Open Door Family Medical Centers Care Coordination and Information Exchange Presentation October 2010. Began in 1972 as a free clinic. Now serves almost 37,000 users, reported over 169,000 visits in the 2009 UDS Operates 10 sites 4 health centers in Northern Westchester County
Open Door Family Medical Centers
Care Coordination and Information Exchange
Presentation October 2010
Began in 1972 as a free clinic.
Now serves almost 37,000 users, reported over 169,000 visits in the 2009 UDS
Operates 10 sites
4 health centers in Northern Westchester County
5 school based health centers in Port Chester, NY
1 mobile dental van
Employees 268 individuals, 60 licensed providers
Implemented an EMR and integrated practice management system in 2007
Recognized by NCQA as a Level III Patient Centered Medical Home – December 2009
HIMSS Davies Award – 2010
Joint Commission accredited
Open Door Family Medical Centers
Open Door Family Medical Center
Ossining, Mount Kisco, Sleepy Hollow, and Port Chester
Open Door's dedicated team
of doctors, nurse
practitioners, dentists , and
clinical support staff seek to
provide excellent care in
collaboration with our
patients, involving their
families and the broader
community in the effort.
Chronic Illness in America
Using the EMR Referral System
Appointment information must be documented in the referral
Re-scheduling a Referral Appointment
The Referral Tracking Process
Advocates reach out to specialists by phone/email to obtain results by fax or mail.
Providers can log into affiliated hospital’s EMR to obtain consult reports and ER visit info.
Medical records staff receives consults or test results through EMR Fax In-Box or USPS mail and attaches them to the order, then assigns the order to the provider for review and follow-up
Advocates use the registry reports to identify patients who need follow-up and/or reminders
BridgeIT report writing tool is used to identify missing information and improve data integrity
We are still doing some tasks manually through paper / fax / scanning.
We need better ways to track down missing results from outside referrals
We need better communication with patients to know when and where they went for care outside Open Door.
We need to have more control of the EMR processes and the ability to prevent data entry errors
Plans to implement Patient Portal to connect with our patients
P2P (Peer to Peer) EMR connection between providers.
Open Door has collaborated with ThincRHIO in designing and beginning health information electronic exchange with health providers in the Hudson Valley
Open Door has worked with CHCANYS and HCNNY in improving the functional use and reporting abilities of the EHR and practice management system.
Open Door has collaborated with HITCH focusing on diabetic care across the health care continuum; the transitions in care when specialists and hospitalization is needed.
The EHR has changed how we operate – information is readily available, legible and allows for more transparency.
Meaningfully using the data allows us to learn about the patients and the community we are caring for.
The technology allows us to engage more with our patients and provide them with their information about their health.
Reporting tools and structured data allows us to identify areas that need improvement to improve care to our patients and ultimately the community.
The technology is a tool for our Patient Centered Medical Home, meaningful use and care coordination efforts.
Technology, Meaningful Use, Care Coordination & Medical Home
Together, we can keep our promise to those we serve and in doing so, strengthen and expand the Open Door brand.
Building stronger, healthier communities… One patient at a time