Projects Funded by State

AHRQ Health Information Technology Programs-Update 2005-06

Alaska (Total funding: $138,344)

Central Kenai Peninsula Health Collaborative Technology
Description: Assesses current technology resources and plans implementation of area-wide electronic communications and connectivity to electronic health records and a patient-support, Web-based data system.
Estimated total funding: $138,344
Principal Investigator: Susan Caswell
Applicant Institution: Central Peninsula General Hospital, Inc., Soldotna, AK
Grant No.: P20 HS14902
Estimated dates: 9/30/2004-9/29/2005

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Arkansas (Total funding: $1.46 million)

Arkansas Delta Inpatient/Outpatient Quality Improvement
Description: Implements a computer decision-support system in a 23-county service area in both inpatient and outpatient settings, including several rural clinics; includes a training component for physicians and other health care providers as well as a hospital pharmacy component for adverse drug event management and prevention strategies.
Estimated total funding: $1,465,539
Principal Investigator: Cinda Bates
Applicant Institution: St. Bernards Medical Center, Jonesboro, AR
Grant No.: UC1 HS15059
Estimated dates: 9/30/2004-9/29/2007

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California (Total funding: $11 million)

El Dorado County Safety Net Technology Project
Description: Develops a comprehensive plan for health IT implementation and integration by assessing specific clinical and organizational needs, feasibility of health IT implementation, defining project parameters, developing the implementation plan, and specifying procedures for ongoing evaluation and feedback.
Estimated total funding: $185,972
Principal Investigator: Greg Bergner
Applicant Institution: Marshall Medical, Placerville, CA
Grant No.: P20 HS14908
Estimated dates: 9/30/2004-9/29/2005

2005

El Dorado County Safety Net Technology Project / Access El Dorado County (ACCEL)
Description: Coordinates and integrates communication related to patient care, using a chronic care model, and permits sharing of patient demographic data through a Master Patient Index among authorized providers. First steps include using health IT to establish a medical "home" for underinsured and uninsured patients, maximizing patients' insurability, and coordinating pediatric mental health services.
Estimated total funding: $1,491,985
Principal Investigator: Greg Bergner
Applicant Institution: Marshall Medical, Placerville, CA
Grant No.: UC1 HS016129
Estimated dates: 9/30/2005-9/29/2008

Crossing the Quality Chasm in Eastern Rural County
Description: Develops a regional collaborative and business plan for implementing health IT in a rural region; also conducts a telemedicine demonstration project to assess the barriers and issues of broad health IT intervention including telemedicine/teleradiology, scan/store medical record, chronic disease registry and personal health record, and linking the region's partners.
Estimated total funding: $199,145
Principal Investigator: Kiki Nocella
Applicant Institution: Tehachapi Hospital, Tehachapi, CA
Grant No.: P20 HS15342
Estimated dates: 9/30/2004-9/29/2005

2005

Accessing the Cutting Edge—Implementing Technology To Transform Quality in SE Kern
Description: Creates a community-wide electronic medical records system to improve quality and chronic disease management in the region; upgrades the use of health IT in medical practices; fosters relationships among physicians; and provides education and support to the community.
Estimated total funding: $1,484,361
Principal Investigator: Kiki Nocella
Applicant Institution: Tehachapi Hospital, Tehachapi, CA
Grant No.: UC1 HS016146
Estimated dates: 9/30/2005-9/29/2008

IT Systems for Rural Indian Clinic Health Care
Description: Integrates health services research, clinic redesign, and electronic practice management by partnering with three rural Tribal Health Programs to implement EHR with CDSS.
Estimated total funding: $1.5M
Principal Investigator: Susan Dahl
Applicant Institution: California Rural Indian Health Board, Sacramento, CA
Grant No.: UC1 HS15339
Estimated dates: 9/20/2004-8/31/2007

Tulare District Hospital Rural Health EMR Consortium
Description: Tulare District Hospital Rural Health EMR Consortium Builds on an existing infrastructure to construct a fully integrated EMR to give clinicians real-time access to patient data through pharmacy management, laboratory management, patient scheduling, barcoding, clinical physician order entry, electronic signature, insurance eligibility, and Pyxis medication-dispensing units at nursing stations.
Estimated total funding: $1.5M
Principal Investigator: Paul Galloway
Applicant Institution: Healthcare Management Systems, Tulare, CA
Grant No.: UC1 HS15096
Estimated dates: 9/30/2004-9/29/2007

Santa Cruz County, CA Diabetes Mellitus Registry
Description: Expands an established Web-based, interactive Diabetes Mellitus Registry that provides patient histories and needed tests at the point of care among public, private, and not-for-profit health care providers; also tracks the diabetes population to identify trends in key indicators of care.
Estimated total funding: $1,352,725
Principal Investigator: F. Wells Shoemaker
Applicant Institution: Pajaro Valley Community Health, Watsonville, CA
Grant No.: UC1 HS15362
Estimated dates: 9/30/2004-9/29/2007

Impact of Health Information Technology on Clinical Care
Description: Evaluates the effects of staggered installation of an Epic health IT system that includes an electronic medical record with provider order entry and clinical decision support in primary care settings on quality, safety, and resource use within a large integrated delivery system serving a cohort of 780,000 members with chronic illnesses.
Estimated total funding: $1,487,606
Principal Investigator: John Hsu
Applicant Institution: Kaiser Foundation Research, Oakland, CA
Grant No.: R01 HS15280
Estimated dates: 9/30/2004-9/29/2007

2005

Pilot Testing of Electronic Prescribing Standards
Description: In addition to testing the standards, the project will determine changes in drug use, clinical outcomes, and patient satisfaction as a result of e-prescribing.
Estimated total funding: $1,850,826
Principal Investigator: Douglas S. Bell
Applicant Institution: RAND Corporation, Santa Monica, CA
Grant No.: U18 HS016391
Estimated dates: 1/01/2006-12/31/2006

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Colorado (Total funding: $5 million)

Colorado Connecting Communities—Health Information Collaborative (C3-HIC)
Description: Implements State-wide information and communications technologies to enable clinicians to access patient information from other clinical data repositories at the point of care.
Estimated total funding: $5.0M
Project Director: Arthur J. Davidson
Contracting Institution: University of Colorado Health Sciences Center, Aurora, CO
Contract No.: 290-04-0014
Estimated dates: 9/30/2004-9/29/2009

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Connecticut (Total funding: $2.66 million)

Electronic Records To Improve Care for Children
Description: Implements and evaluates a community-wide EHR for health care providers in pediatric primary care, school health, specialty care, and emergency medicine who provide care for inner-city children with asthma.
Estimated total funding: $1,183,278
Principal Investigator: Richard Shiffman
Applicant Institution: Yale University, New Haven, CT
Grant No.: UC1 HS15420
Estimated dates: 9/30/2004-9/29/2007

Web-Based Renal Transplant Patient Medication System
Description: Develops and evaluates Web-enabled education tools in hospitals and homes for renal transplant patients to reduce medication errors and improve safety and compliance using wireless portable computers.
Estimated total funding: $1,474,873
Principal Investigator: Amy Freidman, Yale University, New Haven, CT
Grant No.: R01 HS15038
Estimated dates: 9/01/2004-7/31/2007

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Delaware (Total funding: $4.7M)

2005

Delaware Health Information Network
Description: Implements State-wide information and communications technologies to enable clinicians to access patient information from other clinical data repositories at the point of care.
Estimated total funding: $4.7M
Project Director: Geena Perez
Contracting Institution: Delaware Health Information Network
Contract No.: 290-05-0012
Estimated dates: 1/01/2006-12/31/2011

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Florida (Total funding: $746,069)

HIT for Medication Safety in Critical Access Hospitals
Description: Develops an implementation plan for pharmacy health information systems in critical access hospitals to include an onsite survey of health IT, flowcharting the medication use system, and an assessment of resources.
Estimated total funding: $147,831
Principal Investigator: Abraham Hartzema
Applicant Institution: Doctor's Memorial Hospital, Bonifay, FL
Grant No.: P20 HS15325
Estimated dates: 9/30/2004-03/31/2005

Promoting Patient Safety with Web-Based Patient Profiles
Description: Explores the feasibility of a community-wide strategic implementation plan for Web-based standardized patient care to provide point-of-care access to patient information across acute and long-term care systems and services.
Estimated total funding: $198,238
Principal Investigator: Rosemary Laird
Applicant Institution: Health First, Inc., Cocoa Beach, FL
Grant No.: P20 HS14885
Estimated dates: 9/30/2004-9/29/2005

2005

Buddy Technology
Description: Creates and tests technology to aid in the care of patients suffering from Alzheimer's disease.
Estimated total funding: $400,000
Principal Investigator: Annie Becker
Applicant Institution: Florida Institute of Technology
Contract No.: SA 20060010
Estimated dates: 12/16/2005-12/15/2006

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Georgia (Total funding: $1.5M)

Comprehensive IT Solution for Quality and Patient Safety
Description: Implements a series of new health information technologies in carefully staged processes over 2 years to include an Inpatient Pharmacy System, Electronic Medication Administration Record, Bar Coding System, and a CPOE System; evaluates the impact of these systems on safety, quality and efficiency.
Estimated total funding: $1,495,572
Principal Investigator: Ann Beach
Applicant Institution: Children's Healthcare of Atlanta, Atlanta, GA
Grant No.: UC1 HS15236
Estimated dates: 9/30/2004-9/29/2007

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Hawaii (Total funding: $3.14M)

Holomua Project-Improving Patient Hand-Offs in Hawaii
Description: Develops approaches to share data on patient clinical and diagnostic information across systems and create an implementation plan for systems integration.
Estimated total funding: $176,500
Principal Investigator: Christine Sakuda
Applicant Institution: Hawaii Primary Care Association, Honolulu, HI
Grant No.: P20 HS15248
Estimated dates: 9/30/2004-9/29/2005

2005

Holomua Project-Improving Transitional Care in Hawaii
Description: Develops a patient Master Visit Registry (MVR), addressing the need for better information sharing among clinical organizations and enhancing their ability to give patients continuous high-quality care when they change providers. The MVR will expand upon an existing patient record-keeping system, while improving local handling and exchange of records.
Estimated total funding: $976,200
Principal Investigator: Christine Sakuda
Applicant Institution: Hawaii Primary Care Association, Honolulu, HI
Grant No.: UC HS016160
Estimated dates: 9/30/2005-9/29/2008

Quality Focused Connectivity
Description: Implements an HIE to the three rural islands of the State of Hawaii: Maui, Kauai, and the island of Hawaii that focuses on preventive health care, providing an opportunity for care to be addressed in a comprehensive manner so that the responsibility of health improvement shifts from the current physician focus on illness to a patient-centered focus on wellness.
Estimated total funding: $500,000
Principal Investigator: Daniel Heslinga
Applicant Institution: Quality Healthcare Alliance, Honolulu, HI
Grant No.: UC1 HS15003
Estimated dates: 9/30/2004-9/29/2005

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Idaho (Total funding: $1.1M)

Rural Connection: Strengthening Care Through Technology
Description: Explores health IT as a method of sharing patient information and develops an electronic health record for patients who utilize rural, urban, acute, and rehabilitation facilities.
Estimated total funding: $179,198
Principal Investigator: Anne Oglevie
Applicant Institution: Weiser Memorial Hospital, Weiser, ID
Grant No.: P20 HS14883
Estimated dates: 9/30/2004-9/29/2005

Rural Community Partnerships—EMR Implementation Project
Description: Implements an ambulatory EMR in multiple rural primary and specialist care provider settings and measures the impact of health IT on clinical practice, organizational structure, and financial benefits; integrates ambulatory EMR case scenarios into the curricula of the Health Science and Human Services Department to ensure that future health care providers have adequate training and exposure to ambulatory EMR technology.
Estimated total funding: $924,216
Principal Investigator: R'Nee Mullen
Applicant Institution: Magic Valley Memorial Hospital, Twin Falls, ID
Grant No.: UC1 HS15302
Estimated dates: 9/20/2004-8/31/2007

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Illinois (Total funding: $6.1M)

Linking Rural Providers To Improve Patient Care and Health
Description: Develops a central EHR system that will allow sharing of health information between a hospital, medical group, county health department, and behavioral health organization for rural economically disadvantaged, ethnic/racial minority residents, the elderly, and persons with special/complex health care needs.
Estimated total funding: $199,053
Principal Investigator: Timothy Broos
Applicant Institution: Katherine Shaw Bethea Hospital, Dixon, IL
Grant No.: P20 HS15023
Estimated dates: 9/30/2004-9/29/2005

Sharing Patient Record Access in Rural Health Settings
Description: Develops an implementation plan for an ambulatory EMR in a medically underserved region that will electronically connect physician offices, the regional hospital, ancillary services, and other community health services; identifies indicators to track measurable improvements in patient safety, quality of care, clinician and patient satisfaction, and operational efficiency.
Estimated total funding: $175,173
Principal Investigator: Michael DeLuca
Applicant Institution: Sarah Bush Lincoln Health Center, Mattoon, IL
Grant No.: P20 HS15113
Estimated dates: 9/30/2004-9/29/2005

2005

Implementing an Ambulatory Electronic Medical Record and Improving Shared Access
Description: Implements an emergency medical records system that will provide shared access to patient records across various community health care providers and incorporates electronic tools for prescription distribution and management.
Estimated total funding: $1,500,000
Principal Investigator: Michael DeLuca
Applicant Institution: Sarah Bush Lincoln Health Center, Mattoon, IL
Grant No.: UC1 HS016128
Estimated dates: 9/30/2005-9/29/2008

Enhancing Quality in Patient Care (EQUIP) Project
Description: Implements an EHR system in a network of community health centers and develops a data warehouse to monitor, aggregate, and provide data for quality improvement.
Estimated total funding: $1,499,132
Principal Investigator: Fred Rachman
Applicant Institution: Erie Family Health Center, Chicago, IL
Grant No.: UC1 HS15354
Estimated dates: 9/30/2004-8/31/2007

Toward an Optimal Patient Safety Information System
Description: Promotes and evaluates the interchange of patient safety information and the reporting of adverse events and close calls among public and private voluntary incident reporting systems being used at U.S. hospitals.
Estimated total funding: $1,498,434
Principal Investigator: Andrew Chang
Applicant Institution: Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Oakbrook Terrace, IL
Grant No.: R01 HS15164
Estimated dates: 9/30/2004-9/29/2007

Value of Technology To Transfer Discharge Information
Description: Assesses the value of software applications to facilitate information transfer during the high-risk transition from hospital to home at discharge and compares health IT to usual care for benefits outcomes, adverse events, effectiveness, costs, and satisfaction among patients and physicians.
Estimated total funding: $1,263,634
Principal Investigator: James Graumlich
Applicant Institution: Board of Trustees of the University of Illinois, Chicago, IL
Grant No.: R01 HS15084
Estimated dates: 9/01/2004-8/31/2007

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Indiana (Total funding: $9.3M)

An Evolving Statewide Indiana Information Infrastructure
Description: Develops and implements HIE using an established technical infrastructure and interconnects local health information infrastructures; also implements a State-wide public health surveillance network that links all hospitals to share emergency department data.
Estimated total funding: $5.0M
Project Director: Marc Overhage
Contracting Institution: Indiana University School of Medicine, Indianapolis, IN
Contract No.: 290-04-0015
Estimated dates: 9/30/2004-9/29/2009

Improving Health Care Through HIT in Morgan County, IN
Description: Creates a secure infrastructure for communication among providers to allow electronic sharing of patient clinical information with hospitals and other physicians/health providers in the county, region, and State; also assesses the effectiveness of the system in improving workflow, timeliness and completeness of information, patient safety, continuity of care, and health outcomes.
Estimated total funding: $1,489,942
Principal Investigator: Paul Clippinger
Applicant Institution: Morgan Hospital and Medical Center, Martinsville, IN
Grant No.: UC1 HS15258
Estimated dates: 9/30/2004-9/29/2007

Value of Health Information Exchange in Ambulatory Care
Description: Assesses the value of HIE in ambulatory care by modifying an existing economic model of HIE and testing the model in a randomized controlled trial.
Estimated total funding: $1,499,662
Principal Investigator: Marc Overhage
Applicant Institution: Indiana University, Indianapolis, IN
Grant No.: R01 HS15409
Estimated dates: 9/30/2004-9/29/2007

Value of New Drug Labeling Knowledge for e-Prescribing
Description: Creates a prescribing tool with decision support (checking dosage, contraindications, and drug interactions) that can be easily integrated into a provider's practices; implements and pilot tests the tool to evaluate its benefits and costs.
Estimated total funding: $1,356,108
Principal Investigator: Gunther Schadow
Applicant Institution: Indiana University, Indianapolis, IN
Grant No.: R01 HS15377
Estimated dates: 9/08/2004-8/31/2007

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Iowa (Total funding $4.47M)

EMR Planning To Improve North Iowa Health Care
Description: Designs a system-wide patient-centered planning process and an EHR implementation plan that will securely exchange patient information within and across diverse health care settings for the Hancock County Memorial Hospital and 21 affiliated physician health organization clinics.
Estimated total funding: $199,976
Principal Investigator: Toni Ebeling
Applicant Institution: Hancock County Health Services, Britt, IA
Grant No.: P20 HS15396
Estimated dates: 9/30/2004-9/29/2005

2005

Collaborative EHR Implementation To Bridge the Continuum of Care in Rural Iowa
Description: Shares an electronic medical records system that will improve patient safety and quality of care. Also serves as a critical learning tool for clinicians in a coalition of three large health organizations and 24 primary care clinics in northern Iowa.
Estimated total funding: $1,474,178
Principal Investigator: Toni Ebeling
Applicant Institution: Hancock County Health Services, Britt, IA
Grant No.: UC1 HS016156
Estimated dates: 9/30/2005-9/29/2008

Rural Iowa Redesign of Care Delivery with EHR Functions
Description: Implements a comprehensive, integrated, EHR system with CPOE and clinical decision-support tools in hospital inpatient units, ambulatory care, primary care and specialty clinics, home health, and hospice care; also evaluates medical errors and near misses, use of evidence-based practices, responsiveness to adverse drug alerts, and patient/provider satisfaction.
Estimated total funding: $1,499,869
Principal Investigator: Donald Crandall
Applicant Institution: Mercy Medical Center-North Iowa, Mason City, IA
Grant No.: UC1 HS15196
Estimated dates: 9/30/2004-8/31/2007

Health Information Technology Value in Rural Hospitals
Description: Documents the patient safety and health care quality challenges in critical access to rural hospitals; assesses health IT capacity in these rural hospitals and how they would use health IT to improve safety and quality; develops decisionmaking health IT toolkits for other rural hospitals.
Estimated total funding: $1,304,478
Principal Investigator: Marcia Ward
Applicant Institution: University of Iowa, Iowa City, IA
Grant No.: R01 HS15009
Estimated dates: 9/01/2004-8/31/2007