1. Bangor Beacon Community Technology Overview Presented to Maine Health IT Steering Committee July 8, 2010 1

2. Community Performance Improvement Goals Cost Population Health Quality To improve population health with a focus on immunization compliance. To improve the health of the people in the Bangor community with chronic conditions through care management facilitated by health information technology (HIT). Chronic Care Patient Community To reduce preventable healthcare utilization with a focus on ED visits and hospital admissions. 2

3. Overview of Technologies (Pre-Beacon) All Bangor Beacon Community hospitals and practices have EMR, much of it live with CPOE. Hospital EMR vendors include Cerner (EMMC hospitals and specialists) and Siemens (St Joseph). Physician Practice EMR vendors include Centricity (PCHC and EMMC Primary Care) and an in-house system (St Joseph). Currently only EMMC feeds HealthInfoNet and uses Kryptiq for secured emails. Only a subset of community technologies represented here. 3

4. Bangor is connected to the Statewide Health Information Exchange with some two-way interfaces. Expanded secure email among providers. Expanded use of Telemedicine and Telehomecare. Chronic condition database. Overview of Technologies (under Beacon) 4

5. Technology will enable robust care management Providers will have improved access to patient information – Medication lists – Immunizations – Hospital discharge information – Laboratory and imaging data – Problem lists – Secure email Increased connectivity and interrelationship will improve quality of life – Reduce unnecessary healthcare utilization, testing and prescription – Avoid adverse events and reduce denied claims and their associated costs – Increase experience for accelerated learning – Ensure effective and reliable use of systems 5

6. Challenges and potential areas of assistance from the Beacon Program Privacy laws present prohibitive burdens for electronic exchange of mental health info Technology systems store data differently Inconsistency of data entry (content and timing) Limited availability of evidenced based guidelines (e.g., COPD) Change management Incomplete standards on the way data are captured, communicated and processed. 6

7. Other big technology gaps/questions Technologies employed by the other Beacon Communities Technologies supporting both patient privacy and appropriate provider access (e.g., mental health, HIV) Personal health records and patient access to their health information for self-management 7