HEAL Awardee Summaries - Northern Region
- Adirondack Regional Community Health Information Exchange (ARCHIE)
- Adirondack Medical Center
- A.O. Fox Memorial Hospital Society Clinical Information Documentation Exchange (The Fox-CIDE Project)
- Champlain Valley Physicians Hospital Medical Center
- Columbia Memorial Hospital
- Health Information Xchange of New York (HIXNY)
Adirondack Regional Community Health Information Exchange (ARCHIE)
Contact: Daniel Chernoff (chernoff@nycap.rr.com)
Project Summary: ARCHIE is building a web portal for clinicians to share clinical data with the goal of improving patient care and improving efficiency of treatment. Shared data includes lab results, radiology reports and transcribed reports from Glens Falls Hospital (GFH) – the region’s sole comprehensive community hospital. The web portal will provide to community-based practices and GFH satellite sites: e-prescribing capabilities, medication management, problem list and procedure history, as well as, referral management among community practices. The web portal also provides a patient portal where patients can message to their providers and access important health related information.
As part of its HEAL 5 project ARCHIE is collaborating with another RHIO, HIXNY, to give Medicaid providers for the first time the ability to access all the clinical data needed to ensure these patients receive efficient, quality care. The target areas for major quality improvements for Medicaid patients include more timely and accurate diagnoses and treatments, fewer duplicative services/testing, and comprehensive medication management. They will also be establishing a web-based patient portal, through which any consenting patient can securely access his/her specified information. This portal will open communication between patients and clinicians, thus benefiting both parties. It will give patients confidence in the care they are receiving as personalized updates and notifications appear in their record, and give clinicians the enhanced communication with patients, and engagement in their care, which will lead to ultimately improved health outcomes.
Key Stakeholders: NORTHERN - Adirondack Medicine; Glens Falls Hospital; Adirondack Radiology Assoc.; Iron Gate Primary Care; Fort Hudson Nursing Home.
Adirondack Medical Center
Contact: Mary Welch (mwelch@amccares.org)
Project Summary: Adirondack Medical Center is creating a network of shared health information between the area's only acute care hospital, five physician practices, four hospital-based clinics, and the major payer in the area. The hospital clinics and the physician offices are implementing EHR systems. The practitioners will be able to share pertinent health information necessary for patient care.
As of January 2008 more than 70% of the community physicians are using electronic medical records. Interfaces have been built which transfer lab data and diagnostic imaging reports to the practice EMR from Adirondack Medical Center. Prescriptions are being entered electronically.
The HIE which will aggregate patient data from the individual practices is expected to be operational by the end of 2008. This added functionality will enable the participants to share and report on community health data. The Emergency Department will have access to current patient information at the point of care.
Key Stakeholders: Adirondack Internal Medicine and Pediatrics; Adirondack Surgical Group; Medical Associates of Saranac Lake; North Country Family Physicians; Tri-Lakes OB/GYN and Excellus BlueCross BlueShield.
A.O. Fox Memorial Hospital Society Clinical Information Documentation Exchange (The Fox-CIDE Project)
Contact: Joseph Phillips, Information Technology Director (jphillips@aofmh.org)
Project Summary: The Fox-CIDE Project has two major components. The first component is expanding the use of the Fox electronic health record to community based physicians and other community based health care organizations (college health center), which will allow those providers to share their information with the other providers within the community. The other component is the implementation of a clinical documentation system, which will allow the availability of a more complete real time electronic health record that can be accessed by any clinical provider throughout the network.
Key Stakeholders: NORTHERN - Capital Cardiology Associates; Northern Urology Associates; Hartwick College.
Champlain Valley Physicians Hospital Medical Center
Contact: Joyce Rafferty (jrafferty@cvph.org)
Project Summary: CVPH Medical Center and its stakeholders: Champlain Valley Physicians Organization, Smith House (a diagnostic and treatment center offering mental health services), Meadowbrook Healthcare (a nursing home providing long term and rehabilitative care) and local physicians from solo or small practices (1-5 physicians) have formed an informal consortium to execute the North Country Community Health Information Technology Adoption Collaboration (CHITA) project. This EHR project is designed to enhance and advance the exchange of clinical data across our region in such a way to allow for the eventual linkage with the ARCHIE Clinical Exchange Network, or Healthcare Information Xchange of New York (HIXNY) or other appropriate RHIO. The North Country CHITA will demonstrate Quality Reporting for Prevention Use Cases. This community driven model will be open to all providers, payers, and patients.
The goal of this project is to expand and advance patient information exchange and interoperability via EHRs among physicians and other community providers in the North Country in order to increase efficiency, increase quality of care and decrease costs. HEAL objectives and requirements are met because 1) Clinical results will be shared with a significant number of North Country solo and small physician practices for efficient and effective patient care; 2) Collection and reporting of performance measures by the North Country CHITA will allow the participating physicians to improve patient care; and 3) the technical design using common standards and protocols positions the North Country CHITA to integrate with the most appropriate RHIO in the future.
Columbia Memorial Hospital
Contact: Jane Ehrlich (jehrlich@cmh-net.org)
Project Summary: Columbia Memorial Hospital (CMH) and its clinically-affiliated providers seek to form a Community Health Information Technology Adoption Collaborative (CHITA) to promote the adoption and effective utilization of EHRs across ambulatory care physician offices and long term care facilities in Columbia and Greene Counties. The CMH CHITA seeks to enable the provision of planning, implementation and post-implementation support of EHR adoption among stakeholders to facilitate improvements in the quality, efficiency and safety of regional health care delivery. Further, the CMH CHITA will facilitate data exchange with the local HEAL 1-funded RHIO, Healthcare Information Xchange of New York (HIXNY).
Health Information Xchange of New York (HIXNY)
Contact: Dominick Bizzarro (dominick@hixny.org)
Website: http://www.hixny.org/
Project Summary: HIXNY involves a diverse group of healthcare organizations including hospitals, insurers, health centers, primary care physicians, specialists, and safety net providers works together to more efficiently share medical information for the benefit of patients.
HIXNY helps health care providers throughout the greater Capital Region serve patients better by securely sharing essential medical information electronically, such as medication history, patient allergies, radiology results and lab results. HIXNY will offer electronic prescription ordering to give physicians a better way to order medications securely, and provide warnings if there are potential problems with other drugs or medical conditions.
As part of its HEAL 5 project HIXNY is collaborating with another RHIO, ARCHIE, to give Medicaid providers for the first time the ability to access all the clinical data needed to ensure these patients receive efficient, quality care. The target areas for major quality improvements for Medicaid patients include more timely and accurate diagnoses and treatments, fewer duplicative services/testing, and comprehensive medication management. They will also be establishing a web-based patient portal, through which any consenting patient can securely access his/her specified information. This portal will open communication between patients and clinicians, thus benefiting both parties. It will give patients confidence in the care they are receiving as personalized updates and notifications appear in their record, and give clinicians the enhanced communication with patients, and engagement in their care, which will lead to ultimately improved health outcomes.
HIXNY is also participating in NYeC’s federal Nationwide Health Information Network (NHIN) project to demonstrate medication management within a national context as part of the evolving NHIN.
Key Stakeholders: NORTHERN - Northeast Health; Albany Medical Center Hospital; Capital Care Medical Group; CDPHP; Community Care Physicians; Ellis Hospital; HealthNow; Hudson Headwaters; MVP Health Care; Prime Care; Saratoga Hospital; Hometown Health; Seton Health System; St. Clare's Hospital; St. Peter's Hospital; Whitney M. Young Health Center.
