Tulare District Hospital Rural Health Electronic Medical Record Consortium (California)


Tulare Local Healthcare District (Tulare District Hospital, TDH) has been providing quality health care to the community of Tulare and surrounding rural areas of Tulare County for 53 years. The hospital is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The hospital is in a Primary Care Health Profession Area (HPSA) and serves a Medically Underserved Population (MUP). TDH is the only hospital in the city, and is in the service area of a Federally Qualified Health Center, and Tulare County Health & Human Service's FQHC Look-alike Clinic.

Partners in this grant application were: Healthcare Management Systems, Inc.; Hillman Health Center (Tulare County Health & Human Services' Federally Qualified Health Center Look-Alike); Tulare Community Health Clinic, Inc. (Federally Qualified Health Clinic); A Consortium of Local Physicians; and University of California, San Francisco.

The project utilized the following application modules: Pharmacy management, Spanish Education Sheet for pharmacy, e-MAR (electronic medication administration reporting), Pyxis medication dispensing unit in Emergency Room, Scanning application, Laboratory management, Patient scheduling, Operating Room management, Bar coding, Patient care documentation,'Clinical view, Clinical physician order entry (CPOE), Electronic signature, Insurance eligibility, Executive Information Systems, and Pyxis medication dispensing units at all nursing stations.

The basic project parameters included: basic system set up, development of master file and control records, training and testing, and on-site "live" support.

The long-term outcome goal of this implementation project is to reduce medical errors and improve overall patient safety by decreasing the actual number medication errors, and by implementing electronic access to "real time" patient data. At the end of the three year project, TDH will have a fully integrated electronic medical record (EMR).

Grant Number: 
UC1 HS015096
Funding Mechanism: 
Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants
AHRQ Funded Amount: 
Principal Investigator: 
Davison, Rod
Tulare Local Healthcare District
Project Dates: 
September 30, 2004 to September 29, 2008
Project Status: 

Project Categories

Type of Health Information Technology: 
Bar Coding
Clinical Decision Support (CDS) System
Clinical Documentation
Computerized Provider Order Entry (CPOE)
Electronic Medical Record (EMR)/Electronic Health Record (EHR)
Electronic Medication Administration
Medical Information Systems
Pharmacy Information System
Surgery Management
Care Setting: 
Aspect of Care: 
Acute Care
Medication Management
Protected Health Information Data Sharing
Target Population: 
Medically Underserved
Rural Health
Last Modified: August 2015

News and Publications

Davison R. Tulare District Hospital Rural Health EMR Consortium - Final Report. (Prepared by Tulare Local Healthcare District under Grant No. UC1 HS015096). Rockville, MD: Agency for Healthcare Research and Quality, 2009. (PDF, 131.44 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

Project Activities