Weston Willet, CIO Institute for Family Health x3054 September

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

Daniel Calman, BA Institute for Family Health x3057 September

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

Clinicals Chart review Medications Demographics Results Review 11

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

Scheduling Appointments Confirmation 18