Executive Order 55
2006 Appropriations Act
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Note: This list is not yet complete and will be updated as more summaries are written. If you do not see your project summarized here or would like to edit this summary please feel free to e-mail us with what you would like posted. Contact info was only supplied where permission has been given. Please let us know if you would like us to add yours.
Central RegionPatientKeeper - Richmond
PatientKeeper proposes to create a healthcare information sharing infrastructure across the major Richmond-area hospitals. In the pilot we propose to provide the infrastructure to share laboratory, medication, and test data from patients who have been admitted to four hospitals - VCU, McGuire Veterans Hospital, and one each of the Bon Secours hospitals and HCA hospitals. The clinical data will be shared using the PatientKeeper portal. Users of the proposed Virginia/Richmond RHIO would be physicians and with either mobile devices or the web-portal, physicians will have an easier time adapting proposed technology to their workflow than some alternative solutions. For the pilot project, we propose the PatientKeeper web-portal only, in order to minimize startup costs for new institutions. However, organizations which have already installed PatientKeeper PDA applications and the web portal will be able to use both modalities and the proposed RHIO functionality will already be seamlessly integrated into their physician workflow.
Accenture / UVA
They propose to create a single multimedia network for health information exchange for the Commonwealth of Virginia based on Accenture's work for the National Health Information Network, starting with specific telemedicine use case scenarios desperately needed for the benefit of rural populations of patients insured by the Department of Medical Assistance Services, and introduce an electronic master person index (eMPI) to identify correctly individual patients and allow physicians to access their medical records from various medical centers reliably. This pilot will work with UVA's Telemedicine Program and Johnson Memorial Hospital. This electronic health information network will be useful for follow-up of patients after initiate treatment, and for disease management of chronic conditions such as diabetes, congestive heart failure, asthma and dementia to permit consultants to advise patients, their families and their primary care physicians without requiring that the patients, and often members of their families, travel to Charlottesville.
MedVirginia has two proposals and a MPI proposal not discussed here. These proposals provide the Commonwealth of Virginia the opportunity to: (1) leverage the existing MedVirginia technical and operational infrastructure to support other communities' interests in health information technology; (2) implement a medication management initiative focused on improving cost and patient safety for Commonwealth of Virginia employees residing in the Richmond area.
MedVirginia proposes to make available through partnership with the Commonwealth a menu of services tailored to meet the needs of local communities and providers as they navigate through the various stages of readiness and program implementation. These functions include, at a minimum, the following: strategy development; business planning; stakeholder engagement; governance; policy development (inc. security, privacy); reporting; contracting with clinical data suppliers; provider engagement; consumer engagement; and financial performance.
The second proposal is a multi-faceted approach designed to create a patient-level medication history database for Richmond-area Commonwealth of Virginia (COVA) employees, accessible by authorized users, and integrated with decision support tools that will drive improvements in patient safety and formulary compliance.
PatientKeeper - Rural
PatientKeeper proposes to create a healthcare information sharing pilot project to allow two rural hospitals and one rural clinic to share laboratory, medication, and test data on their patients with at least one Tertiary Care Facility in Richmond (VCU). This will allow physicians to follow patients from their communities to the tertiary care facility and back to the community.
As part of this pilot project, PatientKeeper proposes to deploy ePrescribing in the rural community to allow community-wide and community-to-tertiary care facility sharing of medication lists.
Garnett Medical Records - Brian Deasy (bdeasy@captechventures.com, 804-304-0637)
Garnett Medical Records is a partnership between Richmond-based CapTech Ventures, MedAtlantic, and physicians from the Virginia Urology Center. Garnett's web-based health record system facilitates secure collection and distribution of continuity-of-care medical information amongst all healthcare stakeholders. Garnett proposes to execute a controlled pilot program of our product within 4 diverse constituencies: an elder care facility, as an employee benefit, at a specialized health services clinic, and a small cross-section of the general public. Throughout the pilot program Garnett will collect and analyze usage data, examining factors such as frequency of use, completeness of the record, usage patterns by various stakeholders, and demonstrable health savings facilitated by the record. During the pilot period, Garnett will also investigate the suitability and feasibility of data interchange between Garnett data and provider record systems and/or regional health information exchanges.
Misys
Misys Healthcare Systems submits Misys PatientLink, a secure web portal for physician-patient and physician-physician communication. The PatientLink solution would be beneficial throughout the Commonwealth, however, suggested areas of focus for pilot include Roanoke, Richmond, Northern VA, and Tidewater areas. We propose that the purchase of PatientLink for ten 1-physician practices, ten 2-physician practices, and ten 3-physician practices be underwritten by the HIT Council grant.
Misys PatientLink will allow caregivers to electronically communicate with patients at the business and clinical levels as well as streamline communication between primary care providers and specialists.
Back to the TopNorthern Neck Middle Peninsula Telehealth Consortium (NNMPTC) Health Network Initiative - Ed Bostick (edat1218@yahoo.com, 804-601-2587)
The NNMPTC is a rural community-based organization with the mission to connect medical specialists, public health agencies, primary care providers, patients and their families to a comprehensive continuum of care supported by telemedicine equipment, telehealth applications, and shared electronic health records and information. The focus of their SOI addresses the implementation of a Central Scheduling System (CSS) which lays the groundwork for promoting interoperability of existing and proposed Electronic Health Record systems and the sharing of EHR information among the Health Network Partners. The CSS is a set of functional EHR modules that support many of the current operational, administrative, marketing and reporting needs of the Network. It will be accessible through the NNMPTC's web-site and will serve as the portal to the Telehealth Network's resources. The proposed system will promote and facilitate the use and legal exchange of patient information between medical practitioners and facilities; medical, social providers and patients; patients and governmental agencies. The proposed Health Information Technology (HIT) system will have the capability to link administrative and clinical functions and support comprehensive care coordination services.
Back to the TopSDSI
The system design and database will use a well established EMR system to create an Application Service Provider (ASP) solution for small physician groups. To accommodate independent physician workflows and existing paper based medical records, the solution would utilize off-the-shelf Microsoft core technologies that are more easily customizable.
Riverside - Google - John Stanley (john.stanley@rivhs.com, 757-594-7080)
Riverside Health System proposes to partner with Bearingpoint Management and Technology Consultants to develop and apply Google Search Technology to provide caregivers easy access to patient data sources currently existing in separate physician office, acute care hospital, emergency/trauma and home health environments. This project addresses both the interoperability and EHR adoption issues put forth in the RFI.
Since Google is one of the most "easy-to-use" and comprehensive vehicles to research information on the Internet, it would only natural to apply its functionality and search concepts to the healthcare market, which consists of many "pockets" or "silos" of independent patient information. This technology would allow caregivers to securely access recent health visit and patient result information not normally available without costly and resource intensive interface development. Although the project will initially focus on four independent sources of patient data within Riverside Health System(Acute Hospital, Physician Office, Emergency and Home Health), it is anticipated that this application could then be expanded to include health data from other organizations, such as the military, insurance payers, regional health systems, and other health providers.
Eastern Virginia Medical School
EVMS Health Services, in conjunction with Allscripts Healthcare Solutions™, would like to present a conceptual framework for implementing electronic prescribing (e-prescribing) to 1,000 EVMS community physicians. As a second phase of this effort, EVMS Health Services, in conjunction with Medem Inc., an Allscripts Touchworks ™ strategic partner, would assist the same physicians with the tools necessary to implement and provide patient portals. Based on the existing long standing relationship the medical school has with these community physicians, we are certain that our ability to reach physicians while providing a strong teaching and support model for the EHR will be more effective than for a software vendor working alone. EVMS Health Services has a proven track record of implementation and physician adoption of an electronic health record to include e-prescribing and can provide a strong leadership model to those physicians, who up to this point in time may be reluctant to adopt these models for various reasons.
Hampton University Proton Therapy Institute (HUPTI) - Cynthia Keppel (keppel@jlab.org, 757-269-7580) and Martha Harrell (mfh_llc@widomaker.com, 757-719-4878)
We propose a secure health smart card system as the focal point of an EHR system, for containing patient ID and treatment data on Patient ID Smart Cards and Care Provider ID + Portable Data cards. With Chip Smart Cards, EHR's become mobile computer platforms, thus fitting our lifestyle needs while providing backup copies of important data. In an EMergency, and especially in a large-scale Public EMergency such as a pandemic or hurricane such as Hurricane Katrina, both Patients and Care Providers - people - and their systems may provide, use, share, and quickly update critical medical data across as broad a set of networks as current human intelligence and effort can provide in Virginia. From 10-100 cards and 3-10 readers should be provided in the HUPTI-connected radiation oncology physician centers as the Preliminary Test Bed of Phase I-Initial Implementation and Pilot Test Phase. This is to be followed by Phase II testing of 100-500 cards and 15-20 readers at the new Hampton University Proton Therapy Institute. Over 2-3 years, further testing and implementation of My Health Card™ systems may be duplicated at such sites as the University of Virginia Medical Center to produce larger-scale interoperable systems.
Riverside - DOD - Dr. Charles Frazier (charles.frazier@rivhs.com, 757-594-3878)
Riverside Medical Group, using facsimile technology, has been electronically submitting prescriptions to retail pharmacies in our service area for over six years. They are now submitting prescriptions using direct electronic transmission through the SureScripts network, the integration with our electronic medical record having been developed by Kryptiq. Sixty-eight percent of the local retail pharmacies currently participate in the SureScripts network, with more coming online every month.
Because of the proximity of all branches of the military, many of their patients are military retirees or dependents of active duty or retired military. In fact, nearly 30,000 of their registered patients have or have had CHAMPUS/Tricare benefits. In the last 12 months, Riverside Medical Group has written nearly 60,000 prescriptions to patients with CHAMPUS/Tricare benefits.
They propose to pursue electronic prescribing from our electronic medical record directly to the Hampton Roads military pharmacies. Such a system would increase efficiency for their practices, would be much more convenient for military patients, and would likely save considerable cost for local military pharmacies, while potentially improving patient safety.
Cardiovascular Associates - Vince Donlon (vdonlon@cval.org) and Bassam A. Kawwass (bassam.kawwass@gmail.com)
Cardiology & Arrhythmia Consultants, Inc.
Cardiology & Arrhythmia Consultants, in conjunction with Dentegic Healthcare Systems, proposes a secure and HIPAA compliant web-based EMR and Practice Management System. This project will directly impact Virginians by targeting local practices that currently do not have the benefit of EMR to implement and utilize this system. A pilot base of 20 - 30 practices will be chosen immediately with potential growth to expand to over 50 practices over a 2-3 year period. Dentegic Healthcare Systems has already created and implemented a web-based electronic medical records software package capable of practice management, clinical health records with ready capable links to Sentara, Bon Secours, Chesapeake General and other clinically relevant websites.
The web-based EMR system enables users to scan documents into the online e-Document Management System that have already been initiated and are easy to be retrieved and e-Faxed to relevant parties in the medical community in a timely fashion from anywhere in the world. This system provides the ability to create and send e-prescriptions, electronically sign and e-Fax transcription reports, and develop data collection and analysis for outcomes research. This system also provides the ability to set reminders for annual tests such as mammograms, prostate screens, cholesterol checks, echocardiograms and etc. Other significant practice management features will also be a part of the system.
Back to the TopThe Northern Virginia Health Information Collaborative (NOVHIC) - Jane Woods (jane@driftwoodsconsulting.com, 703-966-0147)
NOVHIC plans to build a health record bank for northern Virginia that would store complete electronic medical records and make them available, with patient consent, for health care, medical research, and public health. A pilot paper/web-based "file of life" system with patient summary information will be used as part of the process of organizing and educating the stakeholders and testing the model in northern Virginia prior to the potential rollout of the bank (projected for late 2007 and early 2008).
Prince William Health System
Prince William Health System will improve interoperability by deploying proven technology by Novo Innovations. They believe that that by providing this needed integration capability to the developing EHR initiatives of our provider partners, the desirability and therefore the adoption of these systems in our community will increase and by improving the availability of clinical data, particularly lab and imaging information from the hospital's EMR, participating physicians will find their own data more complete and helpful in the providing of office based and hospital based care. They also believe that it will improve patient outcomes, reduce duplicate procedures and reduce costs accordingly.
Virginia Hospital Center
Virginia Hospital Center will deploy a solution to two physician practices. One practice has very little technology in place and will get a complete package approach that will provide them with clinical results and discharge summaries for their patients from inpatient and emergency department visits, reference laboratory results from tests that are ordered from their offices, but reported electronically to the electronic health record and an option for ePrescribe which will include not only medications that were administered during inpatient or emergency room visits, but also include medications which have been dispensed through retail pharmacies as reported by SureScripts and RxHub. The other practice already has an EMR in place and will receive the same data in a "push" format to prove interoperability.
GMU
The project will be conducted as part of the Northern Virginia Regional Health Information Organization (NoVa RHIO) development effort spearheaded by George Mason University. The hypothesis to be tested is that a secure web based PHR can serve to increase physician buy-in to the use of EHR if it can be demonstrated that patients at risk of or already suffering from significant chronic illness are willing and able to use their PHR to support their care plan. The project involves both an out reach and education component and a technology development component. This portion focuses on the first of these equally necessary accomplishments. It is intended to compliment the technology development proposal also being submitted under the Commonwealth's Health IT grant initiative by RTZ Associates and Senior Navigator that will address the data storage and sharing problem associated with adding a PHR to Senior Navigator.
RAM Consulting
RAM Consulting proposes to use the Vista EHR solution that was funded by the US Veterans Administration and has been a proven solution in use within its hospitals and at private practices and deploy it at 50 practices in the Commonwealth of Virginia. The benefit of using Vista, a proven open-source solution, leverages the extensive work already completed and allows the Commonwealth to help facilitate its implementation as an incentive that has no license or implementation costs by the physician with only support costs they'd be responsible for. They feel it would be an excellent use of grant monies allowing us to target medical practices the team members have expertise in: General Practice, Orthopedics, Surgery, and Anesthesia. They will configure and deploy Vista in 50 Practices and document and disseminate knowledge and configurations for broader consumption.
INOVA Health System - Erickson Retirement Communities
Build a regional health information network starting with Erickson HealthSM-Greenspring Village and Inova for electronically exchanging demographics (includes region wide master patient index), problems list, allergies, clinical summaries, discharge summaries, lab results, radiology reports, transcribed reports, etc.
From the initial set up, expand to provide Personal Health Record (PHR) access to a limited, well-defined population (i.e. 2,500 Greenspring Village residents).
Access to this network will be provided (initially) to only HIPAA authorized healthcare providers and the network will be used for treatment purposes only. This makes it easier to form the network and operate it and comply with relevant privacy and security requirements.
INOVA Health System - Public Health Reporting
This proposal presents a design and plan for automating the detection, management and reporting of clinical events required to be reported to the Virginia Department of Health. This system will provide a near real time reporting capability to facilitate more timely recognition of significant public health events and more standard and time sensitive collation of public health statistics that are required by law to be accounted for. This proposal addresses a rapid detection and public health assessment of regional public health anomalies or threats by leveraging proven automated case identification, data collection and analysis across the Inova Health System which plans to implement the IBM Healthcare Collaborative Network solution. Their approach can expedite the case identification and central reporting process to designated Virginia Health authorities. This more timely and efficient digital process has the ability to alert Virginia Department of Health officials sooner and permit them to initiate emergency procedures and clinical protocols more quickly with associated benefits and reduced patient morbidity. The exact disease detection that will be pursued in this project is yet to be determined. The expectation is to start relatively small with a handful of mutually agreed upon diseases to demonstrate feasibility. It will also be necessary to determine what disease diagnoses are embedded in existing messages to enable automatic detection and whether those messages are easily accessible for the purposes of this pilot project.
Urgent Medical Care
Dr. Jatinder Mann and USMD will provide an eighteen month Pilot Project to increase the adoption of Electronic Health Records (EHRs) and Patient Health Records (PHRs) among small physician practices, by providing them a comprehensive, robust technology solution. Approximately 25 percent of the patients in the Urgent Care clinics sponsoring this grant request are uninsured, almost double the average number in Virginia. These clinics will serve as the primary model for this project. The four locations of these Urgent Care clinics will be interconnected, so that physicians will have access to the complete medical record, even if the patient was previously seen at a different location. Additional providers will be educated and recruited to participate ensuring that at least 50 providers participate in the project and receive EHRs, with their patients receiving PHRs. Physicians will targeted who treat more than 20 percent of Virginia's uninsured population and those treating significant numbers of Medicaid and Medicare patients. During the provider community education phase, providers will be educated on the benefits of EHRs, PHRs and technology adoption. Providers will be educated on the key items important to successful selection and implementation of these technological tools. In this manner, even providers who elect not to participate in this pilot, will learn the benefits of technology adoption and be better informed to make wise purchasing decisions.
Professional Health Resources
Professional Healthcare Resources (PHR) will implement a telemonitoring program to include objective daily monitoring of patient biometrics (weight, heart rate, oxygen levels, blood pressure), combined with subjective patient responses to questionnaires and traditional home care services for 80 patients over a 12 month period. The specific goal will be to lower the total cost to Virginia Medicaid for managing patients with Congestive Heart Failure while increasing the overall clinical outcome of the patient as well as creating an electronic health record of our patients' biometrics.
Virginia EHR Alliance - Eric Watkins (ewatkins@infinitycomp.com, 540-548-0908 x110)
The Virginia EHR Alliance proposes a two part project. There will be an implementation part and an education part. This way they can ensure grassroots buy-in in addition to demonstrating cost-savings. The Virginia EHR Alliance proposes a test bed pilot program consisting of between two and ten private practices, local to the Fredericksburg region. The program will consist of three phases: Development, Delivery, Metrics and Reporting.
For the purpose of conducting the pilot program the Virginia EHR Alliance will be divided into two teams. The Implementation Team is responsible for ensuring that the EHR solution is secure, the data exchange is adequate and accurate, and that the workflows at the individual practices is optimized.
The Education Team is responsible for producing and delivering two distinct educational programs - the first directed at educating the medical community as to the advantages and capabilities of an EHR solution; the second directed at increasing public awareness of EHR while reducing concerns over privacy and security issues.
Back to the TopCompetitive Edge
Development of a community health improvement network begins, in our model, with an ambulatory Personal Health Record. The Personal Health Record must begin with a personal identifier and this identifier should cross domains from healthcare (including mental health and social services), to Department of Motor Vehicles and additional state agencies and departments. This identifier should be universal. It is the granular foundation for the Master Person Index across the enterprise of state government. It is the key beginning for interoperability among machines and software.
Our pilot project will target 6 primary practice locations in medically underserved Southwest Virginia representing a minimum of 15 physicians. We will deploy and implement a web enabled electronic medical record with distance training using a proven process which does not require outside personnel. Workflow disruption will be minimal.
CareSpark
As part of an overall strategy to improve health outcomes and to reduce inefficiencies in the delivery of health care, CareSpark proposes a phased schedule for developing and implementing infrastructure to achieve the following goals:
OneCare
One Care of Southwest Virginia, Inc. proposes to create an Electronic Human and Health Services Record (EHHSR) solution that will promote information exchange between the medical and social services communities across their 22 counties in Southwest Virginia. An electronic human and health information exchange will permit the medical and social services organizations to share changes in demographics, track missed referrals, as well as shared information on social history, immunizations and other risk factors. As part of this solution, One Care also plans to integrate the SeniorNavigator community-based coordinated services system with its EHHSR solution to provide physician offices with easy access to other services critical for administering total patient care.
Back to the TopSenior Navigator
SeniorNavigator forms the foundation of Virginia's community-based coordinated services system, integrating information on consumers and providers in a single, secure database. Within several years, we expect this system will encompass all city, county, regional, and state agencies providing long-term support services for older adults and persons with disabilities. With funding from the Council, RTZ will expand this system to accommodate electronic health records by developing a companion module tentatively called ShareCare that can be accessed by providers, physicians, and consumers (as well as their caretakers, as necessary) through the SeniorNavigator site. Once the pilot project demonstrates the efficacy of the ShareCare, it can easily be expanded statewide within the existing network. Specifically, the creation of ShareCare during the pilot phase of the project will center on three significant outcomes: The enhancement of the consumer modules currently in place, the development of a physician accessible interface, and the establishment of ShareCare at a pilot site (Bath County Hospital).
Shenandoah Independent Practice Association, Inc.
The Shenandoah Independent Physicians Association (SIPA) is partnered with NextGen Healthcare Information Systems and Valley Health in the development and implementation of a multi-practice Electronic Medical Record (EMR). Each patient record is to be shared among the medical practices resulting in a one-record, many-providers environment that produces improvements in all aspects of clinical care.
The development of the EMR will result in a physician-office Data Repository that incorporates clinic notes, medication and allergy histories, laboratory and radiology results, problem lists, procedure notes, and hospital dictations into a patient-centered record. Some data for this patient-centered record will be generated within the NextGen application. Other data will be fed from outside sources, including partner reference labs and the Valley Health Clinical Data Repository.
Valley Health
Valley Health (VH) is a nonprofit organization of health care providers serving residents of the northern Shenandoah Valley in Virginia, West Virginia and western Maryland. It offers a full spectrum of services in acute care, rehabilitation and extended care facilities, in outpatient and community settings to help the people of the region manage their health and enjoy a high quality of life. On the main campus is Winchester Medical Center, a 405 bed tertiary care facility. As an eight-time winner of the American Hospital Association's "Top 100 Most Wired Hospitals", the campus has a significant IT infrastructure. For the purposes of this grant, Valley Health consists of three acute-care facilities: Winchester Medical Center (405 beds), Shenandoah Memorial Hospital (20 beds), and Warren Memorial Hospital (81 beds). Valley Health, SIPA and McKesson are proposing a partnership to implement a northern Shenandoah Valley Electronic Medical Record (EMR) utilizing a common database for both the hospital-based clinical record and the physician office clinical record. It is anticipated that the EMR project will be a 'work-in-progress' for at least the first 24 - 36 months, depending upon facility, IT resources and physician specialty. Partners are already working together on creating a shared EMR vision for the community and are prepared to begin grant implementation immediately, should funding be awarded.
Back to the TopCentra Health - Terri Ripley (Terri.Ripley@centrahealth.com , 434-947-4840)
Centra Health plans to target a large population served by regional physician groups and triple the EHR adoption rate from 14% to 50%. Physicians have requested Centra Health's assistance with the selection and implementation of EHRs for their practices. Centra Health is prepared to offer this assistance with its experienced staff, secure data center and resources to assist our physicians in this much needed endeavor.
Carilion Clinic
The Community Provider EMR Portal (CarePort) project is an effort by the Carilion Clinic ("Carilion") to provide access to electronic health records of consenting patients to non-Carilion local providers across the areas served by Carilion Clinic's primary care and specialty practices.
Carilion maintains electronic medical records (EMR) on all ambulatory, emergency, and inpatient encounters. It possesses the technological capability to grant view-only access to selected portions of the ambulatory care, emergency, and inpatient visits to local providers not directly affiliated with Carilion, by means of CarePort, a web-based provider portal. An initial version of this provider portal has already been developed, which contains transcribed reports for inpatient visits, as well as inpatient and ambulatory laboratory, pathology, and diagnostic imaging reports. CarePort currently includes summary reports of emergency care, but does not include information from Carilion's Centricity ambulatory EMR system. Carilion proposes to include that information including: Patient Problem Lists, Patient Allergies, Patient Medication Profiles, Patient-specific Ambulatory Clinic Notes.
Medical Automation Systems - Keith C. Drake (kdrake@rals.com, 434-951-2979)
This Statement of Interest proposes the integration of technology and coordination of participants, to establish a Central Virginia (greater Charlottesville area) Universal Health Record (UHR) that can provide the collection, storage, maintenance and appropriate release of health information that is desired by patients, purchasers, regulators and government agencies. The UHR will serve as a personal health record for patients, and will also function as an electronic health record for physicians who do not have electronic health records (EHR). Its design also allows it to receive input from existing EHRs and function as a RHIO to help make that health information available whenever the patient needs care. Ultimately, the UHR will receive laboratory and radiology information. It will also communicate the health information according to the requirements of CMS and other agencies, which can help lessen the burden for physicians who desire this service. The initial introduction of the UHR will be in the Central Virginia Medicaid population, and will be expanded from there. Initial goals will be to establish the collection of basic information for patients (medication list, allergies, diagnosis and treatment plan) and to move rapidly toward more complete inclusion of medical records, and maximization of electronic information movement.
Back to the TopCommunity Care Network of Virginia
The initial project will provide funding for the establishment of e-health records utilizing an electronic health record (EHR) system which has the capacity to share data via secure networks as well as provide direct patient access via the internet. The systems functionality includes levels of security which would only allow the user to access information appropriate for the agency and the individual.
This request for funding will support the establishment of two electronically based referral networks. One will include a single Community Health Center and a single Health Department in an urban area, and the other will include two Community Health Centers, a Community Services Board and other health partner in a rural area.
Once the system is functional and data is entered, patient information, as appropriate, will be made available to the local community partners. The information shared between the partners will vary based on the partner's menu of services. This information will include general demographic and financial information needed to determine patient eligibility for those services as well as more clinically related information for those partner's providing direct patient care.
Back to the TopValue Options
ValueOptions delivers Mental Health and Substance Abuse (MHSA) services, and relies on proprietary systems that are fully customized for each customer's unique needs. Applications include the proprietary Connections Administrative System (CAS) and Web-based applications that strengthen communication with and boost access for ValueOptions employees, clients, and network providers. ValueOptions also provides online capabilities for providers and members to conduct transactions via a secured Web site. They have developed an intuitive Web interface, so that providers and members have real-time access to member's eligibility and benefit information, they can review and submit requests to provide care (providers only), review a detailed payment status of submitted claims, and upload HIPAA compliant claims files. Additionally, providers have the ability to directly enter and submit a claim on-line. ValueOptions proposes to use of its array of proprietary website tools to work with Virginia provider institutions and physicians in the Central Health Region. The tools will give them the ability to image and store EHR documents associated with ambulatory medical records. This select pilot group will allow ValueOptions to monitor the effectiveness of the program more closely. ValueOptions proposes a 'phase in' approach for the other 3 health regions in Virginia if the pilot is successful.
eClinical Works
eClinicalWorks is a commercial EMR vendor that proposes using a proprietary web-based portal to enhance communication between physicians and patients. Patients are given secure passwords that allow them to log into their physician's systems to see their own private set of documents including labs, diagnostics, statements, and messages. Doctors can automatically remind patients for their health maintenance reminders, procedure due dates and also send them patient statements and lab results electronically. eClinicalWorks would lead the Commonwealth in building a Health Information Exchange through its EMR product.
eHealth Iniative
The eHealth Initiative Foundation team and partners propose to conduct a scope of work to support a statewide Virginia HIE planning initiative. Efforts will include an update to the Council on the national landscape and state or regional HIT and HIE initiatives. The team will also facilitate stakeholder discussion on the recommendations and key milestones that must be achieved over the next two to three years. These steps will allow the Foundation to make specific recommendations for driving adoption of ambulatory health records in the Commonwealth and pull together agendas to achieve these recommendations.
IntraNexus
IntraNexus recommends implementation of a Web-based HIS solution in a demonstration project to include a network of community hospitals, nursing homes, and physicians offices. Using a model of the Commonwealth's larger healthcare system, interoperability, information sharing, and efficiencies of scale can be fine tuned and achieved. This demonstration project will continue to allow the clinicians, patients, and payors to become familiar with the system. Once the demonstration model has proven successful, IntraNexus recommends expanding the system to unify the healthcare system across the Commonwealth. The IntraNexus development and implementation teams would work side-by-side with the Commonwealth Health IT architects.S & P Solutions
S & P proposes to develop a hospital-physician-payer affiliation and implement one or more affiliation approved EMR systems in participating physician offices. It would also develop interfaces between the EMR systems and one or more approved practice management and billing systems, automated physician billing and electronic claims processing, and their proprietary integration tool. The delivery of an open EHR provides a secure way for participating providers to view a homogenous compilation of medical records whose origins reside in multiple and dissimilar systems. This will further reduce costs because providers do not need to retool or upgrade to new systems nor do they need to retrain staff.
Cambridge Systems
Cambridge proposes to provide a complete workflow solution for the Electronic Medical Record, EMR. The principle behind the proposal is making the process of adoption as seamless as possible for the physician. Cambridge proposes to use dictation to allow physicians to document their reports at the time of the appointment. This will allow for standardization in report forms and key patient data without requiring any real change in current reporting practices. By having standardized documents and creating a database of records in a format that is universal in its acceptance, they provide for greater interoperability of medical records.
Collective Journey Towards Excellence
This organization proposes to focus on the ambulatory health care community located in rural Virginia. They will collaborate with a selected physician group practice that currently does not employ EHR and endures a paper based system. Their interdisciplinary team will collaborate to assess and develop project milestones to include the assessment, planning, implementation, and evaluation of an Electronic Medical Record. The organization will establish performance measures to include the acceptance by physicians and their willingness to convert practice to Electronic Medical Records in addition to process and outcomes measures identified by the team, to include quality, safety, efficiency, financial, operational, and satisfaction metrics. The proposed solution is to establish a long-term (2 year) engagement between a rural Virginia healthcare entity and to provide background in healthcare change management, performance improvement, and EHR implementation.
Vaceris
Vaceris will use a proprietary platform to create a special Regional Health Information Network (RHIN) in a region of Virginia to be designated by the Health IT Council. The RHIN concept would specifically deliver on the three goals outlined by the Council. The RHIN would drive adoption of ambulatory health records by reducing the costs associated with integrating a physcians EHR system with their local hospital and other medical practices. The RHIN would also improve the interoperability of medical records by allowing physicians, labs, and hospitals to connect with each other. Lastly, the RHIN would leverage the Commonwealth to establish the network and maintain portability. The RHIN would require the participation of four groups of stakeholders: the Commonwealth, the technology vendor, regional hospitals, and medical practices. The RHIN would provide the technology and immediately benefit the Commonwealth; however, hospitals and medical practices would require additional assistance to get integrated into the RHIN.
Prism
Prism proposes to operate and coordinate the on-going development of Virginia's HIT infrastructure by leveraging the state's existing buying power to develop a statewide vision for Virginia's HIT initiatives, build a statewide HIT project portfolio, foster collaboration and procurement, leverage federal, state, and private financial resources, safeguard privacy and security, develop information exchange services, and establish a steering committee and technical advisory committee. Prism proposes to employee an eHealth Strategy Director, Business Architect, and a Health Enterprise Architect.
Nightingale
Nightingale proposes to implement its Virtual Health Record (VHR) in the Commonwealth of Virginia. The goal is to improve quality of healthcare across the state. The VHR will give providers the ability to have immediate access to consolidated patient data will improve physician satisfaction and enable easy access to information to individuals with proper security clearances. The VHR will reduce the costs associated with duplicate data entry and manual management of paperwork. Finally, it will allow tracking of referrals from primary physicians to hospitals and other specialist to ensure that all appropriate data is made available back to the primary care physician in an electronic format.
OpenMinds
OPEN MINDS proposed to work in partnership with Virginia providers to ensure that the necessary functionalities are included an EHR. The OPEN MINDS team has experience with behavioral health providers in the selection and implementation of EHRs, including knowledge of the Virginia behavioral health environment. The organization proposes to work with behavioral health providers in the selection and implementation of EHRs by first defining the functional specifications needed to address the unique needs of Virginia citizens with serious and persistent mental illness. Next the team would design an RFP, if needed,that accurately reflects the identified functional specifications and business requirements for the HER. If an RFP is issued, the organization would work with the Health IT Council to review vendor bids, assist with contracting, and implementation oversight.
Xstor
To support the Virginia EHR initiative XStor is proposing a pilot program to demonstrate its EHR interoperability system. The pilot project will consist of the installation of the XStor system as an EHR linking system between a government partner hospital in Virginia, an affiliate clinic, and with physician office access. On the successful demonstration of this pilot project, at the request of the Commonwealth of Virginia, the project can be scaled up to enable a patient centric electronic health record that is shared between government hospitals, affiliated clinics and patients. As a result of XStor's partnership with the Commonwealth of Virginia and EHR deployment based on this pilot program, a physician, regardless of where they practice, would be able to collaborate with hospitals, clinics and other data providers to share the comprehensive patient clinical history throughout diagnosis and treatment.
Axolotl
This organization proposes to operate a pilot in partnership with Virginia that would allocate resources and services to the organization best able to provide them at the least cost. The proposed pilot program stay within the $1.5 million budget but also provides stakeholder value and would demonstrate the success to promote future adoption. They believe their approach ensures physician adoption and provides a technical architecture to guarantee interoperability between EHRs throughout the state. Further there are options and guidelines for functional expansion within the state and with regional entities.
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