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EHR network in Minnesota to connect 10 healthcare organizations

October 19, 2010 | Molly Merrill, Associate Editor

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ST PAUL, MN – About 75 percent of Minnesotans' patient records are online thanks to a user group that has connected eight of the state's largest healthcare organizations and is expected to connect two more organizations within the year.

The eight healthcare organizations are members of the Minnesota Epic User Group (MNEUG). MNEUG's mission is to educate its members on information about medical technology standards, successes and best practices particularly within Epic software products. The MNEUG has established 23 Special Interest Groups to promote education and information sharing across its 10 healthcare organizations, located in Minnesota, North Dakota and South Dakota.

The organizations using the system are:

  1. Allina Hospitals & Clinics
  2. CentraCare Health System
  3. Essentia Health
  4. Fairview Health Services
  5. HealthPartners Clinics and Regions Hospital
  6. Hennepin County Medical Center
  7. North Memorial Health Care
  8. Sanford Health

CentraCare, North Memorial and HCMC conducted a pilot program to test the system last winter, and the eight organizations went online in a phased rollout that was completed this summer.

Grand Forks, N.D.-based Altru Health System, which serves northeast North Dakota and northwest Minnesota and Minneapolis-based Park Nicollet Health Services will join the EHR network within the year.

The organizations are able to share information through the Care Everywhere software and network, developed by their shared software vendor, Verona, Wis.-based Epic. Patients must consent to each connection between two organizations at each visit in accordance with applicable laws. Physicians report that the ability to access and share patient records quickly and securely enhances the quality and continuity of care for patients.

"As a primary care doctor at Hennepin County Medical Center, this has greatly improved the care I give to my patients," said Kevin Larsen, CMIO, HCMC, and Minnesota Epic User Group board member. "When patients transfer their care to my clinic, or are seen at a hospital or ER in another health system on the network, I can quickly and easily get the information that used to take days or weeks to get from those other sites. This lets me provide much better follow up care. I think it will also reduce costs. With this instant access I don't need to repeat tests that were done at other sites because I can get the results when I need them. My patients have been very pleased with this enhanced care coordination."

Less than 2 percent of healthcare facilities nationally are using fully electronic health records, and only a handful are exchanging health information in this integrated manner, which highlights the uniqueness of the collaboration in Minnesota, said officials.

Physician members of the MNEUG have reported that record exchange enhances the quality and safety of care by reducing the chance for medical errors that occur when information is written down inaccurately or illegibly, or is not available to care providers in a timely manner. They also report that is provides efficiencies such as quick access to patient care documents electronically right in the exam room, and supports clinical decision-making by providing clinicians prompt access to comprehensive, "continuity of care" patient and clinical information when needed.

Related Topics:
  • EPIC
  • Minnesota
  • Minnesota Epic User Group
  • North Dakota
  • ST PAUL
  • Electronic Health Records
  • Health Information Exchange (HIE)

Reader Comments (8)Login to Post a Comment

mrktlr says: Its really interesting that
November 27, 2010 | 5:30AM GMT

Its really interesting that Less than 2 percent of health care facilities nationally are using fully electronic health records, and only a handful are exchanging health information in this integrated manner -- highlighting the uniqueness of the collaboration in Minnesota.
Mark Taylor
testking 650-177 certified

cbchill says: The VA model for doing this is better
October 25, 2010 | 1:09PM GMT

The integration of medical records at widely separate sites has been done by the VA for years with providers having access to records as the patient is being seen. Ask the VA practitioners who saw patients from the New Orleans VA after Katrina. One aspect of the VA's medical record that was especially valuable when seeing patients from the New Orleans VA Med Ctr was the annotated problem list. It is very important that these medical record linkages have annotated problem lists. Hopefully the next generation of the VA's EHR will have the ability to link defined intervention lists (including the medication list) with problem lists and visit lists.

kleeberg says: Remote Login on Steriods
October 25, 2010 | 12:23PM GMT

It is my understanding that this is a type of remote login. Records are not merged. Patients will still have information in separate "MyChart" implementations, and providers will have to manually copy information from the remote record and enter it into their own for it to reside in the local provider's chart. I agree it is a positive step and improves care coordination, but it is not what I would call true data exchange.

Another example. If a Fairview patient shows up at the Maple Grove Hospital, which is a Fairview Hospital shared with North Memorial on the North Memorial version of Epic, the primary provider at the Fairview Clinic will not receive an automatic in-basket notification that the patient is in the hospital as they would if the patient were admitted to a hospital on the Fairview implementation of Epic. The provider would have to know to login and "pull" the information. Again, I agree, a step in the right direction but not yet full data exchange.

Please correct me if I am wrong.

jasbmoore says: User Groups
October 25, 2010 | 9:32AM GMT

I've been involved with a lot of IT user groups, but I've never seen one tackle a project like this. I'm impressed! This is obviously a large and well-organized user group within that region.

JulieY says: Physicians perspectives
October 19, 2010 | 12:49PM GMT

It would be great to hear more from the physicians' perspectives mentioned in the final paragraph.

jamesdoug says: Only time will tell, but
October 21, 2010 | 5:18PM GMT

Only time will tell, but sounds like this could be a growing approach.

jpm1 says: Yes
October 20, 2010 | 2:08AM GMT

I agree, some data to review would be truly beneficial.

mpfortier says: HIE
October 19, 2010 | 12:46PM GMT

I'm not sure how broadly applicable it is to expect institutions to have the same HIS vendor, but I do like the idea that it sounds like the organizations came up with the solution instead of it being forced upon them by the state government or other third party. It seem like this may have a better chance of success as a sort of "grass-roots" or "bottom-up" effort.

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