Health Information Technology 

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Electronic Health Record Implementation, Support and Optimization

DCPCA hosts and maintains electronic health records for seven community health center providers and provides training and technical support for health center staff in the effective use of the technology. We also provide technology management support to our health centers, the District’s Managed Care Organizations, and the DC Department of Health for several population health data acquisition and analysis efforts.

DCPCA also hosts and operates an eClinicalWorks EMR system infrastructure that provides direct access to real-time primary care encounter and utilization data for more than 300 providers delivering health care services at seven community health centers. Through this mechanism, we are able to categorize, aggregate, and report health care data and quality metrics for nearly 40,000 patients.

Additionally, DCPCA operates the DC Regional Extension Center (REC), known as eHealthDC, under a 4-year Cooperative Agreement from Department of Health and Human Services (HHS), Office of the National Coordinator (ONC) for Health IT. One of 62 RECs across the country, the DC REC has provided technical assistance to primary care providers in the DC service area to facilitate their adoption of certified EHR technologies and achievement of the Meaningful Use (MU) of those technologies. The DC REC is the second REC in the nation to have achieved 100% of its goals for the number of primary care providers meeting MU guidelines.To date, we have enrolled nearly 1,200 primary care providers in our technical assistance program, 861 of which have achieved Stage 1 MU, enabling them to receive Medicare or Medicaid incentive payments, if eligible. 287 of the providers enrolled in eHealthDC represent FQHCs. Of that number, 199 providers (69 percent) have achieved Stage 1 Meaningful Use.

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Health Information Exchange Implementation and Operations

DCPCA participates as a key stakeholder on the DC HIE Policy Board, which was established in February 2012. The purpose of the Board is to advise the Mayor, the Director of the Department of Health Care Finance (DHCF), and other District agencies, regarding the implementation of secure, protected health information benefitting District stakeholders in accordance with DHCF HIE Action Plan. Members of the DCPCA Health Information Technology team provide HIT expertise and counsel and assist in the development of the Health Information Exchange for the District as a means for driving improvements in population health.

Capital Partners in Care (CPC) Health Information Exchange (HIE)

DCPCA is providing governance and operations management and data reporting services for the Capital Partners in Care (CPC) Health Information Exchange (HIE) to support the care management objectives of the Capital Clinical Integrated Network (CCIN), which is a CMMI-funded initiative that provides care management services to high-cost underserved residents of the District of Columbia. DCPCA manages the operation of the CPC HIE which captures real-time primary care encounters and utilization data for a total of 1100 providers offering health care services at more than 50 care delivery sites. The CPC HIE, DCPCA offers the ability to produce quality, access and utilization metrics for more than 200,000 patients receiving care at participating provider facilities. Additionally, the integration of the CPC HIE with the MD CRISP HIE offers access to real-time hospital admissions data for all CPC HIE patients within the CPC HIE, which gives us the capability to provide data that facilitates care transitions and enhances care coordination across healthcare settings.

Prevention at Home (PAH)

DCPCA has joined together with the George Washington University on a Centers for Medicare and Medicaid Services Innovation project called "Prevention at Home: A Model for Novel use of Mobile Technologies and Integrated Care Systems to Improve HIV Prevention and Care While Lowering Costs." The project will test a model that will utilize mobile technologies and optimize the prevention and care continuum for HIV+ individuals. DCPCA provides oversight, coordination and technical services to support the implementation and integration of the clinical data systems that comprise the Prevention at Home (PAH) patient care management system and also provides governance, management and technical services to support the continued operation and maintenance of the clinical system components of the integrated PAH system.

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Data Management

Improvements in population health require the implementation of new care delivery models and a data system that can integrate across sites of care and over time. The care management, coordination, and quality improvement efforts necessary to transform health outcomes and contain costs cannot be achieved without access to meaningful data. The Health Information Technology team supports these efforts through a variety of initiatives.

DC Million Hearts State Learning Collaborative

DCPCA is working in partnership with the DC Department of Health (DOH), DC-based MedStar hospitals, Providence Hospital, George Washington University’s Milken School of Public Health, Unity Healthcare and Delmarva Foundation to use quality metrics to identify patients with poorly-controlled hypertension and employ Quality Improvement principles to drive improvements in care and decrease the incidence of preventable heart attacks and stroke. DCPCA produces aggregate reports of NQF18 measures as well as registries that identify specific patients who are out of compliance with NQF guidelines. These data reports are used by clinicians to define and execute intervention strategies that will impact compliance with NQF standards.

QualIT Care Alliance

DCPCA and the Health Center Network of New York (HCNNY) have joined together to establish a cross-regional collaboration that helps providers at participating Community Health Centers:

1. To achieve Meaningful Use (MU);

2. To improve at least one UDS Clinical Quality Measure beyond the Healthy People 2020 goal; and

3. To achieve, increase, or maintain PCMH recognition throughout the three-year project period.

The overarching theme of the QualIT Alliance initiative, which includes health centers from New York, New Jersey, Florida, Pennsylvania, and the District of Columbia, is to improve the standardized capture of patient clinical data to drive clinical quality improvement and support health information exchange. We generate monthly reports of metrics for hypertension and diabetes management, as well as cancer screenings, to identify opportunities for provider performance and/or practice workflow improvements. 

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