Indian Health Service IHS

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Indian Health Service(IHS)

• The IHS is the principal Federal healthcare
  provider for American Indians and Alaska Natives
• The IHS provides comprehensive health services to
  1.7 million people
• The IHS has 144 Service Units composed of more
  than 500 direct health care facilities
• Health Facilities are both urban and rural

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GOAL

• To assure that comprehensive, culturally
  acceptable personal and public health services
  are available and accessible to American Indian
  and Alaska Native people

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Resource and Patient Management System (RPMS)

• RPMS is a decentralized automated information
  system
• There are approximately 60 integrated software
  applications available to each site
• The Patient Care Component (PCC) is the clinical
  data repository within RPMS. It collects and
  stores demographic and medical data for each
  patient in the system

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• iCare
• INTEGRATEDCASE MANAGEMENT
• Software Application

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CASE MANAGEMENT

• Is Proactive
• Is about Communication
• Places the patient and family in the center of
  the care team
• Improves the delivery of care, as well as the
  outcomes
• Results in fiscal benefits for both the patient
  and the health care facility
• Can be performed by a variety of health care
  providers
• Nurses Dieticians
• Physicians Dentists
• Social Workers Nurse Practitioners
• Pharmacists

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GOALS

• Provide a useful tool to a wide variety of
  providers at I/T/U sites to facilitate the
  proactive management of their patients
  healthcare and ultimately improve the lives of
  the communities IHS serves
• Provide users with integrated decision support
  and patient management for single or multiple
  disease states and or care conditions
• Allow IHS providers to manage patients by
  retrieving any and all information from the RPMS
  database and bringing it together under one
  graphical user interface (GUI)
• Provide an integrated patient record that will
  minimize stovepipe management
• Provide a tool that will incorporate information
  specific to an individuals household and
  community

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iCare Features

• Utilizes existing IHS data base - Resource
  Patient Management System (RPMS)
• iCare is a Graphical User Interface (GUI)
  application
• Integrated Patient Record
• Multiple, customized patients panels
• Notification Flags
• Diagnosis Tags
• Individual and Aggregated GPRA data

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Future iCare Features

• Integrate with other disease/condition specific
  register management systems (i.e. HIV, CVD,
  Diabetes, Asthma, Womens Health, Immunizations
  etc)
• Household and Community Profiles
• Integrated Reminders
• Patient Generated notes/ data/ plans

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iCare is customizeable..
Users define their own patient population based
on the sites business practice
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Users choose the type and duration of flags
theyd like displayed
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Users choose their own
start up screen
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An Individual Users Panel List
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iCare provides users with the ability to create
multiple, predefined and easy-to-define patient
panels. Panels are customizable and unique to
the individual user.
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A Panels Patient List
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Tags
iCare utilizes logic written for other
clinical applications to tag individuals with
pre- defined diagnoses and conditions
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Flags

• iCare displays patient flags related to
• Abnormal labs
• Hospitalizations
• ER visits
• Unanticipated ER returns

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Individual GPRA View
Users select which GPRA measures theyd like to
view and then check to see if the measure is met
for any individual patient on the panel.
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Aggregated GPRA Statisitcs
iCare uses official GPRA report logic
on user-defined populations that are not
currently available in the Clinical
Reporting System (CRS)
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Modifying Panels
Modifications made to individual panels
affect that panel only
Users have the Freedom to choose Which columns
theyd Like displayed and in What order. Each
panel can Have a different design
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Sharing Panels
iCare allows users to share their panels
with others
Shared access is either Read or Read/Write
and can be permanent or temporary
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Patient Record
iCare pulls all available patient data and
displays it in one view so the whole picture
is appreciated
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Flags
Radi- ology
Problem List
Cover Sheet
Pt. GPRA stats
Health Summary
Labs
Meds
Re- mind- ers
Face Sheet
Well- Ness Summary
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iCare will generate nationally-defined general
prevention and disease/condition specific
healthcare reminders that are integrated to
display most stringent criteria applicable to
the patients chronic condition(s)
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A variety of Health Summaries can be displayed
from within the patient record
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Conclusions

• Beta testing to begin in CY 2006
• Deployment early 2007
• Development of next phase in process

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QUESTIONS?