Case Study: Houston Orthopedic & Spine Hospital achieves $1M+ revenue improvement and streamlined reporting with Fortra SEQUEL

Houston Orthopedic & Spine Hospital Uses SEQUEL to Deliver First Class Care

Houston Orthopedic & Spine Hospital, a Houston-based specialty facility ranked in the top 5% nationally by HealthGrades for Patient Experience and Joint Replacement, needed timely, detailed access to clinical, billing, and surgical data to support care, coding, and regulatory requirements. Their core systems (HMS Clinical/Financial on IBM i and a Windows-based surgery system on SQL Server) lacked built-in reporting, making ad hoc analysis, Meaningful Use metrics, and automated delivery slow and resource-intensive.

They implemented SEQUEL for data access, ad hoc reporting, and automated report delivery across IBM i and SQL Server sources, using scripts to push daily case lists, coding productivity reports, and metric-specific views to clinical teams. The solution streamlined documentation and billing workflows, reduced days to bill, supported Meaningful Use compliance, improved the revenue cycle, and delivered more than $1,000,000 in revenue improvement or cost reduction in the first year, with strong training and support.

Houston Orthopedic & Spine

George Walker

Chief Information Officer and Chief Operations Officer