HIT Workshop

Care Coordination

Weston Willet, CIOInstitute for Family Healthwwillet@institute2000.org

845-255-3435 x3054September 2010

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Using HIT to Facilitate Care Coordination

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HEAL 10

• Healthcare Efficiency and Affordability Law

• Provides funds to promote use of HIT in New York State

• HEAL 10 – Care Coordination Zone– Identify Chronic Condition – Diabetes– Provide All Caregivers for a Diabetic

Patient Access to all of the Patient’s Medical Information

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HITCH

• Formed Hudson Information Technology for Community Health, Inc.– The Institute for Family Health– Hudson River Healthcare– Ossining Open Door

• Developed List of Other Caregivers– Hospitals– Specialists

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Information Exchange Strategy

• Encourage Other Caregivers to Join THINC RHIO

• Develop Technology within THINC to Exchange Clinical Care Documents– Referrals and Consult Notes– Discharge Summaries

• MedAllies Providing the Exchange Service– Developing Integration with EHRs

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Other Options

• Not All Caregivers Will Have EHRs• Need To Develop Other Options

– Fax Services– EHR Portals

• Epic – Epiccare Link• eCW – In Development

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HIT Workshop

EpicCare Link

Daniel Calman, BAInstitute for Family Health

dcalman@institute2000.org845-255-3435 x3057

September 2010 7

The Institute has been live since

September 2002 on Epic Systems

Electronic Health Record and

Practice Management System

(Release: Summer ’09)

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Enhancing aspects of HIT

• Lab Requests• Patient Encounters• Imaging• Medications• Notes• Episodes• Consults• Letters• Medical History

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The Institute for Family Health

• Select Patient• Patient Lists• In Basket• Schedule an Appointment

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Clinicals

•Chart review• Medications

•Demographics•Results Review

Clinicals

• Flow sheets• Allergies• Problem List• Growth Charts• Order Review/Entry• Referrals• Upload a Document

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Chart Review

Encounters, Lab Results, Imaging, Procedures, ECG’s, Other Orders,

Medications, Letters, Notes, Reports, Episodes, and Media 13

Medical History

Patient History Report

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In Basket

Means of Communication

In Basket

Send messages:• Interoffice

• To other Affiliates• Send Results

• Send Referrals• Help Desk tickets

• Uploading Documenets

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Scheduling Appointments

Appointment types•Follow up

•New Patient•Physical Exam

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Scheduling Appointments

• Confirmation