Redesigning care delivery through health IT implementation. Exploring Trinity Health's IT model.

Trinity Health is a large multihospital healthcare system that developed a system-wide information technology strategy and implementation model. This study looks at how that system-wide strategy and implementation model, called Project Genesis, was used at Mercy Medical Center-North Iowa, a Trinity Health rural referral hospital, and how the care delivery system was redesigned using an electronic health record. This study was funded in part by a grant (UC1 HS15196; Rural Iowa Redesign of Care Delivery with EHR Functions) from the Agency for Healthcare Research and Quality to implement an integrated EHR system in the hospital and two clinics and assess its impact on patient safety, quality of care and organizational culture. The study looks at redesigning care delivery using the Trinity Implementation Model that consists of local and system-wide planning components; physician and nurse ownership; order set development; clinical workflow redesign; and training and support. It then examines the initial experiences of the IT implementation at Mercy Medical Center-North Iowa, the impact on health information management, lessons learned and future steps to achieve a paperless medical record.