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2010 Year in Review

Report to the HHC Board of Directors

 

To date, all 18 site applications reviewed by NCQA have been certified at level 3, the highest level. This means that 391 primary care providers, constituting 63% of our primary care providers, are now working within certified patient-centered medical homes for 80% of patients who are MetroPlus or HealthFirst Medicaid managed care members. We expect completion of the balance of the reviews by the end of March. If all of our primary care sites receive level 3 designations, HHC will qualify for more than $15 million in enhanced Medicaid reimbursement.

Electronic Health Records and Meaningful Use

In 2010 HHC’s Information Technology (IT) department, including facility IT staff, helped us move toward a system-wide fully integrated Electronic Health Record to support the care delivery innovations that enable our medical home and accountable care efforts. An important step in that process was the consolidation of seven data centers into one. As our enterprise-wide data integration becomes more comprehensive, the information available to physicians, nurses and other staff will minimize the repetition of diagnostic tests, imaging and procedures, while maximizing the instant availability of all pertinent patient-specific clinical information. This data integration is critical to the care coordination of patients receiving care across facilities.

Increased data integration will also help HHC satisfy “meaningful use” requirements under the 2009 American Recovery and Reinvestment Act (ARRA). Hospitals operating electronic medical record systems that meet such requirements can begin to receive significant federal funding under ARRA to defray related costs beginning later this year.

In addition to integration, meaningful use requirements include implementation of clinical decision support functionality that guides physicians in following evidence-based best clinical practices and automation of certain quality of care data reporting.

Thanks to the work of our IT department and facility staff, new database architecture necessary to ultimately meet “meaningful use” requirements is now in place at Harlem, Lincoln, Metropolitan, Coney Island, Elmhurst, Queens, and Woodhull Hospitals. Our remaining four acute care facilities are expected to come online in the spring of this year. This lays the groundwork for installing a fully certified version of our EMR software, QuadraMed CPR, which meets the technical meaningful use requirements, and to qualify us for an estimated $121 million in ARRA funding over the next four years.