We at Healthcare Informatics were once again elated by the outstanding quality of the submissions we received from innovating teams from across the U.S. In addition to the four winning teams this year, our editorial team also selected several runners-up. Below, please find descriptions of the initiatives of the nine teams whom we have awarded semifinalist status in this year’s program.
Association of Ontario Health Centers
A BI reporting tool supporting 85 organizations
In 2011, the Community Health Centers (CHCs) in Ontario, Canada had a vision to unify its data asset into a single enterprise data warehouse and associated business intelligence reporting tool (BIRT). Supporting 85 independent organizations, the vision was to unify accountability reporting to funders and create a robust self-service analytic environment. This was delivered within a security infrastructure that permits containment of sensitive clinical information but a shared BI environment where all organization users can share and collaborate the ad hoc reports among peers. The solution gives members a holistic view of operations by consolidating key data and presenting it in an integrated and easy-to-analyze manner. What makes this BI solution particularly unique is that it was built based on the needs of the members it serves, officials attest.
Bridging Access to Care
Leveraging IT to integrate trauma informed care in everyday practice
Bridging Access to Care (BAC) aimed to facilitate trauma informed care by enhancing care delivery and augmenting plans of care to incorporate trauma specific objectives. The project plan included: developing a systematic approach using the electronic health record (EHR) system to inform and guide staff in delivering trauma sensitive activities; developing an electronic tool that could capture specific data and trend changes in consumer health outcomes; identifying validated tools that were simple to use, met industry standards and were recognized by payers; and creating a system for sharing information in real-time to facilitate access to treatment and retention in care. The project revealed that systematizing trauma informed care can improve consumer health outcomes. Post-implementation data revealed that 100 percent of clients were screened for trauma (compared to 0 prior to implementation); 37 percent of them were screened positive for trauma. And 92 percent of clients screened were referred to and are receiving seeking safety interventions, while 42 percent of clients that were screened were referred to and are receiving mental health services.
Leveraging virtual care to transform healthcare delivery
CHI Franciscan Health, the Tacoma, Wash.-based health system that consists of eight hospitals and a large network of physician clinics, has a mandate to redesign its healthcare delivery network towards a value-based system serving the Pacific Northwest. The health system’s Care Transformation initiative is a massive project that is patient-focused in scope and has the dual benefit of added value to business and clinical outcomes. In the last three years, the Care Transformation team has grown from only four to a multi-disciplinary and multidimensional service line with more than 150 clinicians and IT professionals. The Care Transformation team consists of a number of providers, nurses, information technology specialists, analysts and others roles and responsibilities, all of which focus around providing care to patients where they are, and eliminating any geographic, time commitment and language barriers in accessing that care.
As a result of this team’s work, CHI Franciscan Health has successfully implemented an impressively broad range of programs and services leveraging technology, such as telemedicine. A virtual urgent care program has helped to save $1.5 million in healthcare costs and 10,511 hours of wait and travel time. A virtual intensive care unit program has helped to shorten ICU stays and increase ICU survivors. The ventilator bundle compliance has improved by 17 percentage points and is consistently staying at goal. A virtual diabetes education program was implemented to complement care services. Since its inception in 2012, 35 patients with diabetes have received high-touch interaction and education from diabetes educators and have demonstrated sustained decreases in their HgbA1C, have lost weight, stopped smoking and improved their activity levels. A regional telemetry monitoring program, the first at a U.S. health system, has enabled CHI Franciscan Health to proactively monitor patients’ heart rhythms and rates for over 2 million hours and engage 24 patients in the first six months from the launch before cardiac issues occur.
Improving pediatric asthma management through population health
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