Alliancechicago

HEALTH CENTER CONTROLLED NETWORK

HEALTH CENTER CONTROLLED NETWORK - ALLIANCECHICAGO (AC), IN PARTNERSHIP WITH THE ILLINOIS PRIMARY HEALTH CARE ASSOCIATION (IPHCA), IS PLEASED TO SUBMIT AN APPLICATION ON BEHALF OF THE PARTNERSHIP FOR TECHNOLOGY-ENABLED TRANSFORMATION IN COMMUNITY HEALTH (P-TECH) NETWORK TO SUPPORT 46 PARTICIPATING HEALTH CENTERS (PHC) COMMITTED TO ENHANCING CLINICAL QUALITY, PATIENT-CENTERED CARE AND PROVIDER AND STAFF WELL-BEING. ALLIANCECHICAGO, ONE OF THE OLDEST AND MOST RESPECTED HRSA-FUNDED HEALTH CENTER CONTROLLED NETWORKS (HCCN), HAS 25 YEARS OF EXPERIENCE IN DEVELOPING SHARED INFRASTRUCTURE FOR CUTTING-EDGE USE OF ELECTRONIC HEALTH RECORDS SYSTEMS (EHRS) AND OTHER HEALTH INFORMATION TECHNOLOGY (HIT). AC LINKS MORE THAN 60 CHCS ACROSS ILLINOIS AND 16 OTHER STATES THAT REACH MORE THAN 3.9 MILLION HIGHLY DIVERSE PATIENTS. HEALTH CENTERS FACE BOTH GENERAL AND SPECIFIC CHALLENGES AND EACH PHC REQUIRES CUSTOMIZED SUPPORT FOR THEIR SPECIFIC NEEDS IN RELATION TO CLINICAL QUALITY, PATIENT-CENTERED CARE, AND PROVIDER AND STAFF WELL-BEING. CHALLENGES SPAN ALL THREE OBJECTIVES OF OUR WORK PLAN AND INCLUDE THE FOLLOWING: PATIENT ENGAGEMENT, PATIENT PRIVACY AND CYBERSECURITY, SOCIAL RISK FACTOR INTERVENTION, DISAGGREGATED, PATIENT-LEVEL DATA, INTEROPERABLE DATA EXCHANGE AND INTEGRATION, DATA UTILIZATION, LEVERAGING DIGITAL HEALTH TOOL, HEALTH IT USABILITY AND ADOPTION, HEALTH EQUITY, IMPROVING DIGITAL HEALTH TOOLS. THE P-TECH PROJECT WORK PLAN WAS INSPIRED BY HRSA AND DESIGNED WITH DETAILED INPUT FROM PHCS, AC, IPHCA, AND OTHER STAKEHOLDERS. THE WORK PLAN ADDRESSES ALL REQUIRED GOALS AND OBJECTIVES AND IS INCLUDED FOR HRSA’S CONSIDERATION AND FEEDBACK FOR ITS STRUCTURE AND APPROACH. P-TECH MASTER WORK PLAN OUTLINES A SET OF GENERAL APPROACHES TO MEET THE GOALS OF THIS INITIATIVE. AN INDIVIDUALIZED WORK PLAN WILL BE DEVELOPED FOR EACH PHC WITHIN 90 DAYS OF AWARD. AT THE BEGINNING OF THE PROJECT, AC WILL CONDUCT A SITE VISIT TO REVIEW BASELINE, DISCUSS GENERAL APPROACHES, AND TAILOR PLANS TO TH E SPECIFIC NEEDS AND PRIORITIES OF EACH OF THE PHCS. THROUGHOUT ITS HISTORY AS AN HCCN, AC HAS FOCUSED ON DEVELOPING A SET OF CAPABILITIES TO SUPPORT ADOPTION AND THE ONGOING USE OF HIT. THESE CAPABILITIES HAVE EVOLVED FROM SUPPORTING EARLY EHRS ADOPTION AND OPTIMIZATION, TO ENCOMPASS DATA ANALYTICS, POPULATION MANAGEMENT, AND CONSUMER ENGAGEMENT TECHNOLOGIES. THE EVER-CHANGING HIT PROVIDES THE TOOLS AND FRAMEWORK FOR PRACTICE TRANSFORMATION. THESE CAPABILITIES HAVE ENABLED AC TO SUPPORT TECHNOLOGY ADOPTION BY HEALTH CENTERS AND INTERFACE WITH HEALTH INFORMATION EXCHANGES (HIE) INCLUDING IMMUNIZATION REGISTRIES AND OTHER REGISTRIES. AC’S DATA ANALYTICS PLATFORM, IN CONJUNCTION WITH HEALTH CHOICE NETWORK, SPANS OVER 8 MILLION PATIENTS. ALLIANCECHICAGO IS COMMITTED TO CONTINUING TO LEAD THE P-TECH PROJECT AND SUPPORT PHCS IN OPTIMALLY SERVING THEIR PATIENTS, FAMILIES AND COMMUNITIES. AC, ALONG WITH IPHCA, WILL RELY HEAVILY ON THEIR ESTABLISHED PARTNERSHIPS FOR A COLLABORATIVE APPROACH TO REGIONAL AND NATIONAL HEALTHCARE DELIVERY. AC HAS SUBSTANTIATED EVALUATION MEASURES, RESOURCE CAPABILITIES, AND GOVERNANCE STRUCTURES IN PLACE TO SEAMLESSLY CONTINUE THE PTECH PROJECT FROM 2022-2025 WITHOUT DISRUPTION.

PREGNANT PEOPLE-INFANT SURVEILLANCE FOR PUBLIC HEALTH OUTCOMES THROUGH INTEROPERABILITY IN CHICAGO (PINPOINT-CHI)

ALIGNING HOUSING AND HEALTHCARE - ALLIANCECHICAGO, A HEALTH RESOURCES AND SERVICES ADMINISTRATION FUNDED HEALTH CENTER CONTROLLED NETWORK WITH DECADES EXPERIENCE LEADING CUTTING EDGE HEALTH INFORMATION TECHNOLOGY INITIATIVES IN THE SAFETY NET PARTNERS WITH HEARTLAND ALLIANCE HEALTH (A COMMUNITY HEALTH CENTER), CHICAGO HOUSE (A COMMUNITY-BASED HOMELESS SERVICE ORGANIZATION), EMI ADVISORS AND NORC AT THE UNIVERSITY OF CHICAGO TO PROTOTYPE A SHARED INTEROPERABLE CARE PLAN. THE PROJECT LEVERAGES FHIR-BASED RESOURCES AND THE EXPERIENCE AND CAPABILITIES OF A STRONG PARTNERSHIP TO ENABLE SERVICE PROVIDERS TO BREAK DOWN BARRIERS TO INTEGRATION AND COORDINATION OF SERVICES IN ORDER TO BETTER ADDRESS SOCIAL DETERMINANTS OF HEALTH FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. THE PROJECT ENTAILS IMPLEMENTATION OF A FUNCTIONAL SHARED INTEROPERABLE CARE PLAN THAT SPANS THE COLLECTIVE DOMAINS OF NEEDS AND SERVICES OF THE TWO SERVICE ORGANIZATIONS USING DISPARATE INFORMATION SYSTEMS/TECHNOLOGY. BY SUCCESSFUL DEMONSTRATION OF THIS USE CASE ACROSS THE TWO PARTICIPATING SERVICE ORGANIZATIONS WITH THE TWO-YEAR PERIOD, WE PAVE THE WAY FOR REALIZING THE APPLICATION OF THE DEMONSTRATED TECHNICAL APPLICATION TO SCALE TO ANY POPULATION AND COLLECTION OF SERVICE PROVIDERS. IN FOLLOWING YEARS, WE CONTEMPLATE SCALING THE SOLUTION ACROSS ADDITIONAL SERVICE PROVIDERS, AND TO OTHER POPULATIONS SERVED.

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTER CONTROLLED NETWORKS

EMERGING ISSUES IN MCH

THE COMMUNITY HEALTH CENTER - REPRODUCTIVE LIFE PLAN (CHC-RLP) PROJECT - PROJECT SUMMARY/ABSTRACT BACKGROUND: A KEY STRATEGY TO THE PREVENTION OF ADVERSE MATERNAL AND CHILD OUTCOMES, LIKE MATERNAL AND INFANT MORTALITY, IS THE DELIVERY OF HIGH-QUALITY HEALTH CARE BEFORE AND AFTER PREGNANCY (PRE AND INTER-CONCEPTION CARE). IN THESE ENCOUNTERS, THE EXPLORATION OF PATIENTS’ PREGNANCY DESIRES ALLOWS FOR THE PROVISION OF PATIENT- CENTERED COUNSELING AND SERVICES BASED ON THOSE GOALS TO SUPPORT THE HEALTH OF FUTURE PREGNANCIES AND PREVENT UNINTENDED ONES. PRIMARY CARE PROVIDERS (PCPS), WHO CARE FOR MOST NON-PREGNANT WOMEN OF REPRODUCTIVE AGE, ARE ESSENTIAL PARTNERS IN THIS EFFORT, YET STUDIES SHOW THEY ARE LESS LIKELY THAN THEIR OBSTETRIC COUNTERPARTS TO PROVIDE PRECONCEPTION OR CONTRACEPTIVE HEALTH CARE. STRUCTURED REPRODUCTIVE HEALTH ASSESSMENTS, KNOWN AS REPRODUCTIVE LIFE PLANS (RLP), HAVE BEEN PROMOTED AS A STRATEGY TO ROUTINELY INTEGRATE PRECONCEPTION CARE INTO CLINICAL CARE, AND ONE SUCH TOOL, ONE KEY QUESTION® (OKQ), HOLDS PARTICULAR PROMISE FOR PCPS, AS IT ALLOWS FOR A MEANINGFUL, BRIEF, ASSESSMENT WITHOUT THE NEED TO BE A REPRODUCTIVE HEALTH EXPERT. OBJECTIVES: THE COMMUNITY HEALTH CENTER-REPRODUCTIVE LIFE PLAN (CHC-RLP) PROJECT, LED BY ALLIANCECHICAGO, A HRSA FUNDED HEALTH CENTER-CONTROLLED NETWORK WITH A SHARED DATA INFRASTRUCTURE INCLUDING OKQ® AS A STRUCTURED FIELD, WILL ASSESS THE IMPACT OF OKQ® IMPLEMENTATION ON REPRODUCTIVE HEALTH METRICS IN THE COMMUNITY HEALTH, PRIMARY CARE, SETTING. IN PARTNERSHIP WITH FRIEND HEALTH, A CHC IN THE SOUTH SIDE OF CHICAGO, AND A TEAM OF RESEARCHERS, THE CHC-RLP PROJECT WILL ACHIEVE TWO SPECIFIC AIMS: 1) CONDUCT A STRUCTURED TRAINING FOR OKQ® IMPLEMENTATION, HARNESSING THE ELECTRONIC HEALTH RECORD (EHR) AS A TOOL; AND 2) LEVERAGE EHR DATA AND UTILIZE AN IMPLEMENTATION SCIENCE FRAMEWORK TO DETERMINE WHETHER OKQ® IMPLEMENTATION INFLUENCES REPRODUCTIVE HEALTH (PRECONCEPTION AND CONTRACEPTIVE CARE) METRICS. METHODS: THIS RANDOMIZED CONTROL TRIAL WILL BE GUIDED BY THE REACH, EFFECTIVENESS, ADOPTION, IMPLEMENTATION AND MAINTENANCE, (RE-AIM) FRAMEWORK. RANDOMIZATION WILL OCCUR AT THE LEVEL OF THE PRIMARY CARE PROVIDER, AND RANDOMIZED PROVIDERS WILL RECEIVE STRUCTURED OKQ® TRAINING, INCLUDING BOTH CLINICAL GUIDANCE AS WELL AS SUPPORT FOR INCORPORATING OKQ® INTO CLINIC WORKFLOW AND DOCUMENTATION IN THE EHR. AFTER 12 MONTHS OF IMPLEMENTATION, EHR DATA ON SERVICE PROVISION AND OUTCOMES WILL BE EXPLORED TO DETERMINE SUCCESS OF THE IMPLEMENTATION AND DIFFERENCES IN REPRODUCTIVE HEALTH OUTCOMES (CONTRACEPTIVE PROVISION AND FOLIC ACID SUPPLEMENTATION) BETWEEN THE PATIENTS WHO RECEIVED CARE FROM THE PROVIDERS IN THE INTERVENTION GROUP AS COMPARED TO PATIENTS FROM THE PROVIDERS IN THE CONTROL, USUAL-CARE, GROUP. IMPLICATIONS OF EXPECTED FINDINGS: THE RESULTS WILL INFORM A FUTURE LARGE-SCALE EFFICACY TRIAL, WHICH HAS THE POTENTIAL TO LEAD THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO ENDORSE RLP AS A QUALITY METRIC, AND FURTHER VALIDATE THE NOTION OF HEALTH INFORMATION TECHNOLOGY AS A TOOL TO MITIGATE HEALTH DISPARITIES.