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Community Health Access Network (CH A N) a Health Center Controlled Network (HCCN) 501(c)(3) Founded 1995 2008 HIMSS Davies Award Winner Community Health Organization (CHO) Category. CH A N’s HCCN Model. Non profit, 501(c)(3) Board of Directors: CEOs/EDs of our Full Members

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CH A N’s HCCN Model

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Ch a n s hccn model

Community Health Access Network (CHAN)a Health Center Controlled Network(HCCN)501(c)(3) Founded 19952008 HIMSS Davies Award WinnerCommunity Health Organization (CHO) Category


Ch a n s hccn model

CHAN’s HCCN Model

  • Non profit, 501(c)(3)

  • Board of Directors: CEOs/EDs of our Full Members

  • Fee Structure: Annual Dues, Monthly Shared Systems Fees (based on # of software licenses)

  • Robust Committee Structure

    • Health Services Committee (Medical Directors, Site Administrators)

    • EMR Users Group Committee (Providers)

    • Business Office Manager Users Group (BOMUG)

    • Finance Committee (meets quarterly)

    • Others as needed (ie Due Diligence Committee)


Ch a n s hccn members

6 Full FQHC members with 14 sites + 1 Healthcare for the Homeless van

-Avis Goodwin CHC (1 site; Dover - 1 site; Rochester)

-Families First Health and Support Center (1 site;

Portsmouth plus Healthcare for the Homeless

Program van)

-Health First Family Care Center (2 sites; Franklin and

Laconia)

-Lamprey Health Care, Inc. (4 sites; Raymond,

Newmarket, (2) Nashua )

-Manchester CHC (1site; Manchester)

-Shackelford Community Resource Center-central TX

(4 sites)

4 Affiliate members with 10 sites

-Coos County Family Health Services (2sites; Berlin – 1

site; Gorham)

-Ammonoosuc Community Health Services, Inc. (5

sites; Littleton, Woodsville, Whitefield, Franconia,

Warren)

-Healthcare for the Homeless Program (1 site;

Manchester)

-Harbor Care Clinic, FQHC Healthcare for the

Homeless Program (1 site; Nashua)

CHAN’s HCCN Members


What do we offer our members

What do we offer our members?

  • Fully implemented and integrated Meaningful Use Certified GE Centricity Electronic Health Record/Practice Management infrastructure (over 37,000 Observation terms, 65,000 active patient records)

    • Central server architecture; 37 virtual servers supported on site

      • Secure Patient Portal (email, appts, prescription refills, lab results, pt “view only” access to their records)

      • Robust Security Infrastructure (BotNet Filter, Intrusion Protection Software)

    • Back up system, including Kohler generator and heptoflouropropane fire suppression system which will not harm staff or servers in the event of its release.

    • IT staff with 75 years combined CHC experience

    • 24 hour Help Desk Support

    • e-form authoring

    • Staff training

  • Robust Data Warehouse with drilldown reporting to support Clinical and Operational Report Development (i.e. UDS, network dashboard reports, clinical quality indicators for individual sites)


Ch a n s hccn model

Mature EHR Infrastructure-Linkages

LAB RESULTS

3+ Reference Labs

Advanced Electronic Prescribing

  • HOSPITAL DOCUMENTS

  • (via Electronic Link)

  • Diagnostic Testing Results

  • Emergency Dept Visits

  • Discharge Summaries /

    H&P’s

  • SECURE MESSAGING

  • Referrals to Specialists

  • Consultation Reports

  • Provider/Patient Communication

MEDICAL EQUIPMENT

EKG (Cardiosoft)

Spirometry (Midmark)

Electronic Health Record

  • CARE CATALYST

  • Patient Entered Data (BG levels)

  • Patient Requests for Refills, Appts., Referral Requests.

  • Outbound Fax

  • Referral Information to

    Specialists

  • Consultation Reports

  • SCANNING

  • State Lab Results

  • Hospital Documents (if not linked)

  • Consultation Reports


Clinical and operations reporting infrastructure

Clinical and Operations Reporting Infrastructure

  • Reporting priorities are determined by members and the healthcare environment

    • UDS

    • Meaningful Use

    • NH State reporting requirements

    • Insurers

    • Network wide QI initiatives

  • CHAN develops and posts reports centrally

  • Members have capability to develop their own reports to meet their individual needs

    • Chronic disease management

    • Recalls and follow-up


Mu ready reports

MU ready reports

Core

  • Hypertension: Blood Pressure Measurement (NQF 0013)

    Alternate

  • Weight Assessment and Counseling for Children and Adolescents (NQF 0024)

  • Childhood Immunization Status (NQF 0038)

    Menu

  • Asthma Pharmacologic Therapy (NQF 0047, PQRI 53)

  • Diabetes: HbA1c Poor Control (NQF 0059, PQRI 1)

  • Diabetes: LDL Management & Control (NQF 0064, PQRI 2)


Anticoagulation office visit

Anticoagulation Office Visit


Network benefits per a chc member

Network benefits (per a CHC member)

  • Access to centralized knowledge bank for minimal cost

  • Advanced infrastructure

  • Creates cooperation and friendly competition between members –

    “Coopitition”

  • Upgraded EHR system will meet “Meaningful Use” certification; direct financial benefits to CHC’s


Current chan projects which address meaningful use

Current CHAN Projects which address meaningful use…

  • Data Warehouse Expansion– allows independent agencies access and utilization of the CHAN DW

  • Upgrade of GE EMR to Meaningful Use v9.5

  • Upgrade of PM to GE v10 to support 5010 electronic claim submission required as of 1/1/12

  • Preparation for ICD-10, to ensure cross matching will support reimbursement

  • Collaboration with stakeholders for development of NH HIE

  • Network Master Patient Index to support HIE


Chan mu core objectives scorecard

Problem List

Medication List

Demographics

Smoking Status

Vital Signs

Drug Interactions

Medication Allergy Lists

Orders

E-prescribing

Report Clinical Quality Measures to CMS of State

Decision Support

Risk Analysis

Clinical Summaries-in process

HIE- in process

PHR-in process

CHANMU Core Objectives Scorecard


Chan mu menu objectives scorecard

Drug formulary checks

Lab test results

Pt lists by condition

Patient Education

Medication Reconciliation

Immunization Registries – no State capabilities

Syndromic Surveillance – no State capabilities

Pt reminders – in process

Pt electronic access-in process

Transitions of care-in process

CHAN MU Menu Objectives Scorecard


Nh hie

NH HIE

Phase I- Project Initiation and Planning Phase II – Transition

Phase III - Implementation


Nh hie1

NH HIE

American Recovery and Reinvestment Act- Funding for Health IT includes…..

State HIE Cooperative Agreement Program (ONC); announced 8/20/09

  • Letter of intent submitted to ONC – 9/11/09

    (Designated Entity to apply for grant; NH DHHS)

  • Notification of Federal allocation of $5.5M – 9/22/09

  • Application submitted to ONC – 10/16/09

  • NH Health Information Exchange Planning and Implementation Project (HEIPI) begins - 11/2/09


Phase 1 heipi project initiation

Phase 1: HEIPI Project Initiation

  • NH DHHS hired staff dedicated to NH HIT/HIE and HIEPI project

    • Dave Towne; State HIT Coordinator

    • Elizabeth Shields; Project Manager

  • NH DHHS hired Consulting Partner; Massachusetts eHealth Collaborative (MAeHC) to lead creation of NH’s HIE Strategic and Operational Plan

  • Stakeholder Engagement. Identify Stakeholders and subsequent Work Groups

  • Establish NH HIT/HIE Website


Phase 1 heipi project initiation cont

Phase 1; HEIPI Project Initiation…cont

  • Stakeholders (including, but not limited to)

    • Large/Small hospitals

    • NH State Legislators

    • CHCs, Bi-State PCA, CHAN

    • NH Medical Society

    • NH Hospital Association

    • AARP NH

    • Health Plans

    • NH DHHS

    • Home Care Association of NH

  • Work Groups

    • Governance (includes CHAN rep)

    • Finance (includes CHAN chc rep)

    • Technical Infrastructure (includes chc rep)

    • Business and Technical Operations (includes CHAN chc rep)

    • Legal/Policy


Phase1 heipi planning phase

Phase1; HEIPI Planning Phase

  • Identify HIE phases

    • Phase 1; Secure routing

    • Phase 2; Expanded secure routing

    • Phase 3; Community record

  • Determine Governance Model

    • Health Information Organization (HIO)

    • Public-Private Partnership

  • Determine legality

    • Legislation filed as HB489; establishes a HIO for the electronic exchange of health information.

  • Determine market need

  • Begin to develop sustainability model; visit key stakeholders


Phase 2 transition

Phase 2; Transition

  • Launching of the Interim Advisory Group (IAG); 4/29/11

    • The IAG is a transitional, public-private governance body for the HIE project

    • The IAG acts under the authority of the NH DHHS Commissioner transitioning to a Board with full authority

    • The IAG provides public-private governance to the state level HIE project pending launch of the HIO


Phase 2 transition cont

Phase 2; Transition…cont.

  • Work Group Tasks/Activities

    • Governance Workgroup

      • Transition to IAG

      • Support Legislative Process

      • Set contingency plan and its triggers w/stakeholders

    • Finance

      • Market test value of proposed HIO services

      • Draft the Business Plan

    • Technology

      • Find and engage a Technical Services Partner (TSP) to set up and operate the technology platform – RFI and RFP process

      • Evaluate, prepare, and certify Health Information Services Providers (HISPs) to connect

    • Legal/Policy

      • Support legislative process

      • Develop HIO policies and procedures for HIO

  • Draft business plan


Phase 3 implementation

Phase 3; Implementation

Stay tuned!!


Contact information

Contact Information

Kirsten Platte, Executive Director

[email protected]

603-292-7205


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