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1997 Davies Organizational Award Winner Kaiser Permanente of Ohio Case Study 1

1997 Davies Organizational Award Winner Kaiser Permanente of Ohio Case Study HTM 680 Matthew Mabalot National University

1997 Davies Organizational Award Winner Kaiser Permanente of Ohio Case Study 2 Week 1 Assignment The case study 1997 Davies Organizational Award Winner Kaiser Permanente of Ohio developed the system Medical Automated Record System (MARS) that achieved some of the goals for Meaningful Use Criteria Stage 1. One of the main goals was to improve the quality of care. The MARS planning team developed the system internally that allowed the system to capture data through scanning, viewing, and printing images. The system wasdesigned to improve the quality of care, decrease operating costs, and streamline electronic billing. MARS worked with other systems such as ACUMEN, medSTAR, Sunquest, medTEC, and MIPS which helped in the integration of data across multiple systems. The goals of Meaningful Use criteria were easily reached because of the information stored in the MARS database. MARS used scanning for external information and gave provider the ability to use handwritten notes in the system. The system integrated across departments and systems such as laboratory, radiology, and clinical alerts which was a valuable benefit from the system. The system ACUMEN allowed providers to view diagnoses, allergies, prescriptions, immunizations, labs, radiology results, vital signs, status of alerts, and referrals of their patients. All of these features satisfied some of the core measures for Meaningful Use such as vitals, medication allergies, smoking status, e prescribing, drug interactions, and clinical decision support. The decision support tool was very valuable because it hit another Meaningful Use criteria “clinical decision support”. The original goals of MARS were to improve quality care, decrease costs and streamline electronic billing which were achieved because of how the system integrated the procedures with the billing system that allowed services to be recorded and translated with the correct ICD 9 and CPT based on the services rendered. All lab and radiology results were recorded in the system and allowed providers easy access to view the images and resulted in improved clinical decision making. From that development, the pilot project became even more efficient by generating the ability track allergies, immunizations, vital signs,

1997 Davies Organizational Award Winner Kaiser Permanente of Ohio Case Study 3 and smoking status which are part of the Meaningful Use stage 1 goals. The reporting tool in MARS was a great benefit because it was able to identify inefficiencies and help with the movement of preventative care. MARS improved the quality of care by providing reliable and accessible information in a central location for providers. The goals achieved in the implementation were not only successful but also became more valuable concerning patient outcomes. The implementation also more Meaningful Use measures such as structured lab results and feed immunization registries. The system was able to track and send out reminders to patients for immunizations, vaccines, and appointments which helped reduce costs as well as prevent any chronic diseases that may have developed. The costs savings were huge considering the cost it took to implement which was about $10,000. The system was considered a successful implementation because of improved outcomes. The results improved the quality of care by improving communication between providers, improved efficiency in procedures, and costs savings. The technology aspect could have been done better as far as sustainability and maintenance. The privacy and security were easily handled as well as creating the policies and restrictions for health care data. The system required downtime for one to two hours nightly and five hours on Sundays which would not be acceptable in today’s healthcare delivery. The development was very efficient and achieved its goals but needed more help with the technology perspective as far as downtime. The implementation was a great initiative to help understand how technology can improve the quality of care for the future.

1997 Davies Organizational Award Winner Kaiser Permanente of Ohio Case Study 4 References Davies, N. (2007). Improving Quality and Reducing Cost with Electronic Health Records. Health Information and Management Systems Society. Chicago, IL.