2012 Doyle Award Winner Announced

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Milliman Care Guidelines Recognizes Memorial Health Center for Innovation in Effective Health Care

Milliman Care Guidelines today named Memorial Health Center as a winner of the 2012 Richard L. Doyle Award for Innovation and Leadership in Healthcare.

The Doyle Award, given to one payor and one provider every year, recognizes organizations that use Milliman Care Guidelines products in exceptional ways to achieve the objective of optimal care.

The hospital implemented a round-the-clock utilization review program to better serve its largely rural target population. Nurses now access the Milliman Care Guidelines clinical guidelines using smart phones to support decisions about admission and plan of care. The result has been a streamlined utilization review process, a key part of the organization’s multi-pronged, five-year quality improvement effort.

“Prior to working with Milliman Care Guidelines, we struggled with a counter-productive back and forth email communication chain,” said Sandra Clarke, Memorial Health Center’s Director of Medical/Surgical. “We’ve saved our patients from inaccurate status determinations and potential billing concerns. At the same time, we’ve created a more efficient and cost-effective flow for staff.”

After adopting the guidelines, the hospital saw its 30-day readmission rate drop from 9.1% to 5.6% while its patient satisfaction rate rose sharply.

Clarke said, “Our implementation of the care guidelines has helped drive our organization to excellence.”

Milliman Care Guidelines will present the Doyle Award to Memorial Health Center on October 2 at its annual Client Forum in San Antonio. For more information, visit http://conference.milliman.com/2012CF/about.php.

About Memorial Health Center

Memorial Health Center is a 25-bed, not-for-profit, primary care organization with a commitment to improving from ‘very good’ to ‘excellent.’ The hospital is accredited by The Joint Commission and has been designated a Critical Access Hospital. Its facilities, located in Wisconsin’s Taylor and Price Counties, include a hospital, pharmacy, several primary care clinics, therapy centers, a public fitness center, a skilled nursing home, an assisted living facility, and senior income-eligible apartments. Memorial Health Center’s strategic and financial partner is Aspirus, Inc., a non-profit, community-directed health system based in Wausau. To learn more about Memorial Health Center, please visit http://www.memhc.org.

About Milliman Care Guidelines

Milliman Care Guidelines LLC, A Milliman Company, independently develops and produces evidence-based clinical guidelines and software used by more than 2,200 clients including 1,200 hospitals and seven of the eight largest U.S. health plans. Updated annually by an experienced team of clinicians, the care guidelines support the care management of a majority of Americans. For more information, visit http://www.careguidelines.com.

About Milliman

Milliman Care Guidelines is a wholly owned subsidiary of Milliman, Inc. Milliman is among the world’s largest providers of actuarial and related products and services. The firm has consulting practices in life insurance and financial services, property & casualty insurance, healthcare, and employee benefits. Founded in 1947, Milliman is an independent firm with offices in major cities around the globe. For further information, visit http://www.milliman.com.

About The Richard L. Doyle Award for Innovation and Leadership in Healthcare

The Doyle Award was developed to recognize organizations making innovative use of the care guidelines to help deliver effective healthcare.

Dr. Doyle, the care guidelines founding editor, was a hospital chief-of-staff when he began creating clinical guidelines in the 1980s to help improve healthcare efficiency and quality at Mercy Hospital in San Diego. He later joined Milliman & Robertson and in 1990 published the first set of what was to become the care guidelines.

Judges for this award are independent healthcare quality experts, not currently associated with Milliman Care Guidelines. Applicants were judged on how well their projects supported the Milliman Care Guidelines mission to help drive effective care. Judges looked for improvements in healthcare quality and patient safety; patient/member satisfaction; staff efficiency, productivity and satisfaction; internal/external communication; and effective use of resources.

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Scot Brannon

Catherine Doucette
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