CASE STUDY
TENET HEALTHCARE
Encore Teams with Tenet Healthcare to Develop
a Clinical Business Intelligence Environment for
Meaningful Use and Value Realization
CHALLENGE
Tenet Healthcare (Tenet) was launching IMPACT (Improving Patient Care Through Technology),
a full scale implementation of the Cerner Electronic Health Record (EHR) in all 49 of its hospitals.
From the project onset, Liz Johnson, Tenet’s Vice President of Applied Clinical Analytics,
recognized the opportunity this presented to not only achieve Meaningful Use (MU) but also to
take advantage of the discrete electronic clinical data provided by the EHR to create metrics to
understand the value realized from this multi-million dollar investment.
SOLUTION
Encore utilized its CoreQUEST® methodology and CoreGPS® tool to detail, stratify and organize
the data requirements and upstream capabilities to assist Tenet in developing its integrated
clinical business intelligence environment. The scope of the project included a major refreshed
design of Tenet’s existing Electronic Data Warehouse (EDW) and a new build of all EDW
components for the MU solution. The EDW sourced data from the Cerner EHR and other clinical
systems (including Emergency Department and a home-grown registration system) to meet MU
requirements and implement a dashboard application to report and monitor performance by
hospital and overall system level in a near real-time environment.
Collaborating with the Tenet project and partners, Encore’s multidisciplinary team completed
the following:
•
Provided extensive data discovery to identify source data elements required to calculate
the MU measures and track measure compliance using CoreGPS®
•
Directed the build and design of clinical content, workflows and order sets in the EHR
implementation to capture the data necessary for MU measures
•
Tracked and resolved content, workflow and policy and procedure roadblocks to achieving
MU
•
Designed and synchronized the EDW data model to accommodate the integration of clinical
data for MU and for future Value Realization measures in the existing EDW environment
•
Designed a unique data derivation and metric calculation layer which integrated into the
core EDW data meeting current MU objectives and also providing richer data for future
analytics
•
Planned and directed the Clinical Business Intelligence Environment build of all BI layers
•
Conducted extensive system QA and data quality validation and associated defect
remediation
CONTACT: Carla Swindle, cswindle@encorehealthresources.com
1.877.787.1010
|
ABOUT TENET HEALTHCARE
Tenet Healthcare is one of the largest
investor-owned health care delivery
systems in the nation with more than
$9 billion in annual revenue and a
workforce of more than 57,000.
ABOUT TENET’S IMPACT
PROGRAM
Tenet’s IMPACT program was first
initiated in 2005. Today, its IMPACT
EHR implementation is one of the
largest of its kind currently underway
in the United States and is positioning
Tenet to meet Federal Government
requirements for the “Meaningful
Use” of EHR systems as defined under
the terms of the American Recovery
and Reinvestment Act (ARRA) of 2009
(commonly known as the “Stimulus
plan”) and its Health Information
Technology for Economic and Clinical
Health (HITECH) Act provision.
PO Box 3109 #24350 Houston, Texas 77253 -3109
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CASE STUDY
CONTINUED
•
Planned, designed and managed the self-certification of the EDW and home-grown systems
to comply with ONCHIT (Office of the National Coordinator for Healthcare Information
Technology) requirements for certified EHR technology
•
Aggregated and calculated MU measures
•
Using Cognos, developed a web-based MU compliance dashboard to provide near-time
operational and executive insight into the completion rates and gaps by measure across all
impacted facilities
•
Assisted with successful MU attestation (resulting in MU incentive payment) by providing
the data and required evidence to meet MU and to withstand a possible audit by CMS
(Centers for Medicare and Medicaid Services)
•
Created highly reusable and scalable processes, governance and tools that are capable to
support the creation of future measures, including both Meaningful Use future stages,
value metrics and other key clinical measures in Tenet’s IMPACT program
IMPACT
With the rollout of the Clinical Business Intelligence environment (CBI), Tenet has been able
to attest successfully and receive materially significant incentive payments for the first seven
hospitals to go live. There are an additional eighteen hospitals live on the dashboard and are
actively being managed to maintain and/or improve performance.
“By tapping Encore’s deep experience in Business Intelligence and using their CoreQUEST®
products, Tenet has advanced our vision for creating an infrastructure which leverages our
clinical data to further the quality of the healthcare we provide.” said Liz Johnson, Vice President
of Applied Clinical Analytics, Tenet Healthcare Corporation. “With such a foundation, we can
gain a deeper understanding of the costs and quality of our health services, which will translate
into improved patient experience and better management of patient populations wherever our
hospitals are located.”
At time of writing, Tenet’s remaining twenty-three hospitals are equipped and on-schedule to
meet MU requirements and the organization stands to capture substantial incentive dollars
(estimated $320 million) by achieving MU.
ENCORE CAN HELP
Encore Health Resources assists healthcare providers to improve patient outcomes and
boost business performance. We help implement and optimize certified systems and
technology platforms with an outcomes-focus. Encore can provide a full range of planning and
implementations combined with a focus on meeting regulatory requirements. We assist with the
capture of the “right” data with the right workflows, transforming that data through analytics,
and building an information foundation that not only will support attestation for Meaningful
Use, but support for future analytics requirements as they evolve. Encore services are based on
a proven, scalable, repeatable solution to anticipate evolving information needs.
CONTACT: Carla Swindle, cswindle@encorehealthresources.com
1.877.787.1010
|
PO Box 3109 #24350 Houston, Texas 77253 -3109
w w w.encorehealthresources.com