Bringing Technology to the Rural Hospital Rural Telecon ‘07 October 17, 2007.

Bringing Technology to the Rural Hospital

Rural Telecon ‘07October 17, 2007

Rural Hospital in 1999• Information technology had arrived in other

industries and larger hospitals

• Small rural hospitals had only financial systems – some considering patient records

• Few computers; limited internet access

Critical Access Hospital Program• Illinois Department of Public Health – Center

for Rural Health – vision to provide funds for telehealth equipment and access to broadband

• Each new CAH received a grant for video equipment and access to broadband

• Hired a technology coordinator for this project

CAH Telehealth Services• Technical Assistance

• Video equipment – network can connect up to 4 sites (meetings and education)

• Internet/broadband access – increase technology and start

at PACS

Support of SIU School of Medicine Telehealth

• Education and Training as to how to use video conferencing

• Broadband support – started with 6 and now can access up to 14 sites interactively

• Grand Rounds

• Saved CAHs travel time and money as well as expanded opportunities

ICAHN Focus on HIT• Top Priority for critical access hospitals

• Video equipment and access for all members

• Increase awareness and provide information to members on best practices/equipment

• Continue to provide HIT technical assistance expertise

• Member survey

• HIT Workgroup

CAH Priority 2005• Electronic Health Record

• PACS

• Decision-making Programs

• E-Prescribing

• On-line Registration

• CPOE

ICAHN Member Survey 2006• All – Broadband access

• All – Financial systems (HIS)

• 95% - Video conferencing equipment

• 50% – Department programs

• 33% – PACS (Picture Archiving Computer Systems)

• 20% - Initiating Electronic Record

• 0% - Full integration

ICAHN – HIT Activities• 2006 Summit – brought groups together and

determined like systems

• Vendor Workshop 12/2006

• HIT User Group

• Technology Support

• Video conferencing programs

• Grants

• ICAHN HIT Workgroup

ICAHN Continue Focus• Eliminate the “digital divide” for the small

rural hospital (CAH)• Education and training• Grants• Resources – technical expertise• Member participation – meetings to share

information, concerns, ideas, success stories• Future projects…2007 fall meeting,

pharmacy project, PHIN

Rural Hospitals Today• Resources – Cost is tremendous

• Difficulty of duplication as we transition

• Multiple systems – how to connect

• Trained and available staff

• Good programs

• Public awareness

• ICAHN goal – continue to support our rural hospitals for connectivity

Pharmacy Night Service Beta Project

• Pharmacy User Group & HIT Workgroup• Premise: to provide cost effective remote

pharmacy approval of new orders using a single product capable of running multiple institutions and multiple formularies in a federated database.

• This solution would allow a single pharmacist to service multiple CAH concurrently.

Pharmacy Night Service Beta Project

• New orders would be scanned and uploaded thru a gateway to a facility specific folder

• Pharmacist on call would be notified• Pharmacist would review order utilizing beta

software• Pharmacist would approve the order and notify

CAH electronically or by label print.

Pharmacy Night Service Beta Project

• Scalability• Interfaces with hospital information system for

demographic data• Interfaces with hospital pharmacy system for

patient profiles• Interfaces with hospital information system for

charge passing.

Health Information Technology Network Implementation Grant

2007

• Awarded $1.6M by the U.S. Department of Health and Human Services, Health Resources and Services Administration to the Illinois Department of Public Health.

• IDPH has contracted with the Illinois Critical Access Hospital Network to oversee the project.

Health Information Technology Network Implementation Grant

2007• Formation of PHIN: Patient Health Information

Network• IDPH• ICAHN• Washington County Hospital• Salem Township Hospital• SSM St. Mary’s/Good Samaritan

Health Information Technology Network Implementation Grant

2007

• Phase I: Implement EHR solution in two CAH communities

• Phase II: Add a community component enabling additional health care providers to appropriately share information

Health Information Technology Network Implementation Grant

2007• Ultimate purpose of the project: Outcomes

• Improved documentation of care• More timely communication of clinical information and prevention

of duplicative services• Error reduction and quality enhancement through the use of

evidence-based clinical decision support software• Improve protection of health care information through digital

security and access authorization mechanisms• Improve data collection to support more rapid disease

surveillance and public health response

ICAHN HIT SUMMIT-NOV 13, 2007

• Ensuring Privacy & Security of Electronic Patient Information

• Personal Health Record • Software Demonstration

• National E-Rx Patient Safety Initiative • Software Demonstration

• Planning for Disaster Recovery & Business Continuity in our CAH

Bringing Technology to the Rural Hospital

Rural Telecon ‘07October 17, 2007

Kim Larkin, CIO Washington County [email protected]

Pat Schou, Executive Director ICAHN815-875-2999 [email protected]