IASIS Healthcare


 

 

New Computer System Delivers Information, Solutions

A computer system that helps deliver better care and saves money — it’s the foundation of the new technology and software installation at IASIS hospitals.

According to Ken Perry, IASIS vice president for finance and operations, “The goal is to provide our hospitals with the best information possible and to get it into the hands of our managers in a way that’s useful to them.

“In general, when companies do a project like this, they promise more than they can deliver,” says Perry. “Our goal is to deliver more than we promise.” With the support of employees and the vendors supplying the technology, IASIS is following an accelerated installation schedule. It has allowed the company to install and have the technology running at the various hospitals in 90 days as opposed to a year which is a more typical length of time. “The credit for the success of this accelerated installation goes to our employees,” says Perry. “Their dedication is allowing us to bring state-of-the-art technology online quickly and in ways that benefits patients and employees.”

The new system is already up and running in four Utah and three Tampa/St. Petersburg, Fla. hospitals. Other installation roll-outs are: Texas, Oct. 1; and Mesa General and Salt Lake Regional Hospital, April 1, 2001. Tempe St. Luke’s and St. Luke’s will be upgraded to the latest software on April 1. The project cost is $24 million.

Both Perry and Sammy Cantrell, IASIS director of information systems, say the overall objective is to have “a great system that everyone knows how to use.” Toward that, they’ve involved hospital staff at a variety of levels and stages. “We’ve been focusing on hospital operations first,” explains Cantrell. Hospital staff have visited other facilities where the selected systems, McKessonHBOC and Lawson, are already running to get an advanced look at the operation.

Because of the healthcare focus of McKessonHBOC and Lawson, many of the basic forms and systems needed are already in place as hospitals come on line. Staff then can customize them to fit their particular areas such as pharmacy or radiology.

An Investment in People
Selected staff have been managing the installation and customization process. In turn, they’ve been teaching co-workers how to use the systems. It’s an approach that has facilitated the accelerated installation and created a sense of ownership among employees. “We are making a big investment in personnel,” says Perry, “because we want to give people more than adequate training so they’ll be able to take advantage of the many ways the system can help provide better patient care.”

The system includes features that target and track the fundamentals of care. For instance, says Perry, currently at Rocky Mountain and St. Luke’s and eventually at all hospitals, the system provides a daily printout detailing the standards of care for each patient — blood pressure checks, assessments and other routine activities. Using this list, nurses can verify that patients have gotten all essential care. In the pharmacy, the system automatically red flags potential medication conflicts. In the business office, it speeds registration and provides more accurate billing.

Patients will benefit because many aspects of their records such as the most current test result will be integrated on one, on-line system that is accessible to all caregivers in the hospital. This will provide immediate access to current information about the care a patient has received and should receive, as well as other essential information such as drug allergies.

“One important aspect to this system is the collaborative activity it encourages between hospitals,” says Cantrell. For example, a pharmacy discussion group will be available. It will allow pharmacists to interact informally with their peers at other hospitals online, share information and talk about issues. Both Cantrell and Perry say the centralized operation will reduce the overall amount of downtime across the system.

One Location, One Approach
Data Center operations are centralized at St. Luke’s Medical Center in Phoenix, Ariz. where the HBOC software was already in use. According to Cantrell, IASIS hospitals had used eight different data centers in the past. “With this centralized installation, we’re able to achieve substantial savings since we were able to buy one set of software instead of (purchasing individual sets of software) for each individual hospital,” he says, estimating the company is saving over the previous cost, plus gaining a competitive edge by installing current technology. Beyond the centralized software installation, the company is spending on average of $250,000 at each facility for hardware such as personal computers and printers to upgrade the basic services available at each site.

The new system has many benefits and features which were previously unavailable. These include system-wide e-mail, ad hoc reporting and applications that provide hospitals with standard documents for contracts and policies and procedures. It also facilitates on-line ordering, tracking of care and services which patients receive plus bar-coding systems for order and results tracking.

“From a technology point of view, the success of this project lies in the suppliers we’ve chosen,” says Perry. “Both the McKessonHBOC and Lawson products are proven performers in the healthcare industry. They consistently deliver the quality, service and performance promised. For our patients and employees, that means when the installation is complete, they’ll have reliable, customized systems and processes that enhance care.”

Arizona Hospitals Rate Well on JCAHO

Congratulations to three Phoenix-area IASIS hospitals. They earned scores of 90 or greater on their Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) surveys. The scores were: St. Luke’s Behavior Hospital, 93; St. Luke’s Medical Center, 91; and Tempe St. Luke’s Medical Center, 94. (Mesa General will be the first facility to have a combined survey by JCAHO and American Osteopathic Association this December.)

JCAHO surveyors, in their summaries of the three facilities’ ratings, stated the scores their team awarded “were the highest given this year.” The average score nationally is 85-88.

“These scores are commendable,” says Carole Beauchamp, IASIS director of clinical operations, “because JCAHO, in the past two years, has lifted its scoring caps. Previous caps had allowed hospitals to perform under the standards without penalty. That has changed. Now, if a facility doesn’t meet standards, it can be penalized.” She also added JCAHO has raised its expectations and applied its standards more rigorously in recent years. Beauchamps said the Arizona IASIS hospitals, in particular, rated well in performance improvement.

“In light of the fact that these hospitals, in the past year, had all gone through a great transition with new ownership and new management, these scores are particularly praiseworthy,” says Wayne Gower, IASIS president and CEO. “The staff deserves all the credit. When we pull together as a team, everyone is a winner.”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

 

Meet Members of the IASIS Team

Profiles: Carole Beauchamp & Lelan Daines

Patient care is IASIS’ core business — it’s a fact on which Lelan Daines and Carole Beauchamp, IASIS directors of risk management and clinical operations, stay focused. Their responsibilities include oversight, training and management of the delivery of clinical services and risk management at IASIS hospitals.

“Lelan and I are the clinical people at IASIS corporate. We’re nurses by background, so we can empathize with the challenges caregivers face,” says Beauchamp. “I try to help the hospitals work through the (administrative and regulatory) issues they face and so they can see to it that patients get the care and the value they need.”

“The real question (we should be asking) is what does the patient need and then we should work back from there,” explains Daines. “When we focus on that issue, we’re able to give clinicians more and better information because it reduces the complexity and the numbers of people who are involved in administration of patient care. In the end, not only are you in compliance, but you’re providing better care.”

In particular, Daines says, the new computer systems currently being installed in all IASIS hospitals will be an asset to nursing.

Experience Counts
Both women have more than 20 years of experience in clinical operations and in quality, risk and resource management.

“Lelan has expertise in compliance and risk management and my expertise is in Joint Commission on the Accreditation of Healthcare Organizations,” says Beauchamp. “Because we have different strengths, it allows us to work together for the benefit of all the IASIS hospitals.”

With an emphasis on case management, Beauchamp focuses on helping hospitals set up processes that allow patients to move through the entire continuum of care efficiently while receiving optimum care. Although she isn’t a compliance officer, she says her job includes working with physicians to ensure they are in good standing with Medicare rules. “My goal is to improve processes to make (these processes) friendlier to doctors and staff,” she says. “For instance, the new computer system will allow us to centralize scheduling and improve the movement of patients through the system.” Other areas on which Beauchamp focuses include medical staff by-law development and resource management.

“Most of the time, when patients are cared for in a clinically appropriate and ethical manner, problems are minimal,” says Daines. When care yields a less-than-optimal outcome or dissatisfied patients, she says it’s usually because of a cascade of events. “It takes longer to correct problems than it does to do (it right) the first time,” she observes.

“The healthcare world has become so complex that people get caught up in worrying about the rules and regulations,” says Daines, who fills in when she’s needed in the emergency department at Salt Lake Regional Medical Center. “They get paralyzed by the rules and the paperwork. I tell people ‘Take a deep breath. If you don’t understand the rules, just do the right thing.’ Nine times out of 10 that will keep us within the regulatory guidelines.”

 

IASIS 401(k) an Important Saving/Retirement Planning Tool

Of the many benefits IASIS Healthcare makes available, the 401(k) is one of the most valuable.

“Our 401(k) plan is designed to make saving for retirement easy,” says Russ Follis, IASIS director of Human Resources. “It allows you to save up to 20 percent of your pay before taxes after one year of service. IASIS matches what you put in at a rate of 50 cents for every dollar, up to six percent of your pay.

“You then can invest and manage the money in your 401(k) by placing it in one or a combination of several of our investment funds,” says Follis, explaining that the seven available funds provide different levels of risk and growth.

“The important fact to know is that you must be in the plan to save for the future. Even small amounts add up over time.

“An additional benefit to the 401(k) plan is that the money you invest will help you in paying less in income taxes,” says Follis. “That’s because contributions are made before federal and state income taxes are withheld, so the net result is that you may pay lower taxes. And with the matching contributions from IASIS, you save even more.”

You’re in Charge
IASIS has seven different investment options in which you can invest your 401(k) plan contributions. These options offer different levels of risk/return potential, from money market accounts to stock funds. “You can choose to place your 401(k) resources in one investment fund or divide them among several funds,” says Follis. “The company’s matching contributions are invested the same way as your contributions.

“Your 401(k) is designed to help you save for retirement, but sometimes you need access to your savings for loans or hardship withdrawals,” says Follis. If you need to draw on those funds, talk with your Human Resources representative for more information.

If you leave the company, you may be able to roll your IASIS 401(k) into one sponsored by your new employer or place it in an Individual Retirement Account (IRA). Choosing to “cash in” a 401(k) before retirement can result in penalties and taxes based on the amount in your account.

401(k) Facts
You are eligible to join IASIS’s 401(k) plan on the first of the month following your date of hire (PRN employees are eligible after one year of service). Deductions begin as soon as is possible after you decide to participate. (See the Overview of Retirement Savings Benefits brochure available from your Human Resources department for specifics.)

Matching contributions begin after you have been with the company one year.

Invest your 401(k) plan savings in one or more of the seven available options. At the beginning of each calendar quarter (Jan. 1, April 1, July 1 and Oct.1), contribution percentages can be altered. Withdrawals from a 401(k) before retirement are permitted but penalties, interest or taxes may apply, so talk with your Human Resources representative.

By law, the maximum that can be contributed in 2000 to a 401(k) is $10,500.

Your beneficiary is entitled to the full value of your 401(k) — less any outstanding loan balance — if you die before the account is paid to you.

Reports From The Installation Front

Systems Upgrade Is a Journey, Not a Destination
Retooling of hospital computer systems is always challenging. Even so, staff at IASIS hospitals report the process is proceeding smoothly and that the system has many attractive features.

“Nurses should be pleased about the new computer capabilities,” says Pat Mattson, R.N., St. Luke’s Medical Center management information service nursing liaison. “It’s an asset that will help them do their jobs better.” Mattson has responsibility for teaching all the hospital’s nursing staff to use the new system.

Beneficial features include the replacement of handwritten notes about patient care and the automatic printing each day of worksheets for each patient’s care. “One of the nice features is we can build in a specific physician's standing orders for patients so they can be entered in the computer more efficiently,” says Mattson.

“Through the new system, we’ll have automatic, immediate access to laboratory and x-ray results, even if the patient is off the floor. That way, nurses don't have to worry about finding a patient's chart to get the details of care,” says Mattson, a 22-year veteran of St. Luke’s.

According to Jeff Martin, laboratory director at Jordan Valley Medical Center, West Jordan, Utah, the ability to customize reports is an asset. “Right now, there are only a couple of different patient report formats we can generate. The new system is more adaptable, so we can expand our forms to include more patient information and demographics.” The ability to include additional details about a patient's medical history and treatment plan provides physicians and nursing staff with the information they need to provide care.

Rick Davis, a regional coordinator for the systems in the Salt Lake area hospitals, says the system provides a systematic, hospital-wide approach to patient care. “Speaking as a radiologist, the system provides logical stepping stones to help patients move through the hospital processes,” says Davis who was radiology manager at Davis Hospital and Medical Center for 23 years. “It’s the right mechanism to make sure all the processes are in place.”

For Shane Williams, director of information systems at Davis Hospital, Layton, Utah, where the system went live on April 1, all the hard work has paid off. “It’s a move forward for us. We no longer have to deal with the problems that occur in trying to get hardware and software from different vendors to work together,” says Williams. “It’s more integrated and brings us more up time because we don’t have interfaces (between different types of technology) failing. There’s more consistency in the data.

“As a company, it puts us on a unified platform, so when I call a sister hospital, we can look at the same report and will be speaking the same language,” he says. Williams adds physicians will have a secure clinical browser which allows them to access patient data from anywhere in the hospital. Eventually, they will have secure access to the Internet.

He applauds the system’s early record of up time, recalling an instance under previous ownership when the hospital's computers were down for a week. The teamwork among IASIS hospitals that has emerged is an unexpected benefit. “When there’s a problem at another hospital you pitch in, even if it doesn’t impact you, because (the staff at that other hospital) is your resource for help in the future," says Williams.

“You have to remember, an install isn’t a destination, it’s a journey,” says Williams. “You don’t wake up one morning and you’re done. During the next six-eight months, we’ll continue to see improvements and maybe even two years down the line we’ll still be tinkering. One of the benefits of this system is that it gives us the ability to make it our own.”

IASIS Healthcare has selected two premier healthcare technology suppliers to provide the hardware and software for its new system. McKessonHBOC products include technology-based systems that target improving performance for healthcare clients. The company’s information technology business develops, implements and supports patient care, financial, clinical, homecare, managed care and strategic management software.

Lawson Software provides client/server business applications. Lawson specializes in providing services and products to healthcare companies and retail, professional services, public sector, and wholesale distribution industries. In a recent industry report, Lawson ranked first among healthcare financial software vendors.

In the News

During recent months, the following IASIS hospitals reported these activities and developments:

Davis Hospital Layton, Utah
New MRI — Davis Hospital initiated operation of its new Signa Profile/i system MRI in early September. The technology features an open magnet design that is more comfortable for patients who find standard MRI too confining, noisy or intimidating. It includes a built-in intercom and hand-held call button to provide patients with a feeling of control during the exam. A special seat adjacent to the equipment allows a companion to accompany a patient safely during the exam.

“The addition of a Signa Profile/i system complements and extends the range of high quality diagnostic services already available to the residents of our community” says Davis CEO Bruce Baldwin.

Jordan Valley Medical Center West Jordan, Utah
Expansion, Renovation Complete — A 35,000-square-foot renovation and a 35,000-square-foot addition opened in May to house Jordan Valley’s emergency and ancillary services.

The new emergency area has 23 beds and two trauma rooms plus fast-track facilities to provide care for less critical patients. Also included in the expansion are facilities for cardiology, pulmonology, business services, radiology, dietary, pharmacy, information services, human resources, quality, laboratory, surgery and administration.

Odessa Regional Medical Center Odessa, Texas
Expansion Underway — A 50,000-square-foot expansion is underway at Odessa Regional. As a part of the project, a 30,000-square-foot renovation is enabling the hospital to provide private rooms and expand the number of beds by the end of summer.

While no new departments are planned, services in existing departments are expected to be enhanced, including new labor, delivery and recovery rooms, cesarean section area, nursery and neonatal intensive care unit and new private rooms in postpartum. An expanded outpatient surgery pre- and post-procedure area and new lobby and entrance are being added. The expansion is to be completed in the first quarter of 2002.

Mesa General Hospital Mesa, Arizona
Award Presented — Wilbur V. Cole. III, D.O., director of medical education at Mesa General, was the recent recipient of the Arizona Osteopathic Medical Association Excellence in Osteopathic Medical Education Award.

Town & Country Hospital Tampa, Florida
Emergency Expansion — A 9,405-square-foot emergency department expansion is underway at Town & Country. The two-part project is expected to take six months and nearly double the department’s size. It includes creation of pediatric patient rooms, an x-ray facility with ED and streamlined emergency and outpatient registration and waiting areas. When completed, the expansion will allow the hospital to double its volume to 40,000 patients annually.

Care, Comfort and Compassion — All Town & Country employees are receiving three hours of guest services training as part of a program developed by the hospital’s Guest Services Team. The program, using the service statement, "Providing Care, Comfort and Compassion," is called CARES, an acronym for commitment to excellence, appearance, respect and confidentiality, efficiency and safety.

Pioneer Valley Hospital West Valley City, Utah
Increased OB/GYN volume — Pioneer Valley’s new OB/GYN clinic is expected to increase deliveries at the hospital from a low of 45 per month to more than 100 per month in the next eight months. The increase is attributed to the free pregnancy testing campaign which the hospital has marketed as well as the addition of two obstetricians to its staff.


 

 

 

 

 

     
 

Carole Beauchamp
Title: Director of Clinical Operations
Based in: Nashville, Tenn.
Native: Somerville, N.J.
Education: Bachelor of Arts, Indiana University; associate of science in nursing, Broward Community College; master of science in health administration, Florida International University.
Experience: Director of quality and resource management for Community Health Systems; director of clinical operations for Mid-America Group, Columbia/HCA Healthcare Corp.; president of the Florida Utilization Review Association from 1994-96. Also was director of utilization review and director of quality management at both the local and regional levels in Florida.
Philosophy: “Don’t tell people what they have to do, show them how.”

The mother of two grown children, Carole is a dedicated golfer who also enjoys shopping and reading everything from fiction to cookbooks.

 
     

 

     
 

Lelan Daines
Title:
Director of Risk Management
Based in: Salt Lake City, Utah and Nashville, Tenn.
Native: Logan, Utah
Education: Bachelor of Science in psychology from Utah State University; bachelor of science in nursing and master of science in health care administration, Weber State University.
Experience: Director of quality resource and risk management at Salt Lake Regional Medical Center; director of clinical operations for the National Group, Columbia/HCA Healthcare Corp.; and director of quality, clinical outcomes, resource, risk and case management for HealthTrust.
Philosophy: “The patient is the reason we’re here.”

Lelan is the mother of three teenagers. On winter weekends, she can be found on the ski slopes of Snowbird, Brighton and Solitude; in the summer, she’s an avid hiker.