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HealthBridge – Healthcare Transformation Conference Scott Callahan, MD FAAP

HealthBridge – Healthcare Transformation Conference Scott Callahan, MD FAAP. Medical Director Children’s Health Care Batesville, Indiana. Practice Site. Children’s Health Care is a pediatric primary care office located in Batesville Indiana between Cincinnati and Indianapolis.

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HealthBridge – Healthcare Transformation Conference Scott Callahan, MD FAAP

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  1. HealthBridge – Healthcare Transformation ConferenceScott Callahan, MD FAAP Medical Director Children’s Health Care Batesville, Indiana

  2. Practice Site • Children’s Health Care is a pediatric primary care office located in Batesville Indiana between Cincinnati and Indianapolis. • It is a 6 physician (4 full time, 2 part-time) and 2 nurse practitioner group. • Hospital employed by Cincinnati Children’s Hospital Medical Center for over 10 years.

  3. Children’s Health Care EMR Journey • Milestones • 1. December, 2004- NextGen chosen as EMR. • 2. September, 2005- NextGen contract signed. • 3. October, 2005- NextGen installed.

  4. Electronic Milestones • 4. January, 2006- EPM goes live. • 5. February, 2006-EMR goes live. • 6. May, 2008-Margaret Mary live with HealthBridge

  5. Electronic Milestones • 7. September, 2008-HealthBridge EMR interface goes live. • 8. October, 2009-IHIE to HealthBridge to EMR live. • 9. August, 2009-Margaret Mary EMR transmits data to PHO for asthma collaborative.

  6. Electronic Milestones • 10. January, 2010-NextGen patient portal live. • 11. Currently working on registry for Children with Special Health Care Needs collaborative.

  7. Quality Improvement • Participation in the Tristate PHO Asthma Collaborative.

  8. PHO Network: Asthma Process Measures (as of May 16, 2011) * “Persistent” asthma defined per NHLBI severity classification criteria. ** “Perfect care”: composite measure of severity classification, written management plan, and controller medications (if patient has “persistent” asthma) Tri State Child Health Services, Inc.; Ohio Valley Primary Care Associates, L.L.C.

  9. PHO vs. Comparison Group:Asthma Admission Rate (monthly data) Tri State Child Health Services, Inc.; Ohio Valley Primary Care Associates, L.L.C.

  10. PHO vs. Comparison Group: % Difference in Asthma Admission Rate(monthly data) Tri State Child Health Services, Inc.; Ohio Valley Primary Care Associates, L.L.C.

  11. PHO vs. Comparison Group:Asthma ED/Urgent Care Visit Rate (monthly data) Tri State Child Health Services, Inc.; Ohio Valley Primary Care Associates, L.L.C.

  12. PHO vs. Comparison Group: % Difference in Asthma ED/Urgent Care Visit Rate(monthly data) Tri State Child Health Services, Inc.; Ohio Valley Primary Care Associates, L.L.C.

  13. Tri State Child Health Services, Inc.; Ohio Valley Primary Care Associates, L.L.C.

  14. Eligible Professonal Meaningful Use Menu Set (10) • 1. Implement drug formulary checks. • 2. Incorporate clinical lab tests results into EHR as structured data. • 3. Generate lists of patientsby specific conditions to use for quality improvement, reduction of disparities, research, or outreach. • 4.Send reminders to patients per patient preference for preventative/follow up care.

  15. 5. Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, and allergies) within 4 business days of the information being available to the EP. • 6. Use EHR technology to identify patient-specific education resources to the patient if appropriate.

  16. 7. The EP who receives a patient from another setting of care or provider of care should perform a medication reconciliation. • 8. The EP who transitions their patient to another setting of care should provide a summary care record for each transition of care or referral. • 9. Capability to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice.

  17. 10. Capability to submit electronic syndromic surveillance data to public health agencies and actual submission to applicable law and practice.

  18. Scott R. Callahan, MD FAAP 508 S. Mulberry St Batesville,IN (812)933-6000 Scott.Callahan@cchmc.org

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