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HIE Day- JCMR Overview June 2012


Health & Medicine

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1. June 20, 2012 2.  An EHR/HIE in the Jackson area since 2005 Connects ~50% of all providers◦ AllegianceHEALTH employed providers◦ Many private practice…
  • 1. June 20, 2012
  • 2.  An EHR/HIE in the Jackson area since 2005 Connects ~50% of all providers◦ AllegianceHEALTH employed providers◦ Many private practice providers◦ Federally Qualified Health Center◦ Jackson County Health Department◦ AllegianceHEALTH clinics Tightly integrated with AllegianceHEALTH One shared EHR for the community ofproviders
  • 3. Medication lists,reconciliations and druginteractions across practices.Lab Results automaticallyassigned to the appropriatephysician and patient independentof an electronic order.All allergies are sharedacross practices. Shared patient ID, demographics, med list,allergies, problem list, notes, etc. Closed-loop ordering – referrals, tests, procedures Uniform decision support Advanced clinical information sharing Support in achieving meaningful use Real-time interfaces Local payer pay for performance reporting Local supportAll social, family and pastmedical history is available.3
  • 4.  Patient identifier Demographics & insurance Lab orders and results (closed loop) Radiology orders & results Discharge summaries Operative Notes Histories & Physicals ePrescribing to pharmacies Tasks across practices Referrals across practices (as tasks) Enterprise Chart – eliminates the need for many other interfaces Auto populates JCMR and NextGen report systems Auto populates Phytel population management registries Phytel calls to remind patients to make appointment for overduecare
  • 5.  Providers◦ 214 Practice Management◦ 155 Electronic Health Record◦ >1,000 users Patient Volumes◦ 140,000 shared active patients◦ 47,000 + encounters / month◦ 35,000 Surescripts e-prescriptions / month Monthly Interface VolumesInterface VolumeLab Orders 68,273Radiology Orders 4,623Lab Reports 111,162Radiology Reports 38,948Hospital Reports (discharge, etc) 20,222Total 243,228
  • 6. Half of our 140,000 active community patients have visitedmore than one practice. By being connected to one enterprisedatabase, our doctors and caregivers simply have more valuableand accurate data to take care of these patients.
  • 7.  Patient Centered Medical Home certified practices Provider incentives◦ PQRI/PQRS from Medicare◦ e-Prescribing from Medicare◦ PCMH from Blue Cross & Medicare◦ PGIP from Blue Cross◦ Meaningful Use - stage 1 certified from Medicare Reduced duplication of tests (est. 15-20%) Patient safety: medication interactions, pain contracts, doctorhopping for meds… unknowable. It’s Your Life in JCMR to coordinate goals with Primary CarePhysicians. One click smoking cessation referrals and documented inchart. Diabetes tracking. Automated outreach & new chronic disease registriesare getting patients in to see their physicians foroverdue care (Phytel)
  • 8.  Provider workflow is critical◦ Primary Care◦ Specialty Care◦ Emergency Department◦ Hospital… Support team based care◦ PCMH◦ Top of license◦ Care coordination◦ Change management Support population health management◦ Patients that should see a provider◦ Patient self-management
  • 9.  Testing MCIR to State of Michigan Reviewing Qualified Data ServicesOrganization (QDSO) agreement
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