Better Health Partnership Conference Topic: Accelerating Health Information Exchange Description: The promise of timely and seamless exchange of patient information across health care systems remains unfulfilled. In Greater Columbus, an initiative is getting underway to speed coordination among health care systems and social service agencies in the medical neighborhood with an electronic path for referrals.
Better Health Partnership Conference No financial or non-financial potential conflicts of interest relevant to this presentation.
Better Health Partnership Conference Objectives: Explore best practices and lessons learned from the Medical Neighborhood Referral project being implemented in Greater Columbus. Share learning on how the Medical Neighborhood Referral projects fits into broader healthcare transformation work taking place on a national, state, and regional level. Identify actionable approaches for implementing shared referral infrastructure in the medical neighborhood.
Overview... catalyzing the spread of healthcare best practices The Healthcare Collaborative of Greater Columbus is a non-profit, public-private partnership. We serve as a catalyst, convener, and coordinator of healthcare transformation & learning in Greater Columbus. Our Collaborative Approach The status of our healthcare situation is not acceptable in terms of its prevention, quality, safety, transparency, or cost. We strive for win-win solutions recognizing that change is required by all consumers, providers, and purchasers. We believe the best solutions come from a collaborative approach we seek no authority in our role as a catalyst/convener/coordinator We work together with our public-private partners to accelerate and scale innovation.
Our Collaborative Process... catalyzing the spread of healthcare best practices Apply collaborative learning ~spread knowledge~ Measure actionable results ~collective impact~ Build collaborations with providers, purchasers, social services ~trust~ transform healthcare delivery and value Coordinate activities that transform healthcare delivery and value ~commitment~ Catalyze best practices ~awareness~ Convene diverse stakeholders ~exploration~
Better Health Partnership Conference WHY? Patient-Centered Medical Neighborhood Patient-Centered Medical Home
Medical Neighborhood Model
Why are we doing this work? In January 2014, UWCO and HCGC convened funded member agencies to determine the challenges organizations face when sending and receiving referrals, and identify the healthcare providers they most frequently exchange referrals with. Challenges Identified Lack of standardization among types of referrals Lack of shared-infrastructure for making referrals Lack of clarity about services provided by other agencies Common Healthcare Providers Hospitals FQHCs Free Clinics Project History
Current Referral Process Referral Process Between Social Service Agencies and Healthcare Providers A B Referral Type Fax Email Phone Mail C E D
Future Referral Process Referral Process Between Social Service Agencies and Healthcare Providers B A Shared Referral C E D
AIDS Resource Center Ohio The Breathing Association Central Ohio Diabetes Association Charitable Pharmacy of Central Ohio Clintonville-Beechwold Community Resource Center Columbus Neighborhood Health Center Heart of Ohio Family Health Centers LifeCare Alliance Project Design Team Lower Lights Christian Health Center Maryhaven The Medical Group of Ohio Mount Carmel Health System OhioHealth The Ohio State University Wexner Medical Center Physicians CareConnection United Way of Central Ohio US Together, Inc.
Identifying Shared Referral
2015 Project Overview WHAT: Spread best practices to improve coordination of care between providers and social services in Greater Columbus. HOW: Implement cloud-based, shared referral infrastructure among local healthcare providers, social service agencies, and other healthcare stakeholders. 2015 Objectives Convene interested social service agencies and healthcare providers to plan for implementation of initial phase of project. At least ten social service agencies and five local healthcare providers participating in project implementing CliniSync to send and receive referrals. Collect project measures, document lessons learned, and share learning with public-private partners
Committed Healthcare Provider s Central Ohio Primary Care Primary One Health Helping Hands Health and Wellness Center Southeast, Inc. Lower Lights Christian Health Center Syntero Committed Social Service Agencies Initial Services Included Behavioral Health, Case Management Mobile Lung Health Clinic Senior Education and Training Diabetes Education Pharmacy Services/Prescription Drugs Senior Supportive Services AIDS Resource Center Ohio The Breathing Association Central Ohio Area Agency on Aging Central Ohio Diabetes Association Charitable Pharmacy of Central Ohio Clintonville-BeechwoldCommunity Resource Center LifeCare Alliance National Church Residences Physicians CareConnection YMCA of Central Ohio Columbus Cancer Clinic, Meals-On-Wheels Skilled Nursing and Medical Facilities Patient Navigation Services Childhood Obesity, Diabetes Prevention
Lessons Learned Community is energized around this idea A well connected medical neighborhood is good for the patient Implementing shared referral infrastructure is the first step This is a big lift
Lessons Learned Social service agencies meeting privacy standards Healthcare providers hesitant to work out of their EMR Implementing consent is not a minor step Community is blazing the trail Project participants inviting their partners into the project Hospital participation is important for project success