Bangor Beacon CommunityHealth Data Capture

October 26, 2010

Barbara Sorondo, MD MBA

Vision

The Beacon Community Grants Program will provide funding to demonstrate the vision of the future where hospitals, clinicians, and patients are meaningful users of health information technology and together the community achieves measurable improvement in health care quality, safety and efficiency.

• Bangor Hospital Service Area, defined by the Maine Health Data Organization

• 100 Primary care providers

• 65% of the Providers of the regional Primary Care Practices

• Same EMR• All of them will be

connected with HIN

Bangor Beacon Goals

Cost

PopulationHealth

Quality

To implement a standardized process to facilitate access to immunization records

and complianceTo improve

management of selected chronic

medical conditions through increased:- health information

exchange- secured messaging

- use of care management

Chronic Care Patient Community

To reduce preventable

healthcare utilization through improved efficiency of health

care delivery

All Bangor Beacon Community hospitals and practices have EMR, much of it live with CPOE. Hospital EMR vendors include Cerner (EMMC hospitals and specialists) and Siemens (St Joseph). Physician Practice EMR vendors include Centricity (PCHC and EMMC Primary Care) and an in-house system (St Joseph). Currently only EMMC feeds HealthInfoNet and uses Kryptiq for secured emails. Only a subset of community technologies represented here.

· Patient centric · Health information exchange

(HealthInfoNet)

Hospitals

Specialty care

Technology Infrastructure

Primary Care

Bangor Beacon Community(Pre-Beacon Grant)

· EMMC

· EMMC

· St. Joseph Internal Medicine

EMR and CPOESecured email

EMR and CPOE

· EMMC Physician Practices

· Penobscot Community Health Center (FQHC)

· St. Joseph

EMR and CPOE Secured email

EMR and CPOESecured email

EMR and CPOESecured email

EMR

· The Acadia Hospital (mental health)

EMR and CPOE

EMR

· Community Health and Counseling

Home Care

Long-term Care· EM Home Care · St. Joseph Healthcare· Community Health & Counseling · Stillwater

· Rosscare

Public Health· Maine CDC· Bangor Health and

Community Service

Bangor is connected to the Statewide Health Information Exchange with some two-way interfaces. Expanded secure email among providers. Expanded use of Telemedicine and Telehomecare. Chronic condition database.

Patient population:At the practice level: All Chronic condition patients with at least one of the following diseases:1.Diabetes Mellitus (DM)2.Cardiovascular Disease (CVD)3.Chronic obstructive pulmonary disease (COPD)4.AsthmaMeasurements: Performance improvement and quality indicatorsEvaluation design: Before and after

At the patient level: All High Risk/High Cost chronic condition patients with at least one of the following diseases:1.Diabetes Mellitus (DM)2.Congestive Heart Failure (CHF)3.Chronic obstructive pulmonary disease (COPD)4.AsthmaMeasurements: Clinical outcomes, Quality of life, self management indicators, patient satisfactionEvaluation: Controlled design

Population HealthPatient Population: Chronic Condition Patients:1)Diabetes mellitus (DM)2)Cardiovascular Disease (CVD)3)Asthma4)Chronic Obstructive Pulmonary Disease (COPD)

Evaluation: Before and after design

For Influenza vaccination compliance: Based on CDC recommendations, also compliance on all adult (> 18 years of age) population will be gathered. (Only adult primary care practices are included in the evaluation)

CostPatient Population: High Risk/High Cost Chronic Condition Patients:1)Diabetes mellitus (DM)2)Congestive Heart Failure (CHF)3)Asthma4)Chronic Obstructive Pulmonary Disease (COPD)

Evaluation: Controlled Design