STAGE 7 SPOTLIGHT Greenville Health System: Reducing CAUTI Rates with Streamlined EMR Implementation
Greenville Health System (GHS) is the largest not-for-profit healthcare delivery system in South Carolina. GHS offers patients an innovative network of clinical integration, expertise, and technologies through its eight medical campuses, tertiary medical center, research and education facilities, community hospitals, physician practices, and numerous specialty services.
GHS had a strategic plan to implement one integrated EMR system for clinic and hospital operations. The goal was to have the EMR provide support to key quality initiatives such as diabetes care and the reduction of Catheter Associated Urinary Tract Infections (CAUTI). All in hopes of increasing standardization and consistency across the enterprise.
One of the specific goals of the GHS Strategic Plan was a twenty five percent (25%) reduction of CAUTI instances. Prior to this, GHS relied heavily on paper protocols and audits to support the care of patients with Foley catheters. This process, of approximately thirty audits per month, involved manual paper documentation with completed audits faxed to Infection Prevention.
CAUTI is a key indicator in two of the CMS pay-for-performance initiatives: The CMS Hospital-Acquired Condition (HAC) Reduction Program and the Value Based Purchasing Program. A hospital’s results will determine if the organization will suffer a reduction in their Medicare reimbursement. The total dollars at risk for CAUTI performance at GHS ranged from $274,000 to $350,000 per year. A twenty five percent improvement in Catheter Associated Urinary Tract Infections (CAUTI) stood to lessen the combined financial impact by $68,000 - $87,000 in the Value Based Purchasing Program and in the CMS HAC Reduction Program.