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MEDICAL ASSOCIATES CLINIC IMPROVES COMMUNICATION WITH MCKESSON’S AMBULATORY EHR SOLUTION
1. CASE STUDY MEDICAL ASSOCIATES CLINIC
D U B U Q U E , I O WA • A M B U L AT O RY S O L U T I O N S
M E D I C A L A S S O C I AT E S C L I N I C I M P R O V E S C O M M U N I C AT I O N
W I T H M C K E S S O N ’ S A M B U L AT O RY EHR S O L U T I O N
AT A G L A N C E Profile Answers
Founded in 1924, Medical Associates Clinic Medical Associates turned to the
ORGANIZATION is Iowa’s oldest multi-specialty group. Today Horizon Ambulatory Care™ ambulatory
it is a complex and busy practice, with EHR solution from McKesson. Horizon
Medical Associates Clinic
141 providers in more than 28 specialties Ambulatory Care combines prescription
Dubuque, Iowa
practicing from 16 locations and serving management, clinical order entry and
– Practice locations: 16 patients in Dubuque and neighboring towns encounter documentation capabilities
– Physicians: 100 in Wisconsin and Illinois. The clinic also to help physician practices eliminate
owns a 40,000-member health plan and mountains of paperwork and operate
– Mid-level providers: 41 operates three joint ventures with a local more efficiently. Medical Associates
– Specialties: 28 hospital. Practitioners log 540,000 patient already uses the Horizon Practice Plus™
visits and write 350,000 prescriptions a year. practice management system from
– Office visits per year: 540,000 McKesson for scheduling, registration
Medical Associates made a strategic and billing. Therefore, adding Horizon
SOLUTION SPOTLIGHT decision to deploy an ambulatory electronic Ambulatory Care was a logical fit,
– Horizon Ambulatory Care health record (EHR) solution in order to enabling the clinic to integrate clinical
maintain its leadership position, according and financial data without making new
– Horizon Practice Plus
to clinic president Mark Runde, M.D. “We investments in administrative processes.
CRITICAL ISSUES are the leader in healthcare in our region,”
– Inefficient communications
he says. “McKesson’s EHR solution gives us “Horizon Ambulatory Care fits our
real-time clinical information, which makes physician workflow,” Schatz says. “The
and workflow
us more efficient and improves patient care modules can be deployed separately or
– Escalating costs due to inefficient and satisfaction.” together, which is critical to our plan to
paper-based processes introduce the new system gradually.”
Challenges
– Increasing volume of paper Results
Medical Associates needed a flexible but
RESULTS
strong clinical solution to quell the overflow To date, with the complete rollout still in
– Projected net gain of of paper. “We stored, photocopied, filed process, Horizon Ambulatory Care allows
$1.7 million annually from and moved about 250,000 patient charts 103 providers in 25 specialties to write
reducing paper, transcription annually, at a cost of $2 million a year,” more than 26,000 e-prescriptions per
services and chart handling, says Brian Schatz, the organization’s chief month. More than 50 providers in 12
and improving the accuracy operating officer. specialties use the Orders and Results
of coding
module, and 23 clinicians in four
It took days for updated information to be specialties are deploying the entire
– $145,000 saved on medical filed in the patient chart. A single chart had system to document and chart all
records staffing within six months to be circulated to multiple caregivers. And patient care electronically.
of deployment; anticipated clinicians had to make decisions with
annual savings of $580,000
incomplete or delayed information. “While “Within the first two weeks of switching
gaining a financial return on our investment a couple dozen physicians to the
– Projected 75 percent reduction was important, our primary motivation was electronic charting system, we saw a
in annual transcription costs to document clinical data electronically to 40 to 80 percent reduction in dictation,”
– More than 26,000 prescriptions improve communication throughout the says Schatz.
per month delivered electronically
organization,” Schatz says.
The clinic spends $1.5 million annually
to pharmacies, reducing phone on transcription services to transcribe
calls and providing better dictated reports. That number will be
patient interaction cut by 75 percent once the EHR is fully