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AK Health Information Exchange Integrates Care Coordination Tool - EHRIntelligence.com

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By Christopher Jason

- healtheConnect Alaska, the state’s non-profit statewide health information exchange (HIE), announced it is integrating an EHR platform to boost its population health management and care coordination across its acute, ambulatory, payer, and post-acute settings.

The HIE will use Collective Medical to cut costs and improve patient outcomes by mitigating opioid prescribing in emergency departments, increasing patient data flow between patients and providers, and enhancing patient transitions between settings.

“Alaska has expansive geography and many patients travel very long distances seeking care,” Elizabeth King, director of behavioral health and workforce for the Alaska State Hospital and Nursing Home Association, said in a statement. “Even with flying, it can take a patient from a rural community a day or more in travel time to reach a medical facility.

“That patient may then be transferred to a larger hospital for more specific treatment and then back to the community where the care originated. It is not uncommon for some patients to receive care from multiple clinicians in multiple facilities for the same medical condition, making care collaboration crucial in ensuring positive outcomes,” King continued.

The 11-year-old statewide HIE aids the state with public health reporting, patient datasets, and COVID-19 coordination. This partnership aims to enhance the HIE’s current information by identifying areas to enhance care decisions and boost patient care.

During a critical insight, the EHR-integrated platform will notify the specific care setting and inform those providers on how to intervene and care for the patient. This real-time insight aims to give patients the best care at a lower cost.

Recently, Alaskan lawmakers established The ED Coordination Project, intending to advance the state’s goal of providers having access to complete patient health records across the state.

“With multiple healthcare crises, including the COVID-19 pandemic and an alarming trend of increased overdoses and substance use disorder, coordination in healthcare is more crucial than ever,” said Laura Young, executive director of healtheConnect Alaska.

“By collaborating, Collective and healtheConnect Alaska can support care teams across all points of care with real-time insights and access to deep clinical data so that they can make the most informed care decisions possible.”

The state of Alaska has had its issues with interoperability and patient data exchange due to it being an extremely rural state with limited resources.

To boost healthcare for American Indian and Alaska Natives (AI/AN) peoples, a group of researchers said the Indian Health Service (IHS) should urge Congress to step in financially and support oversight of a health information technology (HIT) program.

However, this overhaul process is complicated due to the array of tribes and people that IHS represents. AI/AN populations are not a monolith, and therefore it is difficult for the US government to effectively manage a health IT program that will be workable for all tribes or nations.

IHS provides health services to 574 recognized tribes, which makes up roughly 2.5 million AI/AN people, Regenstrief Institute and Indiana University School of Medicine researchers wrote in a 2020 Health Affairs blog post.

The Health and Human Services (HHS) Office of the Chief Technology and researchers from the Regenstrief found the health IT system, Resource and Patient Management System (RPMS), was behind current HIT capabilities, and the system will not be viable within ten years.

The groups identified a lack of interoperability between most IHS facilities. With many nomadic tribes maintaining their ancestors’ traditions, interoperability is crucial to the success of the HIT system. Without interoperability, AI/AN peoples cannot access their medical information and family medical history.

The Health Affairs authors recommended IHS contact the Department of Defense (DoD) and the Department of Veterans Affairs (VA) to learn more about improving HIT structure and interoperability. It could also use the DoD and VA as examples of how to leverage the government for health IT financial aid.

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