221513 Improving Patient Care at Community Health Centers Using an Electronic Health Record

Monday, November 8, 2010 : 11:30 AM - 11:45 AM

Vicky Tiglias , Primary Care Information Project, NYC Department of Health and Mental Hygiene, New York, NY
Background/Purpose The Primary Care Information Project (PCIP) seeks to improve population health through health information technology (HIT) and data exchange. PCIP facilitates the adoption and use of Electronic Health Records (EHRs) among primary care and specialty providers in New York City's underserved communities.

Methods Community Health Centers (CHCs) receive Quality Improvement (QI) technical assistance after EHR implementation. The PCIP QI specialist provides them with summarized practice and provider level reports on how specific features of the EHR are used as well as whether patients are receiving recommended preventative care. Practices receive training using their real time EHR data to identify areas of where patient care can improve. Reports are created to stratify information by physician, patient race/ethnicity and insurance type, and list whether patients have met recommended treatment goals.

Results Twelve CHCs with approximately 200,000 patients received monthly summarized reports. Challenges identified in quality improvement include: deficiencies in documentation, system functionality and data transmission. Seven CHCs are participating in an incentive program to track cardiovascular care and are regularly creating summary reports on their own. Practices learn to use the registry functionality and quality reports to track the care for diverse patient populations.

Conclusion HIT has helped CHCs understand where patient care needs to improve. Practices are using these tools to track the delivery of patient care through team-based care strategies and providing performance feedback to providers. However, technical assistance is still needed to perform ongoing quality improvement to align with new policies like Meaningful Use.

Learning Areas:
Communication and informatics
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
- Describe the state of HIT development and implementation at Community Health Centers and networks - Describe the clinical practice of HIT tools for using data to assess, plan and deliver services - Describe the key facilitators and challenges to implementing and sustaining health information exchange - Discuss the clinical value and policy implications of HIT tools for using data on quality improvement for medically underserved populations

Keywords: Health Information Systems, Community Health Centers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I work with the Community Health Centers in NYC who partner with the Primary Care Information Project on Quality Improvement.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.