Read case study to find out how Bloomington Hospital was able to create an integrated system to deliver quality, safety and efficiency across enterprise by implementing McKesson IT solutions.

1. Case Study
Bloomington Hospital
Boosts Quality, Safety and Efficiency with
Integrated Technologies
Bloomington Hospital has Leveraging a broad range of regional referral center with a
McKesson solutions, Bloomington reputation for clinical excellence,
been innovative in providing Hospital has transformed innovation and collaboration.
from a paper-based system But the hospital’s best-of-breed,
quality care to south central
with a multitude of disparate department-centric IT structure
Indiana communities for more technologies into a truly wasn’t aligned with its patient-
integrated, patient-centric delivery centric mission and vision.
than a century. Offering a model. The organization has
significantly improved safety, When Mark McMath became
comprehensive continuum of
coordination of care and access to Bloomington Hospital’s chief
care, Bloomington Hospital is a information across a continuum of information officer in 2003, he
hospitals, outpatient facilities and quickly realized that change was
not-for-profit organization and physician practices. necessary.
has a patient base of 413,000
Thanks to a fully automated, “Clearly, we needed a different
in 10 counties (Brown, Daviess, closed-loop medication workflow, approach,” McMath explains.
medication errors at Bloomington “We had to align IT across the
Greene, Jackson, Lawrence, Hospital have decreased by organization to support our vision
75% overall, including: a 98% for an integrated delivery system
Martin, Monroe, Morgan, Orange
reduction in omitted doses, a 48% that would provide the high-quality,
and Owen). Bloomington Hospital reduction in wrong doses and a safe and affordable healthcare our
67% reduction in the wrong drug. region needs and deserves.”
currently operates two hospital Rapid access to information has
made diagnosis and treatment The organization faced three
campuses (Bloomington and
much more efficient, especially overriding challenges:
Orange County) with regional in radiology where turnaround
time has declined dramatically – Synchronize disparate systems
specialty offerings for heart from up to two days to less and create a common framework
than four hours. Additionally, to assimilate complete patient
and vascular, behavioral health,
invoicing, inventory and supply- information across all facilities
cancer, women and children, chain management enhancements – Provide fast, easy access to that
have saved the system more than information
neurology, and orthopedic $600,000 annually and increased – Improve quality, coordination and
revenue by $15 million. costs while boosting medication
services. As a leading hospital in
and patient safety
Indiana, Bloomington Hospital Challenges
For more than 100 years, Specifically, Bloomington Hospital
enhances health by advancing sought to implement a closed-loop
Bloomington Hospital has served
the communities of south-central medication management process to
the art and science of medicine
Indiana as a not-for-profit, reduce or eliminate adverse drug
through the use of new
technologies, procedures
and care.

2. At a Glance events, improve medication charge Creating a Patient-Centric
capture, accelerate invoicing and Framework
Organization improve inventory and supply- Bloomington Hospital has leveraged
Bloomington Hospital chain management. Additionally, McKesson technology to create a
Bloomington, Ind. Bloomington wanted to coordinate patient-centric, common framework
the electronic exchange of health that shares information across
– Regional referral center with information across providers. the care continuum. A full suite
two hospital locations, 18 of financial and clinical solutions
outpatient facilities and five “Once we determined that IT was helps identify patients seen at
physician practices a fundamental component of all Bloomington Hospital’s facilities
our strategies, we opted for an and centrally store information
– 355 licensed beds
enterprisewide design,” says Mark and images across encounters.
– 13,102 annual admissions Moore, president and CEO. “We McKesson’s physician portal
(excluding newborns) knew this approach would enhance and document imaging solution
– FY2009: 51,834 emergency patient care, improve decision provide a single point of access
department visits, 48,417 making, and optimize clinical and to everything from medication
urgent care visits, 11,821 operational efficiencies.” administration data and emergency
outpatient surgeries and 5,921 department reports to radiology
inpatient surgeries Answers and cardiology images. In fact, there
When selecting a vendor to are nearly 800 logins to the portal
implement this sweeping, daily.
Solution Spotlight
multilayered model, Bloomington
– AcuDose-Rx® Hospital’s physicians, staff and “HorizonWP® Physician Portal
– Horizon Admin-Rx™ leaders chose McKesson. Early gives clinicians quick access to
successes with McKesson’s a comprehensive view of vital
– Horizon Clinicals®
document imaging products helped patient information,” explains Todd
– Horizon Meds Manager ™ sway the team — so did a common Rowland, M.D., director of medical
– Horizon Medical Imaging™ vision, timeline and can-do attitude. informatics. “It is the first level of
decision support at the point of
– Horizon Patient Folder™
“We needed functionally rich care and allows for faster and more
– HorizonWP® Physician Portal products that would go wide informed decisions.”
– McKesson Pharmaceuticals and deep, and McKesson was the
only company that could meet our Another leap forward was the
– McKesson Radiology Manager™
comprehensive requirements,” migration from manual drug
– MedCarousel® McMath recalls. “The company’s distribution to a fully automated,
performance, strong and rapid online, real-time process via a
implementation methodology, closed-loop medication workflow.
Critical Issues
and wide-ranging integration
– Lack of alignment with capabilities sealed the deal.” “McKesson enabled us to create
department-centric IT strategy a comprehensive, bar-coded
– Quality, safety and coordination In record time, a comprehensive medication use system – from
of patient care suite of McKesson clinical, financial ordering the product from the
and connectivity solutions were up distribution center to administering
– Lack of fast, easy access to
and running. Countless safety and it to our patients – which is safe,
information across continuum
quality improvements were also in effective and efficient,” says
of care
the works. Michael Melby, MS, FASHP, director
– Inventory and supply-chain of pharmacy. He also cites another
management redundancies upside: Nursing and pharmacy have
developed a much closer working

3. relationship. “We are a cohesive Ind. and Paoli, Ind.) use Horizon At a Glance
team, partnering to ensure safe Emergency Care™ and McKesson’s
medication use for our patients.” order management solution to Results
equip physicians with computerized – Created a patient-centric,
Solutions for medication provider order entry (CPOE) common technology framework
administration and automated capabilities in the emergency that shares information across
dispensing cabinets have reduced departments. Planning is underway the continuum of care
medication errors overall by 75%, to expand CPOE use systemwide
including: a 98% reduction in with Horizon Expert Orders™, which – Decreased radiology results
omitted doses; a 48% decrease in will also enable clinical decision turnarounds from two days to
wrong doses; and a 67% decrease support and alerts for pharmacy, less than four hours
in the wrong drug. The solutions radiology and laboratory. – Improved stat turnaround times
improved workflow, boosted by 67% and routine turnaround
turnaround times and freed nurses Results times by 75%
to spend more time at the patient’s By employing McKesson IT solutions – Reduced medication errors by
bedside. Patients are happier, across its continuum of care, 75% overall, including: a 98%
and nurse satisfaction with the Bloomington Hospital has created decrease in omitted doses; a 48%
medication-use process tops 90%. an integrated system that delivers decrease in wrong doses; and a
quality, safety, efficiency and value 67% decrease in incorrect drug
Fax imaging and McKesson’s to patients across the enterprise.
enterprise pharmacy information – Reduced the time nurses
system have improved the spend per shift tracking
The overall patient experience is missing medications from
transcription process. Orders are improved, and quality of care is
digitally manipulated for optimal 60 to 5 minutes
enhanced:
clarity, and order entry is safer – Increased nursing satisfaction
because pharmacists are now – Rapid access to information has with the drug distribution
alerted to potential drug therapy made diagnosis and treatment process to 91%
issues. Medications are available processes much more efficient, – Achieved 100% compliance
only after a pharmacist reviews thus reducing wait times, with ID band checks prior to
the orders to ensure safety and unnecessary repeat tests and administering medications
regulatory compliance. Usage data added costs. Physicians make
generated by the systems also – Reduced unresolved controlled
timelier, fully informed clinical substance discrepancies by 88%
enable better management of decisions that help speed
inventory and precious healthcare treatment to patients – Reduced medication cabinet
dollars. – Pharmacy distribution and overrides from 4.2% to 1.1%
workflow process changes – Reduced monthly pharmacy drug
McMath notes that McKesson is the have increased efficiencies and costs by $50,000
only company that offers an end- improved staff satisfaction
to-end medication safety solution – Increased inpatient revenue
– Automated medication dispensing capture rates by 37% for an
that completely closes the loop. has cut nearly an hour per shift
“Medications now go from the annual increase of $15 million
from the time nurses spend
warehouse to the patient’s bedside administering medications – Created the radiology efficiencies
with the entire flow locked down,” – Radiology results turnarounds that saved $50,000 in staff costs
he says. “We’ve put many safety at Bloomington Hospital have and $330,000 in film costs – a
checks and a fully automated supply dropped from up to two days to 95% decrease
chain in place between those two less than four hours. Systemwide, – Reduced days in A/R from 75 to
points.” stat turnaround times improved 55, and eliminated off-site record
by 67% and routine turnaround transportation and warehouse
Currently, two Bloomington times by 75% storage costs
Hospital locations (Bloomington,

4. “McKesson enabled us to Patient care is safer: – The ability to access and
electronically sign charts reduced
create a comprehensive, – A medication administration days in A/R from 75 to 55,
bar-coded medication use solution and automated and eliminated off-site record
dispensing cabinets have reduced transportation and warehouse
system – from ordering the medication errors by 75% overall storage costs
– The hospital has achieved 100% – MedCarousel® decreased
product from the distribution compliance with ID band check inventory by 70%. The time
center to administering it to by nurses prior to administering spent crediting supplies is down
medications by 95%, and the hours per day
our patients – that is safe, – Unresolved controlled substance handling returns and credits has
discrepancies have dropped by dropped by 67%
effective and efficient.” 88%, and nurses spend 92%
less time counting controlled “The Bloomington Hospital-
substances McKesson partnership thrives
Michael Melby, MS, FASHP thanks to personal commitment
Costs are down and efficiency is up: at the highest levels of both
Director of Pharmacy organizations,” McMath says. “It’s
Bloomington Hospital – Inpatient revenue capture rates a commitment that remains to this
are 37% higher, increasing annual day. McKesson helps us to deliver on
patient revenues by $15 million the expectation.”
– Systemwide, monthly pharmacy
costs have dropped by $50,000.
Missing medication doses have
decreased by 83%, saving $71,631
in drug costs annually
– In 2008, medication error
reduction resulted in $500,000 in
cost avoidance
– Electronic auditing capabilities
helped uncover $1.6 million in
lost charges
– Radiology efficiencies saved
$50,000 in staff costs and
$330,000 in film costs — a 95%
decrease
Copyright © 2009 McKesson Corporation and/or one of its subsidiaries. All rights reserved. AcuDose-Rx, Horizon
McKesson Provider Technologies Clinicals, HorizonWP Physician Portal and MedCarousel are registered trademarks of McKesson Information
Solutions LLC. Horizon Admin-Rx, Horizon Medical Imaging, Horizon Meds Manager, Horizon Patient Folder
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PRT402-07/09
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