Mercy Health announces that it has won the Healthcare Information and Management Systems Society’s (HIMSS) Davies Award of Excellence for its work in improving opioid prescribing practices. The award recognizes organizations that use health information technology to improve patient outcomes and value.
The opioid epidemic has significantly impacted many of the communities served by Mercy Health, with some areas seeing an average annual overdose death rate twice the national average. Mercy Health recognized the opportunity and responsibility to change its approach and improve the health of the communities it serves. Utilizing its electronic medical record (EMR), Mercy Health designed tools and protocols to ensure compliance with current legislation and improve prescribing practices.
Key clinical leaders addressed prescribing practices by creating tools that improve identification of at-risk patients, encourage early treatment referrals, establish acute withdrawal protocols and provide more efficient access to available Prescription Drug Monitoring Program (PDMP) databases.
While these tools assist with treating patients already at risk, Mercy Health continued to look for opportunities to minimize further community impact from opioids. This was accomplished through the design of physician-facing tools within the EMR to improve and measure opioid prescribing behaviors. The tools use unique orders, clinical decision support and data analytics to evaluate current and future prescribing practices.
Improving Opioid Prescribing Practices
The newly configured opioid orders displays necessary information – including strength, dispense quantity and frequency – to the provider at the time of prescribing and align with morphine equivalent daily dosing (MEDD) and total day supply limits as outlined by law. Locally, Mercy Health – Youngstown has achieved a 30% decrease in the MEDD rates. The tool also provides additional clinical decision support to alert prescribers when orders exceed either the MEDD or the day supply set by law.
Mercy Health uses an opioid analytics platform built on a database that permits evaluation of opioid prescribing behavior at the order, provider, department, specialty, market and enterprise levels. Frequent monitoring of the data enables Mercy Health to track progress for two key opioid performance metrics, including the MEDD limit for acute pain prescriptions and opiate burden.
The integration of the PDMP into the provider workspace affords clinicians access to multi-state data in line with review of the patient’s chart and the utility of a fully compliant and pre-configured set of medication orders.
By providing access to this information, Mercy Health immediately scaled a vital patient safety tool to Mercy Health’s network of 1,300 employed providers. By making it easier for providers to recognize and act on this data, Mercy Health is taking action to reduce potential harm to patients and improve outcomes during this challenging population health problem.
Since launching the tool, Mercy Health, across their 7 regions in Ohio and Kentucky, has improved opioid prescribing practices throughout its system by substantially reducing:
- Total opioid orders from 41,331 to 36,160 – a 13 percent reduction
- Rate of opioid orders to all medication orders from 8.6 percent to 6.7 percent – a 22 percent reduction
- Rate of supply of > seven days of acute opioid orders from 23.5 percent to 13.3 percent - a 43 percent reduction
HIMSS Davies Award of Excellence
The HIMSS Davies Award of Excellence recognizes outstanding achievement of organizations that have utilized health information technology to substantially improve patient outcomes and value. The HIMSS Davies Award of Excellence is the pinnacle of the HIMSS Value Recognition Program and highlights organizations promoting health information and technology-enabled improvements in patient and business outcomes through sharing evidence-driven best practices on implementation strategies, workflow design, change management and patient engagement.
“Mercy Health has successfully leveraged analytics tools and decision support to make it easy for providers to select the correct pain management approaches and reduce opioid prescriptions,” said Jonathan French, CPHIMS, SHIMSS, senior director of quality and patient safety initiatives at HIMSS. “In addition, Mercy has utilized a variety of technology solutions to reduce gaps in care for their outpatient services, while also enhancing revenue through improved clinical documentation in their inpatient facilities. For this, HIMSS is proud to recognize Mercy Health as a 2018 Davies Enterprise Award winner.”