ChathamHealthLink
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Transcript of ChathamHealthLink
J.C.L.P.H.C.C
Chatham County Safety Net Planning
Council(CCSNPC)
ChathamHealthLink
The BasicsWhy and How?
CCSNPC History/Goals
• Formed in 2004 by the Chatham County Commission
• Lead by Chatham County Health Department as neutral convener
• Composed of representatives from both hospital systems, providers of health care to the uninsured, city and county government, local non-profit agencies and citizen groups
• Charged with working together to find efficient and effective methods to improve access to and quality of health care delivery to uninsured Chatham County citizens
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Methods
• Annual Evaluation to monitor trends in demand and successes in providing service
• Community Needs Assessments to gather information about specific health care needs
• Strategic Planning to meet emerging needs identified in evaluation and needs assessments
• Seeking of grants to implement projects on behalf of entire Council
3
Information TechnologyHealth Information Technology was identified as the solution to gaps
in quality of care in 2005 Strategic Planning Session
Evaluation trends revealed that Patients• Seek care in multiple locations
• Have medical information scattered among various providers • Have medical records at individual providers that are likely to be incomplete • And are vulnerable to errors due to missing information
And that Chatham County Safety Net Planning Council • Had an unknown amount of duplication of data in evaluation reports• Was extremely limited in producing valid data by paper records and limited staff to
review them• Could follow trends in access but could not follow health outcomes
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J. C. Lewis Health CenterElectronic Medical Records
Memorial Univ Med Center
Emergency Department
Electronic Medical Records
The Solution
As the first step, J. C. Lewis and the MUMC Emergency Department adopted Electronic Medical Records systems.
J. C. Lewis Health CenterElectronic Medical Records
Memorial Univ Med Center
Emergency Department
Electronic Medical Records
Although the records are stored digitally in computer systems, the two systems cannot communicate without a secure network.
Memorial Univ Med Center
Emergency Department
Electronic Medical Records
J. C. Lewis Health CenterElectronic Medical Records
ChathamHealthLink allows the two systems to communicate by sending summaries of patient records to a central database managed by the Chatham County Safety Net
Planning Council.
Secure Private
Channel
Secure
Private
Channel
J. C. Lewis Health CenterElectronic Medical Records
Memorial Univ Med Center
Emergency Department
Electronic Medical Records
Data sent to the central database travels through a secure private channel called a Virtual Private Network or VPN tunnel.
Secure Private
Channel
Secure
Private
Channel
Clin
ical
Car
e In
form
ation
J. C. Lewis Health CenterElectronic Medical Records
Memorial Univ Med Center
Emergency Department
Electronic Medical Records
EncountersAllergies/AlertsMedicationsLaboratory TestsRadiology Studies
An example begins with a patient visit to
J.C. Lewis.
Information about the patient and the visit is sent to the central database. A program in the database matches the patient to a previous record or creates a new record for a new
patient.
Secure Private
Channel
Secure
Private
Channel
J. C. Lewis Health CenterElectronic Medical Records
Memorial Univ Med Center
Emergency Department
Electronic Medical Records
Clinical Care Information
EncountersAllergies/AlertsMedicationsLaboratory TestsRadiology Studies
When the same patient visits the Emergency Department, an authorized user, can access the database. This allows them to gain valuable information about the patient’s
medical condition.
Clin
ical
Car
e In
form
ation
Secure Private
Channel
Secure
Private
Channel
Clin
ical
Car
e In
form
ation
Emergency Visit Sum
mary
J. C. Lewis Health CenterElectronic Medical Records
Memorial Univ Med Center
Emergency Department
Electronic Medical Records
EncountersAllergies/AlertsMedicationsLaboratory TestsRadiology Studies
Clinical Care Information
When the patient is discharged from the Emergency Department (ED), the discharge summary is sent to the central database and J. C. Lewis is notified that new information
is available from the ED.
Secure Private
Channel
Secure
Private
Channel
Clin
ical
Car
e In
form
ation
Emergency Visit Sum
mary E
mer
genc
y V
isit
Sum
mar
y
J. C. Lewis Health CenterElectronic Medical Records
Memorial Univ Med Center
Emergency Department
Electronic Medical Records
Clinical Care Information
EncountersAllergies/Alerts
MedicationsLaboratory Tests
Radiology Studies
Each provider can both load information and look at information for their patients.
Here is an example of the screen an authorized provider sees when accessing a patient’s record in the database.
EncountersAllergies/Alerts
MedicationsLaboratory Tests
Radiology Studies
CCSNPC
CCSNPC
CCSNPC
CCSNPC
CCSNPC
CCSNPC
Soon, all CCSNPC providers will participate in ChathamHealthLink.
ChathamHealthLinkOur Health Information Exchange will
Provide Patients• With a central complete record in the CCSNPC database• Reduction of the same paperwork multiple times• Reduction of repeat testing- labs, radiology, etc.• Avoid delays in appropriate care and medical errors
Provide Healthcare Providers • Complete, secure, easily accessible electronic records• Communication among providers through secure, safe protected electronic portals
with information updates in real time• Ability to see complete information and avoid duplication and errors
Provide Chatham County Safety Net Planning Council • With unduplicated records and accurate counts of patients served• Ability to follow trends in access AND health outcomes• Secure repository of patient records in case of emergency evacuation
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EncountersAllergies/Alerts
MedicationsLaboratory Tests
Radiology Studies
CCSNPC
Hospitals
Public Health
Correctional Health
Private Providers
Behavioral Health
State HIE’s
Eventually, ChathamHealthLink will be able to include all area providers as long as they have Electronic Medical Records. In addition, our HIE will be able to communicate with
other HIE’s across Georgia and the US.