HIE-to-HIE Data Exchange - The Patient-Centered Data Home (PCDH)- ensuring clinical data "wraps around" the patient wherever they receive care
QHN is now part of a live HIE-to-HIE data exchange with the Utah Health Information Network (UHIN) and Arizona Health-e Connection (AzHeC) as part of the Patient-Centered Data Home (PCDH) project. The PCDH model is based on the principle that clinical data should follow patients no matter where care has occurred.  In this model all clinical data becomes part of the comprehensive longitudinal patient record in the patients' data home, which is the community health information exchange (HIE) where the patient resides.

External Document Search provides access to data from other HIEs

The project was initiated by the three HIEs because of the close working relationship of the HIEs and because of the significant number of patients who, by necessity or choice, receive care in one of these neighboring states. HIEs share common borders and common patients and providers are now able to exchange information on these patients through an External Document Search in the QHN system.  This information exchange has significant potential to create more comprehensive patient records in each of the participating HIEs. 
 
QHN, Mind Springs Health Partner for Behavioral Health Integration 
On April 11, 2016 Mind Springs Health (MSH) began securely exchanging their Clinical Care Reports (CCRs) electronically through Quality Health Network (QHN).  This is the culmination of a multi-year, intensive effort by a combined Mind Springs and QHN project team, the first health information exchange (HIE) and community mental health center in Colorado to successfully partner on this type of electronic exchange of records.

The vision of improving the community standard of care through the exchange of behavioral health and physical health information began with discussions between primary care providers, local hospitals and Mind Spring Health (MSH) as early as 2007. "The integration of behavioral health care and primary care is a long-term strategic goal of Mind Springs Health, " says David Hayden, VP of Quality and Compliance at MSH. "Initially the big driver for us to get information into QHN was really the recognition that primary care providers need to know what medications their patients are on upon discharge from West Springs Hospital and they need to know their patient was discharged."

Behavioral health impact on physical health interventions

With nearly 1 in 5 American adults suffering from mental illness, providers in western Colorado have long recognized the need to integrate behavioral health information into primary care to improve the quality and coordination of care. "Statistically we know that behavioral health conditions have a tremendous impact on physical health outcomes. With the sharing of information via QHN we help providers adjust their physical health interventions to be more effective, they can take the patient's behavioral health condition into account."
   
Lab Charts - Making Laboratory Results More Valuable
Accurate display and interpretation of clinical laboratory test results overtime can be essential for safe and effective diagnosis and treatment. The QHN system provides our participants with a cumulative view of laboratory results, called Lab Charts. This feature graphs laboratory results from disparate sources enabling providers to quickly visualize and track trends and changes.

The value of a precise display of laboratory testing from disparate sources can have a significant effect on a diagnosis. "Chronic myelomonocytic leukemia is a prime example," said Dr. Aaron Long, Medical Director Laboratory and Regional Blood Center at St. Mary's Hospital & Regional Medical Center. "The diagnosis depends of an absolute monocytosis of over 1000/cmm for at least 3 months without other causes and the ability to look at absolute monocytosis from various sources is important as one of the major criteria for this diagnosis." 

Lab Charts quickly display trends

The lab chart function displays current information in the context of the past and may contribute to a better understanding of the progress of disease and possible treatment. Charts quickly display trends of improvement and of deterioration and change-points between these trends. "Many other hematologic disorders rely on the ability to monitor counts over time, thus the ability to gather all the various hematologic values in one place is very helpful" continued Long.

Ambulatory Data from Valley View and Delta Hospitals Now in QHN
The ambulatory clinics associated with Valley View Hospital and Delta Country Memorial Hospital are now sending their progress notes and visit summaries to QHN.  This data is available in the QHN Patient Summary (longitudinal record) in the Documentation clinical section, so providers can access this information to improve care coordination.
 
Many of the providers in the Glenwood and Delta medical neighborhoods and at regional referral centers share patients with these clinics. Having access to information on what is happening in the ambulatory setting available in QHN for the entire care team, including emergency providers and hospitalists, can make a significant difference in the coordination, efficiency and timeliness of care.
 
"I query every patient in QHN that I admit to confirm diagnosis, medications and recent health events," said Dr. Kelly Mistry, hospitalist at Community Hospital. "This simple step often streamlines the admit process, helping me know more about the patient, this background knowledge also helps the patient feel a bit more comfortable with a hospitalist physician taking charge of their care."

   
Hot Topics Conference Call
Date: June 15, 2016
Time: 12:15 -1:15 PM
Presenter: Devin Detwiler-Conningham
 HIT Quality Improvement Specialist,Telligen

QHN System Quick Tip: 
 
QUICKLY find more information about a patient encounter, using the Encounters View. Click below to to see the 15 second Quick Tip on using Inpatient, Ambulatory and Emergency Encounters.   




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