Project InfoCare

Project Details -
Completed

Grant Number

UC1 HS015110
Funding Mechanism(s)

Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants
AHRQ Funded Amount

$1,500,00
Principal Investigator(s)

Esch, Peggy
Organization

Citizens Memorial Hospital District
Location

Bolivar

Missouri
Project Dates

09/30/2004 - 09/29/2007
Technology

Bar Coding

Clinical Decision Support System

Computerized Provider Order Entry System

Electronic Health Record/Electronic Medical Record
Care Setting

Ambulatory Setting

Emergency Department

Hospital

Long-Term Care Facility
Medical Condition

Cancer
Population

Rural Populations
Type of Care

Acute Care

Long-Term Care

Primary Care

Specialty Care
Health Care Theme

Medication

The purpose of this project was to extend and expand an existing community-wide EMR. Citizens Memorial Hospital (CMH) is an acute care hospital located in rural southwest Missouri. CMH joined with partners, including an independent physician practice, long term care facilities, cancer center, nursing school and public health departments to implement the following: the EMR in 15 physician offices; the EMR in the CMH Emergency Department; bedside barcoding of medications; and linked clinical decision support. Data were collected from the EMR system to assess productivity and financial impacts as well as adoption rates for new functionality. As a result, CMH was recognized with three awards validating the success of the project. The CMH physician clinics experienced a significant improvement in net income per encounter within six months of implementation. In addition, the following results were seen: over 90 percent of orders placed in the CMH Emergency Department are placed directly by a physician or nurse practitioner; 2.38 times per day, a medication alert is honored (i.e., the order is changed or erased as a result of the alert), but over 90 percent of alerts are currently ignored (i.e., overridden); and for six of seven facilities with medication barcoding implemented, over 85 percent of medications are consistently scanned prior to administration.

Implementation of Health Information Technology in Long-Term Care Settings: Findings from the AHRQ Health IT Portfolio

Citation: Mohamoud S, Byrne C, Samarth A. Implementation of Health Information Technology in Long-Term Care Settings: Finding from the Health IT Portfolio.(Prepared by the AHRQ National Resource Center for Health IT under Contract No. 290-04-0016). AHRQ Publication No. 08-0087-EF. Rockville MD: Agency for Healthcare Research and Quality. October 2009.

Link: Implementation of Health Information Technology in Long-Term Care Settings: Findings from the AHRQ Health IT Portfolio

Health Information Technology and Health Information Exchange Implementation in Rural and Underserved Areas: Findings from the AHRQ Health IT Portfolio

Citation: Hook JM, Grant E, Samarth A. Health Information Technology and Health Information Exchange Implementation in Rural and Underserved Areas: Findings from the AHRQ Health IT Portfolio. AHRQ Publication No. 10-0047-EF. Rockville MD: Agency for Healthcare Research and Quality. February 2010.

Link: Health Information Technology and Health Information Exchange Implementation in Rural and Underserved Areas

Technology: Health Information Exchange

Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Health IT Portfolio

Citation: Dixon BE, Zafar A. Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Portfolio (Prepared by the AHRQ National Resource Center for Health IT under Contract No. 290-04-0016). AHRQ Publication No. 09-0031-EF. Rockville, MD: Agency for Healthcare Research and Quality. January 2009.

Link: Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Health IT Portfolio

Technology: Computerized Provider Order Entry System

Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio

Citation: Hook J, Pearlstein J, Samarth A, Cusack C. Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio (Prepared by the AHRQ National Resource Center for Health IT under Contract No. 290-04-0016). AHRQ Publication No. 09-0023-EF. Rockville, MD: Agency for Healthcare Research and Quality. December 2008.

Link: Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio

Technology: Bar Coding

Project InfoCare

Project Details - Completed

Project Details -
Completed