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.