HIE in Action…
Taking the Data Access Blindfold Off
According to the Agency for Healthcare Research and Quality (AHRQ), Care Coordination is the deliberate organization of patient care activities between two or more participants (including the patient) involved in care to facilitate the appropriate delivery of healthcare services. Yet, the shared vision of “electronic assisted care coordination” that is across-settings, across patients’ lifetime, and that incorporates the broader participation of caregivers and clinicians is still evolving (National Quality Forum).
As the exchange of electronic medical data along the care continuum continues to expand, it is critical for HIEs to further enable real-time data flow across all healthcare settings, to better coordinate care and provide actionable information to the entire clinical team.
“If you look back, providers in the past were operating blind when it came to the care their patients received from other doctors and at other facilities,” says Judy Comitto, JHC Board of Trustees Chair and CIO at Trinitas Health. “But with the help of Jersey Health Connect, we are taking the blindfold off for physicians and providers at the front lines. As our HIE continues to expand and adapt to member needs, electronic access to information is being utilized in a variety of ways and in a variety of settings.”
Some of the increased uses include:
- Health Systems receiving ADTs of ACO specific patients
- Member ACOs increasingly utilizing JHC notifications and alerts
- Each month, JHC sends more than 345,000 notifications across all member hospitals
- “Frequent Flyer” reports helping to identify patients being readmitted on a regular basis
- DSRIP Patient Uploads providing acute care notifications for immediate follow-up
We have complied a few examples of JHC members using real-time information to assess patient situations, make informed care decisions, and help coordinate care – all leading to better outcomes for patients, families and caregivers.
Immediate Access to LTC Patient Medication Lists
CareOne is among the largest long-term care organizations in New Jersey, with 29 facilities throughout the Garden State – offering a full spectrum of care, including sub-acute rehabilitation and onsite pharmacies. As a part of JHC network, if a CareOne patient gets admitted (at anytime, day or night) to a JHC hospital, an updated patient medication list is available in the JHC portal when hospital staff need it. The electronic medication lists are sent via HL7 RDE interface and eliminates the outdated (and delay prone) manual/fax/paper process.
Avoiding Redundant Tests & Procedures
A patient in the Barnabas Health System recently went to see a cardiac specialist – after having an echo and a stress test done at a community hospital. Results were not forwarded to the specialist’s office. Based on those results, the visit would determine treatment plan changes – medications, additional tests, and procedures. Fortunately, the cardiac specialist was able to login to the JHC (RelayHealth) portal and pull the results – immediately. The necessary changes were made to the care plan and the patient was able to avoid delays and duplicative care. At first, the patient expressed his concern that it was going to be a “wasted” visit without those results (impacting patient satisfaction).
“RelayHealth has proven to be a valuable resource to me. This is another example of the growing instances where having the information available helps in delivering quality care while containing costs. Thank you for working on this important endeavor.” Cardiac Specialists – Barnabas Health
Access to Data in the Emergency Department
An ED physician with Meridian Health System had a patient come in – who was a patient recently seen at a regional heart center. The Meridian doctor was able to pull up the complete patient record prior to treating the patient – instantly having information at his fingertips from the JHC (RelayHealth) portal – that he wouldn’t have known otherwise. Similarly, an ED physician with Trinitas Medical Center – logged into the JHC (RelayHealth) portal and found that the patient he was treating had five MRIs in the past 6 months. As a result, the doctor changed the patient’s course of treatment…instead of ordering another MRI.
And Access, All Across the Continuum of Care
The Atlantic Health System Ambulance Company is now using the JHC (RelayHealth) portal to access HIE data from the ambulance so they can see existing diagnoses and medications on their patients to assist with treatment on the way to the hospital. The Barnabas Health Heart Transplant Unit eliminates faxing as they pull patient results directly from the JHC (RelayHealth) portal – aiding treatment in complex patient work-ups and specialty care. Summit Medical Group leverages affiliated health system data to support ACO quality contracts. The SMG staff can look into the JHC (RelayHealth) portal to see a patient record – if the patient received their HbA1c value checked outside of their own network during the ACO quality-reporting period. The prior process included SMG calling into the affiliated health system medical records department to get patient records manually – which required the medical records staff to print and send the patient records to SMG.
Do some of these stories ring a bell with you? “Yeah, we’re doing that”. If you have a story to share about your experience with JHC and utilizing the network to impact care – please send us your story and we’ll share it with our members in an upcoming newsletter.