This Cooperative Agreement award from the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC), under the Leading Edge Acceleration Projects (LEAP) in Health Information Technology program (CFDA 93.345), provides $1,998,660 to Oregon Health & Science University (OHSU) to adapt and pilot an open-source SMART on FHIR application for three behavioral health use cases. The project aims to enhance the MyCarePlanner/ECarePlanner...
This federal Project Grant award of $250,000 was provided by the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) under the Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement program (CFDA 93.912). The award will support a Clinical Workflow Change Management Project for Tri-County Family Medicine (TCFM) and Finger Lakes Health (FLH) in rural counties of New York. Key objectives...
This $700,000 Project Grant award from the U.S. Department of Health and Human Services' Health Resources and Services Administration (HRSA) under the Telehealth Programs (CFDA 93.211) will support the integration of behavioral health services into primary care through an evidence-based telehealth network. The project, led by Medical Associates of Erie, will run from September 30, 2024 to September 29, 2029 and focus on leveraging telecommunications technologies to improve healthcare access,...
This Project Grant award from the Agency for Healthcare Research and Quality (AHRQ) under the federal Research on Healthcare Costs, Quality and Outcomes (CFDA 93.226) program aims to improve long-term care (LTC) quality and safety for individuals living with dementia. With $449,999 in funding, the 3-year project starting September 2024 will implement and evaluate two decision support technology (DS tech) prototypes focused on fall prevention and staff burnout detection in LTC facilities. The...
This Cooperative Agreement award from the Centers for Medicare and Medicaid Services (CMS) under the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model (CFDA 93.968) provides $3,938,332 to the New York State Department of Health (NYSDOH) from January 1, 2025 to December 31, 2030. Through this funding, NYSDOH will implement healthcare delivery system reforms to improve financial sustainability for safety net providers, reduce total cost of care, increase...
This Project Grant award of $500,000 from the Federal Office of Rural Health Policy under the Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement program (CFDA 93.912) will enable the Fort Drum Regional Health Planning Organization, Inc. (FDRHPO) to implement the "Using the Community Health Worker Model to Improve Clinical and Social Outcomes of Rural High-Needs Individuals" project. The project aims to provide...
The federal Project Grant award, titled "Leveraging the EHR to Promote Age-Friendly Care in Hospitals (LEAF)", is funded by the National Institute on Aging (CFDA 93.866 - Aging Research) in the amount of $849,993. The primary goal of this study is to improve hospital care for older adults by developing electronic health record (EHR) infrastructure that promotes the "4Ms" framework of age-friendly care (What Matters Most, Mentation, Medications, and Mobility). The key products...
This Project Grant award, provided by the U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA) under the Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement program (CFDA 93.912), will fund the "HEART Project" proposed by Healthy Acadia, a non-profit community health organization in Ellsworth, Maine. The $250,000 award, with a project period from September 30, 2024 to...
This Project Grant award from the National Institute of Mental Health (NIMH), under the Mental Health Research Grants program (CFDA 93.242), will fund the development of a new collaborative eligibility platform to increase linkage to care and retention in care for over 500,000 people diagnosed with HIV who receive services through the Ryan White HIV/AIDS Program (RWHAP). The $1,243,071 award to Groupware Technologies, LLC will support the creation of a web-based system that streamlines the...
This $950,000 Project Grant award from the U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA) Telehealth Programs (CFDA 93.211) supports the Moses-Weitzman Health System, Inc. (MWHS) and its Weitzman Institute (WI) in implementing the "Primary Care Telementoring: Expanding Specialty Access for Underserved Populations Nationally" project. Over the 5-year project period from Sep 2024 to Sep 2029, the funding will enable WI to: Deliver...
ADVANCED FHIR CAPABILITIES FOR ADVANCE CARE PLANNING USE CASES TO IMPROVE PATIENT CARE - PROJECT TITLE: ADVANCED FHIR CAPABILITIES FOR ADVANCE CARE PLANNING USE CASES TO IMPROVE PATIENT CARE APPLICANT NAME: WESTERN NEW YORK CLINICAL INFORMATION EXCHANGE, INC. (DBA HEALTHELINK) ADDRESS: 2475 GEORGE URBAN BLVD., SUITE 202, DEPEW, NY 14043 CONTACT: DANIEL E. PORRECA, PRESIDENT/CEO PHONE: 716-206-0993 EMAIL: DPORRECA@WNYHEALTHELINK.COM WEBSITE: HTTPS://WNYHEALTHELINK.COM/ AREA OF INTEREST 1: EXPLORING THE USE OF ADVANCED FHIR CAPABILITIES PURPOSE: HEALTHELINK WILL DEMONSTRATE ADVANCED FHIR CAPABILITIES TO SOLVE THE COMPLEX PROBLEM OF HAVING ADVANCE CARE PLANNING DOCUMENTS AGGREGATED FROM DISPARATE SOURCES SO THEY ARE ACCESSIBLE ELECTRONICALLY AT THE POINT CARE. PATIENTS' WISHES FOR MEDICAL CARE (CALLED ADVANCE DIRECTIVES, ADS) ARE NEEDED IF PATIENTS CANNOT SPEAK FOR THEMSELVES THE NEW YORK STATE DEPARTMENT OF HEALTH DEFINES AD DOCUMENTS AS HEALTH CARE PROXY, A NONHOSPITAL ORDER NOT TO RESUSCITATE, AND MEDICAL ORDERS FOR LIFE SUSTAINING TREATMENT (MOLST). STUDIES HAVE SHOWN THAT LESS THAN ONE THIRD OF CRITICALLY ILL EMERGENCY DEPARTMENT PATIENTS HAVE ADS TO GUIDE END-OF-LIFE TREATMENT IN ACCORDANCE WITH THEIR WISHES. SCOPE: HEALTHELINK IS THE NY STATE DESIGNATED REGIONAL HEALTH INFORMATION EXCHANGE (HIE) FOR WESTERN NY THAT USES FHIR STANDARDS FOR INTEROPERABILITY AND EXCHANGE OF PATIENT INFORMATION. THE HIE ARCHITECTURE ALLOWS FOR STORAGE AND FORWARDING OF DATA IN A UNIFIED DATA INFRASTRUCTURE USING THE FHIR STANDARDS. THIS ARCHITECTURE ALLOWS FOR THE EXCHANGE OF DATA VIA A FHIR GATEWAY. GOAL: ACCELERATE THE ADOPTION OF ADVANCED FHIR CAPABILITIES BY DEMONSTRATING HIE INTEROPERABILITY AD USE CASES. OBJECTIVES: 1: DEMONSTRATE ADVANCED FHIR FOR THE ONBOARDING USE CASE TO AGGREGATE AD META DATA AND ADS IN PDF FROM EXISTING SOURCES (PRIMARY CARE PRACTICES AND HOSPITALS) THROUGH INTEGRATION WITH EHR VENDORS. 2: DEMONSTRATE ADVANCED FHIR FOR THE HIE/INTEROPERABILITY USE CASE. 3: DEMONSTRATE ADVANCED FHIR REAL TIME QUERY BY ADDING NEW AD DATA SOURCES, SUCH AS EMOLST (NY STATE REPOSITORY), AND MY DIRECTIVES (NATIONAL AD REPOSITORY). 4: DEMONSTRATE ADVANCED SMART ON FHIR APP AND FHIR API ENDPOINT USE CASE (EHR OR HIE PORTAL) WITH PRIMARY CARE PROVIDERS, HOSPITALS, HOSPICES, AND EMS PERSONNEL. 5: DEMONSTRATE ADVANCED FHIR REAL TIME TRIGGER FOR EMERGENCY DEPARTMENTS AND REAL TIME QUERY FOR EMERGENCY DEPARTMENTS, PRE-VISIT PLANNING, AND AD USE CASES. 6: DEVELOP HIE AD DATA ANALYTICS AND REPORTING FOR POPULATION HEALTH ACTIVITIES, RESEARCH, AND TARGETED COMMUNITY EDUCATION TO INCREASE AD USE AND REDUCE DISPARITIES. RESULTS: HEALTHELINK WILL DEMONSTRATE BENEFITS FROM THE USE OF THE ADVANCED FHIR FEATURES, SOFTWARE DEVELOPMENT USING OPEN SOURCE CODE, IMPLEMENTATION, TESTING, AND PILOTING UNDER REAL-WORLD CONDITIONS. DELIVERABLES INCLUDE: 1) DEMONSTRATION OF ADVANCED FHIR INTEROPERABILITY CAPABILITIES TO MEET THE FIVE USE CASE SPECIFICATIONS AND ENHANCE AD ACCESS AT THE POINT OF CARE. 2) DOCUMENTATION OF THE SOFTWARE REQUIREMENTS AND ASSOCIATED ARTIFACTS OF THE ADVANCED FHIR CAPABILITIES TO SUPPORT REPLICATION IN OTHER DEVELOPMENT ENVIRONMENTS. 3) PUBLICATION, AND DISSEMINATION OF A REPORT ON THE SELECTED ADVANCED FHIR CAPABILITIES AND READINESS FOR INDUSTRY-WIDE ADOPTION. 4) DEVELOPMENT OF REPORTING ANALYTICS FOR POPULATION HEALTH, COMMUNITY EDUCATION AND HEALTH DISPARITIES RESEARCH. EFFORTS WILL ACCELERATE THE ADOPTION OF ADVANCED FHIR BY ILLUSTRATING THE VALUE OF THE HIE FOR SOLVING COMPLEX PROBLEMS IN HEALTH CARE INTEROPERABILITY. KEY WORDS: ADVANCED FHIR, HEATH INFORMATION EXCHANGE, ADVANCE DIRECTIVES, HEALTH DISPARITIES.