An EHR/HIE in the Jackson area since 2005 Connects ~50% of all providers◦ AllegianceHEALTH employed providers◦ Many private practice providers◦ Federally Qualified Health Center◦ Jackson County Health Department◦ AllegianceHEALTH clinics Tightly integrated with AllegianceHEALTH One shared EHR for the community ofproviders
Medication lists,reconciliations and druginteractions across practices.Lab Results automaticallyassigned to the appropriatephysician and patient independentof an electronic order.All allergies are sharedacross practices. Shared patient ID, demographics, med list,allergies, problem list, notes, etc. Closed-loop ordering – referrals, tests, procedures Uniform decision support Advanced clinical information sharing Support in achieving meaningful use Real-time interfaces Local payer pay for performance reporting Local supportAll social, family and pastmedical history is available.3
Patient identifier Demographics & insurance Lab orders and results (closed loop) Radiology orders & results Discharge summaries Operative Notes Histories & Physicals ePrescribing to pharmacies Tasks across practices Referrals across practices (as tasks) Enterprise Chart – eliminates the need for many other interfaces Auto populates JCMR and NextGen report systems Auto populates Phytel population management registries Phytel calls to remind patients to make appointment for overduecare
Half of our 140,000 active community patients have visitedmore than one practice. By being connected to one enterprisedatabase, our doctors and caregivers simply have more valuableand accurate data to take care of these patients.
Patient Centered Medical Home certified practices Provider incentives◦ PQRI/PQRS from Medicare◦ e-Prescribing from Medicare◦ PCMH from Blue Cross & Medicare◦ PGIP from Blue Cross◦ Meaningful Use - stage 1 certified from Medicare Reduced duplication of tests (est. 15-20%) Patient safety: medication interactions, pain contracts, doctorhopping for meds… unknowable. It’s Your Life in JCMR to coordinate goals with Primary CarePhysicians. One click smoking cessation referrals and documented inchart. Diabetes tracking. Automated outreach & new chronic disease registriesare getting patients in to see their physicians foroverdue care (Phytel)
Provider workflow is critical◦ Primary Care◦ Specialty Care◦ Emergency Department◦ Hospital… Support team based care◦ PCMH◦ Top of license◦ Care coordination◦ Change management Support population health management◦ Patients that should see a provider◦ Patient self-management
Testing MCIR to State of Michigan Reviewing Qualified Data ServicesOrganization (QDSO) agreement