A nonprofit organization that promotes health care for underserved Washington residents will install networked medical-records systems in six safety-net clinics.
The D.C. Primary Care Association, with $5 million in city government funding, is undertaking the project as part of its D.C. Medical Homes initiative, an effort to provide low-income city residents with consistent, coordinated care, including preventive care. The idea is to give residents a place where their medical histories are known and where they can obtain treatment before health problems escalate into emergencies.
Health information technology is a crucial foundation for medical homes, according to a recent column by Commonwealth Fund President Karen Davis and the funds executive vice president, Dr. Stephen Schoenbaum.
With an e-medical records system, records are readily available to doctors, who also get reminders of routine tests and procedures that are due in each case. The information can follow the patient from clinic to clinic, as needed.
The system the association chose, eClinicalWorks, also supports practice management billing, scheduling and eligibility checks, among other functions.
The association also will aggregate information about city residents health, looking for trends, emerging health issues and evidence of the quality of care delivered at the clinics.
Besides linking with Medicaid and other payers, the system eventually could become part of a larger health information exchange that could serve hospitals and other Washington-area health providers.
Other aspects of the D.C. Medical Homes initiative include expansion of clinic buildings, new and better equipment, and payment for preventive-care services rendered to low-income city residents.
From the battlefield to the home front: Managing medical data
Government Health IT presents Col. Claude Hines Jr., program manager for the Defense Health Information Management System, in this recent InSight eSeminar. Col. Hines discusses the health information technology and tactical challenges faced by the military medical community in Iraq, Afghanistan and other areas of conflict. In doing so, he describes the current information technology solutions for transferring clinical data between battlefield care givers to health care personnel at military treatment facilities worldwide.