Projects Funded by State (continued)

Ohio (Total funding: $3.0M)

CCHS-East Huron Hospital CPOE Project
Description: Creates an information management environment that integrates patient care data, standardizes practice variation and use of best practices, and supports the delivery of a seamless continuum of patient care throughout the health system through CPOE.
Estimated total funding: $1.5M
Principal Investigator: Greg Kall
Applicant Institution: Meridia Health System, East Cleveland, OH
Grant No.: UC1 HS15076
Estimated dates: 9/30/2004-8/31/2007

Trial of Decision Support To Improve Diabetes Outcomes
Description: Evaluates the effects of a Web portal-based patient empowerment program and EMR system on quality of care, patient safety, and utilization for patients with diabetes and physicians in primary care practices.
Estimated total funding: $1,495,569
Principal Investigator: Randall Cebul
Applicant Institution: Case Western Reserve University
Grant No.: R01 HS15123
Estimated dates: 9/30/2004-8/31/2007

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Oklahoma (Total funding: $2.76M)

Health Improvement Collaboration in Cherokee County, OK
Description: Creates a plan for developing an integrated, multifunctional, HIPAA-compliant Community Health Information Network; developing a telephonic comprehensive nurse line service and triage function; and investigating and implementing improvements for streamlining existing appointment systems.
Estimated total funding: $200,000
Principal Investigator: Mark Jones
Applicant Institution: Tahlequah City Hospital, Tahlequah, OK
Grant No.: P20 HS15364
Estimated dates: 9/30/2004-9/29/2005

2005

Implementation of Health Improvement Collaboration in Cherokee County, OK
Description: Implements a HIPAA-compliant electronic records system to improve public health, patient safety and facilitate information sharing among health care providers in the Talequah area, with the goals of establishing a Web-based information and referral service and creating a community-wide, science-based prevention strategy supported by the new information system.
Estimated total funding: $1,499,200
Principal Investigator: Mark Jones
Applicant Institution: Tahlequah City Hospital, Tahlequah, OK
Grant No.: UC1 HS016131
Estimated dates: 9/30/2005-9/29/2008

INTEGRIS Telewoundcare Network
Description: Demonstrates and evaluates the clinical effectiveness and cost savings of utilizing telehealth technology to reduce the days to healing for chronic wounds by improving access to caregivers, point of care processes, and dissemination of best practice information.
Estimated total funding: $1,063,213
Principal Investigator: Charles Bryant
Applicant Institution: INTEGRIS Health, Inc., Oklahoma City, OK
Grant No.: UC1 HS15359
Estimated dates: 9/30/2004-9/29/2007

Delivery of Preventive Services in Primary Care
Description: Disseminates strategies targeted toward increasing immunizations and preventive care, including a computer reminder system to practices in a Practice-Based Research Network (PBRN). Assesses, using a randomized controlled trial methodology, the relative adoption success of academic detailing combined with and without practice facilitation and technology implementation assistance, on the delivery of preventive services.
Estimated total funding: $439,500
Principal Investigator: James Mold
Applicant Institution: University of Oklahoma Health Sciences Center, Oklahoma City, OK
Grant No: R21 HS14850
Estimated dates: 9/30/2004 -9/29/2006

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Oregon (Total funding: $4.8M)

Improving the Quality of Healthcare in Central Oregon
Description: Develops an integrated health IT to improve rural access to health care and identifies key issues to improve patient safety and quality of care, including analyzing the cost-benefit of technical solutions.
Estimated total funding: $199,897
Principal Investigator: Diane Audiss
Applicant Institution: St. Charles Medical Center, Bend, OR
Grant No.: P20 HS14930
Estimated dates: 9/30/2004-9/29/2005

Bay Area Community Informatics Project
Description: Plans the implementation of an HIE using a secure fiber optic connection between community care providers to share patient demographic, medical records, laboratory results, and radiographic images.
Estimated total funding: $174,190
Principal Investigator: Jeffery Givens
Applicant Institution: Bay Area Hospital, Coos Bay, OR
Grant No.: P20 HS14893
Estimated dates: 9/30/2004-9/29/2005

Using IT To Improve Medication Safety for Rural Elders
Description: Implements a Patient-Centered Medication Information System (PCMIS) to provide secure access to accurate, complete, and current medication information for patients, clinicians, pharmacists, and nurses, reconcile differences in medication information, and provide a platform for evidence-based decision support; assesses the benefits and costs of the system.
Estimated total funding: $1,496,748
Principal Investigator: Paul Gorman
Applicant Institution: Samaritan North Lincoln Hospital, Lincoln City, OR
Grant No.: UC1 HS14928
Estimated dates: 9/30/2004-9/29/2007

Medication Management: A Closed Computerized Loop
Description: Implements health IT specifically related to medication administration and management and assesses the extent to which these technologies contribute to measurable and sustainable improvements in patient safety and quality of care.
Estimated total funding: $1,490,897
Principal Investigator: Mark Hetz
Applicant Institution: Three Rivers Community Hospital, Grants Pass, OR
Grant No.: UC1 HS15231
Estimated dates: 9/10/2004-8/31/2007

Improving Safety and Quality with Integrated Technology
Description: Demonstrates the value of an integrated outpatient and inpatient health information system by assessing adherence to evidence-based treatment guidelines for women who are group B streptococcus positive including inappropriate antibiotic use and screening in the outpatient setting, and cost-benefit analysis.
Estimated total funding: $1,461,150
Principal Investigator: Jeanne-Marie Guise
Applicant Institution: Oregon Health and Sciences University, Portland, OR
Grant No.: R01 HS15321
Estimated dates: 9/30/2004-8/31/2007

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Pennsylvania (Total funding: $3.2M)

Regional Approach for THQIT in Rural Settings
Description: Conducts a formal clinical information and technical needs assessment to identify the optimal technical model for information sharing as well as actions required to overcome barriers; develops a project plan that will promote implementation of cost-effective clinical information services.
Estimated total funding: $200,000
Principal Investigator: James Walker
Applicant Institution: Geisinger Clinic, Danville, PA
Grant No.: P20 HS15457
Estimated dates: 9/30/2004-9/29/2005

2005

Regional Approach for THQIT in Rural Settings
Description: Launches a health records-sharing project, led by Geisinger Health System, with Shamokin Area Community Hospital and Sunbury Community Hospital to permit secure electronic access to patient records.
Estimated total funding: $1,499,999
Principal Investigator: Francis Richards
Applicant Institution: Weis Center for Research-Geisinger Clinic, Danville, PA
Grant No.: UC1 HS016162
Estimated dates: 9/30/2005-9/29/2008

Enhancing Patient Safety Through a Universal EMR System
Description: Implements an EMR system that allows 24-hour data sharing across seven rural health care delivery sites for clinicians to access current and complete patient information using either Personal Digital Assistants or a Web portal.
Estimated total funding: $1.5M
Principal Investigator: Thomas Johnson
Applicant Institution: Dubois Regional Medical Center, DuBois, PA
Grant No.: UC1 HS15083
Estimated dates: 9/30/2004-9/29/2007

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Rhode Island (Total funding: $5.0M)

State and Regional Demonstrations in Health Information Technology
Description: Plans, develops, implements, and evaluates a Master Patient Index to facilitate interoperability and sharing patient data between public and private health care sectors.
Estimated total funding: $5.0M
Project Director: Patricia Nolan
Contracting Institution: State of Rhode Island, Providence, RI
Contract No.: 290-04-0007
Estimated dates: 9/30/2004-9/29/2009

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Tennessee (Total funding: $7.92M)

State and Regional Demonstrations in Health Information Technology
Description: Plans, implements, and evaluates a state-based regional data sharing and interoperatibility service interconnecting the health care entities in three counties including needs assessment for health care improvement and reforming TennCare.
Estimated total funding: $5.0M
Project Director: Mark E. Frisse
Contracting Institution: Vanderbilt University Medical Center, Nashville, TN
Contract No.: 290-04-0006
Estimated dates: 9/30/2004-9/29/2009

Improving the Quality and Safety of Regional Surgical Patient Care through the Creation of a Multi-institutional Partnership for the Implementation and Support of Perioperative Informatics Tools
Description: Develops a detailed plan for the implementation and support of informatics tools in regional health centers including the creation of informatics tools to manage institutional surgical care information, creation of a multi-institutional partnership to manage both the informatics and surgical quality improvement programs, and the development of an economic model related to the business and safety benefits.
Estimated total funding: $198,650
Principal Investigator: Michael Higgins
Applicant Institution: Vanderbilt University Medical Center, Nashville, TN
Grant No.: P20 HS15401
Estimated dates: 9/30/2004-9/29/2005

Improving Quality Care for Children with Special Needs
Description: Develops a database that includes diagnoses, health records, and educational information on Children with Special Health Care Needs with emphasis on children with genetic conditions and developmental disabilities; makes this information available to physicians via a secure Web-based system.
Estimated total funding: $200,000
Principal Investigator: Carmen Lozzio
Applicant Institution: University of Tennessee Health Sciences Center, Memphis, TN
Grant No.: P20 HS15426
Estimated dates: 9/30/2004-9/29/2005

2005

Improving Quality Care for Children with Special Needs
Description: Expands upon an existing Web-based electronic health record for children with special health care needs to improve coordination of services and continuity of care; incorporates new populations (children with genetic, behavioral, and mental health disorders); establishes links with educational services and the State Medicaid program.
Estimated total funding: $1,096,491
Principal Investigator: Carmen Lozzio
Applicant Institution: University of Tennessee, Memphis, TN
Grant No.: UC1 HS16133
Estimated dates: 9/30/2005-9/29/2008

Technology Exchange for Cancer Health Network (TECH-Net)
Description: Implements a systematic care program to improve cancer management in rural communities by building upon an innovative approach to total clinical decision support to provide access to oncology, hematology, and other specialists through a dedicated telehealth network.
Estimated total funding: $1,429,265
Principal Investigator: Karen Fox
Applicant Institution: University of Tennessee Health Sciences Center, Memphis, TN
Grant No.: UC1 HS15437
Estimated dates: 9/30/2004-9/29/2007

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Texas (Total funding: $2.98M)

Rural Hospital Collaborative for Excellence Using IT
Description: Implements advanced information technology in rural and small community hospitals including Web-based business intelligence tools, Internet connectivity, and standardized national measures of patient safety and quality; also provides education intervention to support implementation efforts and evaluate its effects on patient safety and quality.
Estimated total funding: $1,482,965
Principal Investigator: Patricia Dorris
Applicant Institution: Palo Pinto General Hospital, Mineral Wells, TX
Grant No.: UC1 HS15431
Estimated dates: 9/30/2004-9/29/2007

Measuring the Value of Remote ICU Monitoring
Description: Examines the effect of tele-ICU monitoring on mortality, complications, length of stay, cost-effectiveness, provider attitudes, and human factors issues in ICUs and seven community hospitals.
Estimated total funding: $1,442,426
Principal Investigator: Eric Thomas
Applicant Institution: University of Texas-Houston, Houston, TX
Grant No.: R01 HS15234
Estimated dates: 9/30/2004-9/29/2007

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Utah (Total funding: $8.0M)

Improving Communication Between Health Care Providers Via a Statewide Infrastructure: UHIN Clinical
Description: Expands and enhances current State-wide network for the electronic exchange of patient administrative and clinical data and will support the adoption of EMRs.
Estimated total funding: $5.0M
Project Director: Jan Root
Contracting Institution: Utah Health Information Network, Murray, UT
Contract No.: 290-04-0002
Estimated dates: 9/30/2004-9/29/2009

Nursing Home IT: Optimal Medication and Care Delivery
Description: Implements an health IT system with added best-practices decision support modules in seven nursing homes and evaluates the impact on care processes, resident health outcomes, and staff efficiency and satisfaction.
Estimated total funding: $1,486,452
Principal Investigator: Susan Horn
Applicant Institution: International Severity Information Systems, Inc., Salt Lake City, UT
Grant No.: UC1 HS15350
Estimated dates: 9/30/2004-9/29/2007

Rural Trial of Clinic Order Entry with Decision Support
Description: Assesses the value of a computerized clinic order entry tool in rural primary care practices for appropriateness of antimicrobial therapy for acute respiratory infections, frequency of hemoglobin A1c in diabetics, incidence of outpatient adverse drug events, and influenza vaccine immunizations.
Estimated total funding: $1,499,650
Principal Investigator: Matthew Samore
Applicant Institution: University of Utah, Salt Lake City, UT
Grant No.: R01 HS15413
Estimated dates: 9/20/2004-8/31/2007

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Vermont (Total funding: $2.39M)

Improving Rural Healthcare with Technology
Description: Utilizes existing health IT standards to integrate the current stand-alone databases and information systems of a consortium of three rural health care systems as the basis for creating a comprehensive electronic health record for patient care.
Estimated total funding: $200,000
Principal Investigator: C. Frederick Lord
Applicant Institution: Mt. Ascutney Hospital and Health Center, Windsor, VT
Grant No.: P20 HS14896
Estimated dates: 9/30/2004-9/29/2005

2005

Improving Rural Health Care: Implementing Innovative Integration Solutions
Description: Integrates existing health IT technology software and systems among a three-hospital consortium to create a shared electronic record that will ultimately give providers access to real-time data and the ability to electronically prescribe medications. The goals of the project are to reduce medical errors, improve the quality of patient care, increase patient satisfaction, and lower costs.
Estimated total funding: $685,191
Principal Investigator: Thomas Sims
Applicant Institution: Mt. Ascutney Hospital and Health Center, Windsor, VT
Grant No.: UC1 HS016142
Estimated dates: 9/30/2005-9/29/2008

Improving Healthcare Quality via Information Technology
Description: Implements an integrated electronic patient medical record, electronic medication administration record, computerized physician order entry, and clinical decision support software that will be accessible at all participating facilities which include an acute care hospital, home health care agency, ambulatory clinics, a rehab facility, and the patient/resident from home.
Estimated total funding: $1,486,304
Principal Investigator: Robert Pezzulich
Applicant Institution: Southwestern Vermont Health, Bennington, VT
Grant No.: UC1 HS15270
Estimated dates: 9/30/2004-9/29/2007

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Virginia (Total funding: $2.2M)

Rural Virginia e-Health Collaborative
Description: Examines the automation of the continuity of care record for use in patient referrals, hospital admission, and hospital discharge; e-prescribing in physician practices, hospital discharge medications, and long-term care facilities with links to community pharmacies; and disease registries for managing preventive care interventions and chronic diseases.
Estimated total funding: $200,000
Principal Investigator: Michael Matthews
Applicant Institution: Rappahannock General Hospital, Kilmarnock, VA
Grant No.: P20 HS15301
Estimated dates: 9/30/2004-9/29/2005

Maximizing Effectiveness of E-Prescribing Between Physicians and Community Pharmacists
Description: Evaluates how the e-prescribing standards work in a variety of practice settings, geographic areas, and e-prescribing technologies. In addition, assesses how prescriber and vendor characteristics influence e-prescribing adoption and what best features of vendor software improve medication-related safety outcomes. Physicians and pharmacies will be recruited for participation in Florida, Massachusetts, Nevada, New Jersey, Tennessee, and potentially Rhode Island.
Estimated total funding: $1,998,370
Principal Investigator: Kate Lapane
Applicant Institution: SureScripts, Alexandria, VA
Grant No.: U18 HS016394
Estimated dates: 1/01/2006-12/31/2006

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Washington (Total funding: $2.5M)

Patient-Provider Electronic Messenger in Chronic Illness
Description: Analyzes a patient secure messaging application for patients with depression, congestive heart failure, and diabetes and evaluates potential for safer and more effective medical care.
Estimated total funding: $99,992
Principal Investigator: James D. Ralston
Applicant Institution: Group Health Cooperative of Puget Sound
Grant No.: R03 HS14625
Estimated dates: 9/01/2004-8/31/2005

Evaluating the Impact of an ACPOE/CDS System on Outcomes
Description: Implements an ambulatory computer physician order entry (ACPOE) system with clinical decision support capabilities in an ambulatory, community-based, integrated health-system; evaluates the impact of the system both internally, on organizational processes and human factors, and externally, on patient safety as measured by medication errors and adverse drug events.
Estimated total funding: $1,030,363
Principal Investigator: Sean Sullivan
Applicant Institution: University of Washington, Seattle, WA
Grant No.: UC1 HS15319
Estimated dates: 9/30/2004-9/29/2007

A Rural HIT Cooperative To Promote Clinical Improvement
Description: Demonstrates the value of health IT in improving quality of inpatient care for community-acquired pneumonia and emergency care of acute myocardial infarctions in rural hospitals.
Estimated total funding: $1,498,916
Principal Investigator: Elizabeth Floersheim
Applicant Institution: Rural Healthcare Quality Network, Davenport, WA
Grant No.: R01 HS15188
Estimated dates: 9/17/2004-8/31/2007

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West Virginia (Total funding: $1.1M)

Boone County Community Care Network
Description: Designs a county-wide health information system that will allow health information sharing and permit real-time order placement by hospitals, health departments, private physicians' offices, clinics, and long term care facilities.
Estimated total funding: $200,000
Principal Investigator: Robert Atkins
Applicant Institution: Boone Memorial Hospital, Madison, WV
Grant No.: P20 HS15286
Estimated dates: 9/30/2004-9/29/2005

Partnering To Improve Patient Safety in Rural WV
Description: Expands the reporting of medical errors and near misses, monitors safety event reporting, and develops a learning network among small, rural hospitals and their associated ambulatory care facilities, long-term care facilities, and home health agencies.
Estimated total funding: $889,388
Principal Investigator: Gail Bellamy
Applicant Institution: West Virginia Medical Institute, Charleston, WV
Grant No.: UC1 HS14920
Estimated dates: 9/30/2004-9/29/2005

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Wisconsin (Total funding: $3.3M)

Planning for a Rural Prescription Medication Network
Description: Develops a shared electronic repository for patient-level prescription medication data that enables real-time access for patients receiving health care services and plans a model system design to electronically link prescription medication data across hospitals and physician practices.
Estimated total funding: $167,781
Principal Investigator: Robert Gribble
Applicant Institution: St. Joseph's Hospital, Marshfield, WI
Grant No.: P20 HS15327
Estimated dates: 9/30/2004-9/29/2005

Developing Shared EHR Infrastructure in Wisconsin
Description: Plans the implementation of a common infrastructure for an integrated EHR and CPOE to enhance access to clinical data, develops a workable model/plan for standards-based data sharing to allow multiple providers using disparate information systems to access patient information, and creates a quality measurement and enhancement tool that would measure improvements in quality and patient care.
Estimated total funding: $192,000
Principal Investigator: Tim Size
Applicant Institution: Reedsburg Area Medical Center, Reedsburg, WI
Grant No.: P20 HS15295
Estimated dates: 9/30/2004-9/29/2005

Improving Patient Safety/Quality with HIT Implementation
Description: Implements an Epic health IT system and diffuses the system community-wide; identifies the prevalence of medication errors, near misses, and preventable adverse drug events; assesses costs and customer satisfaction both before and after implementation.
Estimated total funding: $1.5M
Principal Investigator: John Reiling
Applicant Institution: St. Joseph's Community Hospital, West Bend, WI
Grant No.: UC1 HS15284
Estimated dates: 9/30/2004-9/29/2007

CPOE Implementation in ICU's
Description: Assesses the implementation of CPOE systems in six intensive care units (ICUs) and evaluates the value and outcomes of patient safety involving medication errors; quality of care; end users' job tasks, perceptions, and attitudes; and financial impact.
Estimated total funding: $1,455,066
Principal Investigator: Pascale Carayon
Applicant Institution: University of Wisconsin, Madison, WI
Grant No.: R01 HS15274
Estimated dates: 9/01/2004-8/31/2007

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Acronyms

IT: information technology
HIT: health information technology
EMR: electronic medical record
EHR: electronic health record
HIE: health information exchange
CPOE: computerized physician/provider order entry
CDSS: clinical decision support system

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For More Information

For additional information on AHRQ projects on health information technology, please contact the health IT staff at healthIT@ahrq.gov.