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A COMMUNITY-SHARED CLINICAL ABSTRACT TO IMPROVE CARE

Award Number: UC1HS016155
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/30/2005
PERIOD OF PERFORMANCE END DATE: 01/31/2010

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A COMMUNITY-SHARED CLINICAL ABSTRACT TO IMPROVE CARE - Relevance: Poorly executed care transitions as patients move from one delivery setting to another lead to fragmented care evidenced by duplication of services, inappropriate and conflicting recommendations, medication errors, and patient confusion and distress. The lack of timely transfer of essential clinical information is a major barrier to effective care transitions. Project Summary: Three large Minnesota based health care delivery systems have come together to use information technology to enhance communication at care transitions of patients with congestive heart failure and evaluate its impact. The long term objective which is crucial to the well being of the 100 million Americans with chronic illness and a rapidly growing population of elderly is to enable more informed clinical decisions which should result in safer and higher quality care of patients undergoing transitions. In addition, information exchange will be employed to facilitate the development of complete medication lists to be used as part of each organization's medication reconciliation process. The partners will execute an implementation plan for a community shared electronic medical record abstract designed to enhance the care and safety of those crossing delivery sites. This abstract will be available near the point of care. Using a federated information model, the abstract will be a composite derived from the electronic medical records of each partner. The abstract will hold pertinent information such as a problem list, medications, allergies, recent procedures, baseline physical, physiologic, and cognitive function and supplemented by recent prescription claims history. Our specific aims are to successfully execute our implementation plan, to evaluate the effect the shared abstract has on the care of patients with CHF by measuring indicators prior to our intervention and during both of a two phased intervention using health information exchange, and to demonstrate the integration of other clinical users into this information exchange once the project is operational and has documented its connection and participation standards.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2009 ( Subtotal = $0 )
2009	2007	FAIRVIEW HEALTH SERVICES	2450 RIVERSIDE AVENUE	MINNEAPOLIS	MN	55454	HENNEPIN	USA	Research on Healthcare Costs, Quality and Outcomes	001	3	9/30/2009	NON-COMPETING CONTINUATION	$0
2009	2007	FAIRVIEW HEALTH SERVICES	2450 RIVERSIDE AVENUE	MINNEAPOLIS	MN	55454	HENNEPIN	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	11/25/2008	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2007 ( Subtotal = $497,188 )
2007	2007	FAIRVIEW HEALTH SERVICES	2450 RIVERSIDE AVENUE	MINNEAPOLIS	MN	55454	HENNEPIN	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	9/11/2007	NON-COMPETING CONTINUATION	$497,188
														Subtotal = $497,188

Grand Total All Awards = $497,188

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A COMMUNITY-SHARED CLINICAL ABSTRACT TO IMPROVE CARE

Award Number: UC1HS016155

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/30/2005

PERIOD OF PERFORMANCE END DATE: 01/31/2010

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