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What is the Tiger Institute for Health Innovation?

The Tiger Institute was formed to promote innovative health care solutions to drive down cost and dramatically increase quality of care for the state of Missouri. Cerner and the University of Missouri have entered into a strategic alliance to provide unique support for the Tiger Institute to enable it to accomplish these goals.close

Why did Cerner and the University of Missouri enter into an alliance?

The University of Missouri and Cerner have had an existing relationship since 1996. As the state’s only land-grant, public research university, the university and Cerner share a common mission: to transform health care for Missourians. By creating the Tiger Institute, the university is accelerating health care innovations to reduce costs and modernize health care for Missourians, has created jobs in Missouri in health science and technology, is creating new sources of revenue and sustain the university’s mission, and working towards positioning itself among the top 5 percent of health systems for health care information technology.close

What is the duration of the agreement between Cerner and the University?

The initial agreement between Cerner and the University is 10 years, and may be extended by mutual agreement of the parties.close


How is the Tiger Institute impacting clinicians at the University of Missouri?

Information technology continues to play an increasingly essential role in the practice of medicine in the future. The Tiger Institute promotes innovation where new ideas can be applied in clinical practice within Missouri’s clinics, hospitals, laboratories and classrooms. The Tiger Institute provides a fundamental change to the way health care is delivered by providing access to real-time information that enhances patient outcomes through evidence-based medicine and saves health professionals time by automating workflows.close

How is the Tiger Institute improving clinician satisfaction?

Over the past 13 years, the University and Cerner have collaborated on a number of projects, including the successful launch of an electronic health record system. The Tiger Institute has created a dedicated team that is made up of academics, health professionals and engineers to automate not only the Health System, but other providers in Columbia and across the state of Missouri. Through the Tiger Institute, health professionals are able to develop solutions alongside engineers that match specific clinical workflows and preferences. Health care information technology has been proven to save providers time, improve patient interactions and ultimately impact patient outcomes. One of the Tiger Institute’s goals is to improve the provider/caregiver experience.close

How is the Tiger Institute impacting students in the health sciences at the University of Missouri?

The Tiger Institute is enhancing the University of Missouri’s position as a national leader in innovative, high-tech teaching and training in the health professions. As the Tiger Institute transforms the delivery of health care, new collaborative health care roles are being created to support a patient-centered model. Future physicians, nurses and other health professionals from the University of Missouri will be among the leaders in transforming health care in the U.S.close

Tiger Institute Goals

What is the Tiger Institute for Health Innovation?

The Tiger Institute has the potential to save the state of Missouri $1 billion in several ways, including automating physician workflows, better management of chronic diseases and reduction of preventable deaths; increased quality of care; reduced drug abuse and reactions; better administrative services and decreased amounts of litigation and malpractice suits. According to a 2005 RAND study, the U.S. could save between $77 and $100 billion annually by automating the current health care delivery system with health care IT. Missouri has about 2 percent of the nation’s population, which can be extrapolated to estimate about $1.7 billion could be saved in Missouri alone. The Tiger Institute believes that it has the potential to help many of Missouri’s physicians adopt electronic health records and work toward achieving a significant portion of these savings.close

What is the objective of the Tiger Institute? What are some key project milestones?

A fundamental goal of the Tiger Institute is to exchange and leverage the University and Cerner core competencies to improve the health of Missourians. Key milestones include the development of solutions that are optimizing hospital, clinic and pharmacy workflows, patient scheduling and other operating efficiencies and providing a digital infrastructure that connects all of the University of Missouri Health System hospitals, clinics and pharmacies. To see our achievements since the inception of the Tiger Institute, please review our timeline.close

How do the Tiger Institute and the strategic alliance with Cerner support University Health System core mission to heal, teach and discover?

A core component of the Tiger Institute’s mission is to improve patient care, advance patient outcomes and enhance patient safety in University Health System’s hospitals and clinics. It is providing medical residents, fellows and students in the medicine, nursing and the allied health professions with training in a leading-edge automated health care delivery system. It has also provided a living laboratory which is developing new health care solutions and testing ideas for ways to improve the way health care is delivered.close

How will this alliance help to continue the university's role as a leader in driving economic growth through health sciences and technology sector jobs?

Information technology continues to play an increasingly essential role in the practice of medicine and the delivery of health care. The Tiger Institute’s goal is to develop a health care information model that can be used by hospitals and clinicians throughout the state of Missouri and beyond. Through incentives in the American Recovery and Reinvestment Act, the University Health System could qualify for an estimated $10 million in incentive payments through 2014 for achieving meaningful use of an electronic health record system. The University of Missouri is an ideal environment to bring together the best and the brightest public and private sector minds to develop new ideas and practices, which should lead to revenue and job growth. Other innovations in the areas of clinical training, chronic disease management, biomedical device integration and connectivity between consumers and providers will be funded and explored through this initiative.close

How will this alliance help the state of Missouri improve health care for all citizens, lower the state's health care costs and serve as a model for the rest of the nation?

One initiative that is a high priority for the Tiger Institute is developing an automated health information system that can be used to improve care for Missouri’s Medicaid patients. Medicaid spending currently accounts for 30 percent of Missouri’s total state budget. Most of that money is spent treating people with chronic health conditions. A pilot project developed by Cerner and the University of Missouri School of Medicine, the Medical Home project, is already in use and has been recognized as a national model for management of patients with chronic diseases such as diabetes and asthma. The Tiger Institute plans to use the success of the Medical Home project to develop new care improvements through its Living Lab. To that end, the School of Medicine in conjunction with the Tiger Institute won a CMS Challenge grant for $13.3 million, the largest grant to date in School of Medicine history. The grant funds the LIGHT2 program, featuring both hi-tech and hi-touch components to transform the health and care of Missourians.close

What is the benefit of the Tiger Institute to the community of Columbia? Missouri? The nation?

Most importantly, for Columbia and central Missouri, the Tiger Institute means improved patient care and patient safety. It also means more jobs and economic development spurred by the federal stimulus funds. Greater automation of medical records will allow health care data to be more transparent and accessible to consumers. For Missouri Medicaid consumers, automation of electronic health information has the potential to save the state millions in health costs through chronic condition management and increased access to evidence-based medicine. Nationally, the Tiger Institute’s innovations could serve as the model for automated health care. The Tiger Institute also has the capability to create a statewide health information exchange that has multiple applications and benefits to improve care and reduce costs.close


What is an Electronic Health Record (EHR)?

An Electronic Health Record (EHR) is owned by the patient and has both patient and clinician provided information. It contains health information that spans beyond a single care event and across multiple care delivery organizations within a community, region or state (and even in some countries like the UK).close

What is the American Recovery and Reinvestment Act?

In February 2009, President Barack Obama and the U.S. Congress passed the American Recovery and Reinvestment Act of 2009 (ARRA) in response to the economic crisis. The “stimulus act” is expected to create 3-4 million jobs and provide incentives for the adoption of health care information technology. The ARRA has made available up to $50 billion nationally for health information technology (HIT) adoption and use. In order to be eligible for stimulus incentive payments for electronic health record systems, hospitals and providers must achieve the yet-to-be-determined “meaningful use” requirements.close
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