Bringing Technology to the Rural Hospital

1. Bringing Technology to the Rural Hospital Rural Telecon ‘07 October 17, 2007

2. Rural Hospital in 1999 • Information technology had arrived in other industries and larger hospitals • Small rural hospitals had only financial systems – some considering patient records • Few computers; limited internet access

3. Illinois Department of Public Health – Center for Rural Health – vision to provide funds for telehealth equipment and access to broadband Each new CAH received a grant for video equipment and access to broadband Hired a technology coordinator for this project Critical Access Hospital Program

4. CAH Telehealth Services • Technical Assistance • Video equipment – network can connect up to 4 sites (meetings and education) • Internet/broadband access – increase technology and start at PACS

5. Support of SIU School of Medicine Telehealth • Education and Training as to how to use video conferencing • Broadband support – started with 6 and now can access up to 14 sites interactively • Grand Rounds • Saved CAHs travel time and money as well as expanded opportunities

6. ICAHN Focus on HIT • Top Priority for critical access hospitals • Video equipment and access for all members • Increase awareness and provide information to members on best practices/equipment • Continue to provide HIT technical assistance expertise • Member survey • HIT Workgroup

7. CAH Priority 2005 • Electronic Health Record • PACS • Decision-making Programs • E-Prescribing • On-line Registration • CPOE

8. ICAHN Member Survey 2006 • All – Broadband access • All – Financial systems (HIS) • 95% - Video conferencing equipment • 50% – Department programs • 33% – PACS (Picture Archiving Computer Systems) • 20% - Initiating Electronic Record • 0% - Full integration

9. ICAHN – HIT Activities • 2006 Summit – brought groups together and determined like systems • Vendor Workshop 12/2006 • HIT User Group • Technology Support • Video conferencing programs • Grants • ICAHN HIT Workgroup

10. ICAHN Continue Focus • Eliminate the “digital divide” for the small rural hospital (CAH) • Education and training • Grants • Resources – technical expertise • Member participation – meetings to share information, concerns, ideas, success stories • Future projects…2007 fall meeting, pharmacy project, PHIN

11. Rural Hospitals Today • Resources – Cost is tremendous • Difficulty of duplication as we transition • Multiple systems – how to connect • Trained and available staff • Good programs • Public awareness • ICAHN goal – continue to support our rural hospitals for connectivity

12. Pharmacy Night Service Beta Project • Pharmacy User Group & HIT Workgroup • Premise: to provide cost effective remote pharmacy approval of new orders using a single product capable of running multiple institutions and multiple formularies in a federated database. • This solution would allow a single pharmacist to service multiple CAH concurrently.

13. Pharmacy Night Service Beta Project • New orders would be scanned and uploaded thru a gateway to a facility specific folder • Pharmacist on call would be notified • Pharmacist would review order utilizing beta software • Pharmacist would approve the order and notify CAH electronically or by label print.

14. Pharmacy Night Service Beta Project • Scalability • Interfaces with hospital information system for demographic data • Interfaces with hospital pharmacy system for patient profiles • Interfaces with hospital information system for charge passing.

15. Health Information Technology Network Implementation Grant 2007 • Awarded $1.6M by the U.S. Department of Health and Human Services, Health Resources and Services Administration to the Illinois Department of Public Health. • IDPH has contracted with the Illinois Critical Access Hospital Network to oversee the project.

16. Health Information Technology Network Implementation Grant 2007 • Formation of PHIN: Patient Health Information Network • IDPH • ICAHN • Washington County Hospital • Salem Township Hospital • SSM St. Mary’s/Good Samaritan

17. Health Information Technology Network Implementation Grant 2007 • Phase I: Implement EHR solution in two CAH communities • Phase II: Add a community component enabling additional health care providers to appropriately share information

18. Health Information Technology Network Implementation Grant 2007 • Ultimate purpose of the project: Outcomes • Improved documentation of care • More timely communication of clinical information and prevention of duplicative services • Error reduction and quality enhancement through the use of evidence-based clinical decision support software • Improve protection of health care information through digital security and access authorization mechanisms • Improve data collection to support more rapid disease surveillance and public health response

19. ICAHN HIT SUMMIT-NOV 13, 2007 • Ensuring Privacy & Security of Electronic Patient Information • Personal Health Record • Software Demonstration • National E-Rx Patient Safety Initiative • Software Demonstration • Planning for Disaster Recovery & Business Continuity in our CAH

20. Bringing Technology to the Rural Hospital Rural Telecon ‘07 October 17, 2007 Pat Schou, Executive Director ICAHN 815-875-2999 pschou@icahn.org Kim Larkin, CIO Washington County Hospital 618-327-2203 klarkin@washingtoncountyhospital.org