The Office of the National Coordinator for Health IT (ONC) is looking to 17 Beacon communities nationwide to gain an evidence database from the beacons’ experience to inform its policies and to share with other providers and organizations, according to Janhavi Kirtane, director of ONC’s clinical transformation and dissemination.
The 17 communities that have brought providers together within regions to use health IT and clinical interventions to elicit better patient care have each demonstrated measureable improvements, including for outcomes around chronic disease and preventive screenings.
These health IT model communities, which the Office of the National Coordinator for Health IT (ONC) has funded, will wrap up their grant status in 2013.
“The beacons are exploring new frontiers for health IT, generating a lot of different insights — some clinical, some technical, and some on the measurement side. We’re hoping to connect that with ONC, serving even as test beds for standards and policies,” Kirtane said at a recent meeting of the Health IT Policy Committee.
Each of the 17 model health IT communities aimed to strengthen health IT and health information exchange; improve quality, cost and population health; and test innovations for care delivery and performance measurement. Each of the communities has executed those in different ways, Kirtane added.
From Mississippi to San Diego to Maine, the lessons apply to different types of markets. Some beacons are in highly competitive markets and some with one dominant integrated delivery network. “So we’re hopeful that most providers across the country will be able to find themselves in some of these examples,” she said.
Some beacons have formed partnerships with other groups, such as the Robert Wood Johnson Foundation, and are participating in additional healthcare delivery and payment pilots to continue their objectives and to create a path toward sustainability.
For example, Bangor, ME Beacon Community is participating in the Pioneer Accountable Care Organization program, and three communities are involved in the Center for Medicare and Medicaid Innovation’s Comprehensive Primary Care Initiative. Those are the Greater Tulsa Health Access Network Beacon Community, Colorado Beacon Community, and Greater Cincinnati Beacon Community .
Recent developments among beacons have included:
- San Diego Beacon connected with Kaiser Permanente for health information exchange
- Central Indiana Beacon’s small remote monitoring technology pilot at St. Vincent’s Hospital helped to cut readmissions, and Ascension Health, a national hospital system, is considering scaling it
- Greater New Orleans HIE launched with a focus on safety net providers
- Pennsylvania’s Keystone Beacon technology enables skilled nursing facilities to share patient information without an EHR
In 2012, seven communities, including the Delta Blues Beacon Community in Mississippi and Southeast Michigan Beacon, established new exchange capabilities. And eight beacons are using health IT to connect a broader group of partners, such as public health agencies and schools.