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CH A N’s HCCN Model

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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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Presentation Transcript
slide1
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)
slide5
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)
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
contact information
Contact Information

Kirsten Platte, Executive Director

[email protected]

603-292-7205

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