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					                                                                                                      PROGRESS REPORT
12 Health IT Best Practices spotlight:
                                                                                                                                     NOVEMBER/DECEMBER 2011

                                                                                                                               Inside this issue:
Best Practice #3, Connectivity
Connectivity: Building the infrastructure needed for success
                                                                                                                        PAGE   12 Best Practice Areas: #3,
                                                                                                                         1     Connectivity

                                                                                                                               OHN connection allows school-
Contributed by Brian Ahier, Health IT Evangelist , Mid Columbia Medical Center and Kim Lamb, OHN Executive Director     PAGE
                                                                                                                         1     based health center to provide
                                                                                                                               more than bandages and aspirin
                    Health information exchange is a key enabler of improving our health                                PAGE   Participant Profile: Blue Moun-
                    care system. The future of health care will depend on the effective                                 4      tain Hospital
                    incorporation of digital technologies to help streamline the practice
                    of medicine and to lower costs. Regardless of whether we represent a                                PAGE
                                                                                                                        5      Webinars begin on Medicaid
                                                                                                                               EHR Incentive Program
                    public agency, for-profit or nonprofit health care facility or provider, the
                    pressure to do more and better with less is a common denominator.                                   PAGE   OHN Monthly HIT Peer Call
                    The new nationwide health care model that is developing will force                                   6     focuses on Accountable and
                                                                                                                               Coordinated Care Models in
                    us all to think about how our facility, community and state will                                           Oregon
connect to the health care delivery system via information technology. Reliable, high-
speed, high-quality connectivity is the crucial, but often overlooked, component for                                    The Progress Report is a publication of the
                                                                                                                         Oregon Health Network and is published
success. This is why OHN and the other national FCC Rural Health Care Pilot Programs are                                bi-monthly. If you have a story idea, please
                                                                                                                       send them to cfreitag@oregonhealthnet.org.
                                                                                                Continued on page 2      Our vision is clear. Everyone should have
                                                                                                                        access to the best possible care, regardless
                                                                                                                              of where they live in the state.



OHN connection allows school-based health centers to
provide more than bandages and aspirin
Contributed by Courtney Freitag, OHN Marketing Coordinator


With more than 2,000 uninsured children in Josephine County,                           with other physicians, help uninsured students enroll in the
Umpqua Community Health Center and its satellite school-                               Oregon Health Plan, and so much more. Prior to joining OHN,
based facilities serve as a critical piece of the health care puzzle                   Roseburg High School didn’t have a wireless connection and
in Douglas County. With a reliable, high-speed broadband                               complicated wiring in the school didn’t allow a steady and
connection, students that see Certified Pediatric Nurse                                reliable internet connection in the patient exam rooms.
Practitioner Erin Cudney are assured quality access to care.                           Without patient records readily available, Cudney spent much
                                                                                       of her time shuffling back and forth between her office and
“Before we had OHN high speed broad band, we were relying                              exam room. With an increased connection, she says seeing more
on a very slow and intermittent internet connection,” Cudney                           students allows her to provide better quality care.
says of her work at Roseburg High School’s Teen Center. “We
were constantly having problems with our connection, and so it                         Quality care is essential everywhere, but especially in rural
made documentation of our health care visits inconsistent and                          communities where many of the families cannot afford
challenging.”                                                                          insurance, co-pays or costly transportation to see specialists.
                                                                                       Since the nurses at school-based health care centers often
The boost to a 10 Mbps connection in February 2011 gave                                act as a primary care giver, it is essential to coordinate care—
Cudney and her team the ability to transfer patient records to                         including chart notes, records, consultations, prescriptions
the main Umpqua Community Health Center facility, consult                              and more can all travel with the student patient—

                                                                                                                                        Continued on page 3


  www.oregonhealthnet.org                                                                                                    SEPTEMBER/OCTOBER 2011
                                                                                   1
OREGON HEALTH NETWORK                                                                                                        PROGRESS REPORT

SBHCs, continued from page 1

                                                                         health visits and more. All of this leads to avoiding a loss of class
                                                                         time for students, keeping routine health care checkups or well-
                                                                         child screenings due to no co-pay cost, and also keeps parents
                                                                         from missing work to take children to health care appointments.

                                                                         OHN has four school-based health centers live on its network
                                                                         and two additional sites in process of connection. Those include
                                                                         Siskiyou Community Health Center school-based health centers
                                                                         in Cave Junction at Evergreen Elementary, Lorna Byrne Middle
                                                                         School and Illinois Valley High School; and Umpqua Community
                                                                         Health Center at Roseburg High School. Waterfall Community
                                                                         Health Center’s Marshfield and Powers school-based health
                                                                         centers are in the process of receiving their FCC RHCPP funding
                                                                         commitment to become live on the network.

                                                                         Waterfall Community Health Center’s Chief Information Officer
                                                                         Mary Moore said their school-based health centers never turn a
                                                                         patient away, despite whether they can pay or not.
 Pediatric Nurse Practitioner Erin Cudney of Umpqua
 Community Health Center exams a student.
                                                                         “Since no person is denied services Waterfall is supporting
 Student-Based Health Centers are staying at the
                                                                         the overall health of our population,” Moore said. “Our
 forefront of health care with its OHN connection.
                                                                         multidisciplinary approach to care gives us the ability to treat the
                                                                         whole spectrum of patient needs in the outpatient setting.”
whether they are being treated at the school-based health
center or at another primary care doctor’s office.                       Brenda Lewis, development coordinator for Umpqua Community
                                                                         Health Center, echoes Moore’s statement, adding that
School-based Health Centers reside inside a public school                participation with OHN makes the impossible possible.
and are staffed by a primary care professional who may be a
doctor, nurse practitioner or physician’s assistant, other medical       “It would be impossible to transmit electronic medical records
or mental health professionals and support staff, such as a              and to connect back to the main clinic without our high speed
receptionist.                                                            internet connection, Lewis said, adding that the SBHCs had 555
                                                                         visits during 2010. Creating a seamless experience is essential
With 25 years of experience, Oregon’s school-based health                since many times these nurse practitioners become a child’s
centers are staying at the forefront of the future’s health care         primary care provider, she said.
delivery model, staying on target to serve the Triple Aim.
The Oregon Health Authority, the state’s agency tasked with              Students establish trusting relationships with providers who can
implementing health care reform in Oregon, released its 2011             follow the students’ health care needs over time with a focus on
status report on SBHCs, citing a focus on healthy populations,           prevention and wellness, the status report goes on to say. SBHCs
extraordinary patient care, and reasonable costs. With 65 SBHCs          also support families where transportation and loss of work time
in 22 counties, the facilities play a vital health care role for         for parents are significant barriers to getting timely care. For
Oregon youth.                                                            SBHCs, the focus is on the youth and their families.

“Each center must provide comprehensive medical and
psychosocial histories; physical exams; immunizations; age-
appropriate risk assessments; and patient education,” the status
report reads. “Additionally, centers maintain demographic and                     Students establish trusting relationships
encounter data. These data better inform program development
                                                                              with providers who can follow the students’
at the state and local level to ensure youths’ health care needs
are being appropriately met.”                                                 health care needs over time with a focus on
                                                                                                prevention and wellness.
During 2009-2010, Oregon SBHCs provided more than 55,000                                                     —2011 status report on SBHCs
physical health care visits; 26,000 visits to uninsured patients;
13,000 well-child and prevention visits; nearly 13,000 mental




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