Transcript to see the PowerPoint presentation from Paul Conlon, SVP of

Trinity Health, Advancing Clinical Quality and
Patient Safety with Health Information
Technology
Paul Conlon, PharmD, JD
SVP, Clinical Quality and Patient Safety
Trinity Health
Mission
We serve together in Trinity Health in the spirit of the Gospel, to heal body, mind
and spirit, to improve the health of our communities and to steward the resources
entrusted to us.
Core
Values
Respect
Social Justice
Compassion
Care of the Poor and Underserved
Excellence
Vision
Inspired by our Catholic faith tradition, Trinity Health will be distinguished by an
unrelenting focus on clinical and service outcomes as we seek to create excellence
in the care experience. Trinity Health will become the most trusted health partner for life.
Guiding
Behaviors
We support each other in serving our patients and communities
We communicate openly, honestly, respectfully and directly
We are fully present
We are all accountable
We trust and assume goodness in intentions
We are continuous learners
Trinity Health

Fourth Largest Catholic
Health System in the U.S.

44 Hospitals (32 Owned
and 12 Managed) Across
the Nation

Eleven of our 15 Michigan
hospitals have electronic
health records

8,074 Active Staff
Physicians

44,500 Full-Time
Equivalent Employees

Revenue of $6.3 Billion

$376 Million in Community
Benefit Ministry
3
Nation’s first rural, integrated, EHR network
Medication verification conducted by a remote
pharmacist, eliminating rural staffing expense
Smarter, Safer, More Cost-Effective Care
- $300 million investment in EHR called Genesis
- 25 hospitals – 11 in Michigan – are fully “live” with EHRs
- One of nation’s largest single repositories of standardized data
- Over 7 million interconnected patient records
Transfer patients no longer wait for records
to be copied & couriered by ambulance driver
Key
 Hospital with drug alert
system
ID
IA
W
V
 Fully “live” hospital with
EHR, physician order
entry, drug alert
system, supply chain,
and patient
accounting/revenue
management
Clinicians able to access records and place orders (drug, lab, etc.) any place and any time
Nurses spending more time at bedside rather than with paper records
Emergent medications administered 40 percent faster
Comparative effectiveness across 22 hospitals eliminates clinical variation with standardized order sets and drug formularies:
 $1 million/yr of savings from Echinocandin drug class and Hematopoietic agents standards
 31% reduction in patient falls with injury
 45% reduction in pressure ulcers
 29% reduction in severity-adjusted mortality
Computer-generated alerts (60,000 in 5 years) prompting physicians to change medication orders
Hardwired alert on diabetes medication (Avandia) sent to all hospitals within 10 days of FDA warning
Trinity Health Michigan Hospitals
with an Electronic Health Record
 St. Joseph Mercy Hospital
– Ann Arbor
 St. Joseph Mercy Hospital
– Oakland
 St. Joseph Mercy Hospital
– Saline
 St. Joseph Mercy Hospital
– Livingston
 St. Mary Hospital – Livonia
 Mercy Hospital – Port
Huron
 St. Mary Hospital – Grand
Rapids
 Mercy Health Partners –
Muskegon
 Battle Creek Health
System – Battle Creek
 Mercy Hospital – Cadillac
 Mercy Hospital - Grayling
Accomplishments to Date on the
Clinical Platform
 Over 7 million patients within the EMR
 Clinical, financial and administrative data is contained in a single location
 2 facilities have clinics managing inpatient & outpatient care in the same
system
 In 26 hospitals fully implemented…
– Computerized Prescriber Order Entry (CPOE) with physician entry rates average
74% and as high as 84% of all orders
– 100% of the previous paper medical record is now electronic
– More than 1,200 caregivers use the system simultaneously daily
– 300,000 chart openings per day.
– Inpatient nursing care, pharmacy, and medication administration is
documented directly by providers in the same electronic system.
– Over 600,000 orders are placed, processed, and completed per day
– Over 700 physicians place orders each day.
Current Performance and
Recognition
 Severity adjusted mortality rate at 71% of expected
 HCAHPS “Would Recommend” score at the 76th percentile
 100% of core measure performance is greater than the national
average
– 47% of hospital level core measures above the national top 10%
 Trinity Health received the Thomson Reuters 100 Top Hospitals®:
Health System Quality/Efficiency Benchmarks Top 10 System award
 6 of our hospitals are recognized as Thomson Reuters 100 Top
Hospitals
 Trinity Health is the recipient of the 2004 National Health Care Quality
Award
Is a Universal Medical Record
Possible?
 The goal of exchange of information between
providers on behalf of patients is possible
 It is likely not going to be a single data repository
 It is likely going to be virtual record
 Must have NATIONAL Interoperability Standards