scotland samaritan putnam rural health network information technology presentation

Implementing Health Implementing Health Information Technology Information Technology

as a Network as a Network

Ken McMinnKen McMinn

Samaritan Scotland Putnam Samaritan Scotland Putnam Rural Health NetworkRural Health Network

(SSPRHN)(SSPRHN)

SSPRHN/HRSA SSPRHN/HRSA PLANNING GRANTPLANNING GRANT

Application: Application: September 2, 2005September 2, 2005

Grant Awarded: Grant Awarded: 9/1/2006-8/31/20079/1/2006-8/31/2007Budget : $83,996Budget : $83,996

SSPRHN SSPRHN PLANNING GRANTPLANNING GRANT

HRSA and SSPRHN’s Purpose:HRSA and SSPRHN’s Purpose:To further collaboration To further collaboration

of three Critical Access Hospitalsof three Critical Access Hospitals

SSPRHN SSPRHN PLANNING GRANT ACCOMPLISHMENTSPLANNING GRANT ACCOMPLISHMENTS

Major accomplishments of planning project:Major accomplishments of planning project:

• Memorandum of AgreementMemorandum of Agreement• BylawsBylaws• Needs assessments of member institutionsNeeds assessments of member institutions• Strategic planStrategic plan

SSPRHN/HRSA SSPRHN/HRSA DEVELOPMENT GRANTDEVELOPMENT GRANT

Application: Application: October 15, 2007October 15, 2007Awarded: Awarded: May 1, 2008-August 30, 2011May 1, 2008-August 30, 2011Budget Request: $540,000Budget Request: $540,000

SSPRHN SSPRHN DEVELOPMENT GRANTDEVELOPMENT GRANT

HRSA and SSPRHN’s Purpose:HRSA and SSPRHN’s Purpose:To further develop the three critical access To further develop the three critical access

hospitals collaboration into a formalized networkhospitals collaboration into a formalized network

SSPRHNSSPRHNPROJECTPROJECT

SSPRHNSSPRHN Three Critical Access HospitalsThree Critical Access Hospitals

Samaritan Hospital –Macon, MOSamaritan Hospital –Macon, MO Scotland County Memorial Hospital – Memphis, MOScotland County Memorial Hospital – Memphis, MO Putnam County Memorial Hospital – Unionville, MOPutnam County Memorial Hospital – Unionville, MO

All governmental institutionsAll governmental institutions All administrators are direct employees of the All administrators are direct employees of the

partnering hospitalspartnering hospitals

SSPRHN GOALSSSPRHN GOALS

GOAL 1:GOAL 1: Develop horizontal network of Develop horizontal network of independent CAH’s that collectively independent CAH’s that collectively increases capacity of each CAHincreases capacity of each CAH

SSPRHN EXPANSIONSSPRHN EXPANSION

Sullivan County Memorial HospitalSullivan County Memorial Hospital Hermann Area District HospitalHermann Area District Hospital

SSPRHN GOALSSSPRHN GOALS

GOAL 2:GOAL 2: Develop and implement network Develop and implement network collaborative strategies to improve heath collaborative strategies to improve heath care deliverycare delivery

GOAL 2: COMMITTEE PROGRAM GOAL 2: COMMITTEE PROGRAM EXAMPLESEXAMPLES

Workforce needs assessmentWorkforce needs assessment Implementation and evaluation of the sharing Implementation and evaluation of the sharing

model(s)model(s) Awarded a grant to network RHCsAwarded a grant to network RHCs Assessment of leadership training needs Assessment of leadership training needs Increased partnerships Increased partnerships Increase performance measurement toolsIncrease performance measurement tools Create information technology plansCreate information technology plans

SSPRHN GOALSSSPRHN GOALS

GOAL 3:GOAL 3: Develop network strategies andDevelop network strategies andpartnerships to improve the health of the partnerships to improve the health of the communities servedcommunities served

GOAL 3: COMMUNITY HEALTH PROGRAM GOAL 3: COMMUNITY HEALTH PROGRAM EXAMPLESEXAMPLES

Development of new partnerships Development of new partnerships Community health data reviewCommunity health data review EducationEducation Promotion of health careersPromotion of health careers Program fundingProgram funding

SSPRHN GOALSSSPRHN GOALS

GOAL 4:GOAL 4: Create a sustainable Network ofCreate a sustainable Network ofCAHs which increases the capacity of eachCAHs which increases the capacity of eachCAH to better serve their communitiesCAH to better serve their communities

GOAL 4: PROGRAM SUSTAINABILITYGOAL 4: PROGRAM SUSTAINABILITYExamples:Examples:

Network revenue generationNetwork revenue generation Assessment of membership savingsAssessment of membership savings SSPRHN business partnering opportunitiesSSPRHN business partnering opportunities Grant funding opportunities Grant funding opportunities Strategic plan: 2012- 2015 Strategic plan: 2012- 2015

Information TechnologiesInformation TechnologiesCommitteeCommittee

First Meeting Sept 2008First Meeting Sept 2008 Unstructured creative processUnstructured creative process Identification of interestsIdentification of interests Forming and developing the committeeForming and developing the committee

IT COMMITTEE: EARLY STAGES

Personal discovery Committee development Learning and building trust Value of networking

IT COMMITTEE ACTIVITIESIT COMMITTEE ACTIVITIESFirst Six MonthsFirst Six Months

First Project – Gathering InformationFirst Project – Gathering Information IT Culture - IT Culture - Organization HW and SWOrganization HW and SW Status of readiness to adopt ITStatus of readiness to adopt IT Existing IT PlansExisting IT Plans Short Term plansShort Term plans

IT COMMITTEE EDUCATIONIT COMMITTEE EDUCATION

Thayer County Hospital – Thayer, NebraskaThayer County Hospital – Thayer, Nebraska $1.6M HRSA Grant to implement EMR$1.6M HRSA Grant to implement EMR Beta site for HMSBeta site for HMS Vendor “key” in seamless transitionVendor “key” in seamless transition

IT COMMITTEE EDUCATIONIT COMMITTEE EDUCATION

Western Healthcare Alliance – Grand Junction, Western Healthcare Alliance – Grand Junction, ColoradoColorado Centralized serverCentralized server Secure VPNSecure VPN Vendor participation in IT meetingVendor participation in IT meeting

IT COMMITTEE EDUCATIONIT COMMITTEE EDUCATION

University of Missouri – Columbia, MissouriUniversity of Missouri – Columbia, Missouri Informatics versus Information TechnologyInformatics versus Information Technology IT opportunity and tools IT opportunity and tools Regional Health Information OrganizationRegional Health Information Organization

IT COMMITTEE EDUCATIONIT COMMITTEE EDUCATION

• Healthcare IT Transition Group WebinarHealthcare IT Transition Group Webinar Internal project supportInternal project support Importance of vendor selectionImportance of vendor selection Private fundingPrivate funding Value of partnershipsValue of partnerships

•Illinois Critical Access Hospital Network (ICAHN)Illinois Critical Access Hospital Network (ICAHN) Princeton, IllinoisPrinceton, Illinois

IT COMMITTEE EDUCATIONIT COMMITTEE EDUCATION

Lakeland's Rural Health Network – Lakeland's Rural Health Network – Greenwood, South CarolinaGreenwood, South Carolina

Live Health Information Exchange (HIE)Live Health Information Exchange (HIE) Adapters (servers) for each HospitalAdapters (servers) for each Hospital Queried Hospital EMRQueried Hospital EMR GovernanceGovernance Policies and proceduresPolicies and procedures

SSPRHN EFFORTS AT EXTERNAL SSPRHN EFFORTS AT EXTERNAL ORGANIZATIONAL NETWORKINGORGANIZATIONAL NETWORKING

HRSAHRSA Georgia Health Policy InstituteGeorgia Health Policy Institute HIMSSHIMSS MO Office of Primary CareMO Office of Primary Care MFHMFH University of MissouriUniversity of Missouri LACIELACIE Tiger InstituteTiger Institute

INFORMATION TECHNOLOGIESINFORMATION TECHNOLOGIES

SSPRHN Information Technologies committee HAS A SSPRHN Information Technologies committee HAS A PURPOSE!PURPOSE!

To Share Information To Share Information

INFORMATION TECHNOLOGIESINFORMATION TECHNOLOGIES

How to share information?How to share information? Google GroupsGoogle Groups EmailEmail ListservesListserves Microsoft SharePointMicrosoft SharePoint

INFORMATION TECHNOLOGIESINFORMATION TECHNOLOGIES

What information can we share?What information can we share? Policies & ProceduresPolicies & Procedures Technical help CalendarsTechnical help Calendars Product discussionsProduct discussions Quality & SafetyQuality & Safety DisasterDisaster

Can we share health information too?Can we share health information too?

INFORMATION TECHNOLOGIESINFORMATION TECHNOLOGIES Health Information Exchange (HIE)Health Information Exchange (HIE)

What is a HIE?What is a HIE? The electronic movement of health-related The electronic movement of health-related

information.information. Why build an HIE?Why build an HIE?

Provides key building block for improved patient care, Provides key building block for improved patient care, quality and safetyquality and safety Makes relevant healthcare data available when it is neededMakes relevant healthcare data available when it is needed Reduces duplication of services.Reduces duplication of services. Provides governance and management of data exchange.Provides governance and management of data exchange. Provides connecting point for local, state HIE initiativesProvides connecting point for local, state HIE initiatives..

HIE VALUEHIE VALUE

HIT will improve the delivery of health careHIT will improve the delivery of health care HIE will ultimately provide a single health record to HIE will ultimately provide a single health record to

viewview Efficiency through HIE will help increase Efficiency through HIE will help increase

continuity of carecontinuity of care Sharing health information will be a common practice Sharing health information will be a common practice with the help of with the help of ARRAARRA

INFORMATION INFORMATION TECHNOLOGIES TECHNOLOGIES

Federated vs. CentralizedFederated vs. Centralized

Federated DatabaseFederated Database• Each HIE participant stores patient information on Each HIE participant stores patient information on

its own system and allows its own system and allows other providers other providers accessaccess

CentralizedCentralized• The entity that runs the HIE stores patient data on The entity that runs the HIE stores patient data on its own serversits own servers

INFORMATION TECHNOLOGIESINFORMATION TECHNOLOGIES Federated vs. CentralizedFederated vs. Centralized

pros & conspros & cons

INFORMATION TECHNOLOGIESINFORMATION TECHNOLOGIES

MO-HITECHMO-HITECH Initiative to have statewide Health Information Initiative to have statewide Health Information

Organization (HIO)Organization (HIO) Will leverage and support existing HIE effortsWill leverage and support existing HIE efforts

NHIN (National Health Information Network)NHIN (National Health Information Network)

ARRA (American Reinvestment and Recovery ACT)ARRA (American Reinvestment and Recovery ACT)

INFORMATION TECHNOLOGIES INFORMATION TECHNOLOGIES Exchanging InformationExchanging Information

SSPRHN efforts in exchanging informationSSPRHN efforts in exchanging information VPN connectivityVPN connectivity SharePoint ServicesSharePoint Services Tiger InstituteTiger Institute Google GroupsGoogle Groups MO-HITECHMO-HITECH

INFORMATION TECHNOLOGIESINFORMATION TECHNOLOGIESThinking of joining an HIE?Thinking of joining an HIE?

Prior to committing to an HIE, you should evaluate and Prior to committing to an HIE, you should evaluate and understand the following:understand the following:

Goals and philosophy of the HIEGoals and philosophy of the HIE Services HIE offersServices HIE offers Participant technology requirementsParticipant technology requirements Economics and sustainabilityEconomics and sustainability Anticipated non-economic benefits (quality, safety)Anticipated non-economic benefits (quality, safety) Applicable state and federal regulations are addressedApplicable state and federal regulations are addressed Any risks, liability, project failure or security breachAny risks, liability, project failure or security breach Date use agreementsDate use agreements HIE’s current developmental maturityHIE’s current developmental maturity Legal structure of the HIELegal structure of the HIE

SSPRHN IT COMMITTEE PROGRESSSSPRHN IT COMMITTEE PROGRESS

18 months/15 meetings18 months/15 meetings Networking, Trust, SharingNetworking, Trust, Sharing Leveraging resourcesLeveraging resources EducationEducation Membership expansionMembership expansion IdentityIdentity Goals/PurposeGoals/Purpose AdvocacyAdvocacy

SSPRHN CURRENT IT COMMITTEE SSPRHN CURRENT IT COMMITTEE MEMBERSHIPMEMBERSHIP

Ken McMinn, SSPRHN IT Committee Chairperson, Ken McMinn, SSPRHN IT Committee Chairperson, ScotlandScotlandBernard Orman, Jr., CEO member, SamaritanBernard Orman, Jr., CEO member, SamaritanShawn Adkins, Member, SamaritanShawn Adkins, Member, SamaritanChad Smith, Member, SullivanChad Smith, Member, SullivanLarry Fox, Member, PutnamLarry Fox, Member, PutnamMatt Siebert, Member, HermannMatt Siebert, Member, HermannAislynn Slagle, Support, SSPRHN Network CoordinatorAislynn Slagle, Support, SSPRHN Network CoordinatorWilbert Meyer, Support, HMIGWilbert Meyer, Support, HMIG

QUESTIONS ???QUESTIONS ???

CONTACT INFORMATION

Bern Orman Jr.-SSPRHN Project Director, borman@samaritanhospital.net

Ken McMinn – IT Committee, mcminnk@scotlandcountyhospital.com660-465-8511