Collaboration. Integration. Quality.

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HEALTH HOMES

DEVELOPING SYSTEMS TO SUPPORT CARE COORDINATION

In support of its FHQCs sponsors which are also New York State Designated Health Homes, HITCH is working with the THINC RHIO and its developer, New York e-Health Collaborative (NYeC) to develop a Shared Care Plan.  The Health Homes are charged with helping complex, at-risk patients appropriately access health services by coordinating care and integrating services across care teams belonging to multiple organizations including primary care, mental health, and social service providers. Accordingly, there is a need to share specific patient care plan data efficiently and securely for thousands of patients in the lower Hudson Valley:  A shared care plan.

By convening the Health Homes (Hudson Valley Care Coordination, CCC and the Institute for Family Health) and other stakeholders, HITCH seized on the opportunity for a harmonized, coordinated approach to defining a “bolt-on” application to the THINC Clinical Viewer as a quick, low-cost solution.  Health Homes and community providers committed to defining their technology needs, and also to deciding jointly how to meet the operational challenges of multi-organizational care teams.

Documented, draft requirements were augmented by HITCH to address operational standards put forth by NYS, and are being used by NYeC to develop the application itself.  HITCH is also engaged in testing the shared care plan as it is developed, and designing and implementing a training plan for users.