1. Bangor Beacon Community Health Data Capture October 26, 2010 Barbara Sorondo, MD MBA

2. Vision The Beacon Community Grants Program will provide funding to demonstrate the vision of the future where hospitals, clinicians, and patients are meaningful users of health information technology and together the community achieves measurable improvement in health care quality, safety and efficiency.

3. Bangor Hospital Service Area, defined by the Maine Health Data Organization 100 Primary care providers 65% of the Providers of the regional Primary Care Practices Same EMR All of them will be connected with HIN

4. Bangor Beacon Goals Cost Population Health Quality To implement a standardized process to facilitate access to immunization records and compliance To improve management of selected chronic medical conditions through increased: - health information exchange - secured messaging - use of care management Chronic Care Patient Community To reduce preventable healthcare utilization through improved efficiency of health care delivery

5. All Bangor Beacon Community hospitals and practices have EMR, much of it live with CPOE. Hospital EMR vendors include Cerner (EMMC hospitals and specialists) and Siemens (St Joseph). Physician Practice EMR vendors include Centricity (PCHC and EMMC Primary Care) and an in-house system (St Joseph). Currently only EMMC feeds HealthInfoNet and uses Kryptiq for secured emails. Only a subset of community technologies represented here.

6. Bangor is connected to the Statewide Health Information Exchange with some two-way interfaces. Expanded secure email among providers. Expanded use of Telemedicine and Telehomecare. Chronic condition database.

7. Patient population: At the practice level: All Chronic condition patients with at least one of the following diseases: 1.Diabetes Mellitus (DM) 2.Cardiovascular Disease (CVD) 3.Chronic obstructive pulmonary disease (COPD) 4.Asthma Measurements: Performance improvement and quality indicators Evaluation design: Before and after At the patient level: All High Risk/High Cost chronic condition patients with at least one of the following diseases: 1.Diabetes Mellitus (DM) 2.Congestive Heart Failure (CHF) 3.Chronic obstructive pulmonary disease (COPD) 4.Asthma Measurements: Clinical outcomes, Quality of life, self management indicators, patient satisfaction Evaluation: Controlled design

12. Population Health Patient Population: Chronic Condition Patients: 1)Diabetes mellitus (DM) 2)Cardiovascular Disease (CVD) 3)Asthma 4)Chronic Obstructive Pulmonary Disease (COPD) Evaluation: Before and after design For Influenza vaccination compliance: Based on CDC recommendations, also compliance on all adult (> 18 years of age) population will be gathered. (Only adult primary care practices are included in the evaluation)

14. Cost Patient Population: High Risk/High Cost Chronic Condition Patients: 1)Diabetes mellitus (DM) 2)Congestive Heart Failure (CHF) 3)Asthma 4)Chronic Obstructive Pulmonary Disease (COPD) Evaluation: Controlled Design