Little Rock, Arkansas October 2020
Josh Wilson, PhD at (Independent Case Management) ICM, Inc. recalls instances when his staff were able to follow-up with customers (patients are customers at ICM) that had been at the local emergency room because of their connection to Arkansas’s statewide health information exchange or HIE, SHARE. Because the staff knew very well both the customer and the difficulty the customer was having, they were better equipped to provide home-based supports upon discharge, helping to avoid readmission. While there was time and money saved, the real value was more personal.
Dr. Wilson and ICM provide home and community-based supports to people with intellectual and developmental disabilities (IDD). ICM was initially set up to receive Alerts, real-time notifications of hospital admissions, discharges, or transfers (ADTs) on a list of customers they “subscribe to” through the HIE. When any individual on their subscribed list lands in or is discharged from a hospital, they receive an alert. While many people with IDD require 24/7 supports, some do not. This service had an immediate impact, according to Wilson. “It’s very helpful to know when someone is admitted to the hospital when we are not providing supports. During these instances, we can quickly follow-up with the medical staff and family to customize our supports as needed upon discharge,” he said.
ICM and many other SHARE participants who care for Individuals with Developmental Disabilities have reported that receiving Alerts has positively impacted how they support these customers. There are two primary ways that SHARE provides data – through Alerts and through access to the HIE Portal. An Alert provides notification of an event such as an ADT or an abnormal lab result. Participants can also access data through the virtual health record portal, such as information on a customer labs, diagnostic tests, or clinical notes. Participants pull reports (called continuity of care documents or CCDs) such as discharge summaries from the HIE portal. Many participants also use the Direct secure email service of the HIE that allows them to share messages and documents with other participants.
Created in 1988, ICM began as a pilot project in partnership with the state to implement a 1915c Medicaid home and community-based supports waiver for people with IDD. Today, ICM supports over 280 people with IDD. The majority of these people are supported within their homes by Direct Support Professionals to increase their independence and assist with activities of daily living such as bathing, dressing, personal hygiene, and socialization. Other services include applied behavior analysis therapies for children with autism, clinic-based habilitative services, and specialized foster care. To support pre-employment skill readiness, ICM owns and operates three retail stores (Bamboo, Biscuits, Brushes) in Little Rock and a fried pie manufacturing and delivery business (Flywheel Pies) in Prescott. The main administrative office is located in Little Rock, Arkansas.
About ICM, Inc.
ICM, a 501(c)(3) organization, is committed to providing exceptional home and community-based supports suited to the specific needs and goals of individuals who have intellectual and developmental disabilities throughout the state.
ICM’s mission is to provide excellent individualized services and supports to individuals and their families across Arkansas.
ICM’s vision is to provide the support necessary so that individuals remain in their community of choice, to experience and promote interactions with those around them and to provide the opportunities for an enhanced quality of life. ICM is honored to support everyone’s desire to live a meaningful life in the community they choose.
Visit https://www.icm-inc.org/ to learn more.
Little Rock, AR – October 2020
SHARE, the State Health Alliance for Records Exchange, announced today that Unity Health has successfully connected to its health information exchange (HIE) network. As the leading healthcare provider in an eight-county area, Unity Health associates strive to improve the quality of health and well-being for the communities it serves through compassionate care. The Unity Health System offer a combined total of 571 licensed beds and a medical staff of more than 160 physicians who specialize in various areas of healthcare.
The connection of Unity Health’s CPSI electronic medical record system with SHARE’s HIE greatly expands its capabilities to coordinate patient care quickly and efficiently with community providers throughout Arkansas. When a patient is hospitalized or has a medical test performed at the Unity Health, important health information is electronically recorded and automatically available to the patient’s care providers on the SHARE network, admission, discharge and transfer (ADT), laboratory results, radiology results, discharge summaries, allergies, transcription notes and vital information from admission and discharge.
This immediate communication helps the patient’s care team better track his or her medical needs, which can prevent repeat hospitalizations and redundant testing.
“Unity Health’s vital role in the community as leading healthcare provider in an eight-county area and major care provider for Arkansas residents makes this a very important partnership for SHARE,” says Justin Villines, SHARE HIT Policy Integrator. “We are thrilled to include these important clinical data in the HIE, especially during this pandemic when transparency and good communication is so important.”
“Unity Health is excited to be a part of the SHARE network. Their vast health information system will allow our patients to connect with the resources that they need,” says Phil Miller, Assistant Vice President/Chief Information Officer, Unity Health. “A core tenet of our mission is to achieve the best outcomes for our patients, and we are confident that this partnership advances that priority.”
About Unity Health
Unity Health - White County Medical Center
As the leading healthcare provider in an eight-county area, Unity Health associates strive to improve the quality of health and well-being for the communities it serves through compassionate care. Unity Health is the largest employer in the eight-county area with more than 2,350 associates. The facility has a combined total of 438 licensed beds and a medical staff of 150 physicians that specialize in various areas of healthcare. This facility is located in Searcy, Arkansas.
Services: Cardiac rehabilitation, Critical care, Emergency medicine, Home health, Maternity, Physical therapy, Radiology, Rehabilitation, Sleep medicine, and many more.
Unity Health - Harris Medical Center
Unity Health - Harris Medical Center is your community healthcare provider; a 133-bed facility with complete inpatient and outpatient care. We believe in the power of people to create great care. We are more than 250 healthcare professionals strong. We work hard every day to be a place of healing, caring, and connection for patients and families in the community we call home. This facility is located in Newport, Arkansas.
Services: Behavioral health services, Cosmetics, Emergency medicine, Family practice, General surgery, Obstetrics, and gynecology, Orthopaedics, Physical therapy, Podiatry, Radiology
Unity Health – Specialty Care and Advanced Care Hospital
Services: Inpatient Physical Rehabilitation, Inpatient Behavioral Health Service (adolescent, adult, and geriatric), Dialysis, Laboratory, Long-term acute care, Long-term antibiotic therapy, Nutritional support, Occupational therapy, Physical therapy, Radiology, Respiratory therapy, Speech therapy, Ventilator management and weaning, Wound management. This facility is located in Searcy, Arkansas.
Learn More: www.unity-health.org
Little Rock, Arkansas October 2020
“SHARE Alerts” are important and actionable electronic notifications triggered when patients are registered in the Emergency Department (ED) or are admitted to or discharged from a hospital. These real-time notifications provide information to Lee County Cooperative Clinics (LCCCs) about a patient’s medical services encounter (which may include diagnosis and procedures), demographics, as well as the date and time of the event. The timely collection and distribution of these “alerts” to the various members of a patient’s community-wide and multi-disciplinary care team facilitates the needed follow up care required to improve the overall quality as well as lower the cost of care delivered to patients.
The difficulty in collecting and distributing these “alerts” is exacerbated by the fact that the area’s hospitals and providers are all using disparate electronic health record (EHR) systems. State Health Alliance for Records Exchange (SHARE) provides the connectivity and interoperability infrastructure required to collect and deliver alerts to care teams across Arkansas’ healthcare landscape.
Over the past several years, patient-centered medical homes (PCMHs) and accountable care organizations (ACOs) have focused on promoting enhanced collaboration between health care providers and rewarding high-quality, cost-efficient care. These models have gained recognition for their ability to improve care transitions, decrease inappropriate utilization and reform other aspects of the fragmented US healthcare system. SHARE is assisting Lee County Cooperative Clinic’s that provides comprehensive medical services to underserved populations in Lee, Phillips-Lakeview, St. Francis-Madison, and Hughes in meeting several quality metrics associated with their FQHC ACO.
“We are designated as a Patient Centered Medical Home (PCMH). A big part of this designation is the communication between and among the patient’s providers,’” stated Kellee Mitchell Farris, PhD, Chief Executive Officer, Lee County Cooperative Clinic. “Just having the SHARE Continuity of Care Documents (CCDs) as a resource to follow-up with the patient is huge. We are trying to be very proactive in our care coordination. I think it has really improved the quality of care we provide our patients, said Farris.”
By viewing their patients’ health records in the SHARE web portal, also called the Virtual Health Record, Lee County Cooperative (4) Clinic’s know when any of its patients, including high-risk patients, are going to the emergency department from a historical view. In addition, the staff knows, daily, when patients are hospitalized. This is a game changer for the clinic, which previously did not have this information to manage their patient panel. Now, the clinics can contact patients to schedule follow-up appointments within 10 days, and by doing so, decrease the patients’ risk of another hospitalization.
The clinics’ integration with SHARE successfully provides true interoperability for the FQHC designated practices, which will greatly enhance the patient results available to their referral network throughout the delta region in Arkansas.
Lee County Cooperative Clinic provides comprehensive medical services to underserved populations in Lee, Phillips-Lakeview, St. Francis-Madison, and Hughes. Their main clinic is in Marianna at 530 W. Atkins Boulevard.
In 1969, Lee County Cooperative Clinic was established with support from the Office of Economic Opportunity. We also benefited from the services of physicians, nurses, and health advocates who were sponsored by VISTA.
Lee County Cooperative Clinic is recognized as a Patient-Centered Medical Home. The National Committee for Quality Assurance (NCQA) developed PCMH to assess whether clinician practices are functioning as medical homes and recognize them for these efforts.
LCCC is a Federally Qualified Health Center and funded by Health Resources and Services Administration. They have a staff of more than fifty qualified physicians, dentist, nurses, pharmacist, and support staff. Their services include but are not limited to family practice, patient education, specialist and treatment referrals, transportation, diagnostic imaging and testing, and social services. Services are offered on a sliding fee scale. Medicaid, Medicare, and private insurance are accepted. All patients have equal access to services regardless of source of payment.
Lee County Cooperative Clinic is an approved National Health Service Corp site.
Lee County Cooperative Clinic exists to maximize the health and wellness of the community through health promotion and education, providing affordable high-quality healthcare services and mobilizing health resources for residents.