Content is copyright protected and provided for

Content is copyright protected and provided for personal use only - not for reproduction or retransmission.
For reprints please contact the Publisher.
2014
Most Wired
T
BY MATTHEW WEINSTOCK | DATA BY SUZANNA HOPPSZALLERN
To understand what it means to be a Most Wired hospital, head
about 40 miles east of Indianapolis to Rushville, Ind., and pop
into Rush Memorial Hospital.
While there, it is likely you’ll find clinical and administrative leaders leveraging information technology systems to
improve operational performance.
“Our hospital administrative team reviews data weekly
and monthly with the aim of reducing errors or increasing percentages,” explains Jim Boyer, chief information officer of the
critical access hospital. “Most of the data are delivered in the
form of reports, clinical decision support or scorecards across
the organization, thus impacting patient care.”
A prime example of that impact: zero patient harms
between September 2012 and September 2013, an achievement
the hospital hit as part of the Health Research & Educational
Trust’s Hospital Engagement Network. Structured data from
the health IT system created an environment in which clinical
teams could target specific areas to reduce readmissions and
improve quality across the board, Boyer says. Leadership also
relies heavily on IT systems to position the organization for the
next generation of care delivery.
“To get to the future state, our strategy reflects around
second-curve metrics, thus aligning our health care system, physicians, clinical and nonclinical people across the continuum of
care,” Boyer says.
It’s a strategy mirrored by many of the hospitals appearing
on the 16th annual Hospitals & Health Networks’ Most Wired
list. These hospitals have effectively deployed such foundational
technologies as computerized provider order entry, alerts and
medication matching at the bedside, and now are eyeing data
analytics and population health management. These are steep
hills to climb.
Among Most Wired hospitals, 36 percent conduct controlled experiments or scenario planning to make better management decisions and to do forecasting, according to the 2014
Most Wired Survey. The percentage drops to 27 percent for all
respondents. Additionally, 61 percent of Most Wired hospitals,
compared with 49 percent of all respondents, use predictive
modeling and data to improve decision-making across multiple
departments. From a glass-is-half-full perspective, these characteristics are on the rise from previous years.
“We see leaders thinking about business intelligence tools.
Results from the 16th annual Most Wired Survey show that
hospitals and health systems are making progress in utilizing
information technology to move toward a value-based delivery model.
30
Content
protected and provided for personal use only - not for reproduction or retransmission.
/ J U LY. 2is0 1copyright
4 / w w w . hhn m a g . c o m
For reprints please contact the Publisher.
H&HN
«
OCHSNER HEALTH SYSTEM, NEW ORLEANS
»
Engaging Patients
in a Different Way
W
arner Thomas understands that the move to
value is about more than changes to reimbursement streams. Ultimately, it’s about
becoming more patientcentric.
“We realize that health care is becoming more
retail-based and more transparent with patients
who are more educated and will be armed with
more information,” says Thomas, president and
chief executive officer of Ochsner Health System,
New Orleans. “With that, we have to be more patientcentric and focused on their needs.”
Technology is front and center in that effort.
“We’re looking at how we can build a relationship
with our patients,” he says. “Amazon is constantly
building relationships with its customers. How can we
be that proactive? Can we connect with them to find out
if they exercised today? Did they take their medication?
We don’t want to be a pest, but a resource. That’s what
we have to do in this transition.”
Recognizing the need to meet patients on their
terms, Ochsner is piloting a mobile-friendly program at
its flagship primary care site. Through O Bar, patients
get help downloading health apps appropriate to their
lifestyles to smartphones or tablets. A team of Ochsner
staff combed through thousands of mHealth apps and
cultivated what they consider to be the best of the best.
The eventual goal is to allow data to flow from the apps
into Ochsner’s electronic health system, which is
expected to lead to greater patient engagement.
“We understand that everything is becoming
more mobile and more tech-oriented,” Thomas says.
“Instead of fighting that, we are embracing it.”
It doesn’t stop with MyFitnessPal.com and Fitbits, though. Ocshner has built an EHR system that
integrates disparate parts of the delivery system
and provides physicians and other providers a comOchsner is piloting a mobileprehensive view of a patient’s profile. That includes
giving post-acute providers access to a portal that
friendly program at its flagship
contains discharge summaries and other relevant
primary care site called the O Bar.
parts of the continuity of care document.
Patients get help downloading
A robust disease registry tool also helps prohealth apps appropriate to their
viders to engage specific populations better around
lifestyles to smartphones
their care, says Lynn Witherspoon, M.D., senior vice
president and chief medical information officer.
or tablets.
Ochsner is able to tabulate data from its EHR, community providers and insurers to then funnel that
information back to physicians for action.
Witherspoon says that all of these elements fit
into a larger strategic goal of creating a more patientcentric system.
“Patients have more freedom to move among
providers,” he says. “It is our job to help them underprotected and provided for personal use only - not for reproduction
or retransmission.
P h o t o g r a p hContent
b y M a r i a nis
n a copyright
Massey
stand why coordination
is in their interest.”
Illustration/Photography by Artists Name
Lynn
Witherspoon, M.D.
Illustration/Photography by Artists Name
For reprints please contact the Publisher.
ü
We also see consistency among hospitals’ delivering quality
metrics to clinicians,” says Chantal Worzala, director of policy
at the American Hospital Association. “The question is, ‘Can we
give them time to build out better analytical tools?’ ”
◗ Breathing room
Worzala echoes a near-universal concern that federal mandates
for hospitals and physicians to adopt health IT systems were
too much, too fast. To be sure, hospitals have been putting
electronic health records in place at a staggering rate. Nine
in 10 hospitals possessed a certified EHR in 2013, up from 29
percent in 2011, according to a May report from the Office of
the National Coordinator for Health Information Technology.
Yet, the ONC data, based on an AHA survey, show that the vast
majority of hospitals — 60 percent — had a basic EHR, meaning it lacked such advanced tools as clinical decision support.
Additionally, in the rush to meet Stage 1 meaningful use
requirements, some hospitals implemented systems without fully
assessing the impact on clinical processes, says Russell Branzell,
president and chief executive of the College of Healthcare Information Management Executives, a partner on the Most Wired Survey.
“In many cases, the systems were not built for maximized
workflow,” he says. “We are seeing hospitals now having to
reinvent processes or retool their systems. That’s disappointing
because it is like putting in a whole new EHR.”
Acknowledging provider concerns, federal regulators in
May proposed extending the compliance time lines for meaningful use Stages 2 and 3. ONC and Centers for Medicare & Medicaid Services officials also noted that vendors have not been
able to keep pace with the demand to get certified products to
the market. At press time, a final rule was not anticipated until
at least September, which means that hospitals still could face
compliance deadlines this summer.
◗ The march to value
Regardless of CMS’ overture of increased flexibility, CIOs completing the Most Wired Survey say the next hurdles to jump
revolve around analytics, population health and the overall
push to a value-based environment.
“We are using real-time algorithms within and outside
of the EHR to look at risk, and predict and inform clinical and
operational pathways,” says Steve Hess, CIO, University of Colorado Health. “While still early, we are starting to see patterns
related to how our patients are interacting with our system and
the reimbursement impact of those changes. It is important that
our systems are set up to provide the complete patient picture
and to ensure that the patient is getting the appropriate care in
the appropriate setting at the right time.”
Creating a more complete view of patient patterns is
critical to population health management. Just as important
is creating scenarios in which clinical and claims data are
viewed together, says Rose Higgins, senior vice president
and general manager, population and risk management at
32
McKesson Health IT, a survey sponsor.
“You need both to be successful,” she says. “Seeing them
together will provide a better picture of what’s happening at
the population health level and will be important as hospitals
take on more risk.”
Hospitals are just beginning to scratch the surface of what’s
possible. Roughly one-third of all respondents and 43 percent of
Most Wired hospitals integrate clinical and claims data that are
accessible, searchable and reportable across the continuum of care.
Also on the population health front, 69 percent of Most Wired
hospitals and 55 percent of all respondents conduct a retrospective analysis of clinical and administrative data to identify areas
for improving quality of care and reducing costs.
As hospitals move toward accountable care and other valuebased models, CIOs need to be front and center in the strategic and
tactical discussions, says Branzell, a former health system CIO.
“We should be facilitators for those discussions,” he says.
“A big part of this is figuring out what data clinicians need to do
their jobs well. What data support the workflow and improved
efficiencies? It’s got to be a collaborative effort. It is not something that IT does on its own.”
◗ Making the right decisions
Most Wired hospitals also are ramping up activities around
patient engagement, which will prove vital in a value-driven
health care economy. The focus isn’t just on kiosks and electronic bill pay, although those aren’t insignificant. Rather,
there’s considerable activity around all aspects of patient
engagement, including chronic disease monitoring and mobile
health applications. For instance:
ü 82% of Most Wired hospitals allow patients to check test
results via a portal.
ü 53% of Most Wired hospitals offer patients with chronic
conditions self-management tools via a portal.
ü 58% of Most Wired hospitals offer an mHealth app that
provides access to the patient portal.
ü 40% of Most Wired hospitals offer secure messaging.
Although some of these percentages may seem low, given
the pace of IT adoption in other parts of the economy, they are
indications that health care is catching up. Having learned their
lesson from Stage 1 meaningful use, though, some CIOs recognize that they need to be deliberate in how they move forward.
“The proliferation of devices that capture electronic information, the integration with health information exchanges, and
the automation of many of the clinical and operational systems
have led to many advances that we have never had previously,”
Hess says. “But it also leads to a lot of data that may not be
clinically relevant or relevant for the specific episode of care.
We need to find ways to collect all of that data, but eliminate
the ‘noise’ to enable our clinicians and staff to efficiently and
effectively make the right decisions.”
ü
Content
protected and provided for personal use only - not for reproduction or retransmission.
/ J U LY. 2is0 1copyright
4 / w w w . hhn m a g . c o m
For reprints please contact the Publisher.
H&HN
«
TRUMAN MEDICAL CENTERS, KANSAS CITY, MO.
»
Using Data in a
Meaningful Way
Mitzi Cardenas
and Charles Shields
A
t Truman Medical Centers in Kansas City, Mo.,
data is king.
From the patient home to the bedside to
the executive suite, data drive key clinical and operational decisions, often in real time.
“Technology is involved in every initiative we
have,” says Mitzi Cardenas, senior vice president for
strategy, business development and performance
integration, and CIO. “It gives clinicians and business leaders the ability to view information in a way
that is significant to them, and it is delivered at the
point of care or the point of business operations. We
need to do more, though. The industry needs to do
more to present data in a more meaningful way.”
If the past is any gauge, TMC will be doing
more, and doing it quickly. In 2009, TMC ramped up
efforts to roll out an electronic health record system
across its two hospitals and 50-plus ambulatory
sites. By August 2010, the EHR was up and running.
Deploying the EHR was a tactical goal; the real strategic imperative was to put a system in place that
improved decision-making, says Charles Shields,
who replaces the retiring John Bluford as chief executive of the system this month. Shields was chief
operating officer at TMC Lakewood.
TMC leaders are keenly aware of the critical role
that information technology and data play as more
care is delivered outside of the hospital.
As part of a Center for Medicare & Medicaid
Innovation grant, TMC has been targeting interventions for patients with chronic conditions. The focus
is on high-cost ZIP codes, mainly in the city’s urban
core. There are high-tech and high-touch aspects,
says Cardenas. Data in the EHR help to identify
patient populations, individual histories and care
needs. An alert system lets practitioners know when
a patient shows up at a facility.
“We are building a relationship with them so we
can have more successful interactions,” she says.
Aside from the grant, TMC is working in other
interesting ways with patients who have chronic
diseases. A patient advisory panel at Lakewood, for
instance, has been instrumental in helping to evolve
the patient portal.
Shields hopes to expand the concept throughout TMC, noting that he and his peers need to “quit
thinking like a hospital.” Patients have more choices
and hospital leaders need to adapt and show value.
Identifying patient populations early in their disease
state and developing interventions will be key.
“That is where we are going to be able to show
value — devoting the right resources to the right
h o t opersonal
g r a p h b y Cuse
r a i g only
S a n d s - not for reproduction
groups,” Shields
Content is copyright protected and providedPfor
orsays.
retransmission.
Illustration/Photography by Artists Name
TMC leaders are keenly
aware of the critical role
that information technology and
data play as more care is
delivered outside of
the hospital.
ü
For reprints please contact the Publisher.
2014
Most Wired
Abington Health | Abington, Pa. | www.amh.org
2
Abraham Lincoln Memorial Hospital | Lincoln, Ill. | www.almh.org
1
19
Adventist Health | Roseville, Calif. | www.adventisthealth.org
Adventist Health System | Altamonte Springs, Fla. | www.adventisthealthsystem.com 26
13
Advocate Health Care | Downers Grove, Ill. | www.advocatehealth.com
Akron (Ohio) Children’s | www.akronchildrens.org
2
2
Akron (Ohio) General Health System | www.akrongeneral.org
Albany Medical Center | Albany, N.Y. | www.amc.edu
2
Aleda E. Lutz VA Medical Center | Saginaw, Mich. | www.saginaw.va.gov
1
1
Alice Hyde Medical Center | Malone, N.Y. | www.alicehyde.org
Altru Health System | Grand Forks, N.D. | www.altru.org
1
AnMed Health | Anderson, S.C. | www.anmedhealth.org
1
1
Ann & Robert H. Lurie Children’s Hospital of Chicago | www.luriechildrens.org
Anne Arundel Medical Center | Annapolis, Md. | www.aahs.org
1
4
Atlantic Health System | Morristown, N.J. | www.atlantichealth.org
Aurora Health Care | Milwaukee | aurorahealthcare.org
15
31
Avera Health | Sioux Falls, S.D. | www.avera.org
Banner Health | Phoenix | www.bannerhealth.com
24
Baptist Health South Florida | Coral Gables, Fla. | baptisthealth.net
6
Battle Creek VA Medical Center | Battle Creek, Mich. | www.battlecreek.va.gov
1
3
Baystate Health Inc. | Springfield, Mass. | www.baystatehealth.org
Beaufort Memorial Hospital | Beaufort, S.C. | www.bmhsc.org
1
3
Beaumont Health System | Royal Oak, Mich. | www.beaumont.edu
Berkshire Health Systems Inc. | Pittsfield, Mass. | www.berkshirehealthsystems.org
2
4
Beth Israel Deaconess Medical Center | Boston | www.bidmc.org
Bon Secours Health System | Marriottsville, Md. | www.bshsi.org
14
Bon Secours St Francis Health System | Greenville, S.C. | www.stfrancishealth.org 2
7
Bon Secours Virginia Health System | Richmond | www.bshsi.org
Boston Children’s Hospital | www.childrenshospital.org
1
1
Bristol (Conn.) Hospital | www.bristolhospital.org
Bronson Battle Creek (Mich.) | www.bronsonhealth.org
1
2
Cadence Health | Winfield, Ill. | www.cadencehealth.org
Calvert Memorial Hospital | Prince Frederick, Md. | www.calverthospital.org
1
Cancer Treatment Centers of America | Schaumburg, Ill. | www.cancercenters.com 5
Cape Coral (Fla.) Hospital | www.leememorial.org
1
8
Carilion Clinic | Roanoke, Va. | carilionclinic.org
Carle | Urbana, Ill. | www.carle.org
2
Carle Hoopeston (Ill.) Regional Health Center | www.carle.org/Hoopeston.aspx 2
Carolinas HealthCare System | Charlotte, N.C. | www.carolinashealthcare.org
16
1
Carson City (Mich.) Hospital | www.carsonhealth.org
Catholic Health Partners | Cincinnati | www.health-partners.org
23
Catholic Health Services of Long Island | Rockville Centre, N.Y. | www.chsli.org
6
1
Cedars-Sinai Health System | Los Angeles | www.cedars-sinai.edu
Centra Health | Lynchburg, Va. | www.centrastate.com
3
3
Central Maine Medical Center | Lewiston, Maine | www.cmmc.org
34
790
25
2,700
5,500
3,609
394
536
734
108
64
288
412
278
385
1,315
2,148
1,757
4,950
1,491
204
824
197
1,726
327
550
2,687
338
1,399
398
110
181
472
95
350
291
768
370
370
2,921
43
3,843
1,861
958
625
200
CentraState Healthcare System | Freehold, N.J. | www.centrastate.com
Chadron (Neb.) Community Hospital and Health Services | chadronhospital.com
Cheyenne (Wyo.) Regional Medical Center | www.cheyenneregional.org
Children’s Hospital and Medical Center | Omaha, Neb. | www.childrensomaha.org
Children’s Hospital Colorado | Aurora | www.childrenscolorado.org
Children’s Hospital Los Angeles | www.chla.org
Children’s Medical Center of Dallas | www.childrens.com
Children’s Mercy Hospital | Kansas City, Mo. | www.childrensmercy.org
Christ Hospital | Cincinnati | www.thechirsthospital.com
Cincinnati Children’s Hospital Medical Center | www.cincinnatichildrens.org
Citizens Memorial Hospital | Bolivar, Mo. | www.citizensmemorial.org
Columbia Memorial Hospital | Astoria, Ore. | www.columbiamemorial.org
Community Health Network | Indianapolis | www.ecommunity.com
Community Mercy Health Partners | Springfield, Ohio | www.community-mercy.org
Concord (N.H.) Hospital | www.concordhospital.org
Cook Children’s Health Care System | Fort Worth, Texas | www.cookchildrens.org
Coulee Medical Center | Grand Coulee, Wash. | cmccares.org
Covenant Health | Knoxville, Tenn. | www.covenanthealth.com
CoxHealth | Springfield, Mo. | www.coxhealth.com
Crawford Memorial Hospital | Robinson, Ill. | www.crawfordmh.org
Crittenton Hospital Medical Center | Rochester, Mich. | vwww.crittenton.com
Crozer-Keystone Health System | Springfield, Pa. | vwww.crozerkeystone.org
Danbury (Conn.) Hospital | www.wchn.org
Deaconess Health System | Evansville, Ind. | www.deaconess.com
Denver Health and Hospital Authority | Denver | denverhealth.org
Detroit Medical Center | Detroit | www.dmc.org
Dignity Health | San Francisco | www.dignityhealth.org
Doctors Hospital | Columbus, Ohio | www.ohiohealth.com/doctors
Doylestown (Pa.) Hospital | www.dh.org
Dublin (Ohio) Methodist Hospital | www.ohiohealth.com/dublinmethodist
Duncan (Okla.) Regional Hospital | www.duncanregional.com
East Jefferson General Hospital | Metairie, La. | www.ejgh.org
Eastern Maine Medical Center | Bangor | www.emmc.org
Edward Hospital & Health Services | Naperville, Ill. | www.edward.org
Eisenhower Medical Center | Rancho Mirage, Calif. | www.emc.org
Elliot Health System | Manchester, N.H. | www.elliothospital.org
Elmhurst (Ill.) Memorial HealthCare | www.emhc.org
Emory Healthcare | Atlanta | www.emoryhealthcare.org
Englewood (N.J.) Hospital and Medical Center | www.englewoodhospital.com
Exeter (N.H) Health Resources | www.exeterhospital.com
Fairview Health Services | Minneapolis | www.fairview.org
Faith Regional Health Services | Norfolk, Neb. | www.frhs.org
FirstHealth of the Carolinas | Pinehurst, N.C. | www.firsthealth.org
Fisher-Titus Medical Center | Norwalk, Ohio | www.fisher-titus.org
Flagler Hospital | St. Augustine, Fla. | www.flaglerhospital.org
1
282
1
25
1
222
1
124
1
526
1
350
2
426
2
355
1
555
1
587
1
86
1
25
4
796
2
266
1
210
1
327
1
25
7 1,650
5
954
1
25
1
290
5 1,000
1
315
4
493
1
525
8 2,000
38 8,400
1
265
1
238
1
103
1
147
1
420
1
382
2
430
1
300
1
232
1
260
6 1,918
1
325
1
100
6 2,500
1
166
4
495
1
99
1
335
Content
protected and provided for personal use only - not for reproduction
or/ Pretransmission.
/ J U LY. 2is0 1copyright
4 / w w w . hhn m a g . c o m
I l l u s t r a tof
i o nhospitals
h o t o g r a p h y Number
Name
Number
ü
ü b y A r t i soft s beds
For reprints please contact the Publisher.
H&HN
«
GRITMAN MEDICAL CENTER, MOSCOW, IDAHO
»
Following the Patient
W
ith the University of Idaho in its backyard,
Gritman Medical Center in Moscow faces a
challenge unlike most rural communities: a
fairly transient patient population.
“We are in a university town — actually there
are two of them nearby — and there are a lot of students coming in the fall and leaving in the summer,”
says Kane Francetich, chief information officer at the
critical access hospital. Washington State University is about nine miles away, just across the state
border.
Keeping tabs on patients who visit Gritman
providers but who may head off to another part of
the state during their summer hiatuses can prove
challenging. Participation in a robust health information exchange, though, extends the medical center’s
reach and helps with the continuity of care. Such
critical information as problem and allergy lists, lab
results and other portions of the continuity of care
document are uploaded to the Idaho Health Data
Exchange.
“The data include not just the Gritman health
record, but information from other providers across
the state,” says Francetich, who serves on the HIE’s
board. “That helps us to treat them and make sure
information becomes available to their primary care
provider. It is a powerful tool for us.”
As Francetich knows, the health information
technology landscape is littered with promising
attempts at information exchange that eventually
fell victim to the proverbial sustainability question.
IHDE originally was propped up by a grant, but is now
supported by subscriber fees paid by hospitals and
doctors.
The value proposition for Gritman’s leaders is
pretty simple: “Focusing on our patients and being
able to deliver high-quality care,” says hospital CEO
Kara Besst. As a critical access hospital, Gritman
can’t take care of every patient and every ailment,
so the need to transfer records along with patients is
imperative. The medical center also is working with
community physicians, neighboring hospitals and
post-acute providers to ensure that the right information is being transmitted to the right setting.
A former chief financial officer, Besst says
Gritman Medical Center
improved patient care is a key variable in deterhas leveraged health
mining the return on investment for HIT, a fact that
information exchange to
isn’t lost on the board of trustees. “Our board is
very involved. Kane has done a nice job of putting
keep tabs on patients
together a strategic IT plan and presenting it to our
who are constantly on
board on a regular basis. They know where we are
the move.
and where we are going. And they’ve been involved
since before the push for meaningful use,” she says,
referring to federal requirements that hospitals
Content is copyright protected and providedPfor
personal use only - not for reproduction
or retransmission.
adopt HIT systems.
hotograph by Jenna Potter
Illustration/Photography by Artists Name
Kara Besst and
Kane Francetich
For reprints please contact the Publisher.
ü
2014
Most Wired
Fletcher Allen Health Care | Burlington, Vt. | www.fletcherallen.org
1
500
1 2,480
Florida Hospital | Orlando | www.floridahospital.com
Forest Hills (N.Y.) Hospital | www.northshorelij.com
1
222
Fort HealthCare | Fort Atkinson, Wis. | www.forthealthcare.com
1
72
1
50
Fort Madison (Iowa) Community Hospital | www.fmchosp.com
1
305
Franklin Hospital | Valley Stream, N.Y. | www.northshorelij.com
Franklin Memorial Hospital | Farmington, Maine | www.fchn.org
1
45
Frederick Memorial Hospital | Frederick, Md. | www.fmh.org
1
309
5
950
Geisinger Health System | Danville, Pa. | www.geisinger.org
Genesis Health System | Davenport, Iowa | www.genesishelath.com
5
465
Grady Health System | Atlanta | www.gradyhealthsystem.com
1
453
1
135
Grady Memorial Hospital | Delaware, Ohio | www.ohiohealth.com/grady
Grand View Hospital | Sellersville, Pa. | www.gvh.org
1
202
Gritman Medical Center | Moscow, Idaho | www.gritman.org
1
25
1
349
Gulf Coast Medical Center | Fort Myers, Fla. | www.leememorial.org
Gundersen Health | La Crosse, Wis. | www.gundersenhealth.org
1
258
3
378
Guthrie Clinic | Sayre, Pa. | www.guthrie.org
Hackensack (N.J.) University Medical Center | www.hackensackumc.org
1
775
2
153
Hallmark Health System | Melrose, Mass. | www.hallmarkhealth.org
Hammond Henry Hospital | Geneseo, Ill. | www.hammondhenry.com
1
23
Harris Health System | Houston | www.harrishealth.org
3
815
1
867
Hartford (Conn.) Hospital | www.harthosp.org
HealthAlliance | Leominster, Mass. | www.umassmemorial.org
1
110
4
602
HealthPartners | Bloomington, Minn. | www.healthpartners.com
Heartland Regional Medical Center | Saint Joseph, Mo. | www.mymosaislifecare.org 1
348
Henry County Health Center | Mount Pleasant, Iowa | www.hchc.org
1
25
5 1,929
Henry Ford Health System | Detroit | www.henryford.com
Henry Mayo Newhall Hospital | Valencia, Calif. | www.henrymayo.com
1
238
Heritage Valley Health System | Beaver, Pa. | www.heritagevalley.org
2
547
1
100
Holy Family Memorial | Manitowoc, Wis. | www.hfmhealth.org
Holy Redeemer Health System | Meadowbrook, Pa. | www.holyredeemer.com
1
229
1
311
Holy Spirit Health System | Camp Hill, Pa. | www.hsh.org
Hospital Corporation of America | Nashville, Tenn. | www.hcahealthcare.com
165 42,896
1
414
Hospital of Central Connecticut | New Britain, Conn. | www.thocc.org
Houston Methodist | www.houstonmethodist.org
7 1,960
Humility of Mary Health Partners | Youngstown, Ohio | www.hmpartners.org
3
650
178
Hunterdon Healthcare System | Flemington, N.J. | www.hunterdonhealthcare.org 1
IASIS Healthcare | Franklin, Tenn. | www.iasishealthcare.com
17 3,800
Indiana University Health Blackford Community Hospital | Hartford City, Ind. |
www.iuhealth.org/blackford
1
15
1
400
Ingalls Memorial Hospital | Harvey, Ill. | www.ingalls.org
Inova Health System | Falls Church, Va. | www.inova.org
5 1,753
Inspira Health Network | Bridgeton, N.J. | www.inspriahealthnetwork.org
3
675
Intermountain Healthcare | West Valley City, Utah | www.intermountainhealthcare.org 22 2,541
1
108
John D. Dingell VA Medical Center | Detroit | www.detroit.va.gov
Jupiter (Fla.) Medical Center | www.jupitermed.com
1
200
35 7,152
Kaiser Permanente | Oakland, Calif. | www.kp.org
Kaleida Health | Buffalo, N.Y. | www.kaleidahealth.org
4
988
1
8
Kalkaska (Mich.) Memorial Health Center | www.munsonhealthcare.org/kmhc
King’s Daughters Medical Center | Ashland, Ky. | www.kdmc.com
2
475
Kishwaukee Hospital | DeKalb, Ill. | www.kishhospital.org
1
94
Kittson Memorial Healthcare Center | Hallock, Minn. | www.kmhc.net
1
15
36
Lafayette (La.) General Medical Center | www.lafayettegeneral.com
Lafayette (La.) General Surgical Hospital | www.lgsh.us
Lake Chelan Community Hospital | Chelan, Wash. | www.lcch.net
Lancaster (Pa.) General Health | www.lancastergeneralhealth.org
Lawrence (Mass.) General Hospital | www.lawrencgeneral.org
Lawrence (Kan.) Memorial Hospital | www.lmh.org
Lee Memorial Hospital / HealthPark Medical Center | Fort Myers, Fla. |
www.leememorial.org
Lehigh Valley Health Network | Allentown, Pa. | www.lvhn.org
Lincoln Hospital & North Basin Medical Clinics | Davenport, Wash. |
3
1
1
2
1
1
380
10
25
623
189
125
2
4
783
1,161
www.lincolnhospital.org
1
Loma Linda University Medical Center–Murrieta (Calif.) | www.llumcmurrieta.org 1
Long Island Jewish Medical Center | New Hyde Park, N.Y. | www.northshorelij.com 1
Lowell (Mass.) General Hospital | www.lowellgeneral.org
2
1
Loyola University Medical Center | Maywood, Ill. | www.loyolamedicine.org
Madigan Army Medical Center | Tacoma, Wash. | www.mamc.amedd.army.mil
1
Mahnomen (Minn.) Health Center | www.mahnomenhealthcenter.com
1
1
Maimonides Medical Center | Brooklyn, N.Y. | www.maimonidesmed.org
Main Line Health | Bryn Mawr, Pa. | www.mainlinehealth.org
5
1
Maine Medical Center | Portland | www.mmc.org
Maria Parham Medical Center | Henderson, N.C. | www.mariaparham.com
1
Martha Jefferson Hospital | Charlottesville, Va. | www.marthajefferson.org
1
3
Martin Health System | Stuart, Fla. | www.martinhealth.org
Mary Greeley Medical Center | Ames, Iowa | www.mgmc.org
1
Mason General Hospital | Shelton, Wash. | www.masongeneral.com
1
1
Massena (N.Y.) Memorial Hospital | www.massenahospital.org
Mayo Clinic Hospital | Jacksonville, Fla. | www.mayoclinic.org
1
1
Mayo Clinic Hospital | Phoenix | www.mayoclinic.org
Mayo Clinic Hospital | Rochester, Minn. | www.mayoclinic.org
1
1
MedCentral Mansfield (Ohio) Hospital | www.medcentral.org
MedCentral Shelby (Ohio) Hospital | www.medcentral.org
1
MedStar Health | Columbia, Md. | www.medstarhealth.org
10
1
Memorial Healthcare | Owosso, Mich. | www.memorialhealthcare.org
Memorial Healthcare System | Hollywood, Fla. | www.mhs.net
6
Memorial Hermann | Houston | www.memorialhermann.org
11
1
Memorial Hospital of Union County | Marysville, Ohio | www.memorialhosp.org
Memorial Medical Center | Springfield, Ill. | www.memorialmedical.com
1
1
Memorial Sloan Kettering Cancer Center | New York City | www.mskcc.org
Mercy | Toledo, Ohio | www.mercyweb.org
8
33
Mercy Health | Chesterfield, Mo. | www.mercy.net
Mercy Hospital Grayling (Mich.) | www.mercygrayling.munsonhealthcare.org
1
1
Mercy Medical Center | Cedar Rapids, Iowa | www.mercycare.org
Meridian Health | Neptune City, N.J. | www.meridianhealth.com
5
1
Meriter Hospital | Madison, Wis. | www.meriter.com
Methodist Health System | Dallas | www.methodisthealthsystem.org
4
1
Metro Health | Wyoming, Mich. | www.metrohealth.net
Metrohealth Systems | Cleveland | www.metrohealth.org
1
1
Miami Children’s Hospital | www.mch.com
Middlesex Hospital | Middletown, Conn. | www.midhosp.org
1
1
MidState Medical Center | Meriden, Conn. | www.midstatemedical.org
Mid-Valley Hospital | Omak, Wash. | www.mvhealth.org
1
Ministry St. Clare’s Hospital | Weston, Wis. | www.ministryhealth.org
1
25
106
524
371
523
250
10
704
1,295
637
102
146
456
190
25
50
249
268
1,254
299
25
3,151
100
1,900
3,280
93
473
471
897
4,291
71
341
1,771
318
1,185
208
400
289
200
144
25
99
Content
protected and provided for personal use only - not for reproduction
or/ Pretransmission.
/ J U LY. 2is0 1copyright
4 / w w w . hhn m a g . c o m
INumber
l l u s t r a t of
i o nhospitals
h o t o g r a p h y Number
Name
ü
ü b y A r t i s oft s beds
For reprints please contact the Publisher.
H&HN
The 2014 Most Wired Advanced
These organizations meet the criteria for “Advanced” in all areas of the Most Wired Survey. Characteristics
include: stronger security systems and faster disaster recovery; electronic tools to improve business processes,
quality and patient safety; use of evidenced-based electronic order sets; automated review of CMS key indicators
with compliance alerts; chronic disease management services for patients at home; and more.
ü
Altru Health System | Grand Forks, N.D.
Rush University Medical Center | Chicago
Central Maine Medical Center | Lewiston
St. Joseph Mercy Oakland | Pontiac, Mich.
Children’s Medical Center of Dallas
Susquehanna Health | Williamsport, Pa.
Crozer-Keystone Health System | Springfield, Pa.
Tampa (Fla.) General Hospital
Genesis Health System | Davenport, Iowa
Truman Medical Centers | Kansas City, Mo.
Inova Health System | Falls Church, Va.
University of California San Diego Health System
Memorial Sloan Kettering Cancer Center | New York City
University of Wisconsin Hospital and Clinics | Madison
Ochsner Health System | New Orleans
Veterans Health Administration | Washington, D.C.
Richard L. Roudebush VA Medical Center | Indianapolis
West Virginia University Hospitals | Morgantown, W.Va.
Riverside Health System | Newport News, Va.
Yale New Haven (Conn.) Health System
The Most Wired — Small and Rural
The Most Improved
Acadia Hospital | Bangor, Maine | www.acadiahospital.org
Aroostook Medical Center | Presque Isle, Maine | www.tamc.org
Blue Hill (Maine) Memorial Hospital | http://bhmh.org
Broadlawns Medical Center | Des Moines, Iowa | www.broadlawns.org
Bronson LakeView Hospital | Paw Paw, Mich. | www.bronsonhealth.com
Cibola General Hospital | Grants, N.M. | www.cibolahospital.com
Community Memorial Hospital | Burke, S.D. | www.sanfordhealth.org
Evergreen (Ala.) Medical Center | www.evergreenmedical.org
Grundy County Memorial Hospital | Grundy Center, Iowa | www.grundycountyhospital.org
Harrisburg (Ill.) Medical Center | www.harrisburgmc.com
Inland Hospital | Waterville, Maine | www.inlandhospital.org
Kane (Pa.) Community Hospital | www.kanehosp.com
Littleton (N.H.) Regional Healthcare | www.littletonhealthcare.org
Marcus Daly Memorial Hospital | Hamilton, Mont. | www.mdmh.org
Mercy Hospital Cadillac (Mich.) | http://mercycadillac.munsonhealthcare.org
OSF Saint Luke Medical Center | Kewanee, Ill. | www.kewaneehospital.com
Pelham Medical Center | Greer, S.C. | www.spartanburgregional.com/locations/
pelham-medical-center/
Rush Memorial Hospital | Rushville, Ind. | www.rushmemorial.com
Southampton (N.Y.) Hospital | www.southamptonhospital.org
St. Peter’s Hospital | Helena, Mont. | www.stpetes.org
Stone County Medical Center | Mountain View, Ark. | www.whiteriverhealthsystem.com
Thayer County Health Services | Hebron, Neb. | www.thayercountyhealth.com
Windom (Minn.) Area Hospital | www.windomareahospital.com
Winona (Minn.) Health | www.winonahealth.org
Woodlawn Hospital | Rochester, Ind. | www.woodlawnhospital.com
Albemarle Health | Elizabeth City, N.C. | www.albemarlehealth.org
Alexian Brothers Health System | Arlington Heights, Ill. | www.alexian.org
Allegiance Health | Jackson, Mich. | www.allegiancehealth.org
Baptist Health | Montgomery, Ala. | www.baptistfirst.org
Bronson Healthcare | Kalamazoo, Mich. | www.bronsonhealth.com
Community Hospital | McCook, Neb. | www.chmccook.org
Ephraim McDowell Health | Danville, Ky. | www.emhealth.org
Grand Lake Health System | St. Marys, Ohio | www.grandlakehealth.org
Hancock Regional Hospital | Greenfield, Ind. | www.hancockregional.org
Hendrick Health | Abilene, Texas | www.ehendrick.org
Henry County Hospital | Napoleon, Ohio | www.henrycountyhospital.org
Lourdes Hospital | Paducah, Ky. | www.elourdes.com
Magnolia Regional Health Center | Corinth, Miss. | www.mrhc.org
Maricopa Integrated Health System | Phoenix | www.mihs.org
Mercy Health System | Janesville, Wis. | www.mercyhealthsystem.org
Mount Sinai Health System | New York City | www.mountsinaihealth.org
Pocono Medical Center | East Stroudsburg, Pa. | www.pmchealthsystem.org
Princeton HealthCare System | Plainsboro, N.J. | www.princetonhcs.org
Robert Wood Johnson University Hospital at Hamilton (N.J.) | www.rwjhamilton.org
Scott & White Healthcare | Temple, Texas | www.sw.org
Somerset (Pa.) Hospital | www.somersethospital.com
Stormont-Vail HealthCare | Topeka, Kan. | www.stormontvail.org
Trinity Health | Minot, N.D. | www.trinityhealth.org
University of Chicago Medicine | www.uchospitals.edu
WellSpan Health | York, Pa. | www.wellspan.org
Content is copyright protected and provided for personal use only - not for reproduction
or retransmission.
w w w . h h n m a g . c o m / J U LY. 20 1 4 / H&HN
37
For reprints please contact the Publisher.
2014
Most Wired
Mission Hospital | Asheville, N.C. | www.mission-health.org
1
Montefiore | Bronx, N. Y. | www.montefiore.org
4
1
Mount Sinai Medical Center | Miami Beach, Fla. | www.msmc.com
Mountain States Health Alliance | Johnson City, Tenn. | www.msha.com
13
5
MultiCare Health System | Tacoma, Wash. | www.multicare.org
Munroe Regional Medical Center | Ocala, Fla. | www.munroeregional.com
1
Munson Medical Center | Traverse City, Mich. | www.munsonhealthcare.org
1
MUSC Medical Center of Medical University of South Carolina |
Charleston | www.musc.edu
4
NCH Healthcare System | Naples, Fla. | www.nchmd.org
2
1
Nemaha County Hospital | Auburn, Neb. | www.nchnet.org
Nemours Hospitals | Wilmington, Del. | www.nemours.org
2
New London (N.H.) Hospital | www.newlondonhospital.org
1
1
Newport (Wash.) Hospital and Health Services | www.phd1.org
1
North Cypress (Texas) Medical Center | www.ncmc-hospital.com
North Mississippi Health Services | Tupelo | www.nmhs.net
6
North Shore University Hospital | Manhasset, N.Y. | www.northshorelij.com
1
Northeast Georgia Health System | Gainesville | www.nghs.com
1
4
NorthShore University HealthSystem | Evanston, Ill. | www.northshore.org
Northwestern Memorial Hospital | Chicago | www.nmh.org
2
1
Norwalk (Conn.) Hospital | www.norwalkhospital.org
Oakwood Healthcare | Dearborn, Mich. | www.oakwood.org
4
8
Ochsner Health System | New Orleans | www.ochsner.org
Odessa (Wash.) Memorial Healthcare Center | http://omhc.org
1
Ohio State University Wexner Medical Center | Columbus |
www.medicalcenter.osu.edu
6
Oklahoma Heart Hospital | Oklahoma City | www.okheart.com
1
Oklahoma Heart Hospital South | Oklahoma City | www.okheart.com
1
1
Opelousas (La.) General Health System | www.opelousasgeneral.com
Orlando (Fla.) Health | www.orlandohealth.com
8
1
Osceola (Wis.) Medical Center | www.myomc.org
OSF Healthcare System | Peoria, Ill. | www.osfhealthcare.org
8
1
Othello (Wash.) Community Hospital | www.othellocommunityhospital.org
Otsego Memorial Hospital | Gaylord, Mich. | www.myomh.org
1
Our Lady of Bellefonte Hospital | Ashland, Ky. | www.olbh.com
1
Palmetto Health | Columbia, S.C. | www.palmettohealth.org
2
1
Park Nicollet Health Services | St. Louis Park, Minn. | www.parknicollet.com
1
Parkland Health & Hospital System | Dallas | www.parklandhospital.com
Parkview Health | Fort Wayne, Ind. | www.parkview.com
6
Paul Oliver Memorial Hospital | Frankfort, Mich. | www.musonhealthcare.org
1
1
Peninsula Regional Medical Center | Salisbury, Md. | www.peninsula.org
Penn Medicine Chester County Hospital | West Chester, Pa. | www.cchosp.com
1
Perham (Minn.) Health | www.pmhh.com
1
1
Piedmont Atlanta Hospital | www.piedmont.org/locations/pah-home.aspx
Piedmont Fayette (Ga.) Hospital | www.piedmontfayette.org
1
Piedmont Mountainside Hospital | Jasper, Ga. | www.piedmontmountainsidehospital.org 1
Piedmont Newnan (Ga.) Hospital | http://piedmont.org/locations/pnh-home.aspx 1
1
PIH Health | Whittier, Calif. | www.pih.net
PinnacleHealth | Harrisburg, Pa. | www.pinnaclehealth.org
2
Plainview (N.Y.) Hospital | www.northshorelij.com
1
4
Presbyterian Healthcare Services | Albuquerque, N.M. | www.phs.org
Pullman (Wash.) Regional Hospital | www.pullmanregional.org
1
38
765
1,491
613
1,530
1,130
421
391
710
715
20
250
20
25
139
882
724
818
832
925
250
1,243
1,172
25
1,159
99
46
207
1,865
18
1,264
25
75
184
1,024
426
744
700
8
288
263
25
488
172
52
136
548
576
160
744
25
Rady Children’s Hospital–San Diego | www.rchsd.org
Reading Health Systems | West Reading, Pa. | www.readinghealth.org
Reid Hospital & Health Care Services | Richmond, Ind. | www.reidhospital.org
Richard L. Roudebush VA Medical Center | Indianapolis |
www.indianapolis.va.gov
Riverside Health System | Newport News, Va. | www.riversideonline.com
RiverView Health | Crookston, Minn. | www.riverviewhealth.org
Robert Wood Johnson University Hospital | New Brunswick, N.J. | www.rwjuh.edu
Robert Wood Johnson University Hospital Somerset | Somerville, N.J. |
http://www.rwjuh.edu/rwjuh/home.aspx
Rochelle (Ill.) Community Hospital | www.rochellehospital.com
Rockford (Ill.) Health System | www.rockfordhealthsystem.org
Rush Oak Park (Ill.) Hospital | http://roph.org
Rush University Medical Center | Chicago | www.rush.edu
Saint Barnabas Medical Center | Livingston, N.J. |
www.barnabashealth.org/hospitals/saint_barnabas
Saint Francis Care | Hartford, Conn. | www.stfranciscare.org
Saint Luke’s Health System | Kansas City, Mo. | www.saintlukeshealthsystem.org
Saint Peter’s University Hospital | New Brunswick, N.J. | www.saintpetersuh.com
Saint Vincent Hospital | Erie, Pa. | www.saintvincenthealth.com
Saint Vincent Hospital | Worcester, Mass. | www.stvincenthospital.com
Salina (Kan.) Regional Health Center | www.srhc.com
Samaritan Healthcare | Moses Lake, Wash. | www.samaritanhealthcare.com
Samaritan Regional Health System | Ashland, Ohio | www.samritanhospital.org
San Antonio Military Medical Center (Brooke Army Medical Center) |
Fort Sam Houston, Texas | www.bamc.amedd.army.mil
Sanford Aberdeen (S.D.) Medical Center | www.sanfordaberdeen.org
Sanford Bagley (Minn.) Medical Center | www.sandfordhealth.org
Sanford Bemidji (Minn.) Medical Center | www.sanfordhealth.org
Sanford Canby (Minn.) Medical Center | www.sanfordcanby.org
Sanford Canton (S.D.)-Inwood Medical Center | www.sanfordcantoninwood.org
Sanford Chamberlain (S.D.) Medical Center | www.sanfordchamberlain.org
Sanford Clear Lake (S.D.) Medical Center | www.sanfordclearlake.org
Sanford Health–Fargo (N.D.) | www.sanfordhealth.org
Sanford Jackson (Minn.) Medical Center | www.sanfordjackson.org
Sanford Luverne (Minn.) Medical Center | www.sanfordluverne.org
Sanford Rock Rapids (Iowa) Medical Center | www.sanfordrockrapids.org
Sanford Sheldon (Iowa) Medical Center | www.sanfordsheldon.org
Sanford Thief River Falls (Minn.) Medical Center | www.sanfordhealth.org
Sanford Tracy (Minn.) Medical Center | www.sanfordtracy.org
Sanford University of South Dakota Medical Center | Sioux Falls |
www.sanfordhealth.org
Sanford Vermillion (S.D.) Medical Center | www.sanfordvermillion.org
Sanford Webster (S.D.) Medical Center | www.sanfordwebster.org
Sanford Westbrook (Minn.) Medical Center | www.sanfordwestbrook.org
Sanford Worthington (Minn.) Medical Center | www.sanfordworthington.org
Sarah Bush Lincoln Health Center | Mattoon, Ill. | sarahbush.org
SCL Health System | Denver | www.sclhealthsystem.org
Sebasticook Valley Hospital | Pittsfield, Maine | www.sebasticookvalleyhealth.org
Sentara Healthcare | Norfolk, Va. | www.sentara.com
Sharp HealthCare | San Diego | www.sharp.com
South Shore Hospital | Weymouth, Mass. | www.southshorehospital.org
1
1
1
416
745
217
1
6
1
1
209
520
25
610
1
1
1
1
1
241
16
298
117
664
1
1
10
1
1
1
2
1
1
597
595
1,046
478
428
321
185
48
60
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
425
48
8
118
25
16
25
20
583
20
25
16
25
25
25
1
1
1
1
1
1
8
1
8
7
1
500
25
25
8
48
118
1,772
25
1,931
1,792
340
Content
protected and provided for personal use only - not for reproduction
or/ Pretransmission.
/ J U LY. 2is0 1copyright
4 / w w w . hhn m a g . c o m
I l l u s t r a tof
i o nhospitals
h o t o g r a pü
h y Number
b y A r t i sof
t s beds
Name
Number
ü
For reprints please contact the Publisher.
H&HN
The Quality Connection
The adoption of electronic health records advances improvements in patient quality and safety through the availability of
accurate patient information at the point of care. “Our investment in electronic health records and our telehealth program
serve to support our vision of ‘Best outcome, every patient, every time,’ and drive improvements in patient access and
quality of care,” says Jennifer Havens, chief clinical officer, Grundy County Memorial Hospital, Grundy Center, Iowa.
Promoting a culture of quality and safety
Nurse workflow and HIT safety data
Nurses and physicians share best practices for patient safety
and use checklists at more than 90 percent of Most Wired
organizations. As part of performance improvement initiatives, 86 percent of Most Wired organizations provide quality
scores to clinical leaders on at least a monthly basis and 31
percent on a weekly basis.
“A key component of the patient-centered design
and implementation effort was focused on workflows and process improvement to standardize best
practice performance,” says Mary Alice Annecharico, R.N., senior vice president and CIO at Henry Ford
Health System in Detroit.
Sharing best practices
for patient safety, such
as implementing safety
checklists
Quality scores
provided as part of
performance improvement initiatives on a
monthly basis, or more
frequently to:
60 .................................................................
60 .................................................................
50 .................................................................
50 .................................................................
40 .................................................................
40 .................................................................
30 .................................................................
30 .................................................................
20 .................................................................
20 .................................................................
10..................................................................
10..................................................................
0 ..................................................................
0 ..................................................................
æ
æ
Physicians
2014 All
2014 Most
64%
Nurses
All clinical
leaders
59%
86%
70 .................................................................
80%
80.................................................................
70 .................................................................
96%
80.................................................................
91%
90 .................................................................
92%
100% .............................................................
90 .................................................................
85%
100% .............................................................
Individual
physicians
Changing nurse workflow and point-of-care documentation
2014
All
2014
Most Wired
Evidence-based plan of care
with links to reference literature .......................... 66% ............77%
Embedded links to relevant
research and quality measures ............................. 54%.............63%
Discharge risk assessment ..................................... 52%.............59%
Discharge checklist sends alerts
for unmet criteria ...................................................... 50% ............59%
Standardized care transition
process ........................................................................ 73%.............79%
Post-discharge follow-up ....................................... 72% .............80%
Source: Hospitals & Health Networks’ Most Wired Survey, 2014
Source: Hospitals & Health Networks’ Most Wired Survey, 2014
Electronic bedside medication verification
For more than a decade, Most Wired organizations have consistently used information technology to support the
delivery of patient care and to measure and monitor improvements. Since 2005, there’s been a sixfold increase in
the percentage of Most Wired organizations that use bar-code technology at the bedside to match the patient, nurse
and order — up from just 23 percent to 81 percent in 2014. “One of the most sticking areas has been our monitoring
of bar-code medication administration, which is now at a very high 99 percent range across our four hospital system,” says Tim Stettheimer, senior vice president and CIO for St. Vincent’s Health System in Birmingham, Ala.
100% ................................................................................................................................................................................................................................................................................................................
90 ....................................................................................................................................................................................................................................................................................................................
ALL
80....................................................................................................................................................................................................................................................................................................................
MOST WIRED
70 ....................................................................................................................................................................................................................................................................................................................
60 ....................................................................................................................................................................................................................................................................................................................
50 ....................................................................................................................................................................................................................................................................................................................
40 ....................................................................................................................................................................................................................................................................................................................
30 ....................................................................................................................................................................................................................................................................................................................
20 ....................................................................................................................................................................................................................................................................................................................
10.....................................................................................................................................................................................................................................................................................................................
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Source: Hospitals & Health Networks’ Most Wired Survey, 2014
Content is copyright protected and provided for personal use only - not for reproduction
or retransmission.
w w w . h h n m a g . c o m / J U LY. 20 1 4 / H&HN
39
For reprints please contact the Publisher.
2014
Most Wired
Sparrow Health System | Lansing, Mich. | www.sparrow.org
4
1
Spooner (Wis.) Health System | www.spoonerhealthsystem.com
SSM Health Care | St. Louis, Mo. | www.ssmhc.com
14
St. Charles Healthcare System | Bend, Ore. | www.stcharleshealthcare.org
4
1
St. Clair Hospital | Pittsburgh | www.stclair.org
St. Dominic–Jackson (Miss.) Memorial Hospital | www.stdom.com
1
St. Elizabeth Hospital | Enumclaw, Wash. |
http://www.fhshealth.org/St-Elizabeth-Hospital/
1
St. Joseph Mercy Oakland | Pontiac, Mich. | www.stjoesoakland.org
1
2
St. Joseph Regional Medical Center | Mishawaka, Ind. | www.sjmed.com
St. Joseph’s Hospital Health Center | Syracuse, N.Y. | www.sjmed.com
1
St. Joseph’s Regional Medical Center | Paterson, N.J. | www.stjosephshealth.org 2
St. Luke’s Cornwall Hospital | Newburgh, N.Y. | www.stlukescornwallhospital.org 2
St. Luke’s Rehabilitation Institute | Spokane, Wash. | www.st-lukes.org
1
5
St. Luke’s University Health Network | Bethlehem, Pa. | www.sluhn.org
St. Martin Hospital | Breaux Bridge, La. | www.stmartinhospital.org
1
St. Vincent’s Birmingham (Ala.) | www.stvhs.com/birmingham
1
1
St. Vincent’s Blount | Oneonta, Ala. | www.stvhs.com/blount
St. Vincent’s East | Birmingham, Ala. | www.stvhs.com
1
St. Vincent’s St. Clair | Pell City, Ala. | www.stvhs.com/stclair
1
1
Stanford (Calif.) Hospital and Clinics | http://stanfordhospital.org
Staten Island (N.Y.) University Hospitals | www.siuh.edu
1
Steven and Alexandra Cohen Children’s Medical Center | New Hyde Park, N.Y. |
www.northshorelij.com
1
Stony Brook (N.Y.) Hospital | www.stonybrookmedicine.edu
1
2
Summa Health System | Akron, Ohio | www.summahealth.org
Sunnyside (Wash.) Community Hospital | www.sunnysidehospital.com
1
657
25
3,013
359
328
438
25
443
350
431
900
350
101
972
25
409
82
362
40
452
714
202
597
545
25
4
Susquehanna Health | Williamsport, Pa. | www.susquehannahealth.org
2
SwedishAmerican Health System | Rockford, Ill. | www.swedishamerican.org
Syosset (N.Y.) Hospital | www.northshorelij.com/hospitals/location/syosset-hospital 1
1
Syringa Hospital & Clinics | Grangeville, Idaho | www.syringahospital.org
Tampa (Fla.) General Hospital | www.tgh.org
1
Texas Children’s Hospital | Houston | www.texashealth.org
3
14
Texas Health Resources | Arlington | www.texashealth.org
ThedaCare | Appleton, Wis. | www.thedacare.org
5
Thomas Jefferson University Hospitals | Philadelphia | www.jeffersonhospital.org 3
1
TMC Healthcare | Tucson, Ariz. | www.tmcaz.com
4
TriHealth | Cincinnati | www.trihealth.com
Trinitas Regional Medical Center | Elizabeth, N.J. | www.trinitashospital.org
1
1
Tri-State Memorial Hospital | Clarkston, Wash. | www.tristatehospital.org
Truman Medical Centers | Kansas City, Mo. | www.trumed.org
2
1
UAB Health System | Birmingham, Ala. | www.health.uab.edu
UCI Medical Center | Orange, Calif. | www.ucirvincehealth.org
1
3
UCLA Health | Los Angeles | www.uclahealth.org
UF Health | Gainesville, Fla. | www.ufhealth.org
7
UF Health Shands Hospital | Gainesville, Fla. | www.ufhealth.org
4
1
Union Hospital | Terre Haute, Ind. | www.myunionhospital.org
Union Hospital Clinton (Ind.) | www.myunionhospital.org
1
UnityPoint Health | West Des Moines, Iowa | www.unitypoint.org
15
1
University Health System | San Antonio | www.universityhealthsystem.com
University Medical Center | Lubbock, Texas | www.umchealthsystem.com
1
University of California Davis Health System | Sacramento, Calif. |
www.ucdmc.ucdavis.edu
University of California, San Diego Health System | http://health.ucsd.edu
1
3
306
388
103
15
1,018
658
3,700
375
969
600
958
380
25
413
1,157
462
860
1,600
1,500
350
25
2,416
498
450
613
586
ü Number of hospitals ü Number of beds
The 2014 Innovator Awards Winners
The 2014 Innovator Awards
UPMC Technology Development Center | Pittsburgh | www.upmctdc.com
Program: Convergence — A breakthrough clinical platform for physicians
40
Baptist Health South Florida | South Miami | www.baptisthealth.net
Program: Take your meds!
Citizens Memorial Hospital | Bolivar, Mo. | www.citizensmemorial.com
Program: Electronic whiteboards — A high-impact/low-cost solution
»
Additional coverage
A
o
off the Most Wired
Innovator Award
In
recipients will
appear in the August
issue of H&HN
The 2014 Innovator Awards Finalists
St. Joseph Mercy Oakland | Pontiac, Mich. | www.stjoesoakland.org
Program: Patient early warning detection system
Broward Health | Ft. Lauderdale, Fla. | www.browardhealth.org
Program: Radiology process meets technology
Texas Health Resources | Arlington | www.texashealth.org
Program: Targeted, innovative solution for the CMS IP–certification requirements
Content
protected and provided for personal use only - not for reproduction
or retransmission.
/ J U LY. 2is0 1copyright
4 / w w w . hhn m a g . c o m
Illustration/Photography by Artists
For reprints please contact the Publisher.
H&HN
Name
Protecting patient health information
To protect data, health care providers use access controls, strong password requirements
and automatic logoffs. “Our strategic focus is around the concept of clinical integration — the
controlled and secure sharing of portions of a patient’s electronic health record among authorized members (employed or independent) of a care team across locations,” says Dan Kinsella,
executive vice president and CIO, Cadence Health, Winfield, Ill.
ü
2014 All
2014 Most Wired
Security measures for authorized users
Access control (biometrics, keycards, smartcards, etc.)..................................................87%....................95%
Single sign-on ..............................................................................................................70%................... 78%
Strong password requirements .....................................................................................85%................... 86%
Two-factor authentication .............................................................................................62%....................71%
Digital signature systems .............................................................................................54%....................61%
Automatic logoff ...........................................................................................................94%................... 98%
Identity management....................................................................................................66% ...................74%
Security tools to prevent unauthorized access to patient data
Intrusion detection systems .......................................................................................... 84% .................. 94%
Utilize pattern detection against automated login attempts............................................ 43% ...................54%
Privacy audit systems ................................................................................................... 77% .................. 87%
Provisioning systems.................................................................................................... 58% ...................71%
Security incident management ...................................................................................... 76% .................. 88%
Remote data-wiping capabilities ................................................................................... 83% ...................91%
Data loss prevention..................................................................................................... 71% .................. 78%
Source: Hospitals & Health Networks’ Most Wired Survey, 2014
Taking on the population health challenge
The road to population health is paved with lots of bumps, detours and frustrations. The challenge
is twofold, says Bill Rieger, CIO, Flagler Hospital, St. Augustine, Fla. “The first is working with
disparate vendors and the second challenge is to fully integrate community data and have them be
meaningful at the point of care. There are still different standards and there is a trust factor with clinicians and providers. It will take them time to not be as skeptical about the data they are seeing.” Most Wired organizations
are taking on the population health challenge: 36 percent can aggregate data from patient encounters to create a community health record and 43 percent can integrate clinical and claims data so they are accessible, searchable and reportable across the care community. Rebecca Sykes, senior vice president, resource management and CIO, Catholic Health
Partners, Cincinnati, asserts, “We welcome the Affordable Care Act’s acceleration of value-based care, and have built ACO
dashboards to monitor not only the quality of care delivered, but also the cost of care and utilization rates per 1,000. We
are transitioning our analytics to second-curve metrics as fast as we can add value-based contracts.”
ü
Percentage of hospitals using population health management
analytics and reporting tools to:
2014 All
2014 Most Wired
Integrate clinical and claims data so they are accessible, searchable and
reportable across the care community ........................................................................33% .................. 43%
Aggregate data from patient encounters to create a community health record ..................27% .................. 36%
Identify and target patients for outreach........................................................................ 49% .................. 63%
Empower care management workflow with data-driven intelligence .................................37% .................. 49%
Track quality of care across networks and physicians compared with
evidence-based medical standards ........................................................................... 34% .................. 43%
Synchronize clinical and financial risk measures for clinical, operational
and compliance standards .........................................................................................25% .................. 32%
Source: Hospitals & Health Networks’ Most Wired Survey, 2014
Content is copyright protected and provided for personal use only - not for reproduction
or retransmission.
w w w . h h n m a g . c o m / J U LY. 20 1 4 / H&HN
41
For reprints please contact the Publisher.
2014
Most Wired
University of Colorado Health | Aurora | www.uchealth.org
5
University of Illinois Hospital & Health Sciences Systems | Chicago |
www.hospital.uillinois.edu
1
University of Iowa Hospitals and Clinics | Iowa City | www.uihealthcare.org
3
University of Kansas Hospital | Kansas City | www.kumed.com
2
University of Mississippi Medical Center | Jackson | www.umhc.com
5
5
University of Missouri Health Care | Columbia | www.muhealth.org
University of New Mexico Hospitals | Albuquerque | http://hospitals.unm.edu
5
University of Pennsylvania Health System | Philadelphia | www.pennmedicine.org 3
20
University of Pittsburgh Medical Center | www.upmc.com
2
University of Utah Health Care | Salt Lake City | www.healthcare.utah.edu
University of Wisconsin Hospital and Clinics | Madison | www.uwhealth.org
2
U.S. Naval Hospital Naples, Italy | FPO | www.med.navy.mil/sites/napoli
1
2
UT Southwestern Medical Center | Dallas | www.utsouthwestern.edu
UWHP–Watertown (Wis.) Regional Medical Center | www.uwpwatertown.com
1
VA Illini Health Care System | Danville, Ill. | www.danville.va.gov
1
VA Northern Indiana Health Care System | Marion |
www.northernindiana.va.gov
VA Palo Alto (Calif.) Health Care System | www.paloalto.va.gov
Valley Health System | Ridgewood, N.J. | www.valleyhealth.com
Valley Medical Center | Renton, Wash. | www.valleymed.org
H&HN appreciates the efforts and support of the
many individuals who contributed to the success of
the Most Wired Survey and the research and analysis that go into the results article. The following is a
partial list of the many individuals who contributed
to the 2014 H&HN Most Wired Survey.
The 2014 Most Wired Team
HEALTH FORUM STAFF: Jeff DeGuilio, Jillian Dickey,
Susan Edge-Gumbel, Suzanna Hoppszallern,*
Clisby Jackson, Danny Jackson, Kim Jackson, Jane
Jeffries, Bob Kehoe, Peter Kralovec, Connie Lang,
Kristin Lanning, Chuck Lazar, Andrea Liebig, Barbara Novosel, Jennifer Pagan, Kelsey Pierson, Steve
Reczynski, Lee Ann Jarousse, Bill Santamour, Elaine
Singh, Christy Thomas, Sandy Rebitzer, Christy
Remedios,* JJ Rorie, Lisa Schulte, Matthew Weinstock, Marty Weitzel, Laura Woodburn, Tanisha
Woodson-Shelby, Heather Yang
42
AT&T STAFF: Tyler Bagwell, Adam Cowdin, Dawn
Fries, Adena Handly, Candace James, Gary Lockett,
Tad Reynes,** Russ Richardson, Donna Steele,
Tamika Wiggins
McKESSON STAFF: Jeremy Chandler, Ed Domansky,
Maureen Halloran, Rose Higgins, Mary Beth Sirio,**
Leslie White
2014 MOST WIRED SURVEY DEVELOPMENT ADVISERS: George Arges, senior director, health data
management group, American Hospital Association, Chicago; Allana Cummings,* CIO, Northeast
Georgia Health System, Gainesville; Pamela
McNutt,* senior vice president and CIO, Methodist
2
3
1
1
1,595
495
729
650
722
536
630
1,626
4,421
739
566
29
450
55
365
246
900
450
257
1
25
Valley West Hospital | Sandwich, Ill. | www.kishhealth.org
Vanderbilt University Medical Center | Nashville, Tenn. | www.mc.vanderbilt.edu 3 1,025
Veterans Health Administration | Washington, D.C. | www.va.gov
151 16,914
9 1,488
Vidant Health | Greenville, N.C. | www.vidanthealth.com
1
300
Virginia Mason Medical Center | Seattle | www.virginiamason.org
Virtua Health | Marlton, N.J. | www.virtua.org
4 1,074
Wake Forest Baptist Health | Winston-Salem, N.C. | www.wakehealth.edu
3 1,004
Washington County Hospital & Nursing Home | Chatom, Ala. | www.wchnh.org
1
25
1
250
Waterbury (Conn.) Hospital | www.waterburyhospital.org
West Shore Medical Center | Manistee, Mich. | www.westshoremedcenter.org
1
25
1
531
West Virginia University Hospitals | Morgantown | www.wvuhealthcare.com
Whitman Hospital and Medical Center | Colfax, Wash. | www.whitmanhospital.com 1
25
1
233
William W. Backus Hospital | Norwich, Conn. | www.backushospital.org
WInthrop-University Hospital | Mineola, N.Y. | www.winthrop.org
1
590
1
140
Womack Army Medical Center | Fort Bragg, N.C. | www.wamc.amedd.army.mil
Yale New Haven (Conn.) Health System | www.ynhh.org
3 2,130
Yavapai Regional Medical Center | Prescott, Ariz. | www.yrmc.org
2
177
ü Number of hospitals ü Number of beds
Health System, Dallas; Albert Oriol,* CIO, Rady Children’s Hospital, San Diego; Patricia Skarulis,* vice
president and CIO, Memorial Sloan Kettering Cancer
Center, New York City; Stephen Stewart,* CIO,
Henry County Health Center, Mount Pleasant, Iowa;
Jim Veline,* senior vice president and CIO, Avera
Health, Sioux Falls, S.D.; Chantal Worzala, director
of policy, AHA, Washington, D.C.
2014 SPONSORS
INNOVATOR AWARD JUDGES: Jay Anderson, senior
vice president, performance and CIO, Northwestern
Memorial Healthcare, Chicago; George Arges, senior
director, health data management, AHA, Chicago;
Deborah Gash, vice president and CIO, Saint Luke’s
Health System, Kansas City, Mo.; Naeem Hashmi,
chief research officer at Information Frameworks,
Londonderry, N.H.; Aaron Miri, chief technology
officer, Children’s Medical Center, Dallas; Kermit
Moore, COO, Nemaha County Hospital, Auburn,
Neb.; Christy Remedios, director, product innovation, Health Forum, Chicago; Guy Rivers, CFO and
CIO, Columbia Memorial Hospital, Astoria, Ore.; Bill
Spooner, industry adviser, retired senior vice president and CIO, Sharp HealthCare, San Diego; Tressa
Springmann, vice president and CIO, LifeBridge
Health, Baltimore ; Brian Sterud, vice president
of information technology and CIO, Faith Regional
Health Services, Norfolk, Neb.; Jennifer Towne,
program manager, Health Research & Educational
Trust, Chicago; Eric Yablonka, vice president and
CIO, University of Chicago Medical Center
*Members of the Most Wired Advisory Board
**Ex officio members of the Most Wired Advisory Board
Content
protected and provided for personal use only - not for reproduction or retransmission.
/ J U LY. 2is0 1copyright
4 / w w w . hhn m a g . c o m
For reprints please contact the Publisher.
H&HN
How Can YOU Become One of Health Care’s Most Wired?
F
or the 16th year, H&HN has named the Most Wired hospitals and health systems based on the Most Wired Survey. The
2014 survey results build on the analytic structure that was implemented in 2010 after two years of redesign. The methodology sets specific requirements in each of four focus areas. If any of these requirements are not met, the organization
does not achieve the Most Wired designation. Thus, an organization may have many advanced capabilities, yet not achieve
Most Wired status. The four focus areas are listed below. — SUZANNA HOPPSZALLERN
ü
1 | Infrastructure
ü,GHQWLW\PDQDJHPHQWDFFHVVFRQWUROVDQGDXGLW
capabilities
ü'DWDUHFRYHU\SODQWHVWLQJDQGGLVDVWHUUHFRYHU\
restoration capabilities within 72 hours
ü6HFXULW\WHFKQRORJ\VDIHJXDUGVLQFOXGLQJHQFU\Stion for laptops and mobile device passcodes
ü5HJXODUULVNDQDO\VLVVHFXULW\DVVHVVPHQWVDQG
penetration testing
ü:LUHOHVVQHWZRUNVIRUHOHFWURQLFKHDOWKUHFRUGV
accessible by clinicians and staff
2 | Business and administrative management
ü([SDQGHGXVHRIHOHFWURQLFSD\HUWUDQVDFWLRQV
ü$XWRPDWLRQRIUHYHQXHF\FOHSURFHVVHV
ü3DUWLDOO\DXWRPDWHGPDQDJHPHQWV\VWHPVIRUVXSply chain and use of bar-code technology
ü4XDOLW\VFRUHVGHOLYHUHGHOHFWURQLFDOO\WRFOLQLFDO
leaders
ü3DWLHQWIORZDXWRPDWLRQ
ü(+5FRPSXWHUL]HGSURYLGHURUGHUHQWU\VHFXULW\
and privacy training for physicians and nurses
ü+XPDQUHVRXUFHPDQDJHPHQWDQGWUDLQLQJV\VWHPV
ü(QWHUSULVHGHFLVLRQVXSSRUWDQGEXVLQHVVLQWHOligence
3 | Clinical quality and safety
(inpatient/outpatient hospital)
ü&32(IRUPHGLFDWLRQRUGHUV
ü3RLQWRIFDUHPHGLFDWLRQDGPLQLVWUDWLRQV\VWHPV
and automated medication management
ü3DWLHQWGHPRJUDSKLFVYLWDOVLJQVDQGVWDWXVDQG
documentation recorded as structured data
ü5RXWLQHXVHRI(+5E\FOLQLFLDQVIRUSDWLHQWFDUH
including medication reconciliation and discharge
instructions
ü3K\VLFLDQDFFHVVWRFOLQLFDOSDWKZD\VRUGHUVHWV
and medical image review across care settings
ü&OLQLFDOGHFLVLRQVXSSRUWHQDEOHGIRUGUXJDOOHUJ\
alerts and drug interaction alerts
ü'LJLWDOFOLQLFDOLPDJLQJSLFWXUHDUFKLYLQJDQGFRPmunication system in hospital and clinic
ü(OHFWURQLFUHFRUGLQJRITXDOLW\GDWD
ü(OHFWURQLFUHFRUGLQJRILQIHFWLRQFRQWUROGDWD
4 | Clinical integration
(ambulatory/physician/patient/community)
ü)URPLQSDWLHQWRUHPHUJHQF\GHSDUWPHQWDGPLVsion, electronic copies of discharge instructions
DQGKHDOWKLQIRUPDWLRQWRSDWLHQWVXVLQJ(+5
ü3K\VLFLDQRIILFH(+5FRQQHFWLYLW\IRUFOLQLFDOGRFXmentation and viewing results
ü3K\VLFLDQRIILFHHSUHVFULELQJ
ü2QOLQHKHDOWKLQIRUPDWLRQIRUSDWLHQWHGXFDWLRQ
ü,QWHURSHUDELOLW\RIDSSOLFDWLRQVZLWKLQKRVSLWDO
This year, 680 hospitals and health systems completed the
survey, representing more than 1,900 hospitals — more than 30
SHUFHQWRIDOO86KRVSLWDOV(YHQZLWKDGGLWLRQDOUHTXLUHPHQWV
the number of organizations designated as Most Wired increased
to 375 organizations. H&HN uses the same criteria to name the 25
0RVW,PSURYHGDQGWKH0RVW:LUHGò6PDOODQG5XUDO
)URPDVHWRIVHSDUDWHO\VXEPLWWHGHVVD\VDSDQHORIKRVSLWDO
and information technology leaders identifies noteworthy IT projects
DQGQDPHVWKH,QQRYDWRU$ZDUGZLQQHUVDQGILQDOLVWV,7SURMHFWV
are evaluated on achievement of a business objective, creativity
and uniqueness of concept, scope of solution and impact on the
organization.
The 2014 Most Wired Survey was made possible by the genHURXVVXSSRUWRI$770F.HVVRQDQG&DUH7HFK6ROXWLRQVDQGLQ
FRRSHUDWLRQZLWKWKH&ROOHJHRI+HDOWKFDUH,QIRUPDWLRQ0DQDJHPHQW([HFXWLYHVWKH$PHULFDQ+RVSLWDO$VVRFLDWLRQDQGH&HN.
ü
Content is copyright protected and provided for personal use only - not for reproduction
or retransmission.
w w w . h h n m a g . c o m J U LY. 20 1 4 H&HN 43
For reprints please contact the Publisher.