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HIT Workshop
Care Coordination
Weston Willet, CIOInstitute for Family [email protected]
845-255-3435 x3054September 2010
1
Using HIT to Facilitate Care Coordination
2
HEAL 10
• Healthcare Efficiency and Affordability Law
• Provides funds to promote use of HIT in New York State
• HEAL 10 – Care Coordination Zone– Identify Chronic Condition – Diabetes– Provide All Caregivers for a Diabetic
Patient Access to all of the Patient’s Medical Information
3
HITCH
• Formed Hudson Information Technology for Community Health, Inc.– The Institute for Family Health– Hudson River Healthcare– Ossining Open Door
• Developed List of Other Caregivers– Hospitals– Specialists
4
Information Exchange Strategy
• Encourage Other Caregivers to Join THINC RHIO
• Develop Technology within THINC to Exchange Clinical Care Documents– Referrals and Consult Notes– Discharge Summaries
• MedAllies Providing the Exchange Service– Developing Integration with EHRs
5
Other Options
• Not All Caregivers Will Have EHRs• Need To Develop Other Options
– Fax Services– EHR Portals
• Epic – Epiccare Link• eCW – In Development
6
HIT Workshop
EpicCare Link
Daniel Calman, BAInstitute for Family Health
[email protected] x3057
September 2010 7
The Institute has been live since
September 2002 on Epic Systems
Electronic Health Record and
Practice Management System
(Release: Summer ’09)
8
Enhancing aspects of HIT
• Lab Requests• Patient Encounters• Imaging• Medications• Notes• Episodes• Consults• Letters• Medical History
9
The Institute for Family Health
• Select Patient• Patient Lists• In Basket• Schedule an Appointment
10
11
Clinicals
•Chart review• Medications
•Demographics•Results Review
Clinicals
• Flow sheets• Allergies• Problem List• Growth Charts• Order Review/Entry• Referrals• Upload a Document
12
Chart Review
Encounters, Lab Results, Imaging, Procedures, ECG’s, Other Orders,
Medications, Letters, Notes, Reports, Episodes, and Media 13
Medical History
Patient History Report
14
In Basket
Means of Communication
In Basket
Send messages:• Interoffice
• To other Affiliates• Send Results
• Send Referrals• Help Desk tickets
• Uploading Documenets
16
Scheduling Appointments
Appointment types•Follow up
•New Patient•Physical Exam
18
Scheduling Appointments
• Confirmation