Projects Funded by State (continued)

AHRQ Health Information Technology Programs-Update 2005-06

Kentucky (Total funding: $3.0M)

Meeting Information Needs of Referrals Electronically
Description: Identifies essential technological needs for accessing and sharing data and information between patients and health care providers; develops an implementation plan to expand the transmission of referral information electronically in a closed health system to an open system.
Estimated total funding: $197,528
Principal Investigator: Carol Ireson
Applicant Institution: University of Kentucky Research Foundation, Lexington, KY
Grant No.: P20 HS15208
Estimated dates: 9/30/2004-9/29/2005

Connecting Healthcare in Central Appalachia
Description: Implements and trains staff on the use of an EMR system in a rural integrated health care delivery system serving approximately 20 counties throughout Eastern Kentucky and Southern West Virginia.
Estimated total funding: $1.5M
Principal Investigator: Polly Bentley
Applicant Institution: Appalachian Regional Health, Hazard, KY
Grant No.: UC1 HS15182
Estimated dates: 9/30/2004-8/31/2007

ED Information Systems-Kentucky & Indiana Hospitals
Description: Implements and trains users of a Web-based electronic record system in the emergency departments of two small community hospitals, one medium-sized community hospital, one rural hospital, and three private primary care physician practices; evaluates the reduction in medical errors, waiting time, and costs as well as patient and physician satisfaction.
Estimated total funding: $1,302,554
Principal Investigator: David Pecoraro
Applicant Institution: Jewish Hospital Health Care, Louisville, KY
Grant No.: UC1 HS14897
Estimated dates: 9/30/2004-9/29/2007

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Louisiana (Total funding: $3.2M)

Cardiovascular Care Disparities: Safety-Net HIT Strategy
Description: Designs the implementation of a longitudinal cardiovascular disease information system platform to address disparities viewed as a lifelong disease process, and examines the impact of health IT on quality improvement, medical and financial effectiveness, and increased value.
Estimated total funding: $194,499
Principal Investigator: Bruce Ferguson
Applicant Institution: Louisiana State University Health Sciences Center, New Orleans, LA
Grant No.: P20 HS15305
Estimated dates: 9/30/2004-9/29/2005

Distance Management of High-Risk Obstetrical Patients
Description: Develops a technology plan to improve access to maternal-fetal medicine services throughout the State and guides the implementation of telemedicine capabilities to provide real-time remote diagnostic ultrasound and consultative services to women with high-risk pregnancies.
Estimated total funding: $187,624
Principal Investigator: Candice Ferguson
Applicant Institution: Woman's Hospital, Baton Rouge, LA
Grant No.: P20 HS15435
Estimated dates: 9/30/2004-9/29/2005

HIT Service Integration
Description: Creates 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 identifying barriers and ways to address those barriers.
Estimated total funding: $200,000
Principal Investigator: Michelle Lemming
Applicant Institution: Franklin Foundation Hospital, Franklin, LA
Grant No.: P20 HS15195
Estimated dates: 9/30/2004-9/29/2005

2005

Service Integration
Description: Builds 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. Authorizes health care providers will have swift, secure access to important patient information at the point of care.
Estimated total funding: $1,500,000
Principal Investigator: Michelle Lemming
Applicant Institution: Franklin Foundation Hospital, Franklin, LA
Grant No.: UC1 HS016151
Estimated dates: 9/30/2005-9/29/2008

Louisiana Rural Health Information Technology Partnership
Description: Implements a Complete Medical Record (a computerized emergency department communication, documentation, passive tracking, and medical records system) in an emergency department and evaluates the use of this technology toward improving patient safety and quality of care.
Estimated total funding: $1,125,258
Principal Investigator: Paul Salles
Applicant Institution: Assumption Community Hospital, Napoleonville, LA
Grant No.: UC1 HS14953
Estimated dates: 9/30/2004-9/29/2007

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Maine (Total funding: $4.5M)

The Chronic Care Technology Planning Project
Description: Plans for standard exchange of clinical information for patients with chronic disease when transitioning from acute to non-acute care settings between primary care physicians, outpatient specialists, home health providers, nursing homes, and hospitals; creates an Institute for Healthcare Improvement Breakthrough Series Learning Collaborative to build on their work implementing the Chronic Care Model by enhancing the use of IT.
Estimated total funding: $188,739
Principal Investigator: John Branscombe
Applicant Institution: The Aroostook Medical Center, Presque Isle, ME
Grant No.: P20 HS14949
Estimated dates: 9/30/2004-9/29/2005

2005

The Chronic Care Technology Project
Description: Facilitates transfer of information among providers and patients in the Presque Isle community; implements a model of chronic care management; and educates area health care providers on how best to use current information systems to communicate with each other.
Estimated total funding: $1,312,329
Principal Investigator: John Branscombe
Applicant Institution: Aroostook Medical Center, Presque Isle, ME
Grant No.: UC1 HS016154
Estimated dates: 9/30/2005-9/29/2008

Midcoast Maine Patient Safety with IT Integration
Description: Develops new systems and a high level of integration and cooperation in four significant areas: medication management, patient discharge, high-level integration of information, and the development of a new paradigm for evaluating, selecting, and implementing new technologies.
Estimated total funding: $200,000
Principal Investigator: Maureen Buckley
Applicant Institution: Northeast Health Foundation, Rockland, ME
Grant No.: P20 HS15170
Estimated dates: 9/30/2004-9/29/2005

Improving Care in a Rural Region with Consolidated Imaging
Description: Implements and evaluates the results of the Consolidated Imaging-Picture Archiving and Communication System (a shared, standards-based, interoperable health information technology) that makes radiology images available for review within minutes of when they are acquired.
Estimated total funding: $1,382,861
Principal Investigator: Robert Coleman
Applicant Institution: Maine Medical Center, Portland, ME
Grant No.: UC1 HS15328
Estimated dates: 9/30/2004-9/29/2007

Improving HIT Implementation in a Rural Health System
Description: Implements an outpatient EMR in a rural health system using distinct phases to match the expected learning curve and to reduce the potential loss of practice productivity often associated with the implementation of an EMR; also collects data about patient safety, quality, access, cost, and productivity.
Estimated total funding: $1,375,179
Principal Investigator: Daniel Mingle
Applicant Institution: Maine General Medical Center, Augusta, ME
Grant No.: UC1 HS15337
Estimated dates: 9/10/2004-8/31/2007

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Maryland (Total funding: $1.56M)

Community HealthLink Care: Regional EMR
Description: Develops a secure, comprehensive, virtual health record for medically underserved patients that will lead to the implementation of a health IT infrastructure necessary to support a single, shared EMR application to promote the community-wide exchange of patient information for clinical decision support, research, and disease management on behalf of low-income, uninsured people.
Estimated total funding: $200,000
Principal Investigator: Thomas Lewis
Applicant Institution: Primary Care Coalition of Montgomery County, Silver Spring, MD
Grant No.: P20 HS14962
Estimated dates: 9/30/2004-9/29/2005

2005

Metro DC Health Information Exchange (MeDHIX)
Description: Implements a regional, Web-based electronic health record system, linking Washington, D.C., area providers who care for the underinsured and their families; creates a Web-based resource center for clinicians to use in decisionmaking; and ensures patient control over access to their medical records.
Estimated total funding: $1,363,135
Principal Investigator: Thomas Lewis
Applicant Institution: Primary Care Coalition of Montgomery County, Silver Spring, MD
Grant No.: UC1 HS016130
Estimated dates: 9/30/2005-9/29/2008

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Massachusetts (Total funding: $14.4M)

Statewide Implementation of Electronic Health Records
Description: Performs a rigorous evaluation of the impact of a State-wide implementation program on EHR adoption by rural and non-rural ambulatory care practices and its impact on medication errors and the quality of ambulatory care as a collaborative effort among providers, insurers, and businesses in cooperation with the State government.
Estimated total funding: $1,497,154
Principal Investigator: David Bates
Applicant Institution: Brigham and Women's Hospital, Boston, MA
Grant No.: UC1 HS15397
Estimated dates: 9/30/2004-9/29/2007

SAFEHealth - Secure Architecture for Exchanging Health Information
Description: Creates a local heath information exchange infrastructure that integrates workflow and improves communication for patients, health care providers, payers, and public health agencies.
Estimated total funding: $1,419,846
Principal Investigator: Lawrence Garber,
Applicant Institution: Fallon Clinic, Inc., Worcester, MA
Grant No.: UC1 HS15220
Estimated dates: 9/30/2004-9/29/2007

EMS-Based TIPI-IS Cardiac Care QI-Error Reduction System
Description: Implements the time-insensitive predictive instruments built into the computerized electrocardiograph in emergency medical service settings and emergency departments; also evaluates its impact on reducing errors and avoidable delays in emergency care.
Estimated total funding: $1,499,998
Principal Investigator: Harry Selker
Applicant Institution: New England Medical Center, Boston, MA
Grant No.: UC1 HS15124
Estimated dates: 9/30/2004-9/29/2007

Improving Pediatric Safety and Quality with Health Care IT
Description: Assesses improvements in patient safety and experience of care associated with implementation of several decision support functions embedded in an electronic health record: (1) the influence of weight-based dosing on pediatric adverse drug events; (2) the influence of a test result tracking system on appropriate followup of ordered tests; and (3) the influence of automated reminders on symptom monitoring and medications for children with asthma and attention deficit disorder.
Estimated total funding: $1,489,826
Principal Investigator: Timothy Ferris
Applicant Institution: Massachusetts General Hospital, Boston, MA
Grant No. R01 HS15002
Estimated dates: 9/30/2004-9/29/2007

Improving Safety and Quality with Outpatient Order Entry
Description: Examines the impact of integrating ambulatory CPOE with advanced CDSS on safety and quality in the ambulatory setting, its organizational efficiency, workflow, and satisfaction, and conducts a cost-benefit analysis.
Estimated total funding: $1,499,401
Principal Investigator: Tejal Gandhi
Applicant Institution: Brigham and Women's Hospital, Boston, MA
Grant No.: R01 HS15226
Estimated dates: 9/03/2004-8/31/2007

Value of Imaging-Related Information Technology
Description: Assesses the impact of Medical Imaging Informatics on health care costs and quality and develops a business case related to the acquisition and implementation of automated radiology systems; develops a financial model to demonstrate the impact of these systems on provider systems and health care quality.
Estimated total funding: $1,471,989
Principal Investigator: Scott Gazelle
Applicant Institution: Massachusetts General Hospital, Boston, MA
Grant No.: R01 HS14891
Estimated dates: 9/07/2004-8/31/2007

Health Information Technology in the Nursing Home
Description: Assesses the effects of CDSS in nursing homes on medication ordering and monitoring for residents in long term care setting; also tracks costs and assesses productivity, impact, and nursing home culture and organization.
Estimated total funding: $1,458,965
Principal Investigator: Jerry Gurwitz
Applicant Institution: University of Massachusetts, Worcester, MA
Grant No.: R01 HS15430
Estimated dates: 9/30/2004-9/29/2007

Evaluating Smart Forms and Quality Dashboards in an EHR
Description: Assesses the value of health IT to clinicians through creation of CDSS tools integrated with clinical documentation workflow and physician performance feedback, its impact on clinical decision support and quality assessment, and its cost-effectiveness.
Estimated total funding: $1,153,892
Principal Investigator: Blackford Middleton
Applicant Institution: Brigham and Women's Hospital, Boston, MA
Grant No.: R01 HS15169
Estimated dates: 9/30/2004-9/29/2007

ParentLink: Better and Safer Emergency Care for Children
Description: Evaluates the completeness and accuracy of information on symptoms, disease conditions, medications, and allergies generated by parents using a patient-centered health technology called ParentLink compared to information documented by emergency department physicians and nurses; ParentLink's impact on patient safety and quality.
Estimated total funding: $756,301
Principal Investigator: Stephen Porter
Applicant Institution: Children's Hospital Corporation, Boston, MA
Grant No.: R01 HS14947
Estimated dates: 9/30/2004-9/29/2006

E-Prescribing Impact on Patient Safety, Use, and Cost
Description: Assesses the impact of a State-wide rollout of e-prescribing using PocketScript software and its effect on safety, quality, cost, formulary compliance, and outcomes.
Estimated total funding: $1,122,244
Principal Investigator: Joel Weissman
Applicant Institution: Massachusetts General Hospital, Boston, MA
Grant No.: R01 HS15175
Estimated dates: 9/30/2004-12/31/2006

2005

Electronic Prescribing Using a Community Utility: The ePrescribing Gateway
Description: Uses an existing community utility for e-Prescribing called the eRx Gateway to test the e-Prescribing standards and conduct needed research into ambulatory drug safety and the impact of e-Prescribing on physician workflows.
Estimated total funding: $1,000,000
Principal Investigator: Jeffrey M. Rothschild
Applicant Institution: Brigham and Women's Hospital, Boston, MA
Grant No.: U18 HS016377
Estimated dates: 1/01/2006-12/31/2006

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Michigan (Total funding: $4.38M)

HIT Planning for a Critical Access Hospital Partnership
Description: Plans, develops, and implements health IT to assist local rural communities in improving health care access, building local and regional resources to monitor the quality of health care, and expanding the use of health IT educational, communication, and clinical applications.
Estimated total funding: $193,848
Principal Investigator: Donald Wheeler
Applicant Institution: Baraga County Memorial Hospital, L'Anse, MI
Grant No.: P20 HS15004
Estimated dates: 9/30/2004-9/29/2005

2005

Critical Access Hospital Partnership Health IT Implementation
Description: Establishes a Web-based electronic medical record system for 10 small rural hospitals to connect them to the area's regional medical center. The project's ultimate goal is to quickly give all providers access to patient data, eliminate duplicate tests and exams, deliver high-quality care, reduce medical errors and track health outcomes.
Estimated total funding: $1,484,167
Principal Investigator: Donald Wheeler
Applicant Institution: Upper Peninsula Health Care Network, L'Anse, MI
Grant No.: UC1 HS016152
Estimated dates: 9/30/2005-9/29/2008

Bar Coding for Patient Safety in Northern Michigan
Description: Implements a bar-coding application in to an existing integrated health IT network that alerts providers to potential drug interactions and allergic reactions, tracks "near misses," and provides a permanent record of the patient's medication history that is accessible by providers at any site.
Estimated total funding: $1,254,250
Principal Investigator: Randi Oehlers
Applicant Institution: Munson Medical Center, Traverse City, MI
Grant No.: UC1 HS14878
Estimated dates: 9/30/2004-9/29/2007

HIT Support for Safe Nursing Care
Description: Examines the use of the HANDS software system, an health IT-supported care planning process for nursing care, and its ability to be transferable between nurses, units, and health care settings.
Estimated total funding: $1,486,634
Principal Investigator: Gail Keenan
Applicant Institution: Regents of the University of Michigan, Ann Arbor, MI
Grant No.: R01 HS15054
Estimated dates: 9/01/2004-8/31/2007