The Chicago HIT Regional Extension Center

1. The Chicago HIT Regional Extension Center A LOCAL RESOURCE TO HELP THE PRACTICING PRIMARY CARE PHYSICIAN ACHIEVE MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS Website: http://www.chitrec.org Abel Kho MD, MS GCC-HIMSS Conference April 15th, 2010

2. Our Mission • To improve health care in Chicago through the adoption and use of advanced information technology. • Our Vision • To effectively apply health information technology to: • Improve the quality, safety and efficiency of healthcare; • Reduce health disparities; • Engage patients and families; • Improve care co-ordination; • Improve population and public health; and, • Ensure adequate privacy and security protections for personal health information • Geographic Service Area • Chicago, Cook County, IL, specifically 606xx zip code region

3. Our Service Area • Majority of Under/Uninsured and Medically Underserved in IL • Concentrated geography • Diverse Resources

4. CHITREC Key Facts • A collaboration between an academic medical center (Northwestern University) and a health center controlled network (the Alliance of Chicago).  • For PCPs by PCPs • Extensive EHR Implementation Experience • Strong ties to community and Academia

5. Participating Organizations FQHCs and Safety Net Health Centers • Access Community Health Network • Alivio Medical Center • American College of Physicians • The Beloved Community Family Wellness Center • Centro de Salud Esperanza • Erie Family Health Center • Friend Family Health Center • Heartland International Health Center • Howard Brown Health Center • Infant Welfare Society of Chicago • Inner-City Muslim Action Network (IMAN) • Lawndale Christian Health Center • Miles Square Health Center • The Night Ministry • Near North Health Service Corporation • TCA Health Hospitals • Century PHO (Norwegian American Hospital) • Children's Memorial Hospital • Cook County Health and Hospital Systems • Holy Cross Hospital • Northwestern Memorial Hospital • Sinai Health System • St Bernard Hospital • Third Party Payers: • Blue Cross Blue Shield of Illinois • United Healthcare Group • Foundations • The Chicago Community Trust • Community Health Center Public Sector • The City of Chicago • Mayor's Office • Dept of Innovation and Technology • Illinois Office of Health Information Technology • Illinois Department of Healthcare and Family Services Academic Institutions and Medical Centers • City Colleges of Chicago • Northern Illinois University • Northwestern University, Division of General Internal Medicine • Northwestern University, Institute of Healthcare Studies • Northwestern University, Master of Science in Medical Informatics Program • Regenstrief Institute, Inc • University Heath System Consortium • University of Chicago Medical Center • University of Illinois at Chicago Medical Center • University of Illinois at Chicago Physician Group Other Stakeholder Organizations • Chicago Workforce Investment Council • Illinois Academy of Family Physicians • Illinois Chapter, American Academy of Pediatrics • Illinois Chapter, American College of Physicians • Joint Commission Resources • Metropolitan Chicago Healthcare Council • National Association of Community Health Centers, Inc • Urban Health Initiative

6. Funding • Office of the National Coordinator • $7.6 million • Majority for Direct Assistance to Providers

7. Organization Chart

8. Subcontractors • SA Ignite – Meaningful Use Evaluation Technology, Business Development • CAP STS – Standards (SNOMED) • UserCentric – EHR Usability Testing and Refinement • Grant Thornton- Non-profit Strategy and Privacy and Security

9. Key Service Offerings • HIT education and training, including participation in a National Learning Consortium. • Guided vendor selection and group purchasing. • Full EHR implementation and optimization assistance and project management to achieve meaningful use, with emphasis on practice and workflow re-design and change management principles. • Centralized resources for clinical decision support content, design and delivery and for performance measure collection and reporting. • Assistance with technical infrastructure, including hosting, connectivity and end user devices. • Guidance to promote interoperability and compatibility with future HIE. • Guidance on privacy and security best practices.

10. Services in demand • Preloading • Training and Education • Meaningful Use Workshop Series (Fall) • E-Prescribing • Usability

11. Thinking Big while…

12. Recognizing the Challenge • NYC and Massachusetts Experience • $60-80K per provider • ONC $6400/ provider • So how can we deliver for PCPs at lower costs?  Mostashari et al. Health Affairs 2009

13. Steering to success • Nonprofit • Subsidized initially, but goal of sustainability • Lean/Efficient • Group purchasing / Leverage • Matchmaker to existing resources • Advocate for our clients • Develop local workforce • Identify novel approaches and additional funding

14. Driven to Innovate • Start-up Culture • Academic Medical Center • Masters in Medical Informatics Program • Northwestern Faculty • “Start-ups within a Start-up” • Guided Intern Development Teams • Explore alternate EHR models – Open Source • Novel services • Experienced Partner with the Alliance of Chicago • Pioneered hosted EHR solutions for Safety Net Health Centers • Value beyond $: Data analytics, Publications, Presentations

15. The Chicago HIT Regional Extension Center A LOCAL RESOURCE TO HELP THE PRACTICING PRIMARY CARE PHYSICIAN ACHIEVE MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS Website: http://www.chitrec.org Abel Kho MD, MS info@chitrec.org GCC-HIMSS Conference April 15th, 2010