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Using information management to implement a clinical resource management program

A H Rosenstein1

  • 1Data/Medical Resource Management, San Francisco, CA, USA.

The Joint Commission Journal on Quality Improvement
|February 26, 1998
PubMed
Summary
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Implementing a Clinical Resource Management (CRM) program reduced hospital stays and costs by 12% for specific diagnoses. Success factors included physician buy-in and information system support.

Area of Science:

  • Healthcare Management
  • Clinical Informatics
  • Process Improvement

Background:

  • Details a 250-bed community hospital's implementation of the Clinical Resource Management (CRM) program.
  • CRM involves a four-stage process: identifying improvement opportunities, forming a resource management team, implementing process changes, and measuring outcomes.
  • A case study focused on congestive heart failure, with a task force optimizing emergency room (ER) treatment and disposition.

Purpose of the Study:

  • To describe the implementation of a Clinical Resource Management (CRM) program in a community hospital.
  • To identify critical success factors and barriers in implementing a hospital-wide CRM program.
  • To evaluate the impact of the CRM program on healthcare costs and patient outcomes.

Main Methods:

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  • The CRM program utilized a four-stage approach to process improvement.
  • A congestive heart failure case study involved standardizing ER orders for diuresis.
  • Data was collected to measure the impact on length of stay and cost of care.

Main Results:

  • Average length of stay was reduced by 0.5 days for studied diagnoses.
  • Average costs of care decreased by 12% for the ten diagnoses under study.
  • No adverse results were observed; non-study diagnoses showed no significant improvement.

Conclusions:

  • Critical success factors included adequate time for program promotion and securing support from information systems and physicians.
  • Barriers included information system limitations and committee review delays.
  • Significant investment in technology and personnel is necessary for effective information management in healthcare.