HEAL NY Phase 10 Awards

Applicant Project Name Project Description Region Project Contact Project Award Project Match Total Project Amount
Fort Drum Regional Health Planning Organization North Country Health Information Partnership (N-CHIP) N-CHIP will establish a patient-centered medical home model to implement electronic health records and health information exchange to improve coordination of care for adult patients with chronic obstructive pulmonary disease in an area with unusually high rates of hospitalizations. The project will connect to the Statewide Health Information Network for New York. Central Denise K. Young
Phone: (315) 755 - 2020
Email:dyoung@fdrhpo.org
$6,676,804 $6,691,234 $13,368,038
HealtheLink Improving Patient Care Coordination and Management through Patient Centered Medical Home Participating providers and the Community Health IT Adoption Collaboration are organized as a diabetes care coordination zone to ensure effective organization and management. This grant builds upon existing investments to double regional information technology capacity. This will transform health care delivery to improve quality, efficiency and stability of health care services in Western New York. Providers will connect to the State Health Information Network of New York. Western Dan Porreca
Phone: (716) 206-0993
Email:dporreca@wnyhealthelink
$6,997,972 $11,452,440 $18,450,412
Hudson Headwaters Health Network Adirondack Health Institute Care Improvement Initiative The Initiative will work with the Adirondack patient-centered medical home pilot to improve and enhance regional health care services. The project will leverage the progress and infrastructure of the pilot. Providers will apply population-based, evidence-based, and patient-centered approaches for diabetes care, using electronic health records and care management tools to facilitate or further integrate practice improvements to increase the effectiveness of clinical interventions. Providers will connect to the State Health information Network for New York. Northern John Rugge, MD
Phone: (518) 761-0300 Email:jrugge@hhhn.org
$7,000,000 $7,285,917 $14,285,917
Hudson River Healthcare, Inc. Patient Centered Medical Home Care Coordination Project The PCMH Care Coordination project is seeking to improve quality, efficiency and coordination of care for persons with diabetes through the Patient Centered Medical Home (PCMH) model at three federally qualified health centers (FQHCs) supported by an interoperable health information infrastructure. Providers will connect to the State Health information Network for New York. Hudson Valley Anne K. Nolon
Phone: (914) 734-8747
Email:anolon@hrhcare.org
$5,902,937 $6,589,118 $12,492,055
Island Peer Review Organization (IPRO) Improving Care Coordination and Management Through Patient Centered Medical Home Model
Supported by an Interoperable Health Information Infrastructure
IPRO plans to establish health information technology infrastructure in two zones to improve care coordination and management through the patient-centered medical home model for adult patients with diabetes. Providers will connect to the State Health information Network for New York. Long Island Alan Silver, MD, MPH
Phone: (516) 209-5509
Email:asilver@ipro.org
$5,297,418 $7,561,156 $12,858,574
Maimonides Medical Center Southwest Brooklyn Patient Centered Medical and Mental Health Home Project Select outpatient primary care and mental health clinics at Maimonides Medical Center, Lutheran Medical Center, South Beach Psychiatric Center, and the Institute for Community Living will use electronic health records and portal access to connect to the State Health Information Network of New York to access information about their patients from disparate sources and to communicate/coordinate with caregivers, enabling them to provide patient-centered medical and mental health home services to their patients. New York City Pamela Brier
Phone: (718) 283-6009
Email:pbrier@maimonidesmed.org
$6,744,945 $6,745,850 $13,490,795
New York City Department of Health and Mental Hygiene Primary Care Information Project Patient Centered Medical Home (PCIP PCMH) PCIP's care coordination zone will be defined as the entire patient population served by the more than 2,000 providers who will use electronic health records to improve the diabetes care they deliver. PCIP will work to ensure that all participating practices receive technical assistance to become certified as a patient centered medical home, leveraging a special relationship that it has created with the National Committee for Quality Assurance. Providers will connect to the State Health Information Network of New York New York City Amanda Parsons, MD
Phone: (212) 788-5534
Email:aparsons@health.nyc.gov
$6,996,837 $7,000,000 $13,996,837
North Shore University Hospital HeR Electronic Medical Record: A Patient Centered Medical Home Model for High Risk Obstetrics Using Electronic Medical Records The complexity of high-risk pregnancy requires coordination of care through a single provider to achieve optimal outcomes. HeR EMR, a patient-centered medical home model, will improve the coordination and management of these patients through interoperable health information. Providers will connect to the State Health Information Network. Long Island Michael Oppenheim, MD
Phone: (516) 734-3355
Email:moppenheim@nshs.edu
$6,997,800 $9,482,100 $16,479,900
UB Associates, Inc. Improving ESRD Outcomes in Patients with Progressive Diabetic Nephropathy by Interoperable Health Information Management in a Patient Centered Medical Home This project will create a health information system that will improve care, provide efficiency, and reduce costs for patients with end-stage renal disease by correlating a patient's disease complexity to treatment and outcomes. This information system will have broad application across other medical conditions. By correlating blood chemistry values to illness complexity, the system will recognize that these patients routinely have complications such as diabetes, hypertension, anemia, osteomalacia and heart failure. Providers will connect to the State Health Information Network of New York. Western Russell W. Bessette, MD
Phone: (716) 881-8900
Email:bessette@buffalo.edu
$7,000,000 $21,915,092 $28,915,092