NAME OF NETWORK: 
St. Vincent Health

Name of Grantee: 
Indiana State Department of Health  

Project Manager:                                                    
John Winenger, Regional Network Development

Phone: 317.583.3244

Principal Investigator:
Dr. Alan Snell, Medical Infomatics Director
                                                                            
Phone: 317.583.3248
Address: 10330 North Meridian Street Indianapolis, IN 46290                            
Fax: 317.583.3255
Organizational Website: www.stvincent.org     
E-mail: jawineng@stvincent.org
 
Project Purpose
The Indiana State Office of Rural Health (SORH) proposes to improve health care delivery in rural areas of the state by enhancing health information technology (HIT) and related linkages between primary care providers, critical access hospitals, and tertiary care hospital providers.  The overall purpose of the project is to improve the safety, quality, efficiency, and effectiveness of health care in rural areas.

Outcome Measures/Expectations
Project Phase One:  Allscripts (outpatient) Implementation
St. Vincent Health will plan and implement the installation of Allscripts, a state-of-art electronic health record system, in two (2) rural health clinics (RHC) locations affiliated with St. Vincent CAH sites in North Vernon, IN., and Winchester, IN.  The project will also include installation of Allscripts in a federally qualified health center (FQHC) location in Elwood, IN. that works closely with the CAH at that Elwood location. 

Project Phase two:  Eclipsys (inpatient) CAH Implementation
St. Vincent Health will plan and implement the Eclipsys electronic patient record /clinical management software system at each CAH location.  Implementation will begin at the St. Vincent Jennings location in North Vernon, IN location; will then proceed to SV Mercy in Elwood, IN.; then to SV Randolph location in Winchester, IN.  Within each hospital, multiple other information management systems including those in Emergency departments, Imaging and Radiology departments, Picture Archival and Communications (PACS), Pharmaceutical management, and Laboratory information management systems will be interfaced with the new clinical management system. 

Project Phase Three: Clinical Integration and Data Sharing
The existing physician practice systems in the RHC locations will be linked electronically to the Eclipsys clinical management system at the CAH sites so that critical components of the patient record information in the physician practices can be electronically shared, upon admission and discharge, with the CAH sites.  In addition, data from visits made to the CAH Emergency departments and other primary care entry points can be shared between providers. 

Project Phase Four: Health Information Exchange
Lastly, connectivity will be established to the Indiana Health Information Exchange (IHIE) network, which will further demonstrate the future state of healthcare in sharing patient vital statistics and exam results among providers.  It is the collective belief that with this information, physicians can help reduce duplication of testing thus lowering costs and improve quality of care to patients.  IHIE is currently delivering over one million clinical messages per month within the central Indiana healthcare market. 

Project Phase Five: Evaluation
The Indiana State Office of Rural Health and St. Vincent Health, along with its CAH locations will utilize several operational and clinical measures to support the aim of enhancing effectiveness, efficiency, patient safety, and quality as related to the HIT project implementation.  Quality indicators will be addressed with pre/post implementation levels, and will include the required indicators for disease management of diabetes and cardiovascular disease.  The five targeted project outcomes will be focused on:

• Diabetes;
• Cardiovascular disease;
• Medical safety / Medication reconciliation;
• Pediatric Asthma; and,
• Adult immunizations (flu and pneumonia).

 Service Area

1) St. Vincent Randolph, a CAH located in Winchester, Indiana (Randolph County). Included in this target area is:

• Rural health clinics integrated into their regional delivery system within Randolph County located in the Indiana cities of Union City, Ridgeville, Winchester and Lynn,

2)  St. Vincent Mercy Hospital, a CAH located in Elwood, Indiana (Madison County).  Included in this target area is:

• A free-standing Federally Qualified Health Center (FQHC) in Elwood, Indiana that has operational and clinical program integration with St. Vincent Mercy Hospital that includes shared clinical support staffing, shared medical direction, reduced rent/lease on property, and shared services such as laboratory and radiology.

3)  St. Vincent Jennings Hospital, a CAH located in North Vernon, Indiana (Jennings County).  Included in this target area is:

• A provider-based RHC located in North Vernon, Indiana.

4)  St. Vincent Hospital – Indianapolis will serve as the tertiary care facility.  It is a 650 bed hospital located in Marion County and provides tertiary level patient care services for the St. Vincent CAH Network.

Network Members:

Equipment/Vendors or Collaborative Partners

• Chosen Billing System - IDX:   IDX Systems Corporation (IDX) was a healthcare software technology company that formerly had headquarters in South Burlington, Vermont, United States. It was founded in 1969 by Robert Hoehl, Richard Tarrant, and Paul Egerman. IDX was acquired by General Electric and incorporated into its GE Healthcare business unit in 2006.  http://en.wikipedia.org/wiki/IDX_Systems

2. Chosen Outpatient Electronic Medical Record System - Allscripts:  The award-winning TouchWorks™ Electronic Health Record (EHR) from Allscripts radically simplifies the art, science, and process of caring for patients. TouchWorks is the "EHR of Choice" for large medical groups (25 doctors and up) and has been nationally recognized as the leading provider of clinical software, connectivity and information solutions that physicians use to improve healthcare. More than 30,000 physicians in over 3,500 clinics nationwide use our solutions every day to inform, connect and transform healthcare.  http://www.allscripts.com/as_emrupdate.html
3. Chosen Inpatient Electronic Patient Record System - Eclipsys: The Eclipsys Sunrise Clinical Manager™ solutions connect the numerous caregivers involved in a single patient's care for improved quality, efficiency and turnaround times. Eclipsys is a leading provider of information solutions that help hospitals and health systems more-effectively manage the business of healthcare and achieve measurable and sustainable, improved outcomes. http://www.eclipsys.com/aboutus/
4. Chosen Physician Order Set Provider – Zynx Health:  The Zynx team of physicians, nurses, and allied health professionals rigorously review the latest peer-reviewed literature to develop clinical summaries and distill evidence-based best practices.  Zynx helps hospitals and physicians make evidence actionable in the form of physician order sets, interdisciplinary plans of care, alerts, and reminders.  Clinical teams utilize our online content management tools to collaborate and efficiently customize this information to adhere to local best practices, guidelines, and formularies. More than 1,400 hospitals nationwide trust evidence-based clinical decision support from Zynx Health to address regulatory initiatives, optimize pay-for-performance reimbursement, and measurably improve the quality and safety of patient care.  http://www.zynx.com/