QHN eNews Update 
July, 2013

Fall MU Stage 2 Conference

QHN Fall Conference

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CMS has Released Updated Resources with Changes to Stage 1 Meaningful Use Objectives, Measures, and Exclusions 

  • 2013 Stage 1 Changes Tip Sheet - Explains the changes for the 2013 program year and which providers are affected
  • Updated Stage 1 Specification Sheet Table of Contents for EPs and for eligible hospitals and CAHs - lists all the Stage 1 core and menu objectives, with direct links to each individual measure specification sheet
  • Updated Stage 1 Specification Sheet zip files for EPs and for eligible hospitals and CAHs -contain PDFs for download of all of the core and menu objectives for EPs and eligible hospitals and CAHs
QHN Vitals
May 2013 
  • 813 Licensed Providers
  • 1,502 Active Users
  • 73,245 VHR Queries
  • 213+ Clinical Data Bases 
  • 182,122 Lab Results
  • 34,006 Radiology Results
  • 84,079 Transcriptions Delivered
  • 20,353 Clinical Messages

QHN serves the western Colorado medical neighborhood. 

QHN Contact Information
Help Desk, Meaningful Use, Crimson Care Registry, Referral system

Mesa County Physicians IPA

Western Colorado IPA


Mesa County Medical Society

Mt. Sopris Medical Society

Rocky Mountain Health Plans
Practice Transformation

Committed to Following a Patient's Wishes - 

Advance Directive Documents Exchanged in QHN HIE

Kerri Mosinski
Kerri Mosinski
Senior Vice President

The decision path to transition a patient's care to HopeWest (Hospice & Palliative Care of Western Colorado) can be a very emotional time for the patient and family. Unnecessary interviewing, reviewing of medical histories, and reliving the end-of-life decisions process can add to the stress and emotion. Making the situation even more difficult, frequently the patient is in medical crisis and is being cared for by multiple providers in various care settings.


Historically, when a referral was received at HopeWest, the triage and intake team had to gather a new patient's medical history from various sources by fax. HopeWest's patients are from a large geographic area and they can move quickly from one care setting to another. Their medical information is often scattered and a critical part of the patient's information, the Advance Directive documents (living will, durable medical power of attorney and DNR) that legally define a patient's wishes, need to be located, updated or completed.


The patient's clinical information that is essential to assist the intake team in understanding the patient's immediate care needs, and to establish payment eligibility, is available from the disparate care sources through the QHN health information exchange (HIE). This information helps the team immediately assess the critical patient needs and begin to build a care plan, however historically the Advance Directive documents were not available in the HIE.  


For families, the process of completing Advance Directive documents can involve uncomfortable, difficult conversations with their loved one about end-of-life care. Once these documents are complete the expectation is the directives will be followed.  


When under the direct care of the HopeWest team the Advance Directive process is clearly defined and followed. However, many patients admitted to programs under HopeWest's auspices, are outpatients and they may require care in an alternate care setting, such as the ED. In this situation frequently the patient is unaccompanied by a family member and not in a decisional state. Without immediate access to a patient's Advance Directive documents extraordinary measures may be taken to keep the patient alive and this may be contrary to their wishes.


"HopeWest's connection to QHN allows our intake team to immediately view the Patient Summary which helps frame the admission conversation, prioritize the admission and dramatically reduce duplicative testing.  On the rare occasion when QHN is not accessible our triage nurse is hysterical," said Kerri Mosinski, Senior Vice President of Clinical Services at HopeWest. "However the concern was patients in hospice and palliative care were not having their end-of-life care wishes followed, especially in care transitions, such as transfers to ED for emergent or urgent care."


In response to this community healthcare need QHN's team worked with the HopeWest staff to establish a system to record and place scanned copies of the Advance Directive documents in the HIE. This information is currently in the Patient Summary and also accessible in the Virtual Health Record (VHR). A new Clinical Documents tab has been established in the VHR to house the Advance Directives and other sensitive patient care documents, such as pain contracts.


"ER physicians are ecstatic to have this information in the VHR. Prior to this they had to call HopeWest, have them look-up the patient and await a return the call, now the information and signed documentation is just a few mouse clicks away," explains Mosinski. "This has been a great advancement for patient care in our community. All care providers want to follow the patient's and families wishes."


Hospice and Palliative Care of Western Colorado is now, HopeWest. They provide many programs under their umbrella, Transitions, Living with Cancer, Journeys and inpatient Hospice care. On any given day, they are serving more 300 patients in Mesa County and the Montrose, Delta, and Plateau Valley areas.

Grand River Health Connectivity to QHN Complete!

We are pleased to welcome Grand River Health, which includes Grand River Hospital and Medical Center, Grand River Medical Clinics in Rifle and Battlement Mesa, E. Dene Moore Care Center, Grand River Health and Safety Center and Grand River Student Health Centers in Parachute and Rifle, to Quality Health Network (QHN). Grand River Health serves more than 27,000 individuals within their 1500 square-mile service territory.


QHN has completed the connectivity interface to the hospital and the 55 affiliated providers with the QHN network of more than 200 health care organizations in Western Colorado that utilize QHN's Health Information Exchange (HIE). With Grand River Health's connectivity to QHN, and the additional two hospital facilities in the development queue, hospital connectivity in the QHN western Colorado medical trade area will be at 85 percent completion. 


Physicians of Grand River Health, and the surrounding area, will now have secure access to electronically exchange clinical patient information with the health care providers, across the region, caring for a patient. QHN unites more than 800 providers and 3,605 online users in Western Colorado improving their ability to deliver quality outcomes and enhance care management for the 508,000 residents. 

Western Colorado Primary Care Practices Recognized as Level 3 Patient-Centered Medical Home 

The process and designation as a patient-centered medical home (PCMH) was designed to reinvigorate primary care and achieve the triple aim of better quality, lower costs, and improved outcomes. PCMH is an innovative program that establishes a rigorous set of standards; describes clear and specific criteria to help practices organize care around patients, develop work teams, and coordinate and track care over time. These care improvements are facilitated through the utilization of information technology, health information exchange, population health management tools, and other means to assure that patients get the right care in the right care setting.

This month Mountain Family Health Centers, Glenwood Springs site, which serves more than 7,000 patients annually, has been formally recognized by the National Committee for Quality Assurance (NCQA) as a Level 3 PCMH.  Achieving Level 3 designation is the highest level of national recognition a primary care practice can receive.  There are only three primary care practices in Western Colorado that have achieved this level of recognition, Mountain Family Health Centers, MidValley Family Practice in Basalt, and Foresight Family Practice in Grand Junction. 


Learn more about the PCMH designation process and strenuous standards