North Country Health Information Partnership (N-CHIP)

1. North Country Health Information Partnership (N-CHIP) Overview, Accomplishments, and Future Plans

2. Agenda N-CHIP Executive Overview Accomplishments to date Future Plans and Sustainment Questions Contact Info

3. N-CHIP Executive Overview • History • The N-CHIP was formed in early 2010 to represent all HEAL-10* participating healthcare providers in the Care Coordination Zone (CCZ) (Jefferson, Lewis & S. St. Lawrence Counties) • 5 Hospitals – CAH, EJNH, LCGH, RH & SMC • 20 Hospital Clinics • 12 Private Primary Care Practices • 2 Urgent Care Clinics • 3 Private Specialty Practices • Operational goals were to implement Electronic Health Records (EHR) and connect the practices and hospitals to a Health Information Exchange (HIE) • Improved care coordination, measured by the improvements for COPD patient population *Health Efficiency & Affordability Law for New Yorkers - Phase 100

4. N-CHIP Executive Overview (Cont.) • Structure • Governance - The Provider Executive Committee (PEC) • 13 voting members representing all providers and hospitals in the CCZ • Overall clinical leadership for the project • Needs to expand to represent the Health Resources and Services Administration (HRSA) grant/project • Staffing • Program Manager (with admin support) • Medical Director • 2 Implementation Specialists • Nurse Informaticist • Quality Analyst • Financial Planner

5. Accomplishments • Electronic Health Records • Implemented and/or optimized 33/37 ambulatory locations • Health Information Exchange • Connected all five hospitals to the HIE • All ambulatory connections are in process • We will be the second region in the nation to do electronic ordering • Patient Centered Medical Home (PCMH) • All primary care practices and clinics with an EHR achieved the highest quality recognition (Level III) from the National Coalition for Quality Assurance (NCQA) • All remaining practices/clinics achieved Level II • As of 2011, In NYS, there were only 58 Level III and 2 Level II practices/clinics that were in both a Health Provider Shortage Area (HPSA) and designated rural area and we have 20 and 12 respectively!

6. Accomplishments (Cont.) • Clinical Quality Measures • We have baseline measurements for the following and are in the process of electronically collecting these and other measures using the HIE or possibly a regional disease management registry • % of COPD patients receiving spirometry • % of COPD patients with FEV1/FVC <70% that were prescribed a bronchodilator • % of COPD patients receiving their annual flu vaccine • % of COPD patients that are active smokers that received smoking cessation intervention

7. Future Plans and Sustainment • Funding • Fully funded through May 2012 from HEAL-10 • 1 position funded through NYS Health Foundation through 2012 • 2 positions funded through HRSA through Aug 2014 • Other grants – HEAL-21 & CMS Innovation (Awaiting Awards) • Self-sustainment(Business Plan to the Sustainment Committee by Apr) • Subscription – members pay a per provider per year for base services • Consulting – Members pay a reduced rate and non-members pay a standard rate for consultative services (large projects) • Clinical Leadership • The PEC would become the governance to: • Represent HRSA providers (phase I) and eventually expand to represent the entire CCZ (phase II) • Provide clinical guidance and oversight for future projects • Act in an advisory role for regional disease management and quality improvement efforts • Move our community towards clinical integration

8. Future Plans and Sustainment (Cont.) • Technical and Operational Support • The N-CHIP has built a knowledgebase of Health Information Technology (HIT) experts that can support what has been implemented as well as future clinical, operational and quality initiatives • Advocacy • Regulatory interpretation and action plan development • A voice for our community with policy-makers, and vendors

9. Questions

10. Contact Info & Resources • Program Manager – Corey M. Zeigler • czeigler@fdrhpo.org or 755-2020x11 • Medical Director – Dr. Steven Lyndaker • sslynpalm@fdrhpo.orgor 777-5917 • Project Coordinator – Serena Maupin • smaupin@fdrhpo.org or 755-2020x15 • FDRHPO Executive Director – Denise Young • dyoung@fdrhpo.org or 755-2020x10 • N-CHIP Website - https://sharepoint.fdrhpo.org/nchip • FDRHPO Website - http://www.fdrhpo.org