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Reflecting on United Regional’s remarkable rise to the 100 Top Hospitals award

United Regional (Wichita Falls, TX) earned distinction as one of the Truven Health Analytics 100 Top Hospitals®, from a field of nearly 3,000 short-term, acute care, non-federal hospitals.

Performance in various clinical, financial and patient satisfaction measures helped United Regional win this recognition.  Leadership across these 10 categories reflects a commitment to developing and maintaining a hospital-wide culture of excellence and the motivation to adopt new technologies and techniques that improve the efficiency and effectiveness of patient care.

United Regional also received an Everest Award. Only 17 hospitals in the country received this honor, which recognizes both greatest five-year improvement and top one-year performance.

We recently talked with Dwayne McKee, Director of Clinical Intelligence and Business Intelligence at United Regional, to get his thoughts on how technology supported patient care quality initiatives that contributed to his organization achieving these honors. Below are some of the highlights from the interview:


Can you give some examples of how technology has helped improve performance and outcomes at United Regional?

We improved several clinical and financial outcomes, including:

  • A 20% reduction in mortality due to Sepsis from 2011 to 2012.
  • A reduction in Catheter-Associated Urinary Tract Infections (CAUTI) by 50% for the same date range in 2013 as compared to 2012.
  • A   reduction in heart failure re-admission from 21.9% for a two-year period prior to May 2012 to 14.5% from May 2012 through March 2013.

We accomplished, most, if not all of the results by deploying standardized evidenced-base order sets, Computerized Physician Order Entry (CPOE), multiple Medical Logic Modules (MLMs) that assist in driving clinical decision at the point of care, and through clinical summaries.  Additionally, the use of dashboards and reports provides caregivers near real-time information that ensures that patient care is properly managed to provide the best possible outcome.


Which Allscripts products are you using?

We are using a number of Allscripts solutions.  We implemented Allscripts Access ManagerTM and Sunrise Record ManagerTM in 2006. Subsequently, we implemented Sunrise Clinical ManagerTM, (SCM) Allscripts EDTM, Sunrise Medication ManagementTM, and Sunrise Radiology Information SystemTM in 2008.  Over the last several years we have implemented several other Sunrise Performance Management solutions. We are currently in the process of implementing Allscripts Base Content for Physician DocumentationTM.


How did using an Open platform help United Regional achieve better results?

One way the Open platform assisted was through the use of the device integration.  Because of the Open platform, we are able to launch the iSirona solution (syncing device data with the electronic record) from within SCM to pull patient data into the vital signs flowsheet.  This ability to integrate improves data accuracy, reduces transcription time and improves access to data.


What advice would you give to someone about to introduce new technologies?

I would strongly suggest that they look for a solution on an Open platform that enables business partners access to develop solutions that will work in concert with their software.  We are fortunate in that the SCM solution has afforded us the opportunity to partner with other providers that have built their solutions on the same platform.

Additionally, the solution needs to have the flexibility to adjust to new Meaningful Use requirements, and be scalable to meet new demands on technology.  Due to the fact that the Allscripts solutions are highly configurable, we have been able to modify the solutions to meet our needs as it relates to new health care initiatives.

Lastly, the company needs to have a proven track record of innovation, flexibility, be outcomes driven, and be positioned to sustain the evolving healthcare market place.  I would look for an organization that is willing to partner with you, and is willing to accept a degree of risk as you move forward together in meeting the increasing healthcare demands.

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