Presentation Transcript

1. Community Health Access Network (CHAN)a Health Center Controlled Network(HCCN)501(c)(3) Founded 19952008 HIMSS Davies Award WinnerCommunity Health Organization (CHO) Category
2. CHAN’s HCCN Model Non profit, 501(c)(3) Board of Directors: CEOs/EDs of our Full Members Fee Structure: Annual Dues, Monthly Shared Systems Fees (based on # of software licenses) Robust Committee Structure Health Services Committee (Medical Directors, Site Administrators) EMR Users Group Committee (Providers) Business Office Manager Users Group (BOMUG) Finance Committee (meets quarterly) Others as needed (ie Due Diligence Committee)
3. 6 Full FQHC members with 14 sites + 1 Healthcare for the Homeless van -Avis Goodwin CHC (1 site; Dover - 1 site; Rochester) -Families First Health and Support Center (1 site; Portsmouth plus Healthcare for the Homeless Program van) -Health First Family Care Center (2 sites; Franklin and Laconia) -Lamprey Health Care, Inc. (4 sites; Raymond, Newmarket, (2) Nashua ) -Manchester CHC (1site; Manchester) -Shackelford Community Resource Center-central TX (4 sites) 4 Affiliate members with 10 sites -Coos County Family Health Services (2sites; Berlin – 1 site; Gorham) -Ammonoosuc Community Health Services, Inc. (5 sites; Littleton, Woodsville, Whitefield, Franconia, Warren) -Healthcare for the Homeless Program (1 site; Manchester) -Harbor Care Clinic, FQHC Healthcare for the Homeless Program (1 site; Nashua) CHAN’s HCCN Members
4. What do we offer our members? Fully implemented and integrated Meaningful Use Certified GE Centricity Electronic Health Record/Practice Management infrastructure (over 37,000 Observation terms, 65,000 active patient records) Central server architecture; 37 virtual servers supported on site Secure Patient Portal (email, appts, prescription refills, lab results, pt “view only” access to their records) Robust Security Infrastructure (BotNet Filter, Intrusion Protection Software) Back up system, including Kohler generator and heptoflouropropane fire suppression system which will not harm staff or servers in the event of its release. IT staff with 75 years combined CHC experience 24 hour Help Desk Support e-form authoring Staff training Robust Data Warehouse with drilldown reporting to support Clinical and Operational Report Development (i.e. UDS, network dashboard reports, clinical quality indicators for individual sites)
5. Mature EHR Infrastructure-Linkages LAB RESULTS 3+ Reference Labs Advanced Electronic Prescribing HOSPITAL DOCUMENTS (via Electronic Link) Diagnostic Testing Results Emergency Dept Visits Discharge Summaries / H&P’s SECURE MESSAGING Referrals to Specialists Consultation Reports Provider/Patient Communication MEDICAL EQUIPMENT EKG (Cardiosoft) Spirometry (Midmark) Electronic Health Record CARE CATALYST Patient Entered Data (BG levels) Patient Requests for Refills, Appts., Referral Requests. Outbound Fax Referral Information to Specialists Consultation Reports SCANNING State Lab Results Hospital Documents (if not linked) Consultation Reports
6. Clinical and Operations Reporting Infrastructure Reporting priorities are determined by members and the healthcare environment UDS Meaningful Use NH State reporting requirements Insurers Network wide QI initiatives CHAN develops and posts reports centrally Members have capability to develop their own reports to meet their individual needs Chronic disease management Recalls and follow-up
7. MU ready reports Core Hypertension: Blood Pressure Measurement (NQF 0013) Alternate Weight Assessment and Counseling for Children and Adolescents (NQF 0024) Childhood Immunization Status (NQF 0038) Menu Asthma Pharmacologic Therapy (NQF 0047, PQRI 53) Diabetes: HbA1c Poor Control (NQF 0059, PQRI 1) Diabetes: LDL Management & Control (NQF 0064, PQRI 2)
8. Anticoagulation Office Visit
9. Network benefits (per a CHC member) Access to centralized knowledge bank for minimal cost Advanced infrastructure Creates cooperation and friendly competition between members – “Coopitition” Upgraded EHR system will meet “Meaningful Use” certification; direct financial benefits to CHC’s
10. Current CHAN Projects which address meaningful use… Data Warehouse Expansion– allows independent agencies access and utilization of the CHAN DW Upgrade of GE EMR to Meaningful Use v9.5 Upgrade of PM to GE v10 to support 5010 electronic claim submission required as of 1/1/12 Preparation for ICD-10, to ensure cross matching will support reimbursement Collaboration with stakeholders for development of NH HIE Network Master Patient Index to support HIE
11. Problem List Medication List Demographics Smoking Status Vital Signs Drug Interactions Medication Allergy Lists Orders E-prescribing Report Clinical Quality Measures to CMS of State Decision Support Risk Analysis Clinical Summaries-in process HIE- in process PHR-in process CHANMU Core Objectives Scorecard
12. Drug formulary checks Lab test results Pt lists by condition Patient Education Medication Reconciliation Immunization Registries – no State capabilities Syndromic Surveillance – no State capabilities Pt reminders – in process Pt electronic access-in process Transitions of care-in process CHAN MU Menu Objectives Scorecard

13. NH HIE

    Phase I- Project Initiation and Planning Phase II – Transition Phase III - Implementation
14. NH HIE American Recovery and Reinvestment Act- Funding for Health IT includes….. State HIE Cooperative Agreement Program (ONC); announced 8/20/09 Letter of intent submitted to ONC – 9/11/09 (Designated Entity to apply for grant; NH DHHS) Notification of Federal allocation of $5.5M – 9/22/09 Application submitted to ONC – 10/16/09 NH Health Information Exchange Planning and Implementation Project (HEIPI) begins - 11/2/09
15. Phase 1: HEIPI Project Initiation NH DHHS hired staff dedicated to NH HIT/HIE and HIEPI project Dave Towne; State HIT Coordinator Elizabeth Shields; Project Manager NH DHHS hired Consulting Partner; Massachusetts eHealth Collaborative (MAeHC) to lead creation of NH’s HIE Strategic and Operational Plan Stakeholder Engagement. Identify Stakeholders and subsequent Work Groups Establish NH HIT/HIE Website
16. Phase 1; HEIPI Project Initiation…cont Stakeholders (including, but not limited to) Large/Small hospitals NH State Legislators CHCs, Bi-State PCA, CHAN NH Medical Society NH Hospital Association AARP NH Health Plans NH DHHS Home Care Association of NH Work Groups Governance (includes CHAN rep) Finance (includes CHAN chc rep) Technical Infrastructure (includes chc rep) Business and Technical Operations (includes CHAN chc rep) Legal/Policy
17. Phase1; HEIPI Planning Phase Identify HIE phases Phase 1; Secure routing Phase 2; Expanded secure routing Phase 3; Community record Determine Governance Model Health Information Organization (HIO) Public-Private Partnership Determine legality Legislation filed as HB489; establishes a HIO for the electronic exchange of health information. Determine market need Begin to develop sustainability model; visit key stakeholders
18. Phase 2; Transition Launching of the Interim Advisory Group (IAG); 4/29/11 The IAG is a transitional, public-private governance body for the HIE project The IAG acts under the authority of the NH DHHS Commissioner transitioning to a Board with full authority The IAG provides public-private governance to the state level HIE project pending launch of the HIO
19. Phase 2; Transition…cont. Work Group Tasks/Activities Governance Workgroup Transition to IAG Support Legislative Process Set contingency plan and its triggers w/stakeholders Finance Market test value of proposed HIO services Draft the Business Plan Technology Find and engage a Technical Services Partner (TSP) to set up and operate the technology platform – RFI and RFP process Evaluate, prepare, and certify Health Information Services Providers (HISPs) to connect Legal/Policy Support legislative process Develop HIO policies and procedures for HIO Draft business plan
20. Phase 3; Implementation Stay tuned!!
21. Contact Information Kirsten Platte, Executive Director kplatte@chan-nh.org 603-292-7205