North Country Health Information Partnership (N-CHIP) Update Briefing

North Country Health Information Partnership (N-CHIP)Overview, Accomplishments, and Future Plans1

13/28/2012Fort Drum Regional Health Planning Organization (FDRHPO)North Country Health Information Partnership (N-CHIP)AgendaN-CHIP Executive Overview Accomplishments to dateFuture Plans and SustainmentQuestionsContact Info

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23/28/2012Fort Drum Regional Health Planning Organization (FDRHPO)North Country Health Information Partnership (N-CHIP)N-CHIP Executive OverviewHistoryThe N-CHIP was formed in early 2010 to represent all HEAL-10* participating healthcare providers in the Care Coordination Zone (CCZ) (Jefferson, Lewis & S. St. Lawrence Counties)5 Hospitals CAH, EJNH, LCGH, RH & SMC20 Hospital Clinics12 Private Primary Care Practices2 Urgent Care Clinics3 Private Specialty PracticesOperational goals were to implement Electronic Health Records (EHR) and connect the practices and hospitals to a Health Information Exchange (HIE)Improved care coordination, measured by the improvements for COPD patient population

*Health Efficiency & Affordability Law for New Yorkers - Phase 1003

33/28/2012Fort Drum Regional Health Planning Organization (FDRHPO)North Country Health Information Partnership (N-CHIP)N-CHIP Executive Overview (Cont.)StructureGovernance - The Provider Executive Committee (PEC)13 voting members representing all providers and hospitals in the CCZ Overall clinical leadership for the projectNeeds to expand to represent the Health Resources and Services Administration (HRSA) grant/projectStaffingProgram Manager (with admin support)Medical Director2 Implementation SpecialistsNurse InformaticistQuality AnalystFinancial Planner

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43/28/2012Fort Drum Regional Health Planning Organization (FDRHPO)North Country Health Information Partnership (N-CHIP)AccomplishmentsElectronic Health Records Implemented and/or optimized 33/37 ambulatory locationsHealth Information ExchangeConnected all five hospitals to the HIEAll ambulatory connections are in process We will be the second region in the nation to do electronic orderingPatient Centered Medical Home (PCMH)All primary care practices and clinics with an EHR achieved the highest quality recognition (Level III) from the National Coalition for Quality Assurance (NCQA)All remaining practices/clinics achieved Level IIAs of 2011, In NYS, there were only 58 Level III and 2 Level II practices/clinics that were in both a Health Provider Shortage Area (HPSA) and designated rural area and we have 20 and 12 respectively! 5

53/28/2012Fort Drum Regional Health Planning Organization (FDRHPO)North Country Health Information Partnership (N-CHIP)Accomplishments (Cont.)Clinical Quality MeasuresWe have baseline measurements for the following and are in the process of electronically collecting these and other measures using the HIE or possibly a regional disease management registry% of COPD patients receiving spirometry% of COPD patients with FEV1/FVC