Capital Region Medical Center (CRMC) has selected Cerner to implement an integrated electronic health record (EHR) and revenue cycle management solutions to support improved health outcomes and optimized revenue functions. University of Missouri (MU) Health Care will extend its Cerner Millennium® domain to CRMC. As an affiliate of MU Health Care since 1997, the domain extension to CRMC will further the health system’s well-established collaboration with Cerner.
“We are excited to broaden our collaboration with CRMC to bring them access to the Tiger Institute for Health Innovation’s integrated platform and solutions,” said Jonathan Curtright, CEO, MU Health Care. “As a result of the successes we’ve seen in patient care while working with Cerner, we look forward to seeing improved health outcomes for patients at CRMC and MU Health Care.”
Cerner and MU previously formed the Tiger Institute for Health Innovation with the mission to transform health care for Missourians. The Tiger Institute and Cerner ITWorksSM manage the EHR and IT operations for MU Health Care, now extending this arrangement to CRMC. After implementation, Cerner will assume day-to-day management of CRMC’s IT operations and staff. By enlisting Cerner to handle IT service delivery, CRMC will have the opportunity to optimize resources and drive efficiencies.
“With our close relationship with MU Health Care through the Tiger Institute, this extension to CRMC will continue Cerner’s support of the health and well-being of people across the state of Missouri,” said Joanne Burns, senior vice president and chief strategy officer, Cerner. “This new relationship furthers our ongoing effort to use Cerner’s technology and IT services to meet the needs of patients statewide, as well as improve the health care experience for clinicians and those people receiving care.”
CRMC will transition to Cerner Millennium, a health care IT platform designed to support an individual’s care journey across the continuum – from the doctor’s office to the hospital and other venues of care – with consistent patient engagement. The Cerner Millennium system will provide CRMC staff with a digital record of their patients’ health history, providing a more complete, near real-time view of an individual’s health. Through the new online, integrated patient portal, people will be able to securely message doctors, schedule appointments and access their health history across both CRMC and MU Health Care.
“CRMC’s affiliation with MU Health Care is an important strategy to help us provide higher quality care to the communities we serve together,” said Gaspare Calvaruso, president, CRMC. “We are excited to be able to leverage that affiliation to also work with Cerner. We are thrilled that our IT associates can continue to serve us while also being part of a world-renowned company. Our strategic vision of constantly evaluating and adapting to the changing health care landscape aligns with Cerner, and we are confident they will support us in improving care now and into the future.”
CRMC made the choice based on its goal to have one integrated and efficient platform to allow for seamless care across its organization, as well as MU Health Care. Combining the strengths of an academic health center with those of a community hospital, this agreement will lay the foundation for future shared services and clinical pathways between CRMC and MU Health Care. With Cerner’s experience and presence throughout the region, CRMC will be better prepared to face the ever-changing health care landscape.
“Unifying MU Health Care and CRMC on one integrated EHR will support the flow of health information between the organizations to create a more seamless patient experience,” said Zane Burke, president, Cerner. “This extension of Cerner’s work with the University of Missouri helps scale our collaboration beyond large health systems in Missouri to facilitate better outcomes in local communities like Jefferson City.”
Columbia Surgical Associates was the first practice to become a wholly owned subsidiary in 2014, and in October 2016, Columbia Family Medical Group joined MU Health Care as well. These practices retain high autonomy while adopting our EHR and taking advantage of the existing services and infrastructure of MU Health Care and Tiger Institute.
Tiger Institute looks forward to collaborating with other provider groups and health care organizations in mid-Missouri.
We continue to expand our membership in Tiger Institute Health Alliance (TIHA) health information exchange (HIE). Recent additions include members in Columbia, Ashland, and Marshall, Missouri.
Through the Sequoia Project national eHealth exchange platform, we connected to Missouri-based SSM Health System. SSM is also a member of MPact Health, a clinically integrated network, which spans four states. Currently we are among the first five HIEs working on a connection with the Veterans Administration through eHealth exchange.
Tiger Institute Health Alliance HIE helped MU Health Care become one of the first Cerner clients to connect to the CommonWell Health Alliance national health information exchange network.
The connection lays the foundation to obtain clinical information on patients directly from their providers throughout the United States and supplements the robust data already available in the TIHA HIE. The HIE now boasts more than 737,000 unique patients and over the last year usage increased by 193%.
MPact Clinically Integrated Network
Mercy, Mosaic Life Care, and MU Health Care, along with more than 3,000 physicians and 48 hospitals, work together through this multi-state, regional network to improve quality, access, and care. The network members work together to create value based contracts for improved care and operational efficiencies.
Health Network of Missouri
MU Health Care is a member of the Health Network of Missouri, LLC (HNM), a collaborative comprised of more than 1,000 hospital beds, nearly 11,000 employees, and approximately 1,200 employed and affiliated physicians serving central, northeast, and southeast Missouri. Major HNM initiatives include:
- Improve patient health outcomes
- Share data and best practices
- Improve access to care
- Coordinate patient care among various providers through a clinically integrated network
- Lower health care costs
- Create efficiencies to benefit patients and HNM communities Members of HNM include:
- MU Health Care
- Bothwell Regional Health Center, Sedalia
- Capital Region Medical Center, Jefferson City
- Hannibal Regional Healthcare System, Hannibal
- Lake Regional Health System, Osage Beach
- Saint Francis Healthcare System, Cape Girardeau
In early 2016, we implemented an automated system to improve the transition of care between caregivers and health systems within the network. These efforts help ensure providers have correct patient information when and where they need it most.
Through HNM, each hospital or health system improves its ability to serve the health care needs of its own community and preserves its independence. The health systems work together to share best practices in business, clinical, and operations.
However the HNM member health systems lacked a common technology infrastructure needed achieve their stated goals.
The collaboration with Cerner will enable us to work together on a common platform that is EHR-agnostic to support our mission to improve quality care, and to measure and contain costs.
HNM Executive Director
In December 2016, HNM members and Cerner entered into an innovative strategic partnership based on value. Cerner supports HNM members by proving technology infrastructure at a price that eliminates technology as a barrier to adoption. In return, Cerner will receive reimbursement when value is achieved through the partnership. As HNM members take on risk for delivering value, so is Cerner.
Tiger Institute is extending Cerner’s HealtheIntent population health management platform at MU Health Care across HNM member organizations to coordinate and manage care for residents of rural Missouri communities.
This shared IT infrastructure aggregates clinical and billing data that originates from various EHR systems (Cerner, Epic, Meditech, eClinicalWorks and Allscripts) as well as payor/claims data from third party administrators, in near real-time and normalizes the data. With this common platform, we:
- Track performance on identified quality and cost metrics
- Identify and manage opportunities for improvement across the network
- Manage chronic conditions and wellness goals
- Risk stratify and manage high-cost patients across the care continuum
To govern the partnership, we created a Value Partnership Committee with representation from each HNM member and Cerner to evaluate value opportunities, identify strategies and resources needed to improve performance, and measure outcomes.
Typical projects are expected to range widely, including such things as indigent care cost reduction, improvements in at-risk payer contract performance, and readmission prevention. As we realize benefits, they will be distributed to the participants as agreed upon.
Electronic health records now can be securely shared between organizations, enhancing care for patients across Mid-Missouri
Patients who receive care at SSM Health and at members of the Tiger Institute Health Alliance Health Information Exchange (HIE) now can benefit from streamlined information sharing across organizations.
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