Lafayette General Health received the award after showing measurable improvements in patient care in three categories.
Lafayette General Health (LFG) in Lafayette, Louisiana received one of the highest honors in health information technology: the 2017 HIMSS Enterprise Davies Award. The award is reserved for hospitals and health systems that utilized health information technology to show measurable improvements to patient care. At Lafayette, clinicians reduced accidental punctures or lacerations, improved clinical documentation and lowered their sepsis mortality rate.
“The use of information technology is a critical strategy in enhancing our care delivery and improving outcomes for our patients and providers,” said Mike Dozier, vice president and chief information officer of IT. “The HIMSS Enterprise Davies Award demonstrates how Lafayette General Health is using the best of technology and collaborative teamwork to deliver better care and health to our patients and organization each and every day.”
As part of the application process, Lafayette submitted their workflow design, implementation and governance strategy, best practices and patient outcomes. Watch their in-depth presentations here.
In 2015, Lafayette started an initiative to improve its PSI-15 accuracy rate and lower the total number of accidental punctures or lacerations. Previously, the reporting process was retrospective, and physician coding was inconsistent and inaccurate.
To address this problem, Lafayette used its electronic health record to generate real-time reports that listed all patients with a diagnosis code included in the PSI-15 numerator. The chief medical officer and a clinical documentation improvement specialist now reviews this report and follows up with the surgeon when necessary. These efforts helped Lafayette reduce its accidental puncture or laceration rates by 34 percent from 2015 to 2016.1
“The success of this initiative was made possible through teamwork and collaboration between multiple departments and staff at various levels within our organization, including IT, HIM/coders, the quality team and our surgical medical staff,” said Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, director of quality. “The success is measured by a decrease in PSI-15 cases; however the true success of any process improvement is the benefit it provides to the patient.”
Lafayette leaders also worked on clinical documentation improvement (CDI) throughout the hospital. Staff struggled to navigate the CDI software and effectively communicate with physicians when additional coding or information was needed. This meant physicians didn’t respond to documentation queries, therefore missing the full opportunity to fully collect reimbursement.
Utilizing new software directly interfacing with Cerner’s electronic health record brought about clear documentation through the PowerChart® message center. By FY 2017 (October 2016 – June 2017), the response rate was at 93 percent, up from 82 percent in FY 2013. Net variance reimbursement rose from $292,000 in FY 2013 to $1.8 million in FY 2017.
“LGH is extremely excited about the success of its CDI program and its ongoing collaboration with the quality department,” said Jessie Hanks, system director of HIM privacy officer. “The success of the program is largely due to commitment and support of our senior leadership, physicians and the partnership between departments.”
Lafayette leadership also worked to lower the sepsis mortality rate. The hospital created a new position: a sepsis response nurse who addresses alerts and completes a patient assessment prior to contacting the physician. Other actions included implementing Cerner’s St. John Sepsis agent.
“Lafayette General Health is incredibly excited to be utilizing the data inside our robust and integrated EHR in such a proactive way,” said Amanda Logue, MD, VP, chief medical information officer. “We will continue this journey utilizing health IT to provide predictive methods for preventive care, both on the acute side and the entire population of our community.”
The mortality rate dropped from 16 percent from November 2014 to November 2015 to less than 13 percent between March 2016 and February 2017. That translates to an estimated three lives saved each month. Catching diagnoses earlier, along with other improved efficiencies helped save more than $343,680 from March 2016 – February 2017 when compared to November 2014 – November 2015.
“Receiving the HIMSS Enterprise Davies Award is a testimony to Lafayette General Health’s vision of always delivering excellence in care and being a leader in improving the health of our community,” said David Callecod, president and CEO. “We’re proud of our organization’s commitment to improve the lives we care for every day.”