Surprised not to see Massachusetts on the list, but exciting nonetheless… Here they are:
Community Services Council of Tulsa, Tulsa, Okla. – $12,043,948
Leverage broad community partnerships with hospitals, providers, payers, and government agencies to expand a community-wide care coordination system, which will increase appropriate referrals for cancer screenings, decrease unnecessary specialist visits and (with telemedicine) increase access to care for patients with diabetes.
Delta Health Alliance, Inc., Stoneville, Miss. – $14,666,156
Focus on achieving improvements for diabetic patients by electronically linking isolated systems and practices for care management, medication therapy management and patient education.
Eastern Maine Healthcare Systems, Brewer Maine – $12,749,740.
Expand community connectivity, including long-term care, primary care and specialist providers, to existing Health Information Exchange and promote the use of telemedicine and patient self-management in order to improve care for elderly patients and individuals needing long-term or home care.
Geisinger Clinic, Danville, Pa. – $16,069,110
Enhance care for patients with pulmonary disease and congestive heart failure by creating a community-wide medical home, promoting Health Information Exchange and extending Geisinger’s proven model for practice redesign to independent healthcare organizations throughout region.
HealthInsight, Salt Lake City, Utah – $15,790,181
Improve Diabetes management performance measures by increasing availability, accuracy and transparency of quality reporting, leverage Intermountain Healthcare’s strategies to reduce health systems costs throughout the region, and improve public health reporting.
Indiana Health Information Exchange, INC., Indianapolis, Ind. – $16,008,431
Expand the country’s largest Health Information Exchange to new community providers in order to improve cholesterol and blood sugar control for diabetic patients and reduce preventable re-admissions through telemonitoring of high risk chronic disease patients after hospital discharge.
Inland Northwest Health Services, Spokane, Wash. – $15,702,479
Focus on increasing preventive services for diabetic patients in rural areas by extending Health Information Exchange and establishing anchor institutions in close proximity to remote clinics that will promulgate successes in health IT supported care coordination.
Louisiana Public Health Institute, New Orleans, La. – $13,525,434
Reduce racial health disparities and improve control of diabetes and smoking cessation rates by linking technically isolated health systems, providers, and hospitals; and empower patients by increasing their access to Personal Health Records.
Mayo Clinic Rochester, d/b/a Mayo Clinic College of Medicine, Rochester, Minn. - $12,284,770
Enhance patient management and, reduce costs associated with hospitalization and emergency services for patients with diabetes and childhood asthma and address reduce health disparities for underserved populations and rural communities.
Rocky Mountain Health Maintenance Organization, Grand Junction, Colo. – $11, 878, 279
Enable robust collection of clinical data from health systems, providers, and hospitals in order to inform practice redesign to improve blood pressure control in patients with diabetes and hypertension, increase smoking cessation counseling, and reduce unnecessary emergency department utilization and hospital re-admissions.
Southern Piedmont Community Care Plan, Inc., Concord, N.C. – $15,907,622
Improve care coordination for patients with diabetes, heart disease, hypertension, and asthma by engaging patients and providers in bidirectional data sharing through a Health Record Bank, empowering patients and family members to participate in self-management through patient portals, and expanding access to care managers to facilitate post-discharge planning.
The Regents of the University of California, San Diego, San Diego, Calif. – $15,275,115
Expand pre-hospital emergency field care and electronic information transmission to improve outcomes for cardiovascular and cerebrovascular disease, empower patients to engage in their own health management through web portal and cellular telephone technology, and improve continuity of care for veterans and military personnel through the Veterans Affairs/Department of Defense Virtual Lifetime Electronic Record initiative.
University of Hawaii at Hilo, Hilo, Hawaii – $16,091, 390
Implement a region-wide Health Information Exchange and Patient Health Record solution and utilize secure, internet-based care coordination and tele-monitoring tools to increase access to specialty care for patients with chronic diseases such as diabetes, hypertension, and obesity in this rural, health-professional shortage area .
Western New York Clinical Information Exchange, Inc., Buffalo, N.Y. – $16,092,485
Utilize clinical decision support tools such as registries and point-of-care alerts and reminders and innovative telemedicine solutions to improve primary and specialty care for diabetic patients, decrease preventable emergency room visits, hospitalizations and re-admissions for patients with diabetes and congestive heart failure or pneumonia, and improve immunization rates among diabetic patients.