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Service Timeline

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 HTAP's name was changed to Purdue Healthcare Advisors (PHA).
2014 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 (see summary below); and Healthy Hearts in the Heartland (see summary below). The Lean First process improvement program was initiated.
2017 As a subcontractor for Altarum Institute, which was awarded CMS funds to implement the Quality Payment Program Resource Center (QPP-RC) for the Midwest, PHA staffed and maintained an Indiana QPP help desk.
2018 PHA's work with State of Indiana was expanded to address several clinical challenges impacting, smoking, long-term care and the opioids crisis. The LHTI added a second cohort of participating organizations, and funding for its first cohort was extended.
2019 PHA launched PHA Direct, an online platform for instruction, coaching and community building. PHA created an online version of its Lean Daily Improvement Facilitator Training & Certification course. Through the LHTI, five critical access hospitals were certified lean by PHA. PHA began work to help one rural Indiana community respond to prescription opioid abuse through the Empowered Communities grant, and two urban communities respond to the opioids crisis through the Small Care Neighborhood-Opioids Response grant funded by the state. Additional state funding allowed PHA to work with two Indiana cities through the Small Care Neighborhood-Long Term Care grant to improve transitions of care between hospitals and long-term care facilities. PHA served as an interface between public health and eight hospitals in the Health System Change Partnerships, a multi-year initiative to create systems of intervention inside hospitals to help people quit smoking. PHA facilitated lean process improvement to build standard work within hospital-selected value streams. 
2020 PHA lean experts started work on the chronic care management of congestive heart failure at an Indiana hospital through the Quality Process for Health Improvement grant.

Former Programs

Regional Extension Centers ProgramPurdue Regional Extension Center

PHA was one of 62 organizations chosen by the Office of the National Coordinator for Health IT to implement the 2010-2015 Health IT Regional Extension Center Cooperative Agreement Program. Funded by a $13M grant to support and accelerate the efforts of primary care providers to become meaningful users of electronic health records (EHR), the Purdue Regional Extension Center (PurdueREC) provided information, guidance and technical assistance to 71 Indiana hospitals and more than 3,200 provider-clients, which enabled them to secure more than $200M in incentive payments. The PurdueREC helped providers navigate the EHR adoption process with all 25 Critical Access Hospitals and 5 Rural Hospitals successfully implementing an EHR, 83% achieving the Meaningful Use standard, and 98% achieving the first milestone. PHA was recognized nationally for excellence in Health IT privacy and security.

Healthy Hearts in the Heartland

PHA was one of seven universities and healthcare-industry partners that participated in Healthy Hearts in the Heartland (H3), a Northwestern University Feinberg School of Medicine-led 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, H3 aimed to help providers in Illinois, Indiana and Michigan use population-based tools and implement performance-measurement software to improve the health of their patient population. PHA provided 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 changes to quality-reporting and financial-incentive programs. Direct assistance focused on the EvidenceNOW project's six targeted clinical quality heart-health measures.

Great Lakes Practice Transformation Network

PHA was one of 32 partners in the Great Lakes Practice Transformation Network (GLPTN) led by the IU University School of Medicine, which was awarded funding by the U.S. Department of Health and Human Services to implement the CMS Transforming Clinical Practice Initiative (TCPi). From 2016 to 2020, PHA acted as GLPTN's lead organization in Indiana to guide more than 3,000 clinicians through the CMS-identified phases of patient-centric practice transformation necessary to effectively participate in value-based payment systems. Purdue faculty experts partnered with PHA's Quality Improvement Advisors (QIAs) to help 50+ clinics, health centers and practices meet associated TCPi milestones as well as self-identified clinical and operational goals. The 2019 GLPTN Indiana Program Summary lists the network's CMS Indiana Exemplary Practices.

Additional Former Programs

Health System Change Partnerships

Small Care Neighborhood-Opioids Response

Small Care Neighborhood-Long Term Care


Melanie Cline




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