Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. 4.1. Summary of Site Visits

10/29/2013

HIE has been a long-standing practice between LTPAC and other health care providers both at transitions of care and in support of shared care. The sites evaluated expressed the importance of timely, complete and accurate information for improved care coordination programs including integration of community services. Currently they use many ways to communicate and/or share information such as face-to-face, telephone, fax/e-fax, e-mail, secure messaging, access to hospital EHR systems and use of a community HIEO. Two of the three sites (Beechwood Homes and EMHC) were participating in HIEOs.

The sites visited identified drivers that helped to advance more efficient, electronic HIE to support new processes, models of care and payment. Specifically, new initiatives resulting from the Affordable Care Act and other government programs were identified as providing either the impetus or funding to improve care coordination and/or some HIT infrastructure improvements. Two sites evaluated (Rush and EMHC which are IDSs) have multiple care manager programs such as hospital discharge planners, primary care managers and community care teams (CCTs). Both sites have care managers supporting coordination of post-hospital care including LTSS community services. They also hold regular care team meetings across multiple provider sites to improve communication, coordination, and care planning.

Summary findings from the three site visits are described below and include an overview of each site, identification of the policy drivers for improved HIE practices, an overview of the HIE and EHR tools used, and a summary of the exchange activities. Detailed site visit summaries are included in Appendix H, Appendix I, and Appendix J.

View full report

Preview
Download

"HIEengage.pdf" (pdf, 976.86Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageA.pdf" (pdf, 122.65Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageB.pdf" (pdf, 132.47Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageC.pdf" (pdf, 62.72Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageD.pdf" (pdf, 64.52Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageE.pdf" (pdf, 71.74Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageF.pdf" (pdf, 67.17Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageG.pdf" (pdf, 128.62Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageH.pdf" (pdf, 1.02Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageI.pdf" (pdf, 264.75Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageJ.pdf" (pdf, 663.47Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageK.pdf" (pdf, 126.77Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageL.pdf" (pdf, 141.17Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

View full report

Preview
Download

"HIEengageM.pdf" (pdf, 83.93Kb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®