2. An EHR/HIE in the Jackson area since 2005
Connects ~50% of all providers
◦ AllegianceHEALTH employed providers
◦ Many private practice providers
◦ Federally Qualified Health Center
◦ Jackson County Health Department
◦ AllegianceHEALTH clinics
Tightly integrated with AllegianceHEALTH
One shared EHR for the community of
providers
3. Medication lists,
reconciliations and drug
interactions across practices.
Lab Results automatically
assigned to the appropriate
physician and patient independent
of an electronic order.
All allergies are shared
across practices.
Shared patient ID, demographics, med list,
allergies, problem list, notes, etc.
Closed-loop ordering – referrals, tests, procedures
Uniform decision support
Advanced clinical information sharing
Support in achieving meaningful use
Real-time interfaces
Local payer pay for performance reporting
Local support
All social, family and past
medical history is available.
3
4. Patient identifier
Demographics & insurance
Lab orders and results (closed loop)
Radiology orders & results
Discharge summaries
Operative Notes
Histories & Physicals
ePrescribing to pharmacies
Tasks across practices
Referrals across practices (as tasks)
Enterprise Chart – eliminates the need for many other interfaces
Auto populates JCMR and NextGen report systems
Auto populates Phytel population management registries
Phytel calls to remind patients to make appointment for overdue
care
6. Half of our 140,000 active community patients have visited
more than one practice. By being connected to one enterprise
database, our doctors and caregivers simply have more valuable
and accurate data to take care of these patients.
7. Patient Centered Medical Home certified practices
Provider incentives
◦ PQRI/PQRS from Medicare
◦ e-Prescribing from Medicare
◦ PCMH from Blue Cross & Medicare
◦ PGIP from Blue Cross
◦ Meaningful Use - stage 1 certified from Medicare
Reduced duplication of tests (est. 15-20%)
Patient safety: medication interactions, pain contracts, doctor
hopping for meds… unknowable.
It’s Your Life in JCMR to coordinate goals with Primary Care
Physicians.
One click smoking cessation referrals and documented in
chart.
Diabetes tracking.
Automated outreach & new chronic disease registries
are getting patients in to see their physicians for
overdue care (Phytel)
8. Provider workflow is critical
◦ Primary Care
◦ Specialty Care
◦ Emergency Department
◦ Hospital…
Support team based care
◦ PCMH
◦ Top of license
◦ Care coordination
◦ Change management
Support population health management
◦ Patients that should see a provider
◦ Patient self-management
9. Testing MCIR to State of Michigan
Reviewing Qualified Data Services
Organization (QDSO) agreement
