Every system is perfectly designed to get the results it gets….Pursuing a constant awareness of hazard and its mitigation should infuse our world.
— Dr. Don Berwick, founder of the Institute for Healthcare Improvement
and a founder of the modern patient safety and quality movement
Protected Real-time Patient Safety Triggers & Analytics
To Improve the Safety & Reliability of Care
Pascal has pioneered the use of real-time triggers from electronic health records (EHR), electronic medical records (EMR), and from other health IT to support patient safety and quality improvement, as well as providing a new timely data stream to empower more proactive, responsive risk management.
Pascal’s collaborative of leading health systems has demonstrated and continues to show that the use of real-time EHR triggers and analytics to measure, monitor, and manage all-cause harm not only improves safety and quality but fundamentally provides the systematic rich and deep understanding of care otherwise unavailable.
Welcome to the next generation of real-time patient safety and quality improvement!
Across the United States and around the world, Pascal serves leading health organizations in developing a “cultures of safety,” eliminating harm using real-time patient safety solutions, and enabling clients to learn more about their care with a pioneering “lens” using real-time EHR data. And, wherever possible, we bring to bear a wide community of learning.
Learn about our high reliability patient safety solutions…
The services that underlie our solutions rely on one of the largest and most valuable patient safety data sets available, scientifically validated and clinically robust methodologies, and an advanced and highly scalable technology platform. Thanks to working with leading healthcare organizations, we prize the opportunity to learn continuously and to enable our entire community of clients to benefit.
Learn about our real-time PSO-protected services…
Why is Real-time Patient Safety an Opportunity?
Clinical. Both peer reviewed published research and real-world evidence substantiates that the prevalence of harm is very high, affecting one out of every three patients in U.S. hospitals. A landmark article in the British Medical Journal estimates that up to 440,000 patients lose their lives each year due to harm, making it the third leading cause of death in the United States. As patients engage more in their care and have access to more information and tools, it’s imperative that caregivers are likewise empowered with the capability to systematically find and eliminate patient harm.
Financial The magnitude of the cost of harm has been validated by peer reviewed published research to be $33-$63 billion in the United States; more important for financial validation and investment, leading health systems in the Pascal-convened Community Collaborative have demonstrated that a large health system has a financial opportunity equal to hundreds of millions of U.S. dollars. Pascal estimates at least US$2 million per 10k admissions per year of financial opportunity related to excessive length of stay alone, even when considering only 14 top harm categories in the inpatient setting alone.
Regulatory. Finally, regulators in the United States, with likely other regulators to follow globally, have announced publicly their intention to replace the current coding/claims approach to safety-based reimbursement to one based on EHR data. Given that Pascal and its Community Collaborative of leading health systems has operationalized a method and system for doing so at scale, and given that it has contributed to the very evidence that the regulators are consulting, Pascal is well positioned and stands ready to prepare, support, and assist health systems making the transition.
What is Required to Implement Real-time Patient Safety?
A real-time Patient Safety Organization (PSO) is the optimal vehicle for finding and reducing harm for the following reasons:
Clinical. Deploying a high-fidelity method such as trigger-based adverse event detection inevitably identifies very high levels of harm, typically in excess of 10 times the level of the industry standard, voluntary event reporting. Doing this work within a non-punitive PSO-protected “culture of safety” is critical in supporting effective reduction.
Data. Relying on multiple EHR-agnostic sources of data that go well beyond event reporting, coding/claims, and traditional data is essential for success. More importantly, take advantage of a standardized, normalized data to enable “apples-to-apples” comparisons.
Technical. Ideally a single cloud-based library of triggers and analytics enabled by multi-tenancy, i.e., one instance of the software in the cloud being used across all users, allows for superior innovation in analytics to due faster rapid cycles of improvement.
Building on an event-driven architecture (EDA) using advanced technologies such as complex event processing (CEP) is optimal.
Analytic. Much of healthcare, but especially within patient safety, performs analysis retrospectively. Instead, a comprehensive approach should address the entire temporal analytic continuum: retrospective (archeological), concurrent (deliberative), and prospective (predictive) analytics.
Operational. Operating with a “control tower” metaphor, bring data together in a clinically relevant and useful patient safety event management workflow that is EHR-agnostic and conducive to innovation, making data available to relevant users and pushing data as needed.
Regulatory. Understand where the regulators are headed, using the peer-reviewed published evidence as clues. Align with regulator direction, which has embraced the use of EHR data to measure safety and relying on PSOs as vehicles for implementing safety requirements, including in the recent 21st Century Cures Act.
Scientific. Given the state of the art in defining patient harm and where the regulators are headed in measuring safety, ensure that safety outcomes data being used to develop predictive and other advanced analytics use similar definitions – otherwise placing at risk substantial analytic investment.
Financial. Generate financial ROI for doing the above work, amplifying the effect the more risk is being borne for patient outcomes. Indeed, the CFO-grade business case for patient safety has never been stronger, and tap into expertise to translate improvements in safety and reliability into margin expansion.