Camden Coalition Health Information Exchange expands

Date
January 10, 2017
March 20, 2020
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Camden Coalition patients and staff advocate for New Jersey state policy change around state-issued ID.
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Camden Coalition staff review a whiteboard with patient enrollment information
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Sharing evidence to inform the future of healthcare delivery and complex care: Lessons from the Camden Coalition and J-PAL North America partnership
Part 2 of a Q&A blog series describing the partnership between the Camden Coalition and researchers affiliated with J-PAL North America.
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Camden Coalition staff hold whiteboard showing RCT enrollment numbers
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Evaluating the Camden Core Model: How a research partnership between the Camden Coalition and J-PAL North America was built
Part 1 of a Q&A blog series describing the partnership between the Camden Coalition and researchers affiliated with J-PAL North America.
Kathleen Noonan, Aaron Truchil, Amy Finkelstein

Many patients with complex health and social needs will visit multiple hospitals and emergency rooms throughout the region over the course of a year. When providers can’t access patient records from other institutions, important details are missed and patient care suffers.

That’s why we created the Camden Coalition Health Information Exchange (HIE) in 2010: to allow providers across Camden and the South Jersey region to share patient information securely to coordinate and improve care. Our HIE has expanded enormously since, both in functionality and reach. In 2016 we added data from South Jersey HIE NJSHINE as well as a real-time feed of patients in Camden emergency departments, and began working with the Camden County Jail to use the HIE for better care coordination between the jail and the hospital.

One of the most important additions to the Camden Coalition HIE in 2016 was integrating data from another major HIE in South Jersey, NJSHINE. Now Camden medical providers can get supplemental reports, including labs, tests, medications, ER information, progress notes, and more, when their patients visit hospitals in the NJSHINE network (including Inspira, Cape Regional Health System, and Shore Medical Center). Similarly, NJSHINE users now get supplemental reports when their patients visit Camden hospitals like Cooper University Hospital or hospitals in the Lourdes, Virtua, or Kennedy Health Systems.

Here at the Camden Coalition, we use the HIE every day to triage patients into our Care Management Initiatives and to ensure that the primary care practices in our Accountable Care Organization (ACO) are seeing patients within 7 days of hospital discharge. This year we’ve added the emergency department to the mix with the SeekED beacon report.

Unlike hospitalization reports, which update every day, the SeekED report updates hourly, making it easier to locate and connect with patients who are frequent users of emergency services. This is helping us better understand why some patients who are already connected to primary care use the emergency department instead, and how primary care practices can better care for this population.

Today the Coalition HIE is used by providers in all of the major hospitals and primary care offices in Camden and by providers throughout the South Jersey region. Following our Camden ARISE work, which revealed a population with both repeated hospitalizations and arrests, we also began working with the clinic at the Camden County Jail to ensure that when patients with chronic conditions like diabetes or substance use disorders are incarcerated, their medical care is not interrupted.

2017 is already looking like a busy year for the Camden Coalition HIE. We will be building capacity among our ACO practices so that they can contribute data to the HIE as well as view it, and working with the South Jersey Behavioral Health Innovation Collaborative to use the HIE for case conferencing. We are also looking for more ways to connect community-based providers, like faith based organizations and school nurses, to the HIE, so that they can better care for their patients and constituents.

Our fragmented medical system makes it difficult for all patients to receive quality care, but it particularly impacts our core population of patients with complex health and social needs. With the HIE, we are starting to piece together the fragments into truly patient-centered care.

If you are interested in joining the Camden Coalition HIE or want more information, please contact chie@camdenhealth.org.

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