1. Clinical Information Technology and CHC’s Robert Hoch MD,MPH Corporate Medical Director Harbor Health Services

2. Community Health Center Core Components Non Profit Community Boards Focus on Underserved Access to All Multidisciplinary Primary Care Teams Preventive Health Model Enabling Services

3. Harbor Health Services Neponset Health Center Geiger Gibson Health Center Harbor Family Health Center Mid Upper Cape Health Center Ellen Jones Dental Center Neponset Community Services Elder Service Plan Harbor WIC Program Harbor Daycare Program

4. Harbor Health Services 30,000 Patients 110,000 Visits 450 staff 85 Providers 30 Million Plus budget

5. HHSI Clinical Information Technology History Clinical Registries MedTrak Access Databases DEMS/PECS Strategic Clinical IT Review Integrated into Strategic Planning Area of weakness Priority 2000-2005

6. HHSI Clinical Information Technology History Upgrade IT Infrastructure Leadership/Staff Network/Hardware Training E Prescribing Manageable First Effort Allows Range of Competency Test of Infrastructure

7. HHSI Clinical Information Technology History EMR Inclusive Process/ Importance of Buy In Required Functionalities Vendor Selection Consultative Project Management Leadership/End User Oversight Board Updates

8. HHSI Clinical Information Technology Challenges IT Infrastructure Organizational Priority Leadership Time/Energy Project Complexity Work Processes Hardware/Software Platforms/Interfaces Transition Planning/Provider Acceptance External Integration Financial Resources Operating Income/Reserves/External Grants

9. HHSI Clinical Information Technology Opportunities Basic Documentation Decision Support Expanded Care Model Quality Improvement Community Based Public Health Practice Based Research