图像

Collaborating to Improve 的 Coordination of Care

概述

In June 2016, 的 Massachusetts eHealth Institute (MeHI) 宣布科德角医疗保健(CCHC)获得了一笔互联社区赠款,以改善居住在科德角患者的护理协调. CCHC与ECG合作,帮助管理护理协调改善项目,促进与大的互动, diverse group of stakeholders. CCHC, ECG, MeHI, and representatives from 质量HIway, 与合作组织合作,识别护理中的故障,并实施新的流程,通过技术改进沟通. At 的 start of 的 project, 医疗卫生中心的设施使用纸质程序交换临床出院,缺乏追踪交换信息接收情况的能力.

挑战

ECG与项目利益相关者合作建立了一个指导委员会,包括来自CCHC临床的赞助者, IT, 金融, and operations departments. 指导委员会确定了两个用例作为该项目的重点:用例一包括从CCHC发送电子连续性护理文件(CCDAs)给急性后护理合作者(e.g., skilled nursing facilities, rehab centers) upon a patient’s discharge, 而用例二包括从CCHC向pcp或社区卫生中心发送ccda. Of 的 more than 30 organizations that were considered for 的 project, 15 ultimately decided to participate as collaborating partners.

过程

MeHI的赠款规定,受助者必须将工作组织成四个预先确定的里程碑. ECG负责理解这些需求,并与必要的涉众合作,以促进每个里程碑的活动和文件收集的完成. 改善护理协调行动的四个里程碑包括:

Milestone One

  • Assessed current-state workflows, policies, security, and IT capabilities
  • Developed standardized CCDAs, future-state workflows, and testing plans
  • Sent test electronic CCDAs through 质量HIway

Milestone Two

  • 制定新的流程,通过质量HIway发送/接收电子ccd
  • Evaluated opportunities for improving workflows/结果s
  • Developed 过程 improvement plans

Milestone Three

  • Implemented 过程 improvement plans
  • Established metrics and developed custom reports to monitor performance

Milestone Four

  • Monitored transaction performance
  • Adjusted workflows and policies
  • Developed expansion plans

For each milestone, ECG organized a networking event at CCHC where representatives from MeHI, 质量HIway, 并且每一个合作伙伴将会面来审查项目状态, share lessons learned, receive education regarding industry trends or regulatory changes, and network with one ano的r.

结果

该项目的目标是在患者出院时将80%的ccda电子传输给PAC组织. 这是通过计算从CCHC的EHR (Cerner)通过质量HIway成功发送到协作组织的ccda的数量除以发送到同一协作组织的出站推荐的总数来衡量的. Because this information came from two disparate data sources, CCHC有责任制定一份自定义报告来衡量绩效. 最初, only roughly 60% of CCDA were sent within 的 target parameters, but after making adjustments to workflows and how data was being measured, 的 overall 80% goal was achieved.

也许从操作的角度来看,这份报告最有价值的方面是,CCHC现在可以查明哪些转诊病人在放电时没有电子发送CCDAs,并相应地排除故障.

作为一个结果 of 的 project, CCHC很好地将这些流程扩展到科德角更多的PAC组织,并与现有合作伙伴一起提高绩效, 和记娱乐下载的长期目标是将100%的ccda以电子方式传送给所有的推荐伙伴.

ECG managed 的 overall project plan, including timeline, issues/risks, 预算, and decision-making needs; worked closely with 的 collaborating organizations to ensure 的y completed 的 necessary tasks for each milestone; and prepared/submitted 的 necessary documentation for each milestone. 作为一个结果, CCHC成功地达到了资助的要求,获得了全额资助, automate and track CCDAs sent to collaborating organizations, streng的n relationships with fellow care providers, 为今后更协调的治疗和更好的临床结果奠定基础.

Get In Touch with ECG

Enter 第一个名字
Enter 姓
Enter Organization Name
输入电子邮件

I am interested in 的 following ECG 服务:


Add a comment?