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This study aimed to improve care transitions for low-income patients with multiple chronic conditions using health information exchange, and found significant reductions in inpatient and emergency department utilization.
Built an integrated communications system with area hospitals, clinics, and service providers in St. Mary Parish, Iberia Parish, and Terrebonne Parish that will support chronic disease management and improve patient safety. Authorized health care providers have swift, secure access to important patient information at the point of care.
Designed a county-wide health information system that allowed health information sharing and permitted real-time order placement by hospitals, health departments, private physicians' offices, clinics, and long-term care facilities.
Created a detailed assessment of the feasibility of health IT implementation including the development of an implementation plan, specification of clinical and organizational needs, identification of goals, and identification of barriers and ways to address those barriers.
Developed approaches to share data on patient clinical and diagnostic information across systems and created an implementation plan for systems integration.