# Presentation: 581054

## 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

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

- GOAL

## 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

## iCare

INTEGRATEDCASE MANAGEMENT
Software Application

- INTEGRATEDCASE MANAGEMENT
- Software Application

## 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

- 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

- CASE MANAGEMENT

## 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 individual’s household and community

## 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

## Future iCare Features

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

## iCare is customizeable.....

- Users define their own patient population based on the site’s business practice

##   Users choose the type and duration of flags they’d like displayed 

-   Users choose the type and duration of flags they’d like displayed

##                       Users choose their own “start up” screen

-                       Users choose their own “start up” screen

## An Individual User’s 

- An Individual User’s
-          Panel List

## 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.           

- 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.

## A Panel’s Patient List

## “Tags”

- iCare utilizes logic
- written for other clinical
- applications to “tag”
- individuals with pre-
- defined diagnoses and
- conditions

- “Tags”

## “Flags”

- iCare displays patient “flags” related to
- Abnormal labs
- Hospitalizations
- ER visits
- Unanticipated ER returns

- “Flags”

## Individual “GPRA” View

- User’s select which GPRA measures they’d like to view and then check to see if the measure is met for any individual patient on the panel.

## Aggregated “GPRA” Statisitcs

-   iCare uses
-   “official”  GPRA
-   report logic on
-   user-defined
-   populations that
-   are not currently
-   available in the
-   Clinical Reporting
-   System (CRS)

## Modifying Panels

-    Modifications made
-    to individual panels
-    affect that panel
-    only

- Users have the
- Freedom to choose
- Which columns they’d
- Like displayed and in
- What order.
- Each panel can
- Have a different
- design

## 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

## Patient Record

- iCare pulls all _available _patient data
- and displays it in one view so the
- “whole picture” is appreciated

**Cover **
**Sheet**

**Flags**

**Re-**
**mind-**
**ers**

**Pt. **
**GPRA**
**stats**

**Face**
**Sheet**

**Health**** **
**Summary**

**Well-**
**Ness**
**Summary**

**Labs**

**Meds**

**Radi-**
**ology**

**Problem**
**List**

- iCare will generate nationally-defined general prevention and disease/condition
- specific healthcare reminders that are integrated to display most stringent criteria
- applicable to the patient’s chronic condition(s)

- A variety of
- Health Summaries
- can be displayed
- from within the
- patient record

## Conclusions

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

## QUESTIONS?