Healthy Community Access Program Management Information Systems Project Profiles and Lessons Learned - PowerPoint PPT Presentation

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Healthy Community Access Program Management Information Systems Project Profiles and Lessons Learned

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What are some of the lessons learned in HCAP MIS projects? 3 ... How have HCAP MIS Projects Coordinated/ Connected Community Resources? DIY with COTS Technology ... – PowerPoint PPT presentation

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Title: Healthy Community Access Program Management Information Systems Project Profiles and Lessons Learned


1
Healthy Community Access Program Management
Information SystemsProject Profilesand Lessons
Learned
  • J. Carter Crafford, Jr.
  • Principal
  • Mitretek Systems, Inc.

2
Outline
  • 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?

3
Where 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
4
Why is MIS Important in HCAP Projects?
Whats the past care history for this patient?
Uninsured/Underinsured Population
Access
Quality
Cost
5
How have HCAP Grantees InvestedMIS Funds?

HCAP MIS focuses on implementation
not Research
6
How have HCAP Grantees InvestedMIS Funds?
7
Infrastructure Priorities in MIS Profiles
8
Current User Base and Maintenance Costsfrom MIS
Profiles
9
Database Technology Used inHCAP MIS Projects
12
51
14
10
How 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)
11
What HCAP MIS Investments can I
reuse?www.capcommunity.hrsa.gov Website
Password is CAP
12
CAP Communities Website MIS Resources
Click herefor MISProjectSearch
Click herefor this page
13
CAP Grantees MIS Profiles Search
14 Program Functions
VendorSupport/Licensing
RecurringCosts
InfrastructureRequirements/Capabilities
UserBase
14
CAP Grantees MIS Profiles Search
15
Whom can I contact regardingHCAP MIS Projects,
Vendors, and Products?
16
Examples of Successful CAP/HCAPMIS Projects
17
Primary 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
18
Community 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)
19
Community 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!
20
Community 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!

21
Maine Health Alliance Discounted Pharmaceutical
Program
22
Atlanta Community Access Coalition and the
Pathways Community Network
23
Indigent 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
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