The PBCCHA AllCare Shared Health Record

About This Presentation

Title:

The PBCCHA AllCare Shared Health Record

Description:

To improve the efficiency and effectiveness of Palm Beach County's health care ... Patient ID (eg name, gender, DOB, SSN), Demographic (e.g., address, race) ... – PowerPoint PPT presentation

Number of Views:19

Avg rating:3.0/5.0

Slides: 11

Provided by: PBC1

Category:

more less

Transcript and Presenter's Notes

Title: The PBCCHA AllCare Shared Health Record

1
The PBCCHA All-Care Shared Health Record

For more information Contact Paul Gionfriddo,
Executive Director
paul_at_pbccha.org

2
The PBCCHA Mission

To improve the efficiency and effectiveness of
Palm Beach Countys health care delivery system
To add capacity (new resources) to the system
To enroll Palm Beach County residents in health,
human and economic services for which they are
eligible and
To develop and implement creative, collaborative
ventures among two or more safety net providers.

3
Who/What is the PBCCHA?

Alliance of over 30 safety net health and mental
health providers and supporters, including the
PBC Health Department and other public and
private sector entities and organizations who
serve and support safety net populations.
Through PBCCHA, partners implement collaborative
projects to improve care coordination and
delivery and maximize charitable resources.

4
All-Care Shared Health Record Goals

Longitudinal histories for uninsured/Medicaid
patients who visit multiple providers, to improve
care continuity and reduce cost.
Accurate, up-to-date aggregate data for disease
management, health planning, and disease
surveillance.
Program sustainability through creation of value
(reduced cost) to safety net providers.

5
All-Care System Diagram Hub and Spoke Model
DOH
Hospitals
Volunteer MDs
Clinics
Mental Health Providers
Data in via BAAs Shared Record created for each
patient, viewable when authorized
Others
6
All-Care Record (1)

Creation of county-wide shared health records for
patients, viewable on the Web, by combining
health data from all existing safety net provider
electronic record systems (including hospitals,
county clinics, mental health providers, and free
clinics).
ASP Model PBCCHA will lease hardware/software.
This is cheaper and faster.
Built through direct electronic interface to
existing data systems no duplicate data entry
required.

7
All-Care Record (2)

Data included Patient ID (eg name, gender, DOB,
SSN), Demographic (e.g., address, race), Clinical
(e.g., provider, dates of service, diagnosis and
procedure codes, prescribed drugs, labs)
Target real-time or near real-time interfaces.
Shared summary records created for all uninsured/
Medicaid/other patients. Near real-time makes
clinical use possible, and provides actual
counts, not just estimates, of safety net system
burdens (such as of uninsured in the county in
care).
Approximate cost to build and maintain 1
million per year.

8
All-Care Record (3)

Secure transit. (All records sent via electronic
interface, with de-selection for certain
categories of patients (e.g. insured) and certain
diagnoses (e.g., HIV, substance abuse).)
Viewable via the Web. (After patients have
signed authorizations.)
Aggregate data available for all patients
individual records available after authorization
is received.
Modeled on successful HIPAA-compliant Austin
Indigent Care Collaboration I-Care system.

9
All-Care Construction Teams

Legal Draft Business Associate Agreements, and
Uniform Authorizations needed to implement.
Business Adapt business processes to include
authorization collection, ID system users, and
assign passwords.
Technical Develop and maintain interfaces.

10
All-Care Shared Health Record Anticipated
Outcomes

ICC I-Care System (Austin)
In 4 years, has over 400,000 patients with almost
2 million encounters from 40 providers.
In 3 years, aggregated data being used for
diabetes disease management, MH disease
management, new asthma protocol study, countywide
health planning.
Clinician feedback saves time, reduces error,
improves diagnosis accuracy, almost as valuable
as full-blown EMR.

PBCCHA All-Care System
In 3 years, will have over 250,000 patients with
over 1 million encounters from over 20 providers.
Aggregate data will be used for MH disease
management, Medicaid managed care, charitable
program development, public health planning and
assessment.
Anticipated clinician feedback will reduce
error, improve care continuity, be a valuable
component of emerging EMRs.