Title: Healthy Community Access Program Management Information Systems Project Profiles and Lessons Learned
1Healthy Community Access Program Management
Information SystemsProject Profilesand Lessons
Learned
- J. Carter Crafford, Jr.
- Principal
- Mitretek Systems, Inc.
2Outline
- Where does MIS fit into the HCAP goal?
- How have HCAP grantees invested MIS funds?
- What HCAP investments can I reuse?
- Whom can I contact regarding HCAP MIS projects?
- Which HCAP MIS projects have been/are successful?
- What are some of the lessons learned in HCAP MIS
projects?
3Where does MIS fit into the HCAP Goal?
- The Healthy Communities Access Program (HCAP)
provides grant funding and technical assistance
to consortia of public and private healthcare
providers as well as social service, local
government and other community-based
organizations to work together to coordinate
and strengthen health services for the uninsured
and underinsured in their communities.
CommunityActionCouncils
CommunityHealth Centers
HealthDepartments
Universities
SocialServices Agencies
Hospitals
4Why is MIS Important in HCAP Projects?
Whats the past care history for this patient?
Uninsured/Underinsured Population
Access
Quality
Cost
5How have HCAP Grantees InvestedMIS Funds?
HCAP MIS focuses on implementation
not Research
6How have HCAP Grantees InvestedMIS Funds?
7Infrastructure Priorities in MIS Profiles
8Current User Base and Maintenance Costsfrom MIS
Profiles
9Database Technology Used inHCAP MIS Projects
12
51
14
10How have HCAP MIS Projects Coordinated/Connected
Community Resources?
Centralized Data Warehouse/Clinical Data
Repository
Distributed Data Architecture
DIY with COTS Technology
Partner with Software Developer
Leverage ExistingIS/IT Resources
Buy a Vendor Solution/Outsource
Partner with Former HCAP Grantee(and Vendor)
11What HCAP MIS Investments can I
reuse?www.capcommunity.hrsa.gov Website
Password is CAP
12CAP Communities Website MIS Resources
Click herefor MISProjectSearch
Click herefor this page
13CAP Grantees MIS Profiles Search
14 Program Functions
VendorSupport/Licensing
RecurringCosts
InfrastructureRequirements/Capabilities
UserBase
14CAP Grantees MIS Profiles Search
15Whom can I contact regardingHCAP MIS Projects,
Vendors, and Products?
16Examples of Successful CAP/HCAPMIS Projects
17Primary Care Coalition ofMontgomery County,
Maryland
Wealthy county with low-income, large immigrant
population
(80,000 low income uninsured, nearly 10)
No FQHCsNo University hospitals No County
government primary care clinics
Multiple, independently run non-profit safety net
clinics
A receptive County government
18Community HealthLink (CHLCare)Open Source EHR
Spring 2001 grantee
Objectives
1- Help improve clinical care through Healthcare
Information Technology
2 - Establish accountability metrics for
increased County, external funding
MIS Goals
- Patient-centric- HIPAA compliant - Visit
focused- Thin/Broad/Extensible- Low cost- Easy
to use
Design Approach
- Web-based- ASP hosted - Secure SSL- LAMP
Open Source- Three tiers (clinic,
organization, association)
19Community HealthLink (CHLCare)Open Source EHR
10,000 -20,000 annually for maintenance
25 service sites
gt50 active users
Currently developing Referral Management
andPharmacy Management Modules
Available through public license
Have gun, will travel!
20Community HealthLink (CHLCare)Open Source EHR
Lessons Learned
- Plan ahead
- Look for inside advocates
- Set realistic expectations with contractors!
- Pick the right evolutionary platform
- Manage the project (follow/work the plan)
- Double the estimates!
- Avoid bleeding edge technologies
- Plan for sustainability
- Dont let the perfect be the enemy of the good
get started!
21Maine Health Alliance Discounted Pharmaceutical
Program
22Atlanta Community Access Coalition and the
Pathways Community Network
23Indigent Care Collaboration (ICC)of Central Texas
MPI and Clinical Data Repositoryuses
EpicWebfrom Epic Systems, Inc.
Ascension Health Information Services Division
gt300,000 patientsgt1M visit recordsgt30
locationsgt100 software users- Screened gt 100K
uninsured for medical assistance