Mass. Safety Net Hospitals Land $628M For Transformation
Health IT infrastructure improvements will be part of healthcare delivery changes supported by federal and state funding.
11 Healthcare-Focused Business Intelligence Tools
(click image for larger view and for slideshow)
Safety net hospitals in Massachusetts are set to receive $628 million in federal and state funds to transform how they deliver healthcare in accordance with healthcare reform principles. A significant chunk of this investment will go into bolstering the hospitals' health IT infrastructures.
The Obama Administration on May 21 approved Massachusetts' "master plan" for the Delivery System Transformation Initiatives (DSTI) program. Half of the money to be spent on DSTI--$314 million--will come directly from the state, according to the Massachusetts Department of Health and Human Services.
Massachusetts has been in the forefront of national healthcare reform since 2006, when then Gov. Mitt Romney signed into effect the state's healthcare reform law. That statute led to near-universal insurance coverage in Massachusetts, but failed to curb cost growth. Currently, the state legislature is debating a bill that would cap healthcare spending, impose a tax on hospitals that charged too much, and encourage prepayment for healthcare, among other things.
Seven safety net hospitals have been designated to receive DSTI funds, including Boston Medical Center, Cambridge Health Alliance, Holyoke Medical Center, Lawrence General Hospital, Mercy Medical Center, Signature Healthcare Brockton Hospital, and Steward Carney Hospital. All of these organizations have agreed to pursue one or more projects in the following areas:
-- Development of a fully integrated delivery system.
-- Implementation of innovative care models to improve quality of care and health outcomes.
-- Development of capabilities necessary to implement alternative care models.
-- Population-focused health outcomes improvements.
All of these healthcare transformation initiatives require a robust health IT foundation. So it's not surprising that the safety net providers plan to use some of the DSTI funds to develop their IT capabilities.
Holyoke Medical Center in Holyoke, Mass., intends to build a community health information exchange (HIE) "that will allow us to share information between the hospital and our community physicians," said Carl Cameron, IT director for Holyoke Medical Center, in an interview with InformationWeek Healthcare. "We're going to make more of the patients' records available to the physicians for diagnoses, to extend the continuity of care, and to improve safety and patient care."
A Holyoke sister company employs 28 doctors, Cameron noted, and the hospital also is helping about 60 private-practice physicians implement electronic health records (EHRs). The medical center would like all of these doctors to participate in the exchange, he said, and eventually wants to include other hospitals and doctors, too.
In addition, Holyoke plans to deliver lab results and radiology reports electronically to community physicians. If a practice has an EHR, the results will go directly into that office's electronic record. The two-way interface will also transmit clinical summaries from the practice's EHR back to the exchange. Doctors who don't have EHRs can view the information on the HIE portal.
The government financed HIE will also help Holyoke turn primary care practices into patient-centered medical homes. "One of the keys to the medical home is the sharing of information between entities on patients who have chronic conditions," Cameron noted. "This technology will allow us better track patients with chronic diseases."
Brockton Hospital in Brockton, Mass., a Boston suburb, is part of a healthcare system that employs 150 physicians. Brockton is using a Meditech EHR, and its ambulatory care practices have an Allscripts EHR. Brockton CMIO Paul Pettinato told InformationWeek Healthcare that DSTI funds will be used to build an internal information exchange that will tie together the inpatient and the outpatient systems.
"We're trying to take care of patients across the inpatient-outpatient continuum. We're trying to get the data to the people who need it so that inpatient data can get to the primary care doctors and vice versa. So a lot of it is about communication, taking information from one EHR and passing it to another EHR."
Brockton provides full care to only about 20% of its patients, Pettinato noted. The rest receive some of their care at other area and Boston hospitals. Consequently, he said, a community HIE would benefit patient care by providing more information to Brockton providers and vice versa. But since that HIE doesn't appear to be coming anytime soon, Brockton is building its own.
He emphasized that DSTI is not designed to expand health IT directly. "The purpose of the program is to transform the way you take care of patients, which IT needs to support across the spectrum. So this money is supporting where we think healthcare is going. It's preventive care, it's the medical home and all the infrastructure that goes with that. It includes more nurses, outreach, telehealth, home monitoring. You need to be able to support hardware, software, communication, and people."
Get the new, all-digital Healthcare CIO 25 issue of InformationWeek Healthcare. It's our second annual honor roll of the health IT leaders driving healthcare's transformation. (Free registration required.)
Time to Reconsider Enterprise Email StrategyCost, time, and risk. It's the demand trifecta vying for the attention of both technology professionals and attorneys charged with balancing the expectations of their clients and business units with the hard reality of the current financial and regulatory climate. Sometimes, organizations assume high levels of risk as a result of their inability to meet the costs involved in data protection. In other instances, it's time that's of the essence, as with a data breach.
5 Top Federal Initiatives For 2015As InformationWeek Government readers were busy firming up their fiscal year 2015 budgets, we asked them to rate more than 30 IT initiatives in terms of importance and current leadership focus. No surprise, among more than 30 options, security is No. 1. After that, things get less predictable.
Join us for a roundup of the top stories on InformationWeek.com for the week of December 14, 2014. Be here for the show and for the incredible Friday Afternoon Conversation that runs beside the program.