Myra Davis, CIO of Texas Children's Hospital, is focused on managing healthcare's shift from volume to value care for the roughly one million patient encounters the hospital experiences each year.
In 2011, she
turned to Health Catalyst
to manage information for patients with chronic problems because the hospital's extant system for handling patient data included a clunky coordination of paper forms, disparate computer systems, and spreadsheets.
Today, Health Catalyst aggregates electronic medical records, financial systems, and other relevant information in a single, common view for clinicians.
The software parses patient vital signs, compares them against health history, and makes recommendations to clinicians to adjust their care.
For example, the hospital's asthma team can analyze reasons for the delay between the time a child arrives at the emergency center and the time they receive the appropriate asthma medications.
Also, Ms. Davis
said the software identified that more chest X-rays had been ordered than was needed for asthma patients.
The hospital took steps to reduce the procedures, cutting costs by decreasing length of stay and unnecessary diagnostics.
This software project, which cost $1.6 million to install on corporate servers, is important work for the hospital, which will have to get its cost structure in order.
By September 2013, Texas specialty care hospitals must adhere to the state's "proscriptive payment" program, in which Medicare reimburses hospitals based on a standard fee for every diagnosis group, such as heart failure or asthma.
Hospitals that can contain costs for the average patient will make money, while those that can't will be penalized.
has not yet run the numbers on how
much the software is helping the company save.
To date, she
has limited the use of Health Catalyst
to asthma and appendectomies, disease groups the hospital classifies as high volume.
team are currently working with the startup to use the software for other disease groups, including cardiology and pneumonia.