Woodlawn Hospital earns Exemplary Practice status for successful TCM implementation
Lean Daily Improvement helps improve chronic care management enrollment at multiple sites
Five Indiana Critical Access Hospitals demonstrate competency to receive top lean designation from Purdue
Multi-specialty healthcare provider establishes protocol to assess opioid prescriptions for older adult patients
Northeast Indiana primary care applies practice transformation tools to hit MIPS metrics
Lean Daily Improvement at Southwestern Behavioral Health helps to provide more timely care for patients with personality disorders
|2005||The Healthcare Technical Assistance Program (H-TAP) was founded by Purdue University's Technical Assistance Program, the Regenstrief Center for Healthcare Engineering at Purdue, and the Indiana Hospital Association. Initially, the nonprofit program focused on lean training and population health assessments.|
|2010||With federal grant funding, HTAP established the Purdue Regional Extension Center (PurdueREC) to provide direct technical assistance to providers who were eligible to report to the CMS EHR Incentive Payment Program (see summary below). Associated health IT security reviews, scans and risk assessments were provided as well. HTAP continued to certify learners in Lean and Lean Six Sigma for healthcare.|
|2012||H-TAP's name was changed to Purdue Healthcare Advisors (PHA).|
|2014-2015||PHA was awarded funds to oversee technical assistance and consultation for four programs: the Indiana Medicaid Promoting Interoperability (PI) Program; the Lean Healthcare Transformation Initiative (LHTI); the Great Lakes Practice Transformation Network (GLPTN); and Healthy Hearts in the Heartland (H3). The Lean First program was initiated.|
|2017||PHA was awarded funds to staff the Indiana help desk for the Quality Payment Program Resource Center (QPP-RC) for the Midwest.|
|2018||PHA's work with State of Indiana was expanded to address several clinical challenges currently impacting long-term care and the opioid crisis. LHTI added a second cohort of participating organizations, and funding for its first cohort was extended for an additional year.|
|2019||PHA launched a new online platform for instruction, coaching and community building called PHA Direct. PHA began work on the Empowering Communities Initiative aimed at helping a rural Indiana community respond to prescription opioid abuse.|
Purdue Regional Extension Center (PurdueREC)
Purdue Healthcare Advisors was one of 62 Regional Extension Centers nationwide chosen by the Office of the National Coordinator for Health IT (ONC) to implement the 2010-2015 Health IT Regional Extension Center (REC) Cooperative Agreement Program authorized by the Health Information Technology for Economic and Clinical Health Act (HITECH).
Funded by a $13M grant from the ONC to support and accelerate the efforts of primary care providers to become meaningful users of electronic health records (EHR), PHA provided information, guidance, and technical assistance to 71 Indiana hospitals and assisted more than 3,200 provider-clients, the majority assisted through the grant and others through fee-for-service work. PHA helped majority of eligible providers in the State of Indiana navigate the EHR adoption process from vendor selection and workflow analysis to implementation and Meaningful Use (MU).
During the programmatic years, PHA helped its PurdueREC-registered providers secure more than $200M in MU incentive payments from the Center for Medicare and Medicaid EHR Incentive Payment Plan, which is now called the Medicare Promoting Interoperability Program. The PurdueREC guided more than 25% of the state's primary care providers to MU compliance, and 25 Critical Access Hospitals (CAHs) and 5 rural hospitals to MU compliance; and helped more than 89% of Federally Qualified Health Clinics throughout the state. All of the PurdueREC's rural and CAHs implemented an EHR, and 83% achieved the MU standard, while 98% achieved the first milestone. In addition, the PurdueREC was recognized nationally for excellence with regard to grant sustainability efforts, most notably around the areas of Health IT privacy and security.
Three milestones marked the progress of healthcare providers along the Stage 1 MU compliance timeline:
- Eligible providers reached Milestone 1 when they enrolled in the program. 2,937 providers enrolled, which exceeded the goal of 2,200 providers, including 30 CAHs.
- Eligible providers reached Milestone 2 when they implemented this reporting. 2,686 providers implemented this reporting, which exceeded the goal of 2,200, including 30 CAHs.
- Eligible providers reached Milestone 3 when they successfully attested to MU by demonstrating their EHR usage met specific thresholds for key objectives. 2,201 providers successfully attested, which stands at 100% of the goal.
Healthy Hearts in the Heartland (H3)
Purdue Healthcare Advisors was one of seven universities and healthcare-industry partners that participated in Healthy Hearts in the Heartland (H3), a research program from 2015-2017 that focused on quality improvement and the prevention of strokes and heart attacks. Funded by a $15 million grant ($1.4M to PHA) from the Agency for Healthcare Research and Quality (AHRQ) and led by the Northwestern University Feinberg School of Medicine, H3 aimed to help providers in three states to use population-based tools and implement performance-measurement software in order to improve the overall health of their patient population.
As an H3 partner, PHA provided provide hands-on coaching to 60 small practices in Indiana on point-of-care support for Million Hearts© cardiovascular measures as well as support geared toward optimizing EHR clinical decision functionality, such as clinical decision support rules, and preparation for the coming changes to quality reporting and financial-incentive programs. PHA provided participating practices with direct assistance focused on six targeted specific heart-health measures required by the EvidenceNOW project and aligned with the Million Hearts initiative. These measures also fall within the scope of clinical quality measures associated with Meaningful Use (MU) and the Physician Quality Reporting System (PQRS).
Principal Investigator: Abel Kho, MD
IRB# STU00201720, AHRQ# HS 023921-01
Northwestern University Center for Health Information Partnerships