Trinity Health Annual Report 2008

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Rural Hospitals Connect with Electronic Health Records In the sparsely populated plains of northern Iowa, seven small hospitals made history with the installation of electronic health records, transforming the way health care is delivered in rural areas. The seven remote facilities – each with less than 25 inpatient beds – are now digitally connected with computerized physician order entry (CPOE) and other clinical systems via a regional network spanning 70 square miles. The integrated system is the first of its kind in a U.S. rural health care setting. While larger hospitals are more likely to have electronic health records, less than 3 percent of the nation’s small or rural hospitals (50 beds or less) tout a fully implemented system. The pioneering implementation was facilitated by two grants from the Agency for Healthcare Research and Quality (AHRQ). Trinity Health and its member facilities partnered with Hancock County Memorial Hospital, county public/community heath agencies and the University of Iowa College of Public Health to implement the program. The network will serve as a model for future EHR implementations in rural settings. Hospitals With e-Health Records Safer, Faster, Better Care Trinity Health is transforming quality and reducing costs by putting the power of the latest computerized clinical tools in the hands of our caregivers. These state-of-the-art tools automate processes that are still often done with paper and pen at the majority of U.S. hospitals. The majority of our hospitals are now using health information technology applications that include computerized physician order entry, electronic health records, nursing documentation with wireless devices, paperless charts in the emergency department, adverse drug event alerts and more. As a result, nurses have more time at the bedside for personalized care, medications are given to patients faster, errors are avoided, and costly duplications are eliminated. These benefits are made possible in a variety of ways: • Electronic health records replace much of the paper that passes between departments and between those providing care. Patient information is at the caregivers’ fingertips wherever there is computer access. If a patient ever has a need to return to a Trinity Health hospital, our clinical staff can immediately and securely access their medical history. And since illness doesn’t always happen during office hours, a Trinity Health-affiliated doctor can access a health record using secure, password-protected Internet access, at any time. • Online orders for tests and treatments mean no handwritten prescribing in the hospital. Physicians enter their orders directly into a secure system where they can be quickly accessed by the patient’s care team. Instructions are easily In a Battle Creek Health System OR, an anesthesiologist and CRNA use Surginet to document all pre-, post- and intra-operative activity into the patient’s electronic health record. read, automatically checked and sent to the right departments, so that care is delivered sooner. • Charting care at the bedside is done by nurses and other clinicians on portable computers, making it immediately available online to physicians or other authorized caregivers. This feature gives the nurse more time with the patient. • Automatic “checks” to ensure appropriate medication and dosing helps take away the possibility of human error. The system automatically checks a patient’s prescribed medications against lab results and other key information. With the large numbers of new medications available annually, caregivers and patients appreciate this additional “safety net.” Industry studies have shown that hospitals using computerized clinical systems greatly improve the quality and safety of care, as well as improve patient registration, streamline the billing process and boost financial performance. 2003 May Mercy Hospital – Port Huron 2005 February Battle Creek Health System April St. Joseph’s Healthcare, Clinton Township July Mercy Medical Center – North Iowa September Mercy Medical Center – Sioux City 2004 July Mercy Health Partners, Muskegon October Saint Mary’s Health Care 2006 February Mercy Medical Center – Dubuque Mercy Medical Center – Dyersville March St. Mary Mercy Livonia 10
Most health systems in the country are either just beginning to switch over to these systems – or have not yet started. Trinity Health began its journey in 2000, and has committed substantial resources to seeing it through to completion. Over the next 18 months, Trinity Health will continue its nationwide rollout with Genesis implementations at some of its largest medical centers in Maryland, Idaho, Michigan and California. INNOVATIVE TECHNOLOGIES Nowhere is the latest technology making more of a difference than in today’s hospitals. Patients across our Unified Enterprise Ministry are benefiting from new technology-enhanced procedures. When a specialist is needed but cannot be physically present at the hospital, 34 rounding robots across Trinity Health give physicians access to real-time interactions with patients and staff, ensuring the seamless delivery of care. For example, the Michigan Stroke Network puts the finest stroke specialists in the nation where they are most needed. Using telemedicine and “bedside robots,” physicians and patients at participating hospitals have access to the best specialists in the country to immediately assess a patient’s condition. A total of 31 hospitals in Michigan are members of this one-of-a-kind stroke network. In its first year, 153 patients received more than 500 cancer care treatments from the CyberKnife robotic radiosurgical system, the first of its kind in the state of Michigan. Cancer Treatment Enters the ‘Cyber’ Age The CyberKnife robotic radiosurgery system at St. Joseph Mercy Hospital, Ann Arbor, Mich., radically changed both the treatment and recovery time of some cancer patients. The hospital was the first in the state to offer this technology. The device non-invasively delivers high-dose radiation with pinpoint accuracy. Patients feel no pain, and the procedure is done on an outpatient basis. Doctors say it’s a groundbreaking way to treat spine, lung, prostate, liver and pancreatic cancer, along with non-cancerous or inoperable tumors anywhere on the body. More than 500 treatments have taken place since the hospital acquired CyberKnife in June 2007. Dr. Polly Knightforth proves you can be two places at one time. Here, she discusses a little one’s health with the father and nurse in the Emergency Department at St. Joseph Mercy Oakland, Pontiac, Mich. 2007 March St. Joseph Mercy Oakland October Mercy Medical Center – Clinton 2009 June Saint Joseph Mercy Health System, Ann Arbor 2008 April Saint Joseph Regional Medical Center, South Bend Aug – Sept Mercy Health Network, Iowa (7 hospitals) September Holy Cross Hospital, Silver Spring 11
Page 1 and 2: We are Trinity Health Y o u r M o s
Page 3 and 4: TABLE OF CONTENTS MISSION We serve
Page 5 and 6: Highlights A Network of Ministry Or
Page 7 and 8: Together, these strategic prioritie
Page 9 and 10: with the government and others that
Page 11: ng Highlights Safer, Faster, Better
Page 15 and 16: “Would you recommend this facilit
Page 17 and 18: Saint Joseph Mercy Health System, A
Page 19 and 20: Highlights Enhancing Community Bene
Page 21 and 22: The “New Moms” program provides
Page 23 and 24: “Dr. Bolton and all of the physic
Page 25 and 26: Financial stewardship is an essenti
Page 27 and 28: ASSETS 2008 2007 CURRENT ASSETS: Ca
Page 29 and 30: TOTAL ASSETS (in millions of dollar
Page 31 and 32: partners in mission board of direct
Page 33 and 34: partners in mission system leadersh
Page 35 and 36: ministry organizations CALIFORNIA S
Page 37: TRINITY HEALTH: An Integrated Healt
Page 40: Sponsored by Catholic Health Minist

Trinity Health Annual Report 2008

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