Memorial Hermann Well being System lowered its fall fee to one of many lowest within the nation in 2016 — utilizing medical determination help (CDS) and for that was honored with a HIMSS Davies Award of Excellence
The Davies acknowledges excellent achievement of organizations which have utilized well being info know-how to considerably enhance affected person outcomes and worth.
To attain such success, a staff at Memorial Hermann used the AGS Beers Standards, a useful resource that helps physicians discover potential medication-related risks that usually result in geriatric affected person falls. Memorial Hermann began utilizing CDS oversight with the help of a Beers Standards workgroup led by physicians, pharmacists, medical informatics professionals and an acute care medical informatics committee, in accordance with HIMSS.
Memorial Hermann used CDS within the type of order sentences and alerts to restrict the ordering of medicines for the aged affected person inhabitants. The EHR’s potential so as to add filters for age and situations, along with dose vary checking alerts, improved the automation and reliability of the CDS alerts.
WHY IT MATTERS
“Each second of each day within the U.S., an older grownup falls, making falls the primary explanation for accidents and deaths from damage amongst older Individuals,” in accordance with the Facilities for Illness Management and Prevention (CDC). In 2014, CDC reported some 29 million falls by older Individuals, leading to seven million accidents at an estimated $31 billion in Medicare prices.
Falls are a rising public well being difficulty, notably with the surging Child Boomer inhabitants, says the Nationwide Council on Getting old (NCOA).
“Older grownup falls are growing and, sadly, typically herald the tip of independence,” mentioned former CDC Director Tom Frieden. “Healthcare suppliers could make fall prevention a routine a part of care of their apply, and older adults can take steps to guard themselves.”
THE LARGER TREND
An increasing number of suppliers are utilizing superior predictive analytics to scale back falls. The 420-bed El Camino Hospital in California dramatically lowered its hospital fall charges, as we reported final April. “It appeared like a variety of the efforts we tried weren’t getting us to the place we wished to be,” mentioned chief nursing officer Cheryl Reinking, who helped spearhead the trouble to remodel the group’s fall prevention program. The hassle concerned going past conventional “predictive analytics” into what Reinking known as action-focused insights that permit suppliers to right away reply and affect affected person security.
We additionally reported a few blueprint for fall prevention that will also be utilized to coronary heart assaults and different affected person situations, utilizing telehealth and predictive analytics utilized to inhabitants well being information.
Doctor and medical informatics fellow Andrew Muth, MD, has developed a fall prevention program that makes use of predictive analytics to establish veterans who’re vulnerable to falling. Some components that may result in the next threat of falling embrace taking robust remedy for ache, narcotics like benzodiazepine or antipsychotics, which might trigger you to be a bit of shakier and extra more likely to fall.
ON THE RECORD
HIMSS senior director of high quality and value-based care Jonathan French: “Memorial Hermann Well being System considerably decreased the general fee of pointless, high-risk remedy orders, and at the moment are main the nation with the least quantity of affected person falls.”
Diana Manos is a Washington, D.C.-area freelance author specializing in healthcare, wellness and know-how.
E-mail the author: firstname.lastname@example.org
Healthcare IT Information is a HIMSS Media publication.