www.healthmgttech.com/features/2008_april/0408_the_fede -
[Cached Version]
Published on: 4/1/2008
Last Visited: 4/7/2008
"The expanded depth and continuity of care possible with federated Web portal solutions enables hospitals to serve people in underserved communities," says Jamie Welch, CIO of the Louisiana Rural Hospital Coalition.
"The resulting decrease in hospital length of stay and reduction of hospital admissions has resulted in significant budgetary savings," he says.
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"We originally envisioned using a centralized data model, but quickly realized that we would spend three years hammering out governance, privacy and data ownership issues," says Jamie Welch, CIO of the LRHC."Hospitals are very protective of their patient data and do not wish to permit other facilities' physicians to alter that data."
After evaluating models used by other successful regional health information organizations (RHIOs), the LRHC and the LSUHSC-S concluded that the federated data model would address their concerns.Under that model, clinicians would access patient information without moving it from the clinical systems where it was stored; thus, allowing participating facilities to maintain control and ownership of their respective data."In addition to requiring the federated data model, our RFP stated that there would be no storage of patient data during any point in the process in order to ensure a fast deployment, reduced risk to data integrity and improved security and privacy of patient data," says Welch.
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"Rural patients would often have to wait for three weeks or more to see a specialist and then the specialist would have 25 consultations in one day," says Welch."In urgent medical situations, the patient would be driven to LSUHSC-S, delaying critical care for the patient and incurring additional costs for the state hospital.Now, we can set up a specialist teleconsultation within 1-2 days of the rural physician's request, which cost-effectively meets the medical needs of the rural community."
The Louisiana RHIO has already made great strides in realizing its dream of providing extensive specialist care to its underserved rural population.A total of 24 hospitals will benefit from real-time access to medical data to improve patient outcomes and an advanced telemedicine system that leads the nation in innovation."Thanks to this innovative portal technology, we can now ensure proper care for our often forgotten rural citizens," says Welch.