Implementation of health information technology to maximize efficiency of resource utilization in a geographically dispersed prenatal care delivery system

Marlo Baker Cochran, Russell Snyder, Elizabeth Thomas, Daniel H. Freeman, Gary Hankins

Research output: Contribution to journalArticle

Abstract

This study investigated the utilization of health information technology (HIT) to enhance resource utilization in a geographically dispersed tertiary care system with extensive outpatient and delivery services. It was initiated as a result of a systems change implemented after Hurricane Ike devastated southeast Texas. A retrospective database and electronic medical record review was performed, which included data collection from all patients evaluated 18 months prior (epoch I) and 18 months following (epoch II) the landfall of Hurricane Ike. The months immediately following the storm were omitted from the analysis, allowing time to establish a new baseline. We analyzed a total of 21,201 patients evaluated in triage at the University of Texas Medical Branch. Epoch I consisted of 11,280 patients and epoch II consisted of 9922 patients. Using HIT, we were able to decrease the number of visits to triage while simultaneously managing more complex patients in the outpatient setting with no clinically significant change in maternal or fetal outcome. This study developed an innovated model of care using constrained resources while providing quality and safety to our patients without additional cost to the health care delivery system.

Original languageEnglish (US)
Pages (from-to)251-257
Number of pages7
JournalAmerican Journal of Perinatology
Volume29
Issue number4
DOIs
StatePublished - 2012

Fingerprint

Medical Informatics
Prenatal Care
Cyclonic Storms
Triage
Delivery of Health Care
Electronic Health Records
Tertiary Healthcare
Ambulatory Care
Outpatients
Mothers
Databases
Safety
Costs and Cost Analysis

Keywords

  • electronic medical record
  • health information technology
  • systems change

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Implementation of health information technology to maximize efficiency of resource utilization in a geographically dispersed prenatal care delivery system. / Cochran, Marlo Baker; Snyder, Russell; Thomas, Elizabeth; Freeman, Daniel H.; Hankins, Gary.

In: American Journal of Perinatology, Vol. 29, No. 4, 2012, p. 251-257.

Research output: Contribution to journalArticle

@article{e1a8ff2a3dec4771842f6dc3ca749b5b,
title = "Implementation of health information technology to maximize efficiency of resource utilization in a geographically dispersed prenatal care delivery system",
abstract = "This study investigated the utilization of health information technology (HIT) to enhance resource utilization in a geographically dispersed tertiary care system with extensive outpatient and delivery services. It was initiated as a result of a systems change implemented after Hurricane Ike devastated southeast Texas. A retrospective database and electronic medical record review was performed, which included data collection from all patients evaluated 18 months prior (epoch I) and 18 months following (epoch II) the landfall of Hurricane Ike. The months immediately following the storm were omitted from the analysis, allowing time to establish a new baseline. We analyzed a total of 21,201 patients evaluated in triage at the University of Texas Medical Branch. Epoch I consisted of 11,280 patients and epoch II consisted of 9922 patients. Using HIT, we were able to decrease the number of visits to triage while simultaneously managing more complex patients in the outpatient setting with no clinically significant change in maternal or fetal outcome. This study developed an innovated model of care using constrained resources while providing quality and safety to our patients without additional cost to the health care delivery system.",
keywords = "electronic medical record, health information technology, systems change",
author = "Cochran, {Marlo Baker} and Russell Snyder and Elizabeth Thomas and Freeman, {Daniel H.} and Gary Hankins",
year = "2012",
doi = "10.1055/s-0031-1285102",
language = "English (US)",
volume = "29",
pages = "251--257",
journal = "American Journal of Perinatology",
issn = "0735-1631",
publisher = "Thieme Medical Publishers",
number = "4",

}

TY - JOUR

T1 - Implementation of health information technology to maximize efficiency of resource utilization in a geographically dispersed prenatal care delivery system

AU - Cochran, Marlo Baker

AU - Snyder, Russell

AU - Thomas, Elizabeth

AU - Freeman, Daniel H.

AU - Hankins, Gary

PY - 2012

Y1 - 2012

N2 - This study investigated the utilization of health information technology (HIT) to enhance resource utilization in a geographically dispersed tertiary care system with extensive outpatient and delivery services. It was initiated as a result of a systems change implemented after Hurricane Ike devastated southeast Texas. A retrospective database and electronic medical record review was performed, which included data collection from all patients evaluated 18 months prior (epoch I) and 18 months following (epoch II) the landfall of Hurricane Ike. The months immediately following the storm were omitted from the analysis, allowing time to establish a new baseline. We analyzed a total of 21,201 patients evaluated in triage at the University of Texas Medical Branch. Epoch I consisted of 11,280 patients and epoch II consisted of 9922 patients. Using HIT, we were able to decrease the number of visits to triage while simultaneously managing more complex patients in the outpatient setting with no clinically significant change in maternal or fetal outcome. This study developed an innovated model of care using constrained resources while providing quality and safety to our patients without additional cost to the health care delivery system.

AB - This study investigated the utilization of health information technology (HIT) to enhance resource utilization in a geographically dispersed tertiary care system with extensive outpatient and delivery services. It was initiated as a result of a systems change implemented after Hurricane Ike devastated southeast Texas. A retrospective database and electronic medical record review was performed, which included data collection from all patients evaluated 18 months prior (epoch I) and 18 months following (epoch II) the landfall of Hurricane Ike. The months immediately following the storm were omitted from the analysis, allowing time to establish a new baseline. We analyzed a total of 21,201 patients evaluated in triage at the University of Texas Medical Branch. Epoch I consisted of 11,280 patients and epoch II consisted of 9922 patients. Using HIT, we were able to decrease the number of visits to triage while simultaneously managing more complex patients in the outpatient setting with no clinically significant change in maternal or fetal outcome. This study developed an innovated model of care using constrained resources while providing quality and safety to our patients without additional cost to the health care delivery system.

KW - electronic medical record

KW - health information technology

KW - systems change

UR - http://www.scopus.com/inward/record.url?scp=84859445818&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84859445818&partnerID=8YFLogxK

U2 - 10.1055/s-0031-1285102

DO - 10.1055/s-0031-1285102

M3 - Article

VL - 29

SP - 251

EP - 257

JO - American Journal of Perinatology

JF - American Journal of Perinatology

SN - 0735-1631

IS - 4

ER -