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HealtheConnections successfully completed a pilot project aimed at improving the health of low-income individuals and families by addressing Social Determinants of Health (SDoH). SDoH are conditions in the environment where people live (e.g., housing, transportation, food insecurity, health insurance) that affect health outcomes. With funding from a grant of the Mother Cabrini Health Foundation, HealtheConnections partnered with the Food Bank of Central New York, ACR Health, Seven Valleys Health Coalition, and several health care providers in Central New York to implement the project.
Healthcare providers were asked to systematically screen patients for SDoH and encouraged to use Z codes to document these social issues. Z codes are the ICD-10-CM encounter reason codes used to document SDoH data. Using HealtheConnections’ Community Referrals application, patients were referred directly to community partners to receive services to address their individual needs. The Food Bank provided services to address food insecurity, ACR health provided services to support health insurance enrollment, and Seven Valleys Health Coalition provided transportation services. Working in Cayuga, Cortland, Onondaga, and Oswego Counties, over two thousand people were reached through this initiative, exceeding our goal for the grant and providing needed services to the community. This project highlighted the roles healthcare providers and HealtheConnections can play in screening patients for SDoH, compiling SDoH data, and referring patients to our community partners.
How Sun River Health Uses HealtheConnections
HealtheConnections recently had the opportunity to work with Sun River Health, a Federally Qualified Health Center and one of the nation’s largest community health providers. Sun River Health was awarded a grant centered on creating a dashboard that would, of many things, help lower readmission rates and schedule follow-ups after an ED visit. One of the goals was to implement an alerting system in which secure files would be sent as an alert to their dashboard. HealtheConnections was able to assist by quickly setting up its daily digest alerting function through Sun River Health’s dashboard.
This is just one example of how organizations like yours can use HealtheConnections and the health information exchange to improve care.
Like all of our core HIE services, it is FREE.
If you are interested in learning more about HealtheConnections Alerts, or any other services we offer, email us at firstname.lastname@example.org
For a busy care manager, coordinating medical treatments, including administering assessments, developing care plans, and monitoring medication compliance to advocate for a patient’s health is no easy task.
Care managers serve as the main point of contact between the patient and practice and need to get in touch with various people to coordinate a patient’s care. But getting the right person on the phone or through email can be a challenge.
With HealtheConnections, care managers can view a patient’s medical summary, including provider notes, discharge information, medications, allergies, and more, all in one place.
No faxing. No calling. No waiting.
Care Managers leverage HealtheConnections’ services to:
“HealtheConnections is a huge part of follow-up. If there is a patient who is not in our hospital system, we can log into the myConnections portal, see why the patient was there, view provider notes, and receive discharge information all in one place. That way, we know what steps to take upon their discharge and assist the patient with any needed follow-up.”
-Care Manager Coordinator, St. Joseph’s Health
This is just one example of how your staff can use HealtheConnections and the health information exchange to improve care.
Like all of our core HIE services, it is at no cost.
If you are interested in learning more about HealtheConnections and the services we offer, email us at email@example.com