit

• Facilities include Level 1 trauma services, heart

center, burn unit, rehab, pediatrics, NICU

hematology/oncology for pediatric and adult

patients, and all medical, surgical and OB

specialties

Return on Investment

Today, 1,000 physicians and 350 residents use Mercy’s CPOE

for all in-patient orders. The St. Vincent Mercy Medical Center, a

tertiary hospital and largest facility in the Mercy region, experienced

the following success:

• Project completed on time and on budget

• Complete EHR/CPOE migration for the four largest Mercy

facilities over a three-year period

• Mercy recognized by The Leapfrog Group as the Ohio

leader for CPOE adoption

• Reduced adverse drug events by 66%

• Reduced STAT medication administration time by 50%

• Reduced STAT lab turn-around time by 50%

• Eliminated 100% incomplete pediatric orders

• Drove a 63% reduction in ADE’s per 1,000 doses for St.

Vincent Medical Center from Pre-Live Baseline

• Employed Allergy Alerts that changed on average of

12-14% of orders