John Wade John Wade Vice President and Chief Information Officer Vice President and Chief Information Officer Saint Luke Saint Luke ’ ’ s Health System s Health System Our Journey to Our Journey to Performance Excellence Performance Excellence
John WadeJohn Wade
Vice President and Chief Information OfficerVice President and Chief Information OfficerSaint LukeSaint Luke’’s Health Systems Health System
Our Journey toOur Journey toPerformance ExcellencePerformance Excellence
Organization ProfileOrganization Profile•• 1423 beds1423 beds•• 7086 employees7086 employees•• 1317 physicians1317 physicians•• Tax ExemptTax Exempt•• Tertiary care referralTertiary care referral•• Protestant Episcopal Protestant Episcopal
ChurchChurch•• Primary teaching hospital Primary teaching hospital
–– UMKC School of UMKC School of MedicineMedicine
•• Level I Trauma CenterLevel I Trauma Center•• Level III Neonatal careLevel III Neonatal care•• Centers of ExcellenceCenters of Excellence
Focus on ExcellenceFocus on Excellence
•• 2003 Malcolm 2003 Malcolm BaldrigeBaldrige National Quality National Quality Award RecipientAward Recipient
•• Named No. 1 consumer choice in Kansas Named No. 1 consumer choice in Kansas City for 8 consecutive yearsCity for 8 consecutive years
•• ““Most WiredMost Wired”” Hospital winner since 1999Hospital winner since 1999
““Technology is how we glue clinical quality Technology is how we glue clinical quality together. Ittogether. It’’s the only way we can provide s the only way we can provide the right care at the right place, at the right the right care at the right place, at the right time, in the right way and at the right cost.time, in the right way and at the right cost.””
-- G. Richard Hastings, CEO, Saint LukeG. Richard Hastings, CEO, Saint Luke’’s Health Systems Health System
Information Technology Information Technology Supporting Quality InitiativesSupporting Quality Initiatives
•• Initial focus on inpatient environmentInitial focus on inpatient environment•• Deployed Horizon ClinicalsDeployed Horizon Clinicals
–– Orders ManagementOrders Management–– Nursing DocumentationNursing Documentation–– Clinical Data RepositoryClinical Data Repository–– Medication SafetyMedication Safety–– Document ImagingDocument Imaging–– Medical Imaging (PACS)Medical Imaging (PACS)–– Physician PortalPhysician Portal
0
5
10
15
20
25
30
2000 2001 2002 2Q03
% o
f Pat
ient
s
SLHNational AverageNext Best
BETTERBETTER
Patients Receiving Patients Receiving tPAtPA Following Ischemic StrokeFollowing Ischemic Stroke
Results:Results:Improved Clinical OutcomesImproved Clinical Outcomes
0
5
10
15
20
25
30
2000 2001 2002 2Q03
% o
f Pat
ient
s
SLHNational AverageNext Best
BETTERBETTER
Patients Receiving Patients Receiving tPAtPA Following Ischemic StrokeFollowing Ischemic Stroke
Results:Results:Improved Clinical OutcomesImproved Clinical Outcomes
National Benchmark for Stroke ReversalNational Benchmark for Stroke Reversal
75
80
85
90
95
100
1999 2000 2001 2002 2003
%
IP OP ED BETTER
Patient SatisfactionPatient Satisfaction
Improved Patient SatisfactionImproved Patient Satisfaction
75
80
85
90
95
100
1999 2000 2001 2002 2003
%
IP OP ED BETTER
Patient SatisfactionPatient Satisfaction
94% of patients satisfied with their care94% of patients satisfied with their care93% of patients satisfied with outcomes93% of patients satisfied with outcomes
Improved Patient SatisfactionImproved Patient Satisfaction
75
80
85
90
1998 1999 2000 2001 2002 2003
%
SLH Saratoga Institute
SLH RetentionSLH Retention
BETTERBETTER
Employee RetentionEmployee Retention
75
80
85
90
1998 1999 2000 2001 2002 2003
%
SLH Saratoga Institute
SLH RetentionSLH Retention
BETTERBETTER
Employee RetentionEmployee Retention
Average 7% nurse turnover comparedAverage 7% nurse turnover comparedto 20% industry averageto 20% industry average
Source: American Nurses Credentialing CenterSource: American Nurses Credentialing Center
Adoption
0500
1000150020002500
May Jun Jul Aug Sept Oct Nov Dec
AverageLoginsPer Day
User Types
Physicians
Nurses
Hospital Staff
Office Staff
Allied
Perc
enta
ge
Unique Logins this period: 1615
Average Logins Weekday: 2091
Average Logins per day: 1714
Average Logins Weekend day: 793
Average Session Length (min.): 11
Logins
Results: Results: Increased Physician AdoptionIncreased Physician Adoption
Adoption
0500
1000150020002500
May Jun Jul Aug Sept Oct Nov Dec
AverageLoginsPer Day
User Types
Physicians
Nurses
Hospital Staff
Office Staff
Allied
Perc
enta
ge
Unique Logins this period: 1615
Average Logins Weekday: 2091
Average Logins per day: 1714
Average Logins Weekend day: 793
Average Session Length (min.): 11
Logins90%+ of physicians using portal to90%+ of physicians using portal tocomplete and sign medical chartscomplete and sign medical charts
Results: Results: Increased Physician AdoptionIncreased Physician Adoption
The Next Step to ExcellenceThe Next Step to Excellence•• Extending quality and patient safety initiatives to Extending quality and patient safety initiatives to
the physicianthe physician’’s offices office•• Leverage existing IT investmentsLeverage existing IT investments——especially especially
HorizonHorizonWPWP Physician Portal and Horizon Patient Physician Portal and Horizon Patient FolderFolder
•• Deploying ambulatory EHR and practice Deploying ambulatory EHR and practice management to 200 physicians, employed and management to 200 physicians, employed and affiliatedaffiliated
•• Incremental approach beginning with electronic Incremental approach beginning with electronic prescribing launched via the portalprescribing launched via the portal
Ambulatory ObjectivesAmbulatory Objectives
•• Consistent integrated medication recordConsistent integrated medication record•• Common problem list, procedure and Common problem list, procedure and
allergy information universally availableallergy information universally available•• Improved patient safety/satisfactionImproved patient safety/satisfaction•• Care coordination across settings and Care coordination across settings and
medical specialtiesmedical specialties•• Improved operational efficienciesImproved operational efficiencies
Why McKesson?Why McKesson?
•• Ambulatory strategy aligned with our Ambulatory strategy aligned with our visionvision
•• Leveraging success with existing clinical Leveraging success with existing clinical solutions for physicianssolutions for physicians
•• Fully integrated electronic health record Fully integrated electronic health record across care settingsacross care settings
THE BEST PLACE TO GET CARE…
THE BEST PLACE TO GIVE CARE!
Saint LukeSaint Luke’’s Health Systems Health System