at a time when healthcare delivery organiza-tions are under intense pressure to improvecare quality and safety, and hold down costs,and adapt to new care delivery and reimburse-ment models, memorialCare Health System hasfound a key to success.Driving toward the “triple aim” memorialCare, serving the los angeles andOrange County areas in southern California, is anot-for-profit health system with six hospitals,2,500 affiliated physicians, four award-winningspecialty care “Centers of excellence,” urgent carecenters, walk-in retail clinics, imaging and labora-tory sites, and ambulatory surgery centers. memorialCare has grown organically and byacquisition, while increasing measures ofpatient satisfaction and financial stability. It’s anorganization focused on excellence and achiev-

ing the Institute of Healthcare Improvement’s“triple aim” of improving the patient experienceof care (including quality and satisfaction), thehealth of populations, and reducing costs.Meeting the challenge of change in healthcareWith its rapid acquisition of additional medical practices, laboratories, and imagingcenters, memorialCare realized that traditionalinterfacing between systems was no longerenough to support its business strategy. “theinterface engine we had been using to integratedata into our epic emr couldn’t keep up withthe new demands we were putting on it,” saysmemorialCare’s Vice President of InformationServices, Steven Beal. “We needed to integrateour acquisitions faster so we could continue tooffer ‘one call’ convenience to our customers.

memorialCare Health System uses HealthShare forStrategic Interoperability

MemorialCare Health System

InterSyStemS HealtHSHare CaSe Study

� Improve care coordination

� Deliver aggregated health informationinto existing workflows

� Enable strategic business initiatives

We needed to aggregate data from many dis-parate sources, share that data more effectively,and establish the analytics necessary for man-aging population health and fundamental oper-ations within our organization.” memorialCare replaced its legacy interfaceengine with the InterSystems HealthShare®strategic informatics platform. Within one yearmemorialCare transformed and migrated 183interfaces from 89 different applications, forming tighter overall integration with thecompany’s epic software. during this periodthe integration team gained valuable experi-ence with HealthShare while an InterSystemsimplementation partner, J2 Interactive, provided development expertise and knowl-edge transfer.The executive suite takes note of strategicuse of HealthShareWith this successful transition toHealthShare its use is spreading quickly toaddress other urgent needs, including carecoordination projects such as:� enabling bi-directional information sharing between memorialCare’s epic systemand the nextGen emrs used by acquiredmedical groups and physician practices in the community� automatically alerting providers to significant patient events (such as admissionto the emergency department or an inpatientsetting)� delivering care summaries to primary careproviders in the community when theirpatients are discharged from a hospital� Integrating memorialCare’s acquired laboratory and radiology centers, includingordering and results reporting, with theemrs used by memorialCare and its affiliatedphysicians and medical groups

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notes memorialCare CIO Scott Joslyn,“HealthShare enables us to support new initia-tives with the speed and confidence that comeswith its range of capabilities and scalability.Such agility is vital given the increasing complexity and changing nature of healthcarein this critical period of reform.” HealthShare is now at the core of many ofmemorialCare’s strategic business and clinicaltoolsets that facilitate achieving the triple aim,and establishing an accountable CareOrganization. In this early stage of transforma-tion, HealthShare for memorialCare is aggregat-ing data from all connected systems, in nearreal-time, and delivering it for the analyticsnecessary to measure and report on perform-ance, make coordinated decisions on care, and drive improvements in care quality andfinancial results. The platform for strategic interoperabilityHaving one platform for all of its interoper-ability needs, from simple interfacing to carecoordination, community engagement, andregional and national health informationexchange, has been a key to matching Itresources to business need. “Because health-care is changing so rapidly,” says Beal, “andwe’re growing so quickly, HealthShare hasbecome more than just an interface engine forus. It’s a core business application.”

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