Healthcare providers recognized for leadership in leveraging
healthcare information technology to boost patient safety, and make
care more efficient and cost-effective BURLINGTON, Vt. and SEATTLE,
Aug. 10 /PRNewswire-FirstCall/ -- IDX Systems Corporation
(NASDAQ:IDXC) today announced the winners of its annual IDX(R)
Carecast(TM) Customer Innovation Awards (CIAs), recognizing four
healthcare provider organizations that are Advancing Fail-Safe
Care(TM) through the use of electronic medical records and
sophisticated clinical information technology (IT) such as
computerized physician order entry (CPOE) and wireless medication
barcode charting. Judges included representatives of KLAS
Enterprises and the Center for Health Transformation; clinician
leaders and IT executives from IDX customer organizations; and IDX
clinicians, technologists and executives. Winners were recognized
during the IDX Users' Conference, Carecast User Exchange annual
meeting, held August 7-10 in Boston. Using IDX enterprise
technology, CIA winners demonstrate remarkable achievements in
standardizing care, preventing medical errors, creating more
efficient clinical and business practices, and reducing costs. The
2005 CIA winners are: * Thomas Jefferson University Hospital
(Philadelphia, Pa.) for Advancing Patient Safety by decreasing
pharmacist interventions in inpatient pediatric medication orders
by 97.6 percent, thanks to use of CPOE combined with expert rules.
* Park Nicollet Health Services (St. Louis Park, Minn.) for
Creating Evidence-Based Practices. For the second consecutive year,
Park Nicollet Health Services' entry also won the Innovator of the
Year award. Building on its use of IDX electronic health records,
the organization introduced an electronic tool for managing its
14,000 weekly phone inquiries, reducing patient wait times by 63
percent and prescription refill cycle times by 79 percent, among
other significant results. * ProHealth Care, Inc., (Waukesha, Wis.)
for Improving Clinician Efficiency by reducing care coordinators'
documentation time related to community care services and capturing
this important clinical information within the lifetime electronic
health record. * Oakwood Healthcare System (Dearborn, Mich.) for
Improving Financial Performance by improving electronic charge
capture of clinical events, resulting in a time savings of 2,920
staff hours per year previously spent on paperwork. "As healthcare
consumers, providers and national leaders look for ways to improve
healthcare delivery across the country, these innovative
organizations are finding new ways to extend the reach of
healthcare IT to increase patient safety, streamline clinician
workflow, and provide better patient outcomes at a lower cost,"
said Mike Raymer, Senior Vice President and General Manager, IDX
Carecast Operating Unit. "They are the gold standard for healthcare
delivery organizations in the U.S." For the competition, healthcare
providers using the Carecast or IDX(R) LastWord(R) systems
submitted entries outlining innovative clinical IT projects in one
of four categories described above. Carecast, the next- generation
IDX enterprise clinical system, and its predecessor system,
LastWord, are fully integrated clinical, financial and
administrative systems used to automate workflow, create
comprehensive electronic patient records and support patient safety
in complex healthcare organizations. Winners and finalists achieved
measurable successes by collaborating across disciplines,
implementing best practices and deploying IDX technology. "With a
healthcare industry in transformation, it's essential that we
recognize providers who have creatively deployed clinical and
technology solutions to improve patient safety, institute more
efficient practices and reduce healthcare costs," said Adam Gale,
Vice President of Operations, KLAS Enterprises. "The Carecast CIA
awards play an important role in the discovery process,
highlighting examples of success that offer valuable lessons -- and
leadership -- for the industry as a whole." Winners' specific
achievements include the following: Advancing Patient Safety:
Thomas Jefferson University Hospital Thomas Jefferson University
Hospital physicians enter nearly all of the organization's
inpatient orders using CPOE, with orders for chemotherapy and
parenteral nutrition orders being the only exceptions. This
achievement places the organization in an elite group of healthcare
IT leaders. According to healthcare technology researchers KLAS
Enterprises, only 1.3 percent of the nation's hospitals are
actively using CPOE (defined as physicians electronically entering
at least 50 percent of orders). The Institute of Medicine cites
CPOE as a critical tool for preventing medication errors, since it
eliminates the risks inherent in handwritten orders. Jefferson
University Hospital's winning entry focused on the benefits of CPOE
in the organization's inpatient pediatric areas, including its
neonatal intensive care unit. Medication ordering for hospitalized
infants and children requires precise calculations to ensure that
medication dosages are appropriate for the child's weight. In the
majority of hospitals, physicians complete these calculations with
a calculator or through mental arithmetic. Using IDX enterprise
clinical software and integrated expert rules capabilities,
Jefferson University Hospital's clinical IT team developed a
sophisticated set of expert rules for its inpatient pediatric
areas, which automatically calculate the appropriate dose of
medication during the order entry process. In addition, the expert
rules ensure that physician orders comply with national patient
safety goals set by the Joint Commission on the Accreditation of
Healthcare Organizations to standardize concentrations of
medications administered by intravenous infusion, which can carry a
high risk. Jefferson University Hospital measured the number of
pharmacist interventions -- calls from pharmacists to physicians to
double-check the details of medication orders. These interventions
serve as indicators of averted potential medication errors.
Following CPOE implementation on its pediatric units, the
organization reduced pharmacist interventions related to medication
orders by 97.6 percent, because of the improved quality and clarity
of the original medication orders. In addition, Jefferson
University Hospital decreased interventions for intravenous
infusions by 92.5 percent. Using CPOE, 99.6 percent of infusions
were ordered according to established standard concentrations.
"Collaboration between physicians and pharmacists has always served
as an essential medication safety check. With CPOE, we've taken
error prevention to the next level by placing rigorous safeguards
at the point of care -- critical improvements for all patients,
especially for the infants and children we care for in our
pediatric units," said Dr. Jonathan Gottlieb, Chief Medical Officer
and Senior Vice President for Clinical Affairs for Jefferson
University Hospital. "In addition to strengthening patient safety,
we're also enabling our physicians and pharmacists to save time
previously spent on clarifying orders, and to focus more on direct
patient care." Dr. Gottlieb credited the collaboration and hard
work of TJUH pharmacists, clinicians and IT professionals as
essential to the success of CPOE in the organization's pediatric
units. 2005 Innovator of the Year and Creating Evidence-Based
Practices: Park Nicollet Health Services Park Nicollet Health
Services, which includes Methodist Hospital and 24 clinics in and
around the Twin Cities, receives 14,000 phone calls a week,
including numerous patient inquiries and prescription-related
requests from pharmacies, both of which directly impact patient
satisfaction and quality of care. Using process improvement
methodologies, the organization standardized how clinicians manage
requests for prescription refills and nurses respond to patient
phone calls. Building on its IDX electronic medical record, which
spans inpatient and ambulatory care settings, Park Nicollet
replaced paper- driven processes with automated tools -- developed
in collaboration with IDX -- that allow clinicians to easily manage
and appropriately prioritize calls. Since implementing the system,
Park Nicollet has seen extraordinary results, both in enabling
nurses to better respond to patient inquiries and in improving the
prescription refill process. Successes include: * Reducing patient
wait times by 63.3 percent. * Increasing the number of phone calls
answered within 30 seconds by 560 percent. * Improving nurse
productivity by 20 percent because of reduced paperwork. *
Decreasing the amount of paper phone messages filed in the paper
medical record by 100 percent, as messages automatically become
part of the patient's lifetime electronic medical record. *
Reducing by 79 percent the cycle time between when a request is
made to the organization's designated phone line for prescription
refills, to when the pharmacy receives authorization. * Eliminating
the number of prescription refills re-sent through the system more
than once. "Managing phone inquiries is a significant portion of
the workflow of a large integrated delivery network," said Dr.
David Abelson, Vice President of Strategic Improvement, Park
Nicollet Health Service. "Through a standardized, paperless
approach supported by our electronic health record, we've turned
clinician-patient phone communication into a real tool to support
positive patient experiences and quality care -- all while
increasing productivity for our clinicians and staff." Improving
Clinician Efficiency: ProHealth Care, Inc. Care received before and
after hospitalization -- including such services as physical and
occupational therapy, respiratory therapy, counseling,
rehabilitation, and use of medical equipment -- is crucial to
patients' health and well-being. ProHealth Care, Inc. has
established an initiative to actively document and evaluate
community services and medical equipment used by patients before
and after their hospitalization at Waukesha Memorial Hospital.
Waukesha's care coordinators are RNs and social workers who manage
interdisciplinary care encompassing these multiple services.
Patient interviews regarding care and services used are an
essential part of the care coordinators' work. Originally, this
documentation occurred in two separate IT systems, requiring 30-60
minutes of time per patient chart. As part of the implementation of
the Carecast system in 2004, ProHealth created a Care Coordinator
Pathway that allows care coordinators and other clinicians to
document directly into the patient's lifetime electronic record,
using flowsheets to help standardize data captured. All clinicians
now can document patient data from any computer in the facility and
information is immediately available to every member of the care
team. When patients are discharged from the hospital, clinicians
print out specialized reports from the Carecast system so that
community agencies have the information they need to provide
ongoing care. The Carecast system also has enabled ProHealth to
standardize the information captured, and ensure documentation is
consistent between hospital units -- important for Waukesha's
patient billing, strategic planning and regulatory reporting
requirements. Improving Financial Performance: Oakwood Healthcare
System One of the most significant financial challenges for
healthcare organizations is ensuring that all clinical charges are
captured, and that the billing office has appropriate documentation
to submit insurance claims and send out accurate patient bills.
When documentation necessary to support charges for clinical care
is lost, illegible or incomplete, clinicians, administrative and
financial staff members must devote time to reconciling charges and
locating information. To address these challenges, the IDX
enterprise clinical system supports a clinically automated revenue
cycle, generating charges directly from the care process. Using its
IDX system, Oakwood Healthcare System created custom electronic
reports, files showing total clinical charges, credits and
transactions for each of its 392 departments across three acute
care facilities. The organization also developed a database to
automatically import the IDX files and compare data with charge
information processed by its accounts receivable system,
automatically notifying business office staff of any discrepancies.
As a result of its customized IDX reports and database, Oakwood has
eliminated: * 2,920 staff hours per year collecting paper reports
and documenting charge information. This time savings has freed
clinicians to focus on patient care, and allows information
technology and billing staff to work on customer requests, system
enhancements and other projects. * The need to print and manually
compare 286,160 pages of charge reports. * 40 staff hours per year
spent researching and correcting discrepancies. * The need to
re-submit bills based on delays in capturing information about
clinical charges. The 2005 award finalists included the following
organizations: Evidence-Based Practice Finalists: * With a consult
registry for chronic diseases, PeaceHealth (Bellevue, Wash.)
enables clinicians to actively collaborate in the care for patients
seen at any of its six hospitals and other facilities across
Alaska, Washington and Oregon. This ensures treatment adheres to
clinical best practices, whether patients are seeing caregivers
across town or in a neighboring state. * Memorial Healthcare
System, the public, non-profit healthcare provider serving South
Broward County in Florida, integrated a combination of Infrared and
active RFID from Versus(R) Technology, Inc. with the Carecast
system to clearly and accurately locate and update patient status
throughout the organization's emergency departments. Implementation
of this technology has streamlined ED patient flow; increased ED
bed capacity, allowing for treatment of additional patients;
increased the time nurses can spend at the bedside with their
patients; promoted patient safety; and increased patient
satisfaction. Patient Safety Finalists: * Lehigh Valley Hospital
and Health Network (Allentown, Pa.) integrated its IDX electronic
health record, including CPOE and barcode medication administration
technology, with an intensive care unit (ICU) information system
that fully supports a new remote ICU monitoring facility. * OSF St.
Joseph Medical Center (Bloomington, Ill.), a member of OSF
Healthcare System (Peoria, IL), has developed reports based on
Carecast data to identify hospitalized patients with potentially
high-risk conditions and to produce a twice-daily score indicating
each patient's risk level. This score allows early recognition by
clinicians of patients at risk and enables care needs to be met
before an event occurs, through proactive measures that include
deploying a Rapid Response Team of clinicians. * Parkview Health
(Fort Wayne, Ind.) has reduced the risk of medication errors by
standardizing orders, implementing expert rules created with the
Carecast rules engine, powered by Fair Isaac Blaze Advisor, and
deploying Carecast wireless barcode medication administration.
Parkview decreased non-standard orders by 52 percent, and improved
compliance with standard medication administration time by 80
percent. Clinician Efficiency Finalists: * By giving
anesthesiologists access to online nursing documentation within the
electronic health record, PeaceHealth reduced by 50 percent the
time necessary for anesthesiologists to conduct pre-surgery
interviews with patients. This streamlines care, reduces redundant
questions and prevents unnecessary delays by ensuring patients are
prepared for procedures. * The Nebraska Medical Center (Omaha,
Neb.) created an expert rule that alerts primary care physicians if
any of their patients have been seen in the Emergency Department in
the past 24 hours. Invoked with log-on into Carecast, the alert
displays key information including encounter diagnosis and
disposition, supporting effective and efficient patient care follow
up. Financial Performance Finalist: * St. Vincent's Medical Center
(Bridgeport, Conn.) developed an electronic scoring tool within the
IDX integrated clinical and financial system to analyze the status,
volume and accuracy of all patient billing claims. The provider
decreased A/R days from 43 to 32 days and lowered outstanding
receivables by $6.7 million; increased clean claims by 10 percent
and reduced denied claims by 2 percent; and improved revenue by $32
million. All CIA entries were ranked by the judging panel based on
benchmarks and metrics used to assess the improvements, the degree
of process change required in order to achieve results, and
exemplary, cutting-edge use of the Carecast or LastWord systems.
Identifying information was removed from all entries to support
impartial judging. Judges included Laura Linn, RN, MN, the Center
for Health Transformation; Adam Gale, Vice President of Operations,
KLAS Enterprises; Wayne Kaniewski, MD, Park Nicollet Health
Services; Willa Fields, PhD, RN, Vice President, Patient Care,
Sharp HealthCare; Russ Cucina, MD, Assistant Professor of Internal
Medicine, UCSF Medical Center; Cindy Perry, Associate CIO,
University of Virginia Hospital and President, IDX Carecast User
Exchange (2004-2005); and IDX clinician leaders, technologists and
executives. About IDX(R) Carecast(TM) Carecast is a fully
integrated clinical, financial and administrative system, combining
core clinical processes for orders, results, pharmacy and clinical
documentation with administrative and financial processes for
scheduling, registration, admitting, charging and billing.
Representing the next generation of electronic clinical information
solutions, Carecast delivers unsurpassed response time and
reliability to support fast-paced clinical environments. The system
automates workflow throughout the healthcare enterprise and enables
rapid access to patient records across the care continuum, from
admission to discharge, including inpatient and ambulatory care.
The result is a comprehensive lifetime patient record that enhances
the quality of care and promotes operational efficiencies.
Developed by and for providers -- in collaboration with leading
hospitals, clinicians and healthcare executives -- Carecast builds
on 25 years of innovation with the IDX(R) LastWord(R) enterprise
system. Customers include leading healthcare organizations in the
U.S., Canada and Europe. About IDX Systems Corporation Founded in
1969, IDX Systems Corporation provides information technology
solutions to maximize value in the delivery of healthcare, improve
the quality of patient service, enhance medical outcomes, and
reduce the costs of care. Our systems are deployed to serve
approximately 150,000 physicians and are installed at over 3,400
customer sites, including more than 850 group practices and
approximately 370 integrated delivery networks servicing more than
500 hospitals. IDX also provides its enterprise clinical software
as a subcontractor to BT, Local Service Provider for the United
Kingdom National Health Service's National Programme for
Information Technology, an initiative to establish electronic
patient records for 50 million patients. The IDX web strategy
includes browser technology, e-commerce and web-based tools --
built using Internet architecture -- that facilitates access for
patients, physicians and care providers to vital health information
and data managed by the IDX clinical, administrative, financial,
and managed care products. IDX has approximately 2,400 full-time
employees. IDX, Carecast and LastWord are registered trademarks or
trademarks of IDX Investment Corporation. All other product names
mentioned throughout this site are trademarks or registered
trademarks of their respective companies. This press release
contains forward-looking statements about IDX Systems Corporation
that involve a number of risks and uncertainties. Among the
important factors that could cause actual results to differ
materially from those indicated by such forward-looking statements
are uncertainties or difficulties in developing new services,
including Carecast, possible failure of IDX to realize the benefits
of developing clinical guidelines, difficulties in implementing
systems, possible deferral, delay or cancellation by customers of
computer system or service purchase decisions, possible delay of
system installations and service implementations, development by
competitors of new or superior technologies, changing economic,
political and regulatory influences on the healthcare and
e-Commerce industries, possible disruptions in the national economy
caused by terrorist activities and foreign conflicts, changes in
product pricing policies, governmental regulation of IDX's software
and operations, the possibility of product-related liabilities, and
factors detailed from time to time in IDX's periodic reports and
registration statements filed with the Securities and Exchange
Commission, which important factors are incorporated herein by
reference. IDX undertakes no obligation to update forward-looking
statements to reflect changed assumptions, the occurrence of
unanticipated events, or changes in future operating results,
financial condition or business over time. For more information
contact: Jamie Gier Vice President, Marketing - IDX Carecast
206.607.5472 Catherine Sweeney Media Relations - IDX Carecast IDX
Systems Corporation 206.607.5462 DATASOURCE: IDX Systems
Corporation CONTACT: Jamie Gier, Vice President, Marketing - IDX
Carecast, +1-206-607-5472, , or Catherine Sweeney, Media Relations
- IDX Carecast, +1-206-607-5462, both of IDX Systems Corporation
Web site: http://www.idx.com/
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