WHO WE WORK WITH
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.
的 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.
的 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.
的 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.