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No EMR? No Money ? No Problem……. - PowerPoint PPT Presentation


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Correctional Managed Health Care. No EMR? No Money ? No Problem……. Michael Vasquenza, BS Kirsten Shea, MBA. Disclosures. NO CONFLICTS OF INTEREST. Learning Objectives.

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Presentation Transcript
disclosures
Disclosures
  • NO CONFLICTS OF INTEREST
learning objectives
Learning Objectives
  • Participants will understand the current challenges, specifically those in CT, of disseminating health information across departments, across facilities, and across agencies in the absence of an EMR.
  • Participants will understand cost effective alternatives to an EMR as demonstrated by CMHC’s Information Technology solutions.
  • Participants will understand the importance of developing data systems which are interoperable and easily transferable to ancillary programs and applications.
state of connecticut department of correction
State of Connecticut Department of Correction
  • CT is 1 of 6 states with an integrated jail and prison system.
    • 20% of admissions require prompt medical or mental health intervention
    • Hartford Correctional Center (jail) averages > 45 intakes daily
  • 26,143 annual admissions, each with screening requirements
  • Medical and psychiatric disease prevalence rates far greater than community
      • 19% active Mental Health treatment
      • 24% active Medical treatment
      • 60% on medications
state of connecticut department of correction1
State of Connecticut Department of Correction
  • Cost of global healthcare per inmate per year (both genders) was $4,735 (FY 2012)
  • 60% of inmates on medications
  • Specialty Care (on-site/off-site appointments)
  • Discharge Planning
corrections and technology
Corrections and Technology
  • Challenges
    • Population Needs in the context of budget reductions
      • Pharmacy services
      • Aging population
      • Legal obligations
    • Logistics specific to Correctional Institutions / Building Infrastructure
      • Space and accompanying environment
    • Organizational Structure / Ownership
emr opportunities
EMR Opportunities
  • Foundation outlined in 2009 – RFP
  • Funding challenges
  • DOC RFP - Offender Management Information System (OMIS)
      • Health care module
dead end
Dead End

No Money – No EMR

no problem
No Problem

Develop Alternative Strategy

  • Establish Organizational Focus Areas
  • Identify customers
  • Consolidate/centralize data
  • Statistics/Trends/Research
applying data
Applying Data
  • Managerial / Operational applications
  • Disseminating Clinical Information
  • Optimizing Resources
  • Discover Trends / Research
storing data
Storing Data
  • Interoperability
  • Meaningful Use
  • Health Information Exchanges
  • Continuity of Care Document (CCDs)
data for management
Data for Management
  • Dashboards
    • Medical Census
    • Mental Health Census
    • Employee Overtime
    • UR Appt Completion Stats
    • Psychiatric Diagnoses
    • Current JDH Inpatient Census
    • 340b Patients to be Seen
    • Monthly Statistics:
      • Episodes Self-Injury
      • Suicide Attempts
      • Number Sick Call visits
sharing clinical information
Sharing Clinical Information
  • Scheduling Application
  • W10 Application (discharge planning)
  • Infectious Diseases
data for efficiencies
Data for Efficiencies

340b Federal Program

  • Implement process by which doctors see patients
  • Develop simple InfoPath form to retrieve data
  • Provide reports to assure accountability, follow-up
data to optimize resources
Data to Optimize Resources

Simple example: Medication costs

  • Provide data!
  • Data available via pharmacies/vendors…share it!
  • Educate physicians
data for research
Data for Research

Example: START NOW

Objective variables:

  • Disciplinary tickets
  • Inpatient admissions
  • Security score modifications
  • Recidivism
questions
Questions??

Contact Information:

Michael Vasquenza, BS

mvasquenza@uchc.edu

Kirsten Shea, MBA

kshea@uchc.edu