alaska ed coordination project ashnha fly-in...edie alert in ed trackboard (epic) the information...

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Alaska ED Coordination Project ASHNHA Fly-in 2/27/18 Anne Zink, MD, FACEP, Mat-Su Regional Hospital Beth Davidson, PMP, State of AK Justin Keller, JD, MPH, Collective Medical

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Page 1: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

Alaska ED Coordination ProjectASHNHA Fly-in

2/27/18Anne Zink, MD, FACEP, Mat-Su Regional HospitalBeth Davidson, PMP, State of AK Justin Keller, JD, MPH, Collective Medical

Page 2: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

EDIE/Premange System

Collective Medical

Technologies

Primary Care Clinic

Behavioral HealthProvider

Health Plan

Case Management

Hospital Hospital

Hospital

• Actionable information, provided in real time• State/regional reach—one network• Catalyst for community and regional collaboration

EDIE* PreManage

* Emergency Department Information Exchange

Page 3: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

3 Source: Collective Medical Technologies

EDIE Alert in ED Trackboard (Epic)

Page 4: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Provide point of care, patient-specific guidelines for immediate use

This eliminates duplicative case management by clearly enabling a single lead case manager to “quarterback” the patient’s care management activities which leads to a common care guidelines across stakeholders.

Identifies providers on the patients’ care team

Provides recent summarized visits

Includes PDMP data where available; reducing ED physician need to query PDMP database separately

Captures recent patient security events, helping prevent patient-provider conflict

4

EDIE Alert Examples

Page 5: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

• 5 + ED Visits in 12 Months

• 3+ ED Visits in 3 different hospitals in prior 60 day period

• Care Recommendation(s) available

• Security Event(s) recorded for the patient

*Trigger criteria can be fine tuned based on committee feedback

Common Notification Criteria

Page 6: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Alaska Hospital UpdateHospital Status

Providence Alaska (PAMC, Kodiak, Valdez, Seward) Live, using EDIE, integrated with EPIC

Alaska Regional Hospital On hold for HCA project/security review

Mat-Su Regional Live, using EDIE, pushed to secure printer

ANTHC Still under contract review with legal/security

Central Peninsula Live, using EDIE, integrated with EPIC (Prov Community Connect)

South Peninsula Live, using EDIE, Paper-based ED, IP is Evident/CPSI

Fairbanks Memorial Contract in review with legal

Bartlett Regional Live, using EDIE, pushed to secure printer

Wrangell Medical Center Live, using EDIE, pushed to secure printer

Petersburg Medical Center Contract signed, beginning implementation (paper-based)

PeaceHealth Ketchikan Contract and IT work done—clinical contact needed to coordinate go-live

API No plans to connect directly to EDIE or Premanage, they are working on AeHN HIE connectivity

Page 7: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Alaska Non-Hospital Update

Entity Status

LaTouche Pediatrics Live on PreManage, mid-February

Alaska Heart & Vascular Institute Received Initial demo, contemplating next steps

Center for Human Development/Complex

Behavioral Health Collaborative

Early prospect, no demo scheduled yet

Benteh Nuutah Valley Native Primary Care Received initial demo, interested for primary care clinic

Links ADRC Hums Live on PreManage, mid-February

Catholic Social Services Early prospect, no demo scheduled yet

Page 8: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Usage Statistics: Notifications and Portal Use

0

200

400

600

800

1000

1200

1400

Notifications Sent - January 2018

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2

4

6

8

10

12

14

16

18

Facility Distinct Days Logged In

Page 9: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Usage Statistics: Content Creation

0

2

4

6

8

10

12

14

January 2018

New Authored Care Recommendations

New Authored Care Histories

New Authored Security Events

0

2

4

6

8

10

12

14

December 2017

New Authored Care Recommendations New Authored Care Histories

Page 10: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

• Appriss/CMT/ASHNHA/State of Alaska meetings• Review of agreements by State of Alaska legal• Board of Pharmacy regulation process• Final approval by State of Alaska• Go live

Prescription Drug Monitoring Update

Page 11: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Narcotic Guidelines

Page 12: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Workplace Violence Initiative & Security Alerts

• About ASHNHA’s Workplace Violence Initiative

• HB 312 Update• Security Alerts in Alaska

Page 13: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Security Events in Alaska Hospitals

0

2

4

6

8

10

12

14

January 2018

Page 14: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2016 Collective Medical Technologies™

Vision and Next Steps

• Continued onboarding• AeHN collaboration• Community-driven initiatives

Page 15: Alaska ED Coordination Project ASHNHA Fly-in...EDIE Alert in ED Trackboard (Epic) The information contained herein has been obtained from sources deemed to be reliable. No warranty

The information contained herein has been obtained from sources deemed to be reliable. No warranty as to the accuracy of this information, express or otherwise, is made or guaranteed. Strictly Confidential. ©2014 Collective Medical Technologies™

ASHNHA Project Lead

ACEP Project Lead

Onboarding Support

Customer and Technical Support

IT and Integration Support

Strategic and Tactical Support for State/Regional Efforts

Executive Sponsor

Connie Beemer, MBA, [email protected]

Anne Zink, MD, [email protected]

Brian Bench [email protected]

[email protected]

Dylan [email protected]

Justin [email protected]

Ben Zaniello MD [email protected]

For questions and follow up: