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Case Study

                                     AnMed Health
                                     Fully Integrates Medication Management
At a Glance                          Despite a century of healing, AnMed        The hospital also targeted bar codes
                                     Health isn’t showing its age. In fact,     to enhance medication dispensing
Organization                         this provider recently transformed         and administration safety. McKesson’s
AnMed Health                         its medication management process          robotic dispensing technology
Anderson, S.C.                       to address patient safety challenges.      was added in the pharmacy while
– 560 beds                           The result is a fully integrated process   medication cabinets were placed
                                     that has reduced medication errors,        on patient floors. The model was
– 21,400 inpatient admissions        enhanced physician use of technology,      so efficient that AnMed was able
  annually                           improved patient outcomes, and             to redeploy pharmacists for more
– 77,800 emergency/urgent            added $800,000 to the bottom line.         clinical interventions while other
  care visits                                                                   staff focused on ensuring that
– 198,600 outpatient visits          Challenge                                  all dispensed medications were
                                     In the late 1990s, AnMed Health’s          bar coded.
Solution Spotlight                   leadership recognized that integrated
–   AcuDose-Rx                       medication management was the              AnMed deployed electronic nursing
                                     key to patient safety. With a mostly       documentation to support complete
–   Horizon Admin-Rx                                                            charting and standardized plans of
                                     manual system, the hospital needed
–   Horizon Clinicals                                                           care. Caregivers began to use bar-code
                                     a solution that would eliminate
–   Horizon Expert Documentation     inefficiencies and errors. The provider    scanning technology to help ensure
–   Horizon Expert Orders            also wanted to control costs,              the “five rights” of medication
                                     enhance communications and                 administration. And since safe
–   Horizon Meds Manager
                                     engage clinicians – especially             medication use depends on accurate
–   Horizon Order Management                                                    knowledge of patient allergies,
                                     physicians – to use technology
–   Horizon Patient Folder                                                      AnMed also implemented full
                                     to improve patient outcomes.
–   HorizonWP Physician Portal                                                  bi-directional allergy integration.
–   MedDirect                        “Patient safety and quality
                                     healthcare is the Holy Grail of            “We completely changed our
–   ROBOT-Rx
                                     medicine,” explains Dr. Michael            workflow and ‘married’ pharmacy
                                     Tillirson, chief medical officer.          and nursing with integrated
Critical Issues
                                     “We had to streamline clinical             technologies,” says Tina Jury, chief
–   Manual paper-based processes                                                nursing officer. “When all disciplines
                                     processes and decrease variation
–   Patient and medication safety    in practice to enhance safety and          are documenting and reviewing
–   Poor communication               achieve excellence.”                       patient information in the same
                                                                                system, you enable the best care
–   Rising healthcare costs
                                     Answers                                    possible.”
Results                              AnMed partnered with McKesson              In 2006, AnMed deployed
– Integrated clinical systems        for a comprehensive system, starting       computerized provider order
  for closed-loop medication         with dispensing and transcribing in        entry/clinical decision support
  management                         the pharmacy. Using McKesson’s             (CPOE/CDS). To prepare physicians,
– Achieved a 95% or higher           pharmacy information solution as the       the hospital replaced paper charts
  compliance rate for bar-code       hub, pharmacists built the foundation      with McKesson’s electronic document
  scanning                           for orders, streamlined workflow           management system in 1998, followed
                                     and rules-based alerting.                  by a physician portal in 2003.
– Enhanced clinician communication
  and care processes
– Streamlined care processes
– Saved more than $800,000
Case Study


“Physicians at AnMed Health        Physicians quickly became proficient                          pharmacists identified 9,215 clinical
                                   in the technologies and saw instant                           interventions, saving $259,250.
have come to depend on the         value in being able to electronically                         And nurses consistently exceed a
availability of technology 24x7,   sign off on patient charts and                                95% bar-code medication
                                   access patient information anytime,                           administration scanning rate.
which is evidenced by their        anywhere. When the Horizon Expert
                                   Orders™ CPOE/CDS system went live,                            Technology has also enhanced
use and acceptance of it.”         it simply became another tool in an                           compliance with regulatory measures.
                                   extremely successful system.                                  Under the Hospital Quality Incentive
                                                                                                 Demonstration (HQID) project,
Darrell Hickman                    Results                                                       AnMed now ranks in the first decile
                                   Clinician Adoption – As physicians                            nationally for coronary artery bypass
Chief Information Officer                                                                        graft, hip and knee replacements,
                                   use Horizon Expert Orders, they are
AnMed Health                       prompted with patient information                             and acute myocardial infarction,
                                   and appropriate order guidelines                              increasing reimbursements by
                                   based on clinical best practices.                             $150,000.
                                   While the rollout was targeted to
                                   28 physicians, 28 additional physicians                       “A big part of our success can be
                                   quickly requested access. More than                           attributed to the fact that our clinical
                                   70 physicians currently use the system                        applications are owned by clinical
                                   to enter 30,000 orders monthly.                               departments,” says Bill Manson, chief
                                   Portal usage has jumped to more                               operating officer. “This encourages
                                   than 25,000 logins per month, with                            greater buy-in from clinical staff.”
                                   76% of AnMed’s regularly admitting
                                   physicians logging in daily.                                  AnMed Health is now among a
                                                                                                 small percentage of U.S. hospitals
                                   “Physicians at AnMed Health have                              to achieve fully integrated,
                                   come to depend on the availability of                         closed-loop medication management.
                                   technology 24x7, which is evidenced                           For Hickman, the achievement carries
                                   by their use and acceptance of it,”                           great personal meaning.
                                   notes Darrell Hickman, chief
                                   information officer.                                          “In 1999, I coded on the cath table
                                                                                                 and it took four attempts to bring
                                   Patient Safety and Outcomes – In the                          me back,” he explains somberly.
                                   pharmacy, McKesson’s Web-based                                “What we do is important because it
                                   medication ordering system saved                              affects the enjoyment, the quality and
                                   $400,000 by enabling after-hours                              the length of people’s lives. I can’t
                                   pharmacy support. With lab results                            think of anything more important.”
                                   interfaced into Horizon Meds
                                   Manager and its rules engine,

                                   Copyright © 2007 McKesson Corporation and/or one of its subsidiaries. All rights reserved. AcuDose-Rx, Horizon Clinicals,
McKesson Provider Technologies     ROBOT-Rx and HorizonWP are registered trademarks of McKesson Information Solutions LLC. Horizon Admin-Rx, Horizon
                                   Expert Documentation, Horizon Expert Orders, Horizon Meds Manager, Horizon Order Management, Horizon Patient
5995 Windward Parkway              Folder and MedDirect are trademarks of McKesson Infromation Solutions LLC. All other product or company names
Alpharetta, GA 30005               mentioned may be trademarks, service marks or registered trademarks of their respective companies.         PRT294-07/07


http://www.mckesson.com
1.800.981.8601

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AnMed Health Fully Integrates Medication Management

  • 1. Case Study AnMed Health Fully Integrates Medication Management At a Glance Despite a century of healing, AnMed The hospital also targeted bar codes Health isn’t showing its age. In fact, to enhance medication dispensing Organization this provider recently transformed and administration safety. McKesson’s AnMed Health its medication management process robotic dispensing technology Anderson, S.C. to address patient safety challenges. was added in the pharmacy while – 560 beds The result is a fully integrated process medication cabinets were placed that has reduced medication errors, on patient floors. The model was – 21,400 inpatient admissions enhanced physician use of technology, so efficient that AnMed was able annually improved patient outcomes, and to redeploy pharmacists for more – 77,800 emergency/urgent added $800,000 to the bottom line. clinical interventions while other care visits staff focused on ensuring that – 198,600 outpatient visits Challenge all dispensed medications were In the late 1990s, AnMed Health’s bar coded. Solution Spotlight leadership recognized that integrated – AcuDose-Rx medication management was the AnMed deployed electronic nursing key to patient safety. With a mostly documentation to support complete – Horizon Admin-Rx charting and standardized plans of manual system, the hospital needed – Horizon Clinicals care. Caregivers began to use bar-code a solution that would eliminate – Horizon Expert Documentation inefficiencies and errors. The provider scanning technology to help ensure – Horizon Expert Orders also wanted to control costs, the “five rights” of medication enhance communications and administration. And since safe – Horizon Meds Manager engage clinicians – especially medication use depends on accurate – Horizon Order Management knowledge of patient allergies, physicians – to use technology – Horizon Patient Folder AnMed also implemented full to improve patient outcomes. – HorizonWP Physician Portal bi-directional allergy integration. – MedDirect “Patient safety and quality healthcare is the Holy Grail of “We completely changed our – ROBOT-Rx medicine,” explains Dr. Michael workflow and ‘married’ pharmacy Tillirson, chief medical officer. and nursing with integrated Critical Issues “We had to streamline clinical technologies,” says Tina Jury, chief – Manual paper-based processes nursing officer. “When all disciplines processes and decrease variation – Patient and medication safety in practice to enhance safety and are documenting and reviewing – Poor communication achieve excellence.” patient information in the same system, you enable the best care – Rising healthcare costs Answers possible.” Results AnMed partnered with McKesson In 2006, AnMed deployed – Integrated clinical systems for a comprehensive system, starting computerized provider order for closed-loop medication with dispensing and transcribing in entry/clinical decision support management the pharmacy. Using McKesson’s (CPOE/CDS). To prepare physicians, – Achieved a 95% or higher pharmacy information solution as the the hospital replaced paper charts compliance rate for bar-code hub, pharmacists built the foundation with McKesson’s electronic document scanning for orders, streamlined workflow management system in 1998, followed and rules-based alerting. by a physician portal in 2003. – Enhanced clinician communication and care processes – Streamlined care processes – Saved more than $800,000
  • 2. Case Study “Physicians at AnMed Health Physicians quickly became proficient pharmacists identified 9,215 clinical in the technologies and saw instant interventions, saving $259,250. have come to depend on the value in being able to electronically And nurses consistently exceed a availability of technology 24x7, sign off on patient charts and 95% bar-code medication access patient information anytime, administration scanning rate. which is evidenced by their anywhere. When the Horizon Expert Orders™ CPOE/CDS system went live, Technology has also enhanced use and acceptance of it.” it simply became another tool in an compliance with regulatory measures. extremely successful system. Under the Hospital Quality Incentive Demonstration (HQID) project, Darrell Hickman Results AnMed now ranks in the first decile Clinician Adoption – As physicians nationally for coronary artery bypass Chief Information Officer graft, hip and knee replacements, use Horizon Expert Orders, they are AnMed Health prompted with patient information and acute myocardial infarction, and appropriate order guidelines increasing reimbursements by based on clinical best practices. $150,000. While the rollout was targeted to 28 physicians, 28 additional physicians “A big part of our success can be quickly requested access. More than attributed to the fact that our clinical 70 physicians currently use the system applications are owned by clinical to enter 30,000 orders monthly. departments,” says Bill Manson, chief Portal usage has jumped to more operating officer. “This encourages than 25,000 logins per month, with greater buy-in from clinical staff.” 76% of AnMed’s regularly admitting physicians logging in daily. AnMed Health is now among a small percentage of U.S. hospitals “Physicians at AnMed Health have to achieve fully integrated, come to depend on the availability of closed-loop medication management. technology 24x7, which is evidenced For Hickman, the achievement carries by their use and acceptance of it,” great personal meaning. notes Darrell Hickman, chief information officer. “In 1999, I coded on the cath table and it took four attempts to bring Patient Safety and Outcomes – In the me back,” he explains somberly. pharmacy, McKesson’s Web-based “What we do is important because it medication ordering system saved affects the enjoyment, the quality and $400,000 by enabling after-hours the length of people’s lives. I can’t pharmacy support. With lab results think of anything more important.” interfaced into Horizon Meds Manager and its rules engine, Copyright © 2007 McKesson Corporation and/or one of its subsidiaries. All rights reserved. AcuDose-Rx, Horizon Clinicals, McKesson Provider Technologies ROBOT-Rx and HorizonWP are registered trademarks of McKesson Information Solutions LLC. Horizon Admin-Rx, Horizon Expert Documentation, Horizon Expert Orders, Horizon Meds Manager, Horizon Order Management, Horizon Patient 5995 Windward Parkway Folder and MedDirect are trademarks of McKesson Infromation Solutions LLC. All other product or company names Alpharetta, GA 30005 mentioned may be trademarks, service marks or registered trademarks of their respective companies. PRT294-07/07 http://www.mckesson.com 1.800.981.8601