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Clinical Information Technology and CHC’s. Robert Hoch MD,MPH Corporate Medical Director Harbor Health Services. Community Health Center Core Components. Non Profit Community Boards Focus on Underserved Access to All Multidisciplinary Primary Care Teams Preventive Health Model
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Clinical Information Technology and CHC’s Robert Hoch MD,MPH Corporate Medical Director Harbor Health Services
Community Health Center Core Components • Non Profit • Community Boards • Focus on Underserved • Access to All • Multidisciplinary Primary Care Teams • Preventive Health Model • Enabling Services
Harbor Health Services • Neponset Health Center • Geiger Gibson Health Center • Harbor Family Health Center • Mid Upper Cape Health Center • Ellen Jones Dental Center • Neponset Community Services • Elder Service Plan • Harbor WIC Program • Harbor Daycare Program
Harbor Health Services • 30,000 Patients • 110,000 Visits • 450 staff • 85 Providers • 30 Million Plus budget
HHSI Clinical Information Technology History • Clinical Registries • MedTrak • Access Databases • DEMS/PECS • Strategic Clinical IT Review • Integrated into Strategic Planning • Area of weakness • Priority 2000-2005
HHSI Clinical Information Technology History • Upgrade IT Infrastructure • Leadership/Staff • Network/Hardware • Training • E Prescribing • Manageable First Effort • Allows Range of Competency • Test of Infrastructure
HHSI Clinical Information Technology History • EMR • Inclusive Process/ Importance of Buy In • Required Functionalities • Vendor Selection • Consultative Project Management • Leadership/End User Oversight • Board Updates
HHSI Clinical Information Technology Challenges • IT Infrastructure • Organizational Priority • Leadership Time/Energy • Project Complexity • Work Processes • Hardware/Software Platforms/Interfaces • Transition Planning/Provider Acceptance • External Integration • Financial Resources • Operating Income/Reserves/External Grants
HHSI Clinical Information Technology Opportunities • Basic Documentation • Decision Support • Expanded Care Model • Quality Improvement • Community Based Public Health • Practice Based Research