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Shawna

Shawna. Diabetes High Blood Pressure Anxiety Alliance Member Part-Time Construction Worker Ward 2 Resident. “Not Feeling Too Good Today”. Safety Net Deployed …. Drug Interaction!!! …. EHR Implementation Project $5 Million Tobacco Fund Settlement Grant. Practice Management (PM)

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Shawna

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  1. Shawna • Diabetes • High Blood Pressure • Anxiety • Alliance Member • Part-Time Construction Worker • Ward 2 Resident

  2. “Not Feeling Too Good Today”

  3. Safety Net Deployed…

  4. Drug Interaction!!!…

  5. EHR Implementation Project $5 Million Tobacco Fund Settlement Grant Practice Management (PM) • Patient Registration & Appointment Scheduling • Insurance Verification • Custom and Ad Hoc Reporting • Interface with Billing Clearinghouse Electronic Health Record (EHR) • Computerized Provider Order Entry (CPOE) for procedures, referrals, lab tests & prescriptions • Electronic Lab Results • Current Medication List & Reconciliation • Problem & Allergy Lists • Medical/Health Alerts • Clinical Decision Support • Current EHR Facts: • # of Patients 69,000 • # of EHR users 1,200 • # of Providers 450 • # of Encounters 653,000 • # of Medicaid/Alliance Claims 268,000 Current Facts: • Total number of EHR users 1,580 • Total number of providers 625

  6. DC RHIO Implementation Project$6 Million Tobacco Fund Settlement Grant • Supports real-time exchange of patient information across health care facilities • Delivers secure, online access to patient medical history data at the point of care • Facilitates ability to make care decisions in coordination with health care services provided by other clinicians • Slated to become the platform for the District’s State HIE

  7. ED-IT Family Reunification System$1 Million DHHS Emergency Preparedness Grant • Extended the DC RHIO platform to provide 24/7 real-time access to hospital patient registration data for family reunification purposes • Participants include: • Children’s National Medical Center • George Washington University Hospital • Georgetown University Hospital • Howard University Hospital • Providence Hospital • Sibley Memorial Hospital • United Medical Center • Washington Hospital Center • DC Department of Health

  8. Expected Return on DC HIT Investments • Improved access to and use of quality health care services • Decreases in unnecessary and inappropriate hospital admissions • Better care coordination for patients with chronic diseases • Reduction in medical errors • Fewer redundant procedures, tests and prescriptions • Reductions in the rate of increase in health care costs • Improved public health monitoring and outcomes measurement capabilities

  9. Additional HIT Support Requirements • Create the State HIE Policy Board by April 15, 2011 (per State HIE Strategic Plan) • Allocate State HIE grant matching funds to support DC RHIO operations in FY 2011 – 2014 • Allocate remaining Medicaid Transformation Grant funds to enable the integration of the DC RHIO with the DHCF Patient Data Hub and support further DC RHIO expansion • Facilitate implementation of the DC Medicaid HIT Incentive Program in FY 2011 to enable broader adoption and use of EHR technology • Enact legislation that eliminates existing barriers to clinical data exchange (i.e., behavioral health information)

  10. Community Health Workers And Workforce Development • System Navigation for Consumers • Leveraging Technology for Less-Connected Consumers • Re-admission Avoidance Mechanism • Participate in Health Information Exchange • Integrated Component of Discharge Planning at Hospitals

  11. Community Health Workers And Workforce Development • CCDC Community Health Worker (CHW) Certificate Training Program • Second class registering now for May start • Funded by the Department of Labor • 15/25 have guaranteed job placements upon graduation • Community HealthCorps/AmeriCorps Program w/NACHC • 11 members at 8 sites in the District • Program alums currently employed at District CHCs • Exploring expansion of National Health Service Corps recruitment in the District

  12. Safety Net Deployed withHie & CHW…

  13. Shawna • Connected to Medical Home • Health Information Available to Providers, but Secure • Able to Manage Her Own Health

  14. Additional VALUE Through its well-developed EHR and HIE infrastructure, existing quality initiatives, and highly motivated stakeholders, the District has the potential to move forward in a variety of areas, including help the District to avoid or respond to suits and issues such as: • JACKS-FOGLE Tragedy, 2007; Brittany Jacks, 17; Tatianna Jacks, 11; N'KiahFogle, 6; and AjaFogle, 5; highlighting the crisis of undiagnosed and untreated mental illnesses, and the lack of coordination across District agencies.  • SALAZAR v. DC, 1997; Early Periodic Screening, Diagnosis, and Treatment (EPSDT) services. • DIXON et al v. FENTY et al, 1974; The DC Department of Mental Health is required to report regularly to the US District Court on its progress in providing community-based treatment alternatives to hospitalization for people with mental illness.

  15. THANK YOU!

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