Early Results Show Reduced Readmission Rates for Patients with Congestive Heart Failure
Cambridge, Mass.—January 28, 2002—InterSystems Corporation today reported results achieved by St. Mary’s Health System (SMHS) with a Web system built on CACHÉ, the leading database in healthcare. SMHS is an early user of the MIDAS+ DataVision™ clinical decision support system from ACS Healthcare Solutions, a unit within ACS focused exclusively on the healthcare industry. Their success with using quality indicators identified via DataVision to reduce patient readmission rates and improve healthcare delivery was highlighted by InterSystems this week at the HIMSS 2002 Conference in Atlanta.
SMHS in Knoxville, Tenn., is the corporate entity responsible for three hospitals, a residential hospice facility, a medical equipment company, four home health offices, 12 physician practices and an ambulatory surgery center. It is a subsidiary of Catholic Healthcare Partners (CHP), a $3.2B health system based in Cincinnati, Ohio.
The decision to implement DataVision was the result of a strategic focus on improving quality of care throughout the 30 acute care hospitals that make up CHP, according to John Wendling, CHP Corporate Director, Clinical Resource Management. “We are excited about implementing DataVision at our hospitals because it will provide our medical directors and other clinical and administrative leadership staff who have corporate, regional or single facility responsibilities for performance improvement, with the ability to easily identify opportunities for improvement, as well as to identify our champion performers. At CHP, we’re really about creating a shared learning environment so that we can implement best practices across our system and improve care. DataVision does a lot of the work for us, so that we can concentrate on what’s really important.”
The scalability and performance delivered by CACHÉ, combined with the richness and depth of information available through the CACHÉ-based DataVision product, were key to CHP’s decision to implement the Web application. “Time is of the essence for our user base. If you give them a system that doesn’t deliver information rapidly, it will probably be underutilized,” Wendling says.
Jim DeWeese, Director of ACS Healthcare Solutions’ MIDAS+ Product Division, concurs. “We include 100 percent of the hospital encounters in the database, which currently comprises over 9.5 million encounters from approximately 125 facilities. Because we expect to double those figures within the next three months, we require a high performance database that can handle multidimensional, complex scenarios and can scale at the enterprise level. CACHÉ uniquely meets those requirements.”
Tracking Quality Indicators Pays Off
SMHS was the first CHP group to implement the DataVision clinical support application, going live in November 2001. “We have a lot of powerful clinical information in areas such as outcomes – we wanted a tool that was easy to use while providing fast access to complex data and multiple levels. DataVision, supported by the CACHÉ infrastructure, has already clearly demonstrated that it can meet those needs,” says Denise Jones, Manager, Quality Systems and Decision Support at SMHS.
One example is tied to a telecommunications clinic established recently with the objective of case management for patients with congestive heart failure. Based on indicators identified through DataVision and evaluated by a multi-disciplinary collaborative practice team, SMHS set up the clinic—basically an outbound call center—as an easy-access facility for managing these patients after they go home. “The case manager interviews the patient regularly, checking factors such as weight and diet and providing appropriate care recommendations,” Jones says. As a result, SMHS is already seeing a readmission rate reduction among the congestive heart failure patient population.
Wendling would like to see DataVision adopted by all 10 CHP regions. “We want to be recognized as a national leader in quality and performance improvement.”
CHP’s goals illustrate a trend among healthcare providers to measure the quality of care delivery and, thus achieve ongoing improvements, according to InterSystems’ Vice President of Strategic Planning Paul Grabscheid. “With application partners like ACS delivering solutions that enable and support this movement, healthcare delivery will continue to improve nationally,” he says.
Headquartered in Cambridge, Mass., InterSystems Corporation (www.InterSystems.com) is the leading provider of high performance database systems for Web applications, with over four million users worldwide. InterSystems’ flagship product, CACHÉ, is a post-relational database with a multidimensional data and application server offering ultra-fast and massively scalable objects and SQL. CACHÉ features breakthrough rapid development technology for building objects and object applications. InterSystems is the database software leader in the healthcare sector, with CACHÉ in use at the majority of major hospitals and labs around the world, including America’s 10 best hospitals as rated by U.S. News and World Report.
ACS (NYSE:ACS), a Fortune 1000 company with more than 30,000 people in 35 countries, provides business process and technology outsourcing solutions to world-class commercial and government clients. The company’s Class A common stock trades on the New York Stock Exchange under the symbol “ACS.” ACS makes technology work. Visit ACS on the Internet at https://www.acs-inc.com.
ACS formed ACS Healthcare Solutions to focus exclusively on the health care industry. ACS Healthcare Solutions offers a full range of professional and information technology services to large payor and financing organizations, hospitals and delivery systems, government agencies, and consumers of care. With over 500 healthcare clients across the country, ACS Healthcare Solutions can provide a solution to any IT or business-related problem facing organizations in the changing marketplace.
Trademark Notes: Caché is a trademark of InterSystems Corporation. Other trademarks belong to their respective owners.
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