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Vision
The Beacon Community Grants Program will provide funding to demonstrate the vision of the future where hospitals, clinicians, and patients are meaningful users of health information technology and together the community achieves measurable improvement in health care quality, safety and efficiency.
• Bangor Hospital Service Area, defined by the Maine Health Data Organization
• 100 Primary care providers
• 65% of the Providers of the regional Primary Care Practices
• Same EMR• All of them will be
connected with HIN
Bangor Beacon Goals
Cost
PopulationHealth
Quality
To implement a standardized process to facilitate access to immunization records
and complianceTo improve
management of selected chronic
medical conditions through increased:- health information
exchange- secured messaging
- use of care management
Chronic Care Patient Community
To reduce preventable
healthcare utilization through improved efficiency of health
care delivery
All Bangor Beacon Community hospitals and practices have EMR, much of it live with CPOE. Hospital EMR vendors include Cerner (EMMC hospitals and specialists) and Siemens (St Joseph). Physician Practice EMR vendors include Centricity (PCHC and EMMC Primary Care) and an in-house system (St Joseph). Currently only EMMC feeds HealthInfoNet and uses Kryptiq for secured emails. Only a subset of community technologies represented here.
· Patient centric · Health information exchange
(HealthInfoNet)
Hospitals
Specialty care
Technology Infrastructure
Primary Care
Bangor Beacon Community(Pre-Beacon Grant)
· EMMC
· EMMC
· St. Joseph Internal Medicine
EMR and CPOESecured email
EMR and CPOE
· EMMC Physician Practices
· Penobscot Community Health Center (FQHC)
· St. Joseph
EMR and CPOE Secured email
EMR and CPOESecured email
EMR and CPOESecured email
EMR
· The Acadia Hospital (mental health)
EMR and CPOE
EMR
· Community Health and Counseling
Home Care
Long-term Care· EM Home Care · St. Joseph Healthcare· Community Health & Counseling · Stillwater
· Rosscare
Public Health· Maine CDC· Bangor Health and
Community Service
Bangor is connected to the Statewide Health Information Exchange with some two-way interfaces. Expanded secure email among providers. Expanded use of Telemedicine and Telehomecare. Chronic condition database.
Patient population:At the practice level: All Chronic condition patients with at least one of the following diseases:1.Diabetes Mellitus (DM)2.Cardiovascular Disease (CVD)3.Chronic obstructive pulmonary disease (COPD)4.AsthmaMeasurements: Performance improvement and quality indicatorsEvaluation design: Before and after
At the patient level: All High Risk/High Cost chronic condition patients with at least one of the following diseases:1.Diabetes Mellitus (DM)2.Congestive Heart Failure (CHF)3.Chronic obstructive pulmonary disease (COPD)4.AsthmaMeasurements: Clinical outcomes, Quality of life, self management indicators, patient satisfactionEvaluation: Controlled design
Population HealthPatient Population: Chronic Condition Patients:1)Diabetes mellitus (DM)2)Cardiovascular Disease (CVD)3)Asthma4)Chronic Obstructive Pulmonary Disease (COPD)
Evaluation: Before and after design
For Influenza vaccination compliance: Based on CDC recommendations, also compliance on all adult (> 18 years of age) population will be gathered. (Only adult primary care practices are included in the evaluation)