Community Health Access Network

HEALTH CENTER CONTROLLED NETWORK - PROJECT TITLE: COMMUNITY HEALTH ACCESS NETWORK HCCN 2022 APPLICANT ORGANIZATION NAME: COMMUNITY HEALTH ACCESS NETWORK (CHAN), A HCCN CURRENT HEALTH CENTER CONTROLLED NETWORK (HCCN) GRANT NO: H2QCS30248 ADDRESS: 207 SOUTH MAIN STREET, NEWMARKET, NH 03857 PROJECT DIRECTOR: JOAN TULK PHONE/FAX: 603-292-7284/603-292-1036 EMAIL: JTULK@CHAN-NH.ORG WEBSITE: WWW.CHAN-NH.ORG FUNDING REQUESTED: $2,625,000.00 PROJECT ABSTRACT IN ORDER TO LEVERAGE HEALTH INFORMATION TECHNOLOGY AND DATA TO DELIVER HIGH QUALITY, CULTURALLY COMPETENT, EQUITABLE, AND COMPREHENSIVE PRIMARY HEALTH CARE, THE BUREAU OF PRIMARY HEALTH CARE’S (BPHC)’S 330 GRANTEES HAVE A COMMON SET OF FOCUS AREAS WHICH INCLUDE IMPROVING (1) CLINICAL QUALITY, (2) PATIENT-CENTERED CARE, AND (3) PROVIDER AND STAFF WELL-BEING. THESE AREAS ARE UNIVERSAL, REGARDLESS OF STATE OR REGIONAL LOCATION, AND CAN BEST BE TACKLED CENTRALLY THROUGH SHARED RESOURCES AND TOOLS. HEALTH CENTER CONTROLLED NETWORKS (HCCNS) ARE UNIQUELY POSITIONED TO SUPPORT PARTICIPATING HEALTH CENTERS (PHCS) IN ACCOMPLISHING THESE GOALS. AS A ROBUST HCCN ESTABLISHED MORE THAN TWENTY YEARS AGO WITH A HISTORY OF SUCCESSFUL NETWORK PARTNERSHIPS, CHAN IS APPLYING FOR A FOURTH ROUND OF HCCN FUNDING IN COLLABORATION WITH (1) THE VERMONT RURAL HEALTH ASSOCIATION (VRHA), AN HCCN PROGRAM OF BI-STATE PRIMARY CARE ASSOCIATION AND (2) BREAKWATER HEALTH NETWORK (BHN); BOTH SUB-RECIPIENTS FOR THIS APPLICATION. OUR PROPOSED PROJECT IDENTIFIES SEVERAL COMMON AREAS OF HEALTH CENTER FOCUS WHERE CHAN AND OUR NETWORK PARTNERS CAN COLLABORATE ON THE FOLLOWING OBJECTIVES: (1) PATIENT ENGAGEMENT – WE WILL EXPLORE PATIENT AND PROVIDER COMFORT IN ASYNCHRONOUS ENGAGEMENT AS WELL AS TECHNOLOGY OPTIONS TO PRESENT OPPORTUNITIES TO PHCS. (2) PATIENT PRIVACY AND CYBERSECURITY – WE WILL MAKE AVAILABLE A LIBRARY OF RESOURCES (TEMPLATE POLICIES AND PROCEDURES) TO PHCS AND NEGOTIATE GROUP PURCHASES OF SECURITY RISK ASSESSMENTS AND RELATED T/TA. (3) SOCI AL RISK FACTOR INTERVENTION – WE WILL PROVIDE DATA RESOURCES TO IMPROVE DATA COLLECTION, DATA ANALYSIS AND EXPLORE AND PLAN EHR INTEGRATION WITH CLOSED-LOOP E-REFERRAL SOURCES. (4) DISAGGREGATED, PATIENT-LEVEL DATA – WE WILL EDUCATE OURSELVES AND OUR PHCS ON UDS+ REQUIREMENTS, SUPPORTING THEM AS THEY NAVIGATE THIS NEW PROCESS AND TECHNOLOGY. (5) INTEROPERABLE DATA EXCHANGE AND INTEGRATION – WE WILL SUPPORT PHCS INTEGRATING DATA FROM CLINICAL AND NON-CLINICAL SOURCES, INCLUDING FROM HEALTH INFORMATION EXCHANGES, IMMUNIZATION REGISTRIES, MEDICAID PROGRAMS, AND/OR CMS. (6) DATA UTILIZATION – WE WILL EXPAND OUR DATA REPORTING AND ANALYSIS TOOLS AND TEACH OUR PHCS HOW TO TURN THEIR DATA INTO INFORMATION. (7, 10) LEVERAGING AND IMPROVING DIGITAL HEALTH TOOLS – WE WILL STRUCTURE FORMAL TRAININGS TO MEET EDUCATIONAL NEEDS AND INCLUDE A FOCUS ON THE HUMAN ASPECTS OF DIGITAL WORKFLOWS. (8) HEALTH INFORMATION TECHNOLOGY AND ADOPTION – WE WILL SEEK NEEDS FROM PHCS AND ASSIST HEALTH CENTERS IN IMPLEMENTATION OF NEW TECHNOLOGY. (9) HEALTH EQUITY – WE WILL EXPLORE PHC READINESS FOR HEALTH EQUITY ACTIVITIES AND WORK WITH DIGITAL TOOLS TO ADDRESS SPECIFIC NEEDS OF SUBPOPULATIONS AS DETERMINED BY PHC DATA AND IDENTIFIED NEEDS. OUR NETWORK COLLABORATIVE SUPPORTS 29 PHCS: 28 FQHC PROGRAM AWARD RECIPIENTS AND 1 FQHC LOOK-ALIKE. OUR PHCS SPAN ABOUT 160 SITES (PLUS MULTIPLE PROGRAMS AT SCHOOLS AND COMMUNITY MENTAL HEALTH CENTERS AND MOBILE VANS) AND THE EIGHT (8) STATES OF NH, TX, VT, MN, IL, IA, WI AND ND. THIS PROJECT HAS POTENTIAL TO IMPACT UP TO 320,000 PATIENTS, 31% AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL), 14% UNINSURED, AND 31% ON MEDICAID. SEVERAL OF THE PHCS HAVE AN EMPHASIS ON AGRICULTURAL WORKERS AND HOMELESS POPULATIONS.

HEALTH CENTER CONTROLLED NETWORKS

HEALTH CENTER CONTROLLED NETWORKS

HEALTH CENTER CONTROLLED NETWORKS

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - NON-CONSTRUCTION - COMMUNITY HEALTH ACCESS NETWORK 207 S MAIN ST NEWMARKET, NH 03857-1843 PROJECT DIRECTOR: JOAN TULK PHONE: (603) 292-7284 FAX: (603) 292-1036 EMAIL: JTULK@CHAN-NH.ORG WEBSITE: WWW.CHAN-NH.ORG FUNDS REQUESTED: $700,000 COMMUNITY HEALTH ACCESS NETWORK (CHAN) IS A HEALTH CENTER CONTROLLED NETWORK (HCCN) THAT IS A NON-PROFIT ORGANIZATION (501(C)(3) ESTABLISHED IN NH 20+ YEARS AGO TO ASSIST HEALTH CENTERS IN MANAGING INFORMATION TECHNOLOGY AND RESPONDING TO CHANGES TO NH’S HEALTH CARE SYSTEM, INCLUDING THE MOVE TOWARD MANAGED CARE. CHAN'S NH MEMBERS ARE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND INCLUDE HEALTHCARE FOR THE HOMELESS: MANCHESTER; AMOSKEAG HEALTH: MANCHESTER; HEALTHFIRST: FRANKLIN, LACONIA; GREATER SEACOAST COMMUNITY HEALTH CENTER: PORTSMOUTH, SOMERSWORTH, DOVER; LAMPREY HEALTH CARE: NEWMARKET, RAYMOND, NASHUA. CHAN MANAGES THE EMR (ELECTRONIC MEDICAL RECORD) AND PM (PRACTICE MANAGEMENT) SYSTEMS USED BY MOST OF THE FEDERALLY-QUALIFIED HEALTH CENTERS IN NH, FOR THE DELIVERY AND DOCUMENTATION OF PATIENT CARE. IN ADDITION, CHAN ASSISTS THE HEALTH CENTERS WITH DATA ANALYSIS AND REPORTING. THESE TOOLS ARE CRITICAL TO THEIR ABILITY TO PROVIDE QUALITY CARE AND TRANSITION TO VALUE-BASED CARE. AT THIS TIME, THE HEALTH CENTERS ARE CONFRONTED WITH A SIGNIFICANT SET OF TECHNICAL CHALLENGES. THE CURRENT EMR AND PM SYSTEMS BEING USED ARE DATED. THE PRIMARY PRODUCT, ORIGINALLY CALLED GE CENTRICITY, WAS BOUGHT OUT AND THE CURRENT VENDOR IS BEGINNING TO DECREASE SUPPORT OF THE PRODUCT. IT HAS ALREADY ANNOUNCED DISCONTINUED SUPPORT FOR E-PRESCRIBING, PATIENT PORTAL, SECURE MESSAGING AND DOCUMENT MANAGEMENT TOOLS. AS A RESULT, THE HEALTH CENTERS HAVE DETERMINED THE NEED TO TRANSITION TO A NEW SYSTEM ASAP. A COMMITTEE OF HEALTH CENTER REPRESENTATIVES HAS BEEN ESTABLISHED, AN RFP DEVELOPED AND WE ARE CURRENTLY VETTING VENDOR PROPOSALS. THE EXPENSES RELATED WITH THE PROPOSED IMPLEMENTATION WILL BE SIGNIFICANT. IN ADDITION TO HIGHER PURCHASE PRI CES FOR SUCH SYSTEMS IN TODAY'S MARKET (DUE TO INCREASED FUNCTIONALITY, AS WELL AS INFLATION), CHAN AND THE HEALTH CENTERS WILL NEED TO PAY IMPLEMENTATION COSTS SUCH AS, SYSTEM CONFIGURATION, DATA CONVERSIONS, TESTING, STAFF TRAINING, AND BUILDING NEW INTERFACES WITH HOSPITALS, LABS, THE IMMUNIZATION REGISTRY, ETC. WE WILL ALSO NEED TO CONTINUE TO SUPPORT THE CURRENT SYSTEMS DURING THE TRANSITION AND ARCHIVE OLD DATA THAT MUST BE RETAINED FOR LEGAL PURPOSES. THIS FUNDING WILL BE UTILIZED TO SUPPORT THE ACTIVITIES NEEDED TO IMPLEMENT THE FOLLOWING SYSTEMS ON BEHALF OF SEVERAL FQHCS IN NEW HAMPSHIRE: - A NEW ELECTRONIC MEDICAL RECORD (EMR) SYSTEM - A NEW PRACTICE MANAGEMENT/REVENUE CYCLE MANAGEMENT SYSTEM (RCM) - ANCILLARY HEALTH CARE TECHNOLOGIES SUCH AS: PATIENT PORTAL PATIENT ENGAGEMENT SOFTWARE (PATIENT OUTREACH, APPOINTMENT REMINDERS, ETC.) PATIENT REMINDER SYSTEMS POPULATION HEALTH MANAGEMENT SOFTWARE PATIENT CHRONIC DISEASE MANAGEMENT SYSTEMS (SUCH AS, DISEASE REGISTRIES, CARE MANAGEMENT TOOLS) INTERFACES BETWEEN EMR, RCM AND THE OTHER SYSTEMS MENTIONED ABOVE TELEHEALTH PLATFORMS DOCUMENT MANAGEMENT THE FOLLOWING ACTIVITIES ARE INCLUDED IN THIS SYSTEM IMPLEMENTATION. HEALTH IT CONSULTATION, PRODUCT RESEARCH AND EVALUATION, STEERING COMMITTEE FACILITATION, TOTAL COST OF OWNERSHIP CALCULATION, PURCHASE DECISION, VENDOR CONTRACT NEGOTIATIONS AND RELATED COSTS, WORK PLAN DEVELOPMENT, PROJECT MANAGEMENT, T/TA ON CHANGE MANAGEMENT AND IMPLEMENTATION OF CHANGE MANAGEMENT STRATEGIES, DATA CONVERSION(S) PLANS, INTERFACE INVENTORY AND DEVELOPMENT PLANS, DETERMINATION OF REQUIRED HARDWARE PURCHASE AND CONFIGURATION, SOFTWARE CONFIGURATION, TESTING, END-USER TRAINING PLANS

ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION

HEALTH INFORMATION TECHNOLOGY INNOVATION INITIATIVE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTER CONTROLLED NETWORKS

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM