HealthAlliant has significant experience in community healthcare system modernization and the development of Regional Health Information Organizations.
The following five programs which HealthAlliant helped develop encompass approximately 5 million people, 8,000 physicians, 129 hospitals, 78 counties, 6 states and every type of stakeholder.
- The Central Appalachian Health Improvement Partnership (CAHIP) of Tennessee and Virginia is a collaborative of the largest healthcare stakeholders in the region and is a recipient of a Connecting Communities for Better Health grant. This RHIO was created with the singular goal of improving the health of the region. HealthAlliant was engaged to assist in fund raising and strategic planning. To date, HealthAlliant has reached its goal of raising $600,000 in 2004 and has facilitated a community-wide strategic planning effort which included over 80 people from the community. More info
- The Taconic Health Information Network and Community (THINC), in the Hudson River Valley, New York, serves an area with approximately one million residents. HealthAlliant is facilitating development of a RHIO structure with support of employers, hospitals, doctors, insurers and other stakeholders, and notably includes IBM and its 63,000 local workers. THINC is a recipient of a Connecting Communities for Better Health grant and multiple grants from the Agency for Healthcare Research and Quality (AHRQ). More info
- The Rhode Island Health Improvement Initiative (RIHII), State of Rhode Island, was initiated in early 2004, and has the largest ePrescribing effort to date. HealthAlliant was engaged to assess the feasibility of creating a RHIO in a single county in Rhode Island. RIHII is a recipient of one of the state and regional grants for healthcare IT implementation provided by AHRQ. More info
- The State of Nebraska and HealthAlliant are pursuing a Phase I program including developing a strategic plan and raising critical funds for the creation of a RHIO organization for the state. Notably, the effort is aimed at bringing together existing, successful programs such as a rural healthcare access initiative, disease-specific programs, electronic medical records efforts and quality and safety improvement programs.
- CHOICE Regional Health Network, Olympia, WA, is a local health coalition to which HealthAlliant provided advisory services in financing of a healthcare improvement program for the region.
Taconic Health Information Network and Community, Hudson River Valley, NY
Project Purpose and Goals
The Taconic Health Information Network and Community (THINC) is a multi-stakeholder, community-wide data exchange among community physicians, hospitals, reference laboratories, pharmacies, payers, employers, and consumers.
Clinical, insurance, administrative, and demographic information for more than 600,000 patients is available on a secured Internet infrastructure incorporating standards (HL-7, LOINC, ICD-9/10) for data exchange through THINC. Unique to THINC is the local, ongoing support provided by MedAllies, which provides training and support to community clinicians and their office staff to drive adoption.
With the support of the Foundation for eHealth Initiative, the THINC initiative will complete the current community-wide data exchange in the Hudson Valley region of New York State by obtaining full participation from the remaining community hospitals and reference laboratories. The completion of the data exchange, in conjunction with support and training provided by MedAllies, will drive adoption of the system by community physicians. THINC will also demonstrate a financial model that supports sustainability of the initiative. In addition, THINC will obtain participation of health insurers that will offer financial incentives (pay-for-performance) to community physicians for adoption of additional technology, leading to an Electronic Medical Record (EMR).
The Taconic IPA, a 2,300 independent practice association (IPA), is the lead organization of the THINC initiative. Other stakeholders include: Benedictine Hospital, Kingston Hospital, LabCorp, MVP Healthcare, and Vassar Brothers Medical Center.
Contribution to the Field
Historically, the Taconic IPA physician organization has successfully broken the organization-centric mentality of competing groups within the healthcare community. Through the THINC project, competing hospitals, reference laboratories and health insurers are coming together to exchange electronic information.
Also, the Taconic IPA organization is actively educating practicing physicians within the community about the capability of information systems, resulting in investment by physicians in systems that not only will benefit their practices, but will also benefit the community by enhancing safety, improving quality, and decreasing cost.
The THINC initiative will provide important lessons regarding strategies for engaging health plans and employers in alignment incentives around the use of information technology and health information exchange. It will also offer insights and new knowledge regarding innovative methods to support effective implementation of these tools particularly in small physician practices through the experiences of its MedAllies partner.
Tri-Cities Care Data Exchange, Tennessee-Virginia border region
Project Purpose and Goals
The motivation for developing the Tri-Cities Care Data Exchange (TCCDE) Project is to improve the health and quality of care in Appalachia through collaboration and the exchange of health information. TCCDE’s objective is to create a health information exchange (HIE) that is reasonable in cost, comprehensive in scope, and effective in changing the quality of healthcare.
Launched by Kingsport Tomorrow and its regional partners, the TCCDE HIE will provide the foundation for effective health information exchange in a multi-jurisdictional rural area. Ultimately the TCCDE will address health problems by: providing access to medical records in a clinically relevant time-frame at the point of care; promoting evidence-based treatments and management of selected chronic diseases; reducing duplicative testing and fraud; and eventually allowing the collection of aggregated and region-specific data to identify key health problems from which targeted interventions can be administered and evaluated. TCCDE will offer clinical providers an opportunity to access patient-centric, electronically stored medical records for a minimal up-front capital investment and an annual subscription fee to support the exchange.
TCCDE clinicians see the possibility for many clinical improvements through an HIE, including better clinical decision making by having access to complete medical information regardless of originating health institution, reducing drug interactions, abuse, and fraud by having prescription records available, and promoting better coordination of treatments through cooperation among primary and tertiary care providers.
In 1992, under the non-profit organization Kingsport Tomorrow, the Community Health Improvement Partnership (CHIP) formed to take action against the declining health of the people in their region. The partnership is comprised of leaders from the healthcare sector, business and industry, and community organizations. One of the primary tools developed to achieve CHIP objectives is the TCCDE. Its backbone is a broad-based committee with representatives from the two major health systems in the region, the veterans’ hospital, a group representing over 85% of the behavioral care providers, the largest physician (general and specialist) practice group in the region, the largest employer, the two major insurance providers, several of the region's local health departments, and the area's college of medicine.
TCCDE participants include: Mountain States Health Alliance, Wellmont Health System, James H. Quillen Veterans Affairs Medical Center, Frontier Health, Holston Medical Group, Sullivan County Regional Health Department, East Tennessee State University Quillen College of Medicine, Wilson Pharmacy, BlueCross BlueShield of Tennessee, Intellithought, John Deere, and Eastman Chemical Company.
Contribution to the Field
The success of the TCCDE will establish a system allowing multiple users with various electronic record systems to exchange information in a multi-jurisdictional environment. It will connect clinical, behavioral health, laboratory, public health, payer, and possibly pharmacy systems. Once completed, TCCDE will be one of the most diversified health information exchanges in the country. TCCDE will offer valuable insights for rural health information exchange initiatives that face the organizational, legal, financial, technical, and clinical challenges of delivering care across vast distances and state boundaries.
For more info: http://www.kingsporttomorrow.org/