266851 Implementing health information technology-enabled care coordination across a region: Lessons learned from a Beacon Community

Wednesday, October 31, 2012 : 12:50 PM - 1:10 PM

Jac Davies, MS, MPH , Beacon Community of the Inland Northwest, Inland Northwest Health Services, Spokane, WA
Jennifer Polello, MHPA, CHES , Beacon Community of the Inland Northwest, Inland Northwest Health Services, Spokane, WA
Daniel Hansen, DC , Beacon Community of the Inland Northwest, Inland Northwest Health Services, Spokane, WA
Douglas Weeks, PhD , Beacon Community of the Inland Northwest, Inland Northwest Health Services, Spokane, WA
Benjamin Keeney, PhD , Orthopaedics, Geisel School of Medicine, Dartmouth College, Lebanon, NH
Douglas Conrad, PhD, MBA, MHA , Health Services, University of Washington, Seattle, WA
In 2009 Congress authorized an investment of $19 billion in health information technology (HIT) through the American Recovery and Reinvestment Act's HITECH program. The HITECH funding included the Beacon Community program, out of the Office of the National Coordinator for Health Information Technology, which was designed to both demonstrate the value and characterize the complexities of HIT through large-scale, community-based initiatives. The Beacon Community of the Inland Northwest (BCIN), serving eastern Washington and northern Idaho, seeks to improve clinical outcomes for adult patients with type 2 diabetes (DM2). Through a combination of a foundational health information exchange (HIE), a cohesive approach to care coordination, and a population-based quality measurement framework, the BCIN is working to assure that patients with DM2 receive consistent, high quality care anywhere in the region. The BCIN consists of three tracks that are being implemented in parallel: An HIE interfaced to different electronic medical record systems in hospitals, physician offices and other care settings to collect and standardize health data for inclusion in a clinical data repository which is accessible to all providers who care for a patient; A care coordination and clinical transformation framework including a readiness assessment, quality improvement training, and a common disease management tool, driven by the clinical data repository, to support best practices in diabetes care; and A set of standard quality measures and reports, derived from the clinical data repository, to give providers a comprehensive picture of their patients' health status and outcomes, regardless of where those patients receive care. The large geographic region of this project coupled with the varied level of readiness of the individual clinics and the complexities of implementing a comprehensive regional technology solution have yielded many insights which can inform efforts to transform the country's health care system.

Learning Areas:
Communication and informatics
Implementation of health education strategies, interventions and programs
Provision of health care to the public
Public health or related research

Learning Objectives:
Describe the role of health information technology and health information exchange in supporting transformation of clinical care. Define the key elements required for clinical care transformation. Describe major challenges in implementing regional initiatives.

Keywords: Diabetes, Health Information

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the director of the Beacon Community of the Inland Northwest and have been the lead in developing and implementing the program. I am also a public health professional, having worked 17 years in a state health department with responsibilities in epidemiology, public health laboratories, public health informatics, and health statistics.
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.