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Benefits of CurrentCare Hospital Alerts – Health Information Exchange System

Rationale / Objectives

Rhode Island’s fragmented care system was laden with poor communication between doctors and hospitals that resulted in low quality patient care experiences, errors that could be prevented, and costly duplication of services. The Agency for Healthcare Research and Quality (AHRQ) aimed to improve the quality, safety, efficiency, effectiveness of health care and cost reduction for patients CurrentCare, Rhode Island’s State-wide secure electronic Health Information Exchange (HIE), was implemented with a goal to authorize providers’ immediate access to a patient’s up to date health information. 1

Project/Program Description & Major Achievements

The Rhode Island Quality Institute (RIQI) CurrentCare, Health Information Exchange (HIE), is a secure electronic system which allows authorized providers immediate access to a patient’s up to date health information including laboratory results, medication history, and admission, discharge, and transfer information on hospital and emergency department in order to provide the best possible and most comprehensive care. Rhode Island's primary care practice receives "CurrentCare Hospital Alerts", an immediate electronic alert whenever its patients are seen in the emergency department or hospitalized, helping the practice to better coordinate the care of its patients.

CurrentCare hospital alerts achieved the following: Nearly 50% Rhode Islanders enrolled , more than 45 million transactions posted to CurrentCare patient records, 90% of Rhode Island (RI) prescription data shared from retail pharmacies, 90% of RI laboratory data were shared to primary care providers and hospitals and all Rhode Island acute care hospitals (with the exception of the VA) submitting data on admission, discharge, and transfer. 1

Lessons Learned

Patients must consent to having their medical information in the system. Moreover, health information may only be released to providers who sign an agreement to participate in CurrentCare as data users. While that can make for slower enrollment growth, CurrentCare officials say that such an approach allows the HIE to integrate behavioral health information, which many other States are unable to do. 1

Further Description

Agency for Healthcare Research and Quality(AHRQ) funding in 2004 helped the Rhode Island Department of Health develop a statewide HIE through a public-private collaboration with the RIQI, allowing clinicians to share and view patient records. Today, RIQI operates the HIE, called CurrentCare, a query-based clinical viewer model that offers authorized providers access to a patient's vital health information, including laboratory results, medication history, and admission, discharge, and transfer information on hospital and emergency department encounters. Coastal Medical provides a patient-centered medical home to 110,000 residents of Rhode Island and is designated as an Accountable Care Organization (ACO) by the Center for Medicare & Medicaid Innovation has demonstrated that electronic health records and the ability to send and receive real-time patient data among hospital providers, specialists, and other clinicians is essential for improving care and the care experience for patients and for operating a patient-centered medical home. Accessing records of patients who seek care from other providers is also crucial for primary care practices to operate efficiently under reformed payment models, whether pay-for-performance contracts, shared risk, or capitated arrangements 1. Rhode Island’s fragmented care system was laden with poor communication between doctors and hospitals that resulted in low quality patient care experiences, errors that could be prevented, and costly duplication of services.

Major Achievements

  • Nearly 50% Rhode Islanders enrolled
  • More than 45 million transactions posted to CurrentCare patient records
  • 90% of Rhode Island (RI) prescription data shared from retail pharmacies
  • 90% of RI laboratory data were shared to primary care providers and hospitals
  • All Rhode Island acute care hospitals (with the exception of the VA) submitting data on admission, discharge, and transfer 1 2

Metric

Result

Detail

Percentage of providers using CurrentCare routinely & find it easy to use  

100%

Providers' survey results

Percentage of providers Using Viewers and find it easy  

80%

 

Percentage of providers Use Hospital alerts  

50%

 

Percentage of  patient satisfied towards CurrentCare providers  

95%

2014 Consumers survey results

Percentage of patients giving Consent to share medical information on CurrentCare  

80%