Case Study: OSF HealthCare

OSF HealthCare Elevates Patient Care with the Help of Lippincott Procedures

OSF HealthCare, a nationally recognized integrated healthcare network, has an unwavering focus on providing the best care for its patients. To achieve this focus, OSF uses Lippincott Procedures to standardize best practices across its entire health system. OSF has seen measurable improvements in quality and safety with the implementation of this point-of-care procedure guide for nurses and other clinicians.

OSF Healthcare“As a system of eight hospitals plus home care, a hospice home, and physician offices, we have a key goal of standardizing our procedures and policies. Lippincott Procedures has been instrumental in helping us achieve this goal,” says Brandy Fisher, Director of Professional Practice at OSF. “We find that consistent, evidence-based practice allows our nurses and other clinicians to make better clinical decisions and improve the quality and safety of care.”

Ms. Fisher thanks Lippincott Procedures for major improvements in one area in particular: Fall Prevention. For several years, units within each of OSF’s hospitals had been creating their own procedural documents regarding Fall Prevention. However, each unit kept their procedure documents internal and local, making slight tweaks to regularly improve the procedure, which made standardization of best practices difficult.

“Lippincott Procedures is instrumental in creating a safer environment in our hospitals,” says Brandy Fisher, Director of Professional Practice, OSF HealthCare. “We decided it was critical to align best practices in Fall Prevention across all of our hospitals,” Fisher says. “We agreed to modify the procedure at a system level, with all of our nurses following the same steps in Lippincott Procedures.”

Ms. Fisher also asserts, “When we rolled out our common fall prevention program, we used Lippincott Procedures as the foundation to define the program, and initially saw a 50% decrease in the number of patient falls. Procedures is instrumental in creating a safer environment in our hospitals.”

Everyone Can Get Online From Anywhere

Lippincott Procedures fits seamlessly into the health system’s adoption of technologies that improve clinical decisions at the point-of-care, support evidence-based practice, reduce the likelihood of medication errors, and restore access to data in the case of an outage. Recognized as one of the nation’s Most Wired in both 2012 and 2013, according to the survey results from Hospitals & Health Networks magazine, OSF leverages the computer technology to help staff ensure high-quality patient care.

Prior to implementing Lippincott Procedures, OSF’s 4,000 nurses relied on paper procedure manuals and intranet portals to find critical procedure information. St. Mary’s Medical Center was the first of OSF’s facilities to implement Lippincott Procedures in 2009, with Magnet-designated Saint Francis Medical Center, Magnet-designated St. Joseph Medical Center, and the remaining clinical OSF areas soon following. Each facility quickly saw the benefits of having one “go-to” place for procedures.

St. Mary’s Professional Practice Coordinator, Diane Teske, knows that having to rely on paper manuals made it hard for her nurses to get the information they needed. “It was like pulling teeth,” she says. “Even to get help for a simple procedure, we would have to ask ourselves, ‘Now which 3-ring binder do we go to for the right information?’ Now, with Procedures, everyone can get online anywhere to get the information they need. Our clinicians now look at procedures more frequently. This has helped improve the quality of care for our patients.”

“Site administrators at each facility also have leeway to make other access points that are specific to their facility,” sayys Erin Templeton, Nursing Informatics Specialist, OSF HealthCare.

OSF has been very intentional in creating links to Procedures at multiple points of care, allowing nurses to access it through OSF’s Epic EMR system and intranet portals. This way, if a nurse sees something in the patient’s chart that he or she has a question about, the nurse can quickly and easily consult Lippincott Procedures for answers.

“Site administrators at each facility also have leeway to make other access points that are specific to their facility,” says Erin Templeton, Nursing Informatics Specialist at OSF. She adds, “Since our nurses can access Procedures so easily, we’ve been able to improve our clinical workflows. Lippincott has certainly helped eliminate wasted time searching for information of how to carry out a specific procedure.”

Content That We Trust

Lippincott Procedures offers content that is continually updated by clinical nurse experts to reflect the most current evidence-based practices and standards of care. Evidenced-based references are provided for each procedure and the evidence is ranked using Melnyk’s Rating System for the Hierarch of Evidence.

“The evidence-based content was a big driver in choosing Lippincott. We now feel with Lippincott Procedures we are encouraging adoption of best practices, which means the best care for our patients,” says Brandy Fisher.

OSF knows how important it is to ensure evidence-based practice and feels that Lippincott Procedures helps them achieve that goal. Ms. Fisher notes that with the help of content that is “trusted by our nurses and allied health members” from a “familiar name like Lippincott,” OSF is able to elevate patient care.

For example, last fiscal year OSF implemented an eICU, a tele-health entity. “Defining the procedures around an eICU is a rigorous process as the procedures are very specific,” Erin Templeton notes. “We were relieved to see that the product contained all the specific procedures we needed. The specialty now uses the software completely as a 1-stop-shop. Procedures helped make the implementation very successful.”

In addition to having its own trusted content, Lippincott Procedures offers OSF the ability to create custom content and review all procedures prior to implementation. While OSF does enable each of its facilities to develop custom procedures, including Critical Notes that are highlighted at the beginning of each procedure, they maintain a rigorous vetting process for reviewing and editing any procedure.

“We don’t want Procedures to be just another manual for each facility; we want it to be their procedure manual. This still means, though, that every customization and Critical Note that is requested still needs to be approved by our Evidence-Based Practice Council,” says Gayle Lucas, Clinical Nursing Standards Specialist of OSF Saint Francis Medical Center. “We take the quality of evidence very seriously.”

Procedures Improves Nurse Confidence

“Our smaller facilities definitely appreciate the product,” says Erin Templeton. “When nurses don’t encounter certain procedures as frequently, they get a real sense of relief from knowing that Lippincott Procedures will support them through their practice.”

Diane Teske has seen a noticeable improvement in nurse confidence at St. Mary’s. “Lippincott Procedures improves confidence and competence at the bedside. Our nurses don’t feel anxiety anymore before doing a procedure; they now have a place to turn to.”

Newer nurses at St. Mary’s review Lippincott Procedures before going into the patient’s room to increase their assurance and success in performing procedures.

OSF’s more experienced clinicians “love the Quick Lists,” says Clinical Nursing Standards Specialist Gayle Lucas. “When there isn’t enough time to look at the entire detailed procedure, our experienced nurses frequently use the Quick Lists as an aid when in the middle of doing a task. Our nurses know that even when they have limited time, they have a place to turn to for reliable information.”

Our Real Source Of Truth

Many clinicians at OSF—not just nurses—benefit from Lippincott Procedures.

“Procedures provides an excellent opportunity to come together, as an interdisciplinary team, on best practice and evidence-based procedures. It elevates the expectations of our staff. We use Lippincott Procedures as our real source of truth,” says Erin Templeton, Nursing Informatics Specialist, OSF HealthCare.

With the help of Procedures, OSF has the assurance that clinicians throughout their organization are carrying out procedures consistently while utilizing evidence-based practice.

“What might I tell another hospital considering Lippincott Procedures?” asks Erin Templeton. “They should closely identify how they want to use Procedures. They can implement the product to complement other sources of information, or, like OSF, they can rely on Procedures as their primary procedure guide.”

“We use Lippincott Procedures as our real source of truth,” she adds. “A hospital would need to believe in Lippincott’s content to do this. We definitely have seen the benefit of doing so.”

OSF HealthCare is owned and operated by The Sisters of the Third Order of St. Francis, Peoria, Illinois, includes OSF Healthcare System consisting of eight acute care facilities and two colleges of nursing. It also has a primary care physician network consisting of over 600 primary care, specialist physicians, and advanced practice providers.OSF HealthCare owns OSF Saint Francis, Inc., comprised of health care-related businesses, and OSF Healthcare Foundation, the philanthropic arm of OSF Healthcare System and OSF Home Care Services. OSF HealthCare is a multi-state corporation, operating facilities in Illinois and Michigan, providing state-of-the-art, compassionate care to more than 2.5 million people in the communities we serve.