Trinity Health, Advancing Clinical Quality and Patient Safety with Health Information Technology

Paul Conlon, PharmD, JDSVP, Clinical Quality and Patient Safety

We serve together in Trinity Health in the spirit of the Gospel, to heal body, mind and spirit, to improve the health of our communities and to steward the resourcesentrusted to us.

RespectSocial JusticeCompassionCare of the Poor and UnderservedExcellence

Inspired by our Catholic faith tradition, Trinity Health will be distinguished by an unrelenting focus on clinical and service outcomes as we seek to create excellence in the care experience. Trinity Health will become the most trusted health partner

for life.

We support each other in serving our patients and communitiesWe communicate openly, honestly, respectfully and directlyWe are fully presentWe are all accountableWe trust and assume goodness in intentionsWe are continuous learners

Mission

Core Values

Vision

Guiding Behaviors

Trinity Health

3

Trinity Health

Fourth Largest Catholic Health System in the U.S.

44 Hospitals (32 Owned and 12 Managed) Across the Nation

Eleven of our 15 Michigan hospitals have electronic health records

8,074 Active Staff Physicians

44,500 Full-Time Equivalent Employees

Revenue of $6.3 Billion

$376 Million in Community Benefit Ministry

Clinicians able to access records and place orders (drug, lab, etc.) any place and any time

Nurses spending more time at bedside rather than with paper records

Emergent medications administered 40 percent faster

Comparative effectiveness across 22 hospitals eliminates clinical variation with standardized order sets and drug formularies:

$1 million/yr of savings from Echinocandin drug class and Hematopoietic agents standards 31% reduction in patient falls with injury 45% reduction in pressure ulcers 29% reduction in severity-adjusted mortality

Computer-generated alerts (60,000 in 5 years) prompting physicians to change medication ordersHardwired alert on diabetes medication (Avandia) sent to all hospitals within 10 days of FDA warning

Smarter, Safer, More Cost-Effective Care - $300 million investment in EHR called Genesis - 25 hospitals – 11 in Michigan – are fully “live” with EHRs - One of nation’s largest single repositories of standardized data - Over 7 million interconnected patient records

Nation’s first rural, integrated, EHR networkMedication verification conducted by a remote pharmacist, eliminating rural staffing expense

Transfer patients no longer wait for records to be copied & couriered by ambulance driver

ID

IA

WV

Key

Hospital with drug alert system

Fully “live” hospital with EHR, physician order entry, drug alert system, supply chain, and patient accounting/revenue management

Trinity Health Michigan Hospitals with an Electronic Health Record

St. Joseph Mercy Hospital – Ann Arbor

St. Joseph Mercy Hospital – Oakland

St. Joseph Mercy Hospital – Saline

St. Joseph Mercy Hospital – Livingston

St. Mary Hospital – Livonia

Mercy Hospital – Port Huron

St. Mary Hospital – Grand Rapids

Mercy Health Partners – Muskegon

Battle Creek Health System – Battle Creek

Mercy Hospital – Cadillac Mercy Hospital -

Grayling

Accomplishments to Date on the Clinical Platform

Over 7 million patients within the EMR Clinical, financial and administrative data is contained in a single

location 2 facilities have clinics managing inpatient & outpatient care in the

same system In 26 hospitals fully implemented…

– Computerized Prescriber Order Entry (CPOE) with physician entry rates average 74% and as high as 84% of all orders

– 100% of the previous paper medical record is now electronic– More than 1,200 caregivers use the system simultaneously daily– 300,000 chart openings per day. – Inpatient nursing care, pharmacy, and medication administration is

documented directly by providers in the same electronic system.– Over 600,000 orders are placed, processed, and completed per day – Over 700 physicians place orders each day.

Current Performance and Recognition

Severity adjusted mortality rate at 71% of expected HCAHPS “Would Recommend” score at the 76th percentile 100% of core measure performance is greater than the

national average– 47% of hospital level core measures above the national top 10%

Trinity Health received the Thomson Reuters 100 Top Hospitals®: Health System Quality/Efficiency Benchmarks Top 10 System award

6 of our hospitals are recognized as Thomson Reuters 100 Top Hospitals

Trinity Health is the recipient of the 2004 National Health Care Quality Award

Is a Universal Medical Record Possible?

The goal of exchange of information between providers on behalf of patients is possible

It is likely not going to be a single data repository

It is likely going to be virtual record Must have NATIONAL Interoperability

Standards