Healthcare organizations face numerous challenges when it comes to clinical resource utilization, and MultiCare Health System is no exception. With a network of 13 hospitals in the Pacific Northwest, MultiCare identified variations in clinical resource utilization as a key concern, particularly in the areas of medications, imaging, and laboratory testing.
During the COVID-19 pandemic, these challenges were exacerbated as the health system faced drug shortages, supply chain disruptions, and a surge in hospitalizations. To address these issues, Dr. Arun Mathews, chief medical officer at Auburn and Covington Medical Centers, proposed an evidence-based decision-making approach. This involved implementing a clinical decision-support system that would provide clinicians with evidence-based options at the point of care.
The technology chosen by MultiCare incorporated qualitative benefit and cost data for each order, offering higher value options and calculating cost savings in real-time. The system drew from authoritative medical evidence sources such as the Choosing Wisely database and national guidelines, providing clinicians with valuable information without dictating their decisions.
By analyzing baseline data and identifying opportunities for improvement, MultiCare focused on the hospitalist specialty, which accounted for a significant portion of inpatient orders. The implementation of the clinical decision-support system followed a phased approach, integrating the technology into the electronic health record and providing real-time feedback to clinicians.
Despite initial resistance, the system ultimately led to a 7.46% reduction in total cost of care in its first year, resulting in estimated healthcare waste reduction of $2.6 million. Subsequent data showed an 11% reduction in healthcare waste and significant cost savings cumulatively.
One key aspect of the implementation was monitoring for unintended consequences and ensuring that quality metrics and patient satisfaction remained stable. By carefully managing the change process and aligning incentives with evidence-based practice, MultiCare was able to achieve cost reduction without compromising the quality of care.
In conclusion, the success of MultiCare’s clinical decision-support system highlights the importance of evidence-based decision making in healthcare. By continuously improving and evolving their approach, healthcare organizations can create a more efficient and cost-effective system while providing optimal patient care. Building strategic partnerships with technology vendors and clinicians is essential for driving innovation and achieving long-term success in healthcare delivery.
