Barnes-Jewish Hospital and Biome Analytics Achieve Breakthrough Results in Reducing Acute Kidney Injury Among Cardiovascular Patients

Partner News | Published: Thursday, December 19, 2024

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Barnes-Jewish Hospital (BJH), a recognized leader in cardiovascular care, has consistently demonstrated excellence through a proactive approach to patient outcomes, supported by strong leadership and a dedicated quality team. To further advance their mission, BJH partnered with Biome, implementing a suite of Biome’s advanced performance improvement modules including PCI, Transcatheter Valve Therapy, Echocardiogram, and Cardiac Surgery. Together, BJH and Biome have developed a data-driven approach to cardiovascular care that enhances patient outcomes, operational efficiency and resource utilization.

Acute Kidney Injury, a potentially severe complication in percutaneous coronary intervention (PCI) patients, has long posed challenges for healthcare providers. BJH, recognized for its leadership in cardiovascular care, adopted Biome's advanced analytics platform to develop and implement proactive strategies that address AKI risk factors, including personalized contrast management protocols.

Central to the initiative was the integration of an automated contrast calculator. This innovative tool utilizes patient-specific clinical data to recommend precise contrast volume limits and actionable care protocols. Its implementation has led to:

• Exceptional Observed-to-Expected (O/E) Ratios: Achieving O/E ratios of 0.87 for STEMI, 0.22 for NSTEMI, and 0.86 for angina.
• Significant Cost Savings: Average savings per patient ranged from $17,814 to $41,106, underscoring the financial impact of AKI prevention.
• Streamlined Clinical Workflows: Widespread adoption of the contrast calculator across all care teams, even during off-hours.

Dr. Alan Zajarias, a key clinical leader at BJH, emphasized the transformative nature of the partnership:

“Our work with Biome has been beneficial. We identified a problem and used their platform to further evaluate its consequences. Once a solution was identified, we were able to leverage their tool to better understand the outcomes of our intervention in preventing AKI and its financial impact.”

Biome’s Risk Audit™ tool further complemented BJH’s efforts by refining risk factor documentation, ensuring a more accurate Expected AKI rate, and enabling precise measurement of intervention impacts.

About Barnes-Jewish Hospital

Located in St. Louis, Missouri, and affiliated with Washington University School of Medicine, Barnes-Jewish Hospital is a not-for-profit, academic medical center offering over 1,300 licensed beds and a comprehensive range of specialized care. As a part of BJC HealthCare’s integrated health network, BJH is committed to excellence in clinical care, education, and research, transforming healthcare and advancing lives through compassionate and innovative services in cardiology, oncology, neurology, and more.

About Biome Analytics

Biome Analytics partners with leading health systems to deliver advanced analytics solutions that drive clinical, financial, and operational performance improvements. By focusing on actionable insights and precision-driven interventions, Biome empowers organizations to achieve measurable outcomes across the cardiovascular service line. 

For more information, visit Biome Analytics

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