Informatics Corporation of America Proprietary and Confidential Information

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2008 VA HIMSS Annual Conference October 14, 2008
Informatics Corporation of America- Proprietary
and Confidential Information
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Bassett Healthcare Case Study Using Leading
Edge Technology to Drive an Evidence-Based Vision
for Care
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Questions to address

• Who are we?
• What are our challenges?
• How are we meeting these challenges?
• Solution
• Approach
• What have we accomplished?
• What have we learned?
• Any additional questions

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Questions to address

• Who are we?
• What are our challenges?
• How are we meeting these challenges?
• Solution
• Approach
• What have we accomplished?
• What have we learned?
• Any additional questions

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ICA Heritage

• Documented Success Clinical tools and processes
  incorporating evidence-based and patient-centric
  practices
• Proven Approach
• Physician focused and directed project
  cornerstone of 15 year clinical evolution 4
  hospitals, 120 clinics
• New Generation of Technology
• Support patient care across all treatment
  settings

Current clients span 25 hospitals and over 50
treatment settings providing clinical
interoperability solutions for a wide range of
community-based solutions.
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ONE PHYSICIANS IMPERATIVE
Bassett Healthcare
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Bassett Healthcare 2008

• 4 hospitals
• 23 Outpatient Health Centers
• 14 School-Based Health Centers
• 300 Providers
• 9 Counties
• 5000 Sq. Mile Area
• 650K Patient Encounters
• An integrated healthcare network covering a full
  spectrum of specialties and treatment settings

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Evidence-based Bassett (ebB) Vision
Easy access to complete patient information
anytime, anyplace
Seamlessly incorporate findings and associated
evidence at the point of care
ebB
Efficient and effective means for acting on
information within clinical workflow
Enhanced ability to find, measure and report on
care patterns across treatment settings
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Questions to address

• Who are we?
• What are our challenges?
• How are we meeting these challenges?
• Solution
• Approach
• What have we accomplished?
• What have we learned?
• Any additional questions

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Broad Spectrum of Care

• Patients receive care across multiple treatment
  settings, across a broad geography.
• Many clinicians provide care in multiple
  locations.
• Core services lab, radiology, HIM, etc. are
  shared across the network.

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Multiple Systems Modes
Silos of core HIS, ancillary systems and paper
throughout the enterprise
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Ever feel that trying to integrate all of your
systems for all facilities might be like trying
to unite the languages and ethnicities of the
BALKANS?
The Balkans


Rexova, K., Frynta, D. Zrzavy, J. Cladistic
analysis of languages Indo-European
classification based on lexicostatistical data.
Cladistics 19, 120127 (2003)
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Impact on Clinicians
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What Causes More Threads?

• Systems are often rigid, and not customizable
  enough
• Motives are often more complex than physician
  ease of use finance, compliance, etc.
• Often times workflow must change to meet
  technology rather than technology serving the
  workflow

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Solution Guiding Principles

• Must be physician focused -gt Make Quality Easy
• System must be customizable in real time to allow
  iterative improvement
• Must focus first on improving patient care
• Minimizes time to value fosters an environment
  of continuous improvement

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Questions to address

• Who are we?
• What are our challenges?
• How are we meeting these challenges?
• Solution
• Approach
• What have we accomplished?
• What have we learned?
• Any additional questions

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Solution Found
Collaboration/Partnership
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The ICA Solution SuitePhysician Designed
Software Solutions For Better Patient Care
Informatics Corporation of America- Proprietary
and Confidential Information
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How does it work?
Aggregated access to complete patient information
Informatics Corporation of America- Proprietary
and Confidential Information
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How does it work?
Secure, streamlined communication across the
enterprise
Informatics Corporation of America- Proprietary
and Confidential Information
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How does it work?
Ability to easily capture clinical information
either within the tool or integrated through
source systems
Informatics Corporation of America- Proprietary
and Confidential Information
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How does it work?
Ability to track, measure and apply clinical
metrics at the point of care
Informatics Corporation of America- Proprietary
and Confidential Information
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What does the solution look like?
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Make quality easy
How did we implement?
Logical phasing allowed us to achieve value
quickly and continually build value over time.
Phase IV
Phase III
ebB across the enterprise
Easy to incorporate evidence
Phase II
Easy to act on data
Cultural Energy Perceived Value
Phase I
Easy to access all data
Threshold of Intolerable Pain
Time
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Questions to address

• Who are we?
• What are our challenges?
• How are we meeting these challenges?
• Solution
• Approach
• What have we accomplished?
• What have we learned?
• Any additional questions

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Our accomplishments to date

• Complete patient information easily accessible
  across the enterprise
• Rapid deployment 6 week rollout across 200
  providers
• Fast physician adoption Most were able to
  productively use the system the 1st day with no
  clinic time lost

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Our accomplishments to date

• Improved physician satisfaction
• Physicians are able to go home earlier
• Traveling physicians are able to stay productive
  and responsive regardless of location
• Improved patient satisfaction
• Patient knowledge is maintained across treatment
  settings
• 99 of patient requests to clinics resolved
  within 24 hours

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Our accomplishments to date

• Better utilization of data across the enterprise
  
• Consistent patient summaries across the
  enterprise
• Aggregated patient data feeding into research
  efforts
• Developing disease specific dashboards to
  leverage research and associated evidence at the
  point of care

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And Most Recently (June 2nd, 2008)
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Oh, and guess what? Gulliver is free!
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Questions to address

• Who are we?
• What are our challenges?
• How are we meeting these challenges?
• Solution
• Approach
• What have we accomplished?
• What have we learned?
• Any additional questions

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What have we learned?

• Comprehensive information, easily accessible at
  the point of care is fundamental
• Complete chart information
• Communication and alerts
• Key metrics
• Identifying and addressing clinical
  inefficiencies across the enterprise is important
  to maintain momentum

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What have we learned?

• Initial phases should focus on establishing a
  strong solution and cultural foundation
• Focus first on information
• Get quick wins across as wide a user base as
  possible
• Ensure that clinicians are involved in all
  aspects of the solution
• Solution design
• Establishing and propagating best practices
  across the enterprise

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Questions to address

• Who are we?
• What are our challenges?
• How are we meeting these challenges?
• Solution
• Approach
• What have we accomplished?
• What have we learned?
• Any additional questions

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Informatics Corporation of America- Proprietary
and Confidential Information