And Their PatientsAnd Their Patients Their PatientsAnd Their Patients . Who Are We? CENTRAL ... 9/29/08. The CGHN Vision Patient at ... Progress Notes

Central Georgia Health Network

An HIE Built ByDoctors For DoctorsAnd Their PatientsAnd Their Patients

Who Are We?CENTRALGEORGIAHEALTHNETWORK

75

NETWORK

20

85

Atlanta

• PHO Since 1996

• 450 Local MDs ‐ 172 Practices20

85

185Macon

Augusta450 Local MDs 172 Practices

• 76 Regional MDs ‐ 48 Practices

l 16

185

Columbus

Savannah

• 44 Specialties

• 637 Bed Hospital

75

95

• Ownership = 71% Physicians

= 29% HospitalValdosta

= 29% Hospital

AnAn ArduousArduous JourneyJourney

12/10/07 12/13/07

11/13/07

12/10/07

10/30/091/8/08

3/16/10

4/23/10 6/8/10

12/13/07

3/13/07 10/25/071/10/08

8/28/09

4/23/10 6/8/101/20/07

4/10/07 9/27/071/21/08

6/30/094/6/09

5/1/07 8/1/07 9/17/07

2/28/085/1/08

1/5/092/19/08

6/7/07 8/29/072/28/08

3/15/08 3/31/08 6/3/089/29/08

The CGHN Vision

Patient atHome Hospital 1

U i C

Pharmacist using

Pharmnet

Using CernerCGHE

Full Medical RecordPatient Demographics

Patient Insurance

CGHEFull Medical Record

Patient DemographicsPatient Insurance

PCP PhysicianUsing NextGen Radiology

Using PACs

Patient InsuranceVital Signs

MedicationsAllergies

Progress NotesHealth Maint AlertsDigital Radiology



Progress NotesHealth Maint AlertsDigital RadiologyDigital Radiology

Lab ResultsRecent Visit Dx & CPT

ER RecordInpatient Record

Ambulatory Surgery Op Notes

Digital RadiologyLab Results

Recent Visit Dx & CPTER Record

Inpatient RecordAmbulatory Surgery Op Notes

Specialist 1Using eClinical


LabUsing PathNetSpecialist 1 at Home


12/10/07 12/13/07

11/13/07

12/10/07

10/30/091/8/08

3/16/10

4/23/10 6/8/10

12/13/07

3/13/07 10/25/071/10/08

8/28/09

4/23/10 6/8/101/20/07

4/10/07 9/27/071/21/08

6/30/094/6/09

5/1/07 8/1/07 9/17/07

2/28/085/1/08

1/5/092/19/08

6/7/07 8/29/072/28/08

3/15/08 3/31/08 6/3/089/29/08


Clinical Quality ProtocolsSpecialty Specific

44 Different SpecialtiesMi i f 5 P t l P S i ltMinimum of 5 Protocols Per Specialty


12/10/07 12/13/07

11/13/07

12/10/07

10/30/091/8/08

3/16/10

4/23/10 6/8/10

12/13/07

3/13/07 10/25/071/10/08

8/28/09

4/23/10 6/8/101/20/07

4/10/07 9/27/071/21/08

6/30/094/6/09

5/1/07 8/1/07 9/17/07

2/28/085/1/08

1/5/092/19/08

6/7/07 8/29/072/28/08

3/15/08 3/31/08 6/3/089/29/08

Vendor Evaluation

Electronic Health Exchange eCW NextGen Cerner Sage GE

Interoperability Standards Based on ASTM or CCR 2007 o

They meet all current forms

standards.

MAeHC, NYC, DC, Memorial

Ann Arbor Area Health Information

North Health Mississippi community

project/all on GE with 1k+

Major SuccessesMemorial Hermann.

Information Exchange. o o

GE with 1k+ users.

Current Installations With Multiple Physician EMR

Only sharing

data with

Wanted CGHN

to be the

Vermont has purchased the Exchange, butMultiple Physician EMR

Vendors Sharing Datadata with hospital systems.

to be the BETA

test site. o

Exchange, but no show site at

this time.

Vendor Tiering

•First Choice Vendor- Health Exchange Vendor

•Other Preferred Vendors- Requirements are as followsMust have and maintain current year CCHIT certificationMust have and maintain current year CCHIT certification.

Must have and maintain current CCR/CCD export capability. Must have and maintain customizable, searchable data fields for

capturing specific patient information. Sign an agreement to work in mutual good faith with the other vendors to

establish interfaces between each other. Sign an amendment to CGHN members’ sales contracts (existing and new) that in the event the vendor can’t continue to meet the abovenew), that in the event the vendor can t continue to meet the above

requirements, the contract can be terminated at the physicians’ discretion without financial penalty.

N S l d V d V d i b i•Non Selected Vendors- Vendors not meeting above requirements.


12/10/07 12/13/07

11/13/07

12/10/07

10/30/091/8/08

3/16/10

4/23/10 6/8/10

12/13/07

3/13/07 10/25/071/10/08

8/28/09

4/23/10 6/8/101/20/07

4/10/07 9/27/071/21/08

6/30/094/6/09

5/1/07 8/1/07 9/17/07

2/28/085/1/08

1/5/092/19/08

6/7/07 8/29/072/28/08

3/15/08 3/31/08 6/3/089/29/08

Funding

Traditional Funding Sources:CGHE F di

g

Government Grants

CGHE Funding

$ 0.00

Hospital AssistancePrivate Foundations

$ 0.00$ 0.00

Payors $ 0.00

100% Physician Funded97% of Membership Signed Upp g p


12/10/07 12/13/07

11/13/07

12/10/07

10/30/091/8/08

3/16/10

4/23/10 6/8/10

12/13/07

3/13/07 10/25/071/10/08

8/28/09

4/23/10 6/8/101/20/07

4/10/07 9/27/071/21/08

6/30/094/6/09

5/1/07 8/1/07 9/17/07

2/28/085/1/08

1/5/092/19/08

6/7/07 8/29/072/28/08

3/15/08 3/31/08 6/3/089/29/08

How Do You Overcome Resistance To Change?

but if you plan prepare

g

YourHopes

…but if you plan, prepare, and commit yourself and

your staff, you should be able to achieve this….

Hopes

You may not be able to avoid this…

TimeGo-live day


12/10/07 12/13/07

11/13/07

12/10/07

10/30/091/8/08

3/16/10

4/23/10 6/8/10

12/13/07

3/13/07 10/25/071/10/08

8/28/09

4/23/10 6/8/101/20/07

4/10/07 9/27/071/21/08

6/30/094/6/09

5/1/07 8/1/07 9/17/07

2/28/085/1/08

1/5/092/19/08

6/7/07 8/29/072/28/08

3/15/08 3/31/08 6/3/089/29/08

Making Progress

June 2008

9%P ti With

October 2008

9%Practices WithEMR

37%

91% 63%No EMR

Making Progress

June 2009

P ti With

December 20094%

16%

Practices WithEMR

N EMR

84%No EMR

96%


12/10/07 12/13/07

11/13/07

12/10/07

10/30/091/8/08

3/16/10

4/23/10 6/8/10

12/13/07

3/13/07 10/25/071/10/08

8/28/09

4/23/10 6/8/101/20/07

4/10/07 9/27/071/21/08

6/30/094/6/09

5/1/07 8/1/07 9/17/07

2/28/085/1/08

1/5/092/19/08

6/7/07 8/29/072/28/08

3/15/08 3/31/08 6/3/089/29/08

EMR Rejection Rate

National

Practices StillU i EMR

CGHN2.2%

22%

Using EMRAfter 6Months

(Estimated)

Practices ThatAb d d

78%AbandonedEMR Within 6Months 97.8%

What’s The Score?

The CGHN Vision

Patient atHome Hospital 1

U i C

Pharmacist using

Pharmnet





Using Cerner








Using PACsDigital Radiology

Lab ResultsRecent Visit Dx & CPT

ER RecordInpatient Record

Ambulatory Surgery Op Notes

Digital RadiologyLab Results

Recent Visit Dx & CPTER Record

Inpatient RecordAmbulatory Surgery Op Notes



LabUsing PathNetSpecialist 1 at Home

CGHN Central Georgia Health Exchange

Patient atHome

1.Pt Goes to PCP

CGHECGHE

2. MD Reviews CCR over internet, enters data

into record, Manually Exports CCR Update to

eHX

Continuity of Care RecordPatient Demographics

Patient InsuranceMedications

Allergies



Allergies

PCP PhysicianUsing NextGen

gHealth Maint Alerts

Lab ResultsVital Signs

Recent Visit Dx & CPT




CGHN Central Georgia Health Exchange

Patient atHome

1.Pt Goes to PCP

CGHECGHE



eHX



Allergies



Allergies

PCP PhysicianUsing NextGen







CGHE Matching Criteria

EMPI

Last Name, First Name, SSN

Last Name First Name D O BLast Name, First Name, D.O.B, AND 1 of

Address Line 1Address Line 1 or

Home Phone Number

CGHN Central Georgia Health Exchange12. Hospital Accesses CCR For ER visits Admissions Requests Records

Patient atHome

1.Pt Goes to PCP

Hospital 1Using Cerner

visits, Admissions, Requests Records and Uploads Data & Updates CCR

13. CGHN Obtains Protocol Data Quarterly And Reports To CQI

Committee. Intervenes with MD’s To Ensure World Class Care

10. Pharmacy Gets & Fills Rx

11. Pt collects meds from Pharmacy.

CGHECGHE



eHX

8. Radiologist Receives Order, P R R lt T



Allergies



Allergies


Using PACs

Passes x-Ray Results To Specialist 1, Manually Updates

CCR







4 MD Reviews CCR &

3. PCP Faxes Order & Pertinent Notes to Specialist 1.

9. MD Receives x-Ray results, Treats Pt, Automatically Updates CCR, Sends Rx

To Pharmacy

4. MD Reviews CCR & Uploads Pertinent Data, Orders

Labs, Automatically Updates CCR

5. Lab Receives Order, Performs test and sends result

6 MD Reviews Labs &


7 MD Receives Order &


LabUsing PathNet

Specialist 1 at Home

6. MD Reviews Labs & Updates Pertinent Data in

EMR, Orders Consult with Spec 2, Automatically Updates CCR

7. MD Receives Order & Pertinent Chart Notes Straight

into EMR, Reviews CCR & Uploads any additional Data,

Orders Radiology, Automatically Updates CCR

CGHN Central Georgia Health Exchange12. Hospital Accesses CCR For ER visits Admissions Requests Records

Patient atHome

1.Pt Goes to PCP

Hospital 1Using Cerner

visits, Admissions, Requests Records and Uploads Data & Updates CCR

13. CGHN Obtains Protocol Data Quarterly And Reports To CQI

Committee. Intervenes with MD’s To Ensure World Class Care

10. Pharmacy Gets & Fills Rx

11. Pt collects meds from Pharmacy.

CGHECGHE



eHX

8. Radiologist Receives Order, P R R lt T



Allergies



Allergies


Using PACs

Passes x-Ray Results To Specialist 1, Manually Updates

CCR







4 MD Reviews CCR &

3. PCP Faxes Order & Pertinent Notes to Specialist 1.

9. MD Receives x-Ray results, Treats Pt, Automatically Updates CCR, Sends Rx

To Pharmacy

4. MD Reviews CCR & Uploads Pertinent Data, Orders

Labs, Automatically Updates CCR

5. Lab Receives Order, Performs test and sends result

6 MD Reviews Labs &


7 MD Receives Order &


LabUsing PathNet

Specialist 1 at Home

6. MD Reviews Labs & Updates Pertinent Data in

EMR, Orders Consult with Spec 2, Automatically Updates CCR

7. MD Receives Order & Pertinent Chart Notes Straight

into EMR, Reviews CCR & Uploads any additional Data,

Orders Radiology, Automatically Updates CCR

Initial Objectives Achieved

Improving Quality of Carep g y220 Specialty Specific Protocols Across 44 Specialties2 Programmed For Each of 18 Specialties (69% of MDs)

Quarterly Reporting Through CGHEDefined Intervention Process Up To Termination From NetworkDefined Intervention Process Up To Termination From Network

Integrated Care DeliveryTimely Access To Vital Clinical InformationTimely Access To Vital Clinical InformationCoordination Of Care Between Providers

Extensive Medication / Allergy / Treatment lists

Ease of ReferralsEase of ReferralsIncorporate Info From Other MDs Within EMR

Can Send Electronic Referrals To Any Physician With An E-MailN C i / S i / F i R i dNo Copying / Scanning / Faxing Required

Vital Statistics

ProvidersProviders341 Physicians Directly Linked Already

Additional 126 Physicians Linked Via PortalyMCCG Linked - HL7 O/P Visits, Labs, Radiology

Other EMRs11 Different EMR Vendors Being Linked

7 Testing Completed & Being Implemented

Vital Statistics

PatientsPatientsOver 150,000 Patients Currently Opted In To CGHE

TransactionsOver 12,000 Pt. Records Posting a Month, g

Over 1,200 Pt. Records Downloaded a MonthOver 1,500 Labs a Month

Over 7,000 Electronic Prescriptions a Month

WHY??

Medical Error and the Media:Benton County News Tribune 11/99y

N b f iNumber of physicians in the US - 700,000

Number of gun owners in the US - 80,000,000

Number of accidental gun related deaths per year -1 500

Accidental deaths caused by physicians per year -

120 000 1,500

Ave. deaths per gun owner per year 0 0000188

120,000

Average accidental deaths per physician per year per year - 0.0000188

Based on these statistics Doctors are approximately

per physician per year -0.171

Based on these statistics, Doctors are approximately 9,000 times more dangerous than gun owners.

Let’s Ban Them!

Where To From Here?

Next Steps

Build Strategic Partnershipsg pDepartment of Community Health

GA‐HITREC – Morehouse School Of MedicineCommunity Health Works

Georgia TechgLocal & Regional Government

Connect Strategic Provider Organi ationsConnect Strategic Provider OrganizationsGA Association For Primary Health Care

C C litiCancer CoalitionEmergency Medical Services

Next Steps

Regional OutreachRegional OutreachLimited Window of Opportunity to Qualify For

2011 Meaningful Use Ability to Demonstrate a Proven Success

Value Leading SoftwareOpportunity to Cement Regional RelationshipsOpportunity to Cement Regional Relationships

& Referral PatternsCollaborative Approachpp

We Will Connect to Any Care Provider Organization That Wants to ConnectOrganization That Wants to Connect

DADE

CHATTOOGA

WALKER

GORDON

RABUN

MURRAY

GILMER

CATOOSA FANNIN

LUMPKIN

PICKENS

UNIONTOWNS

FRANKLIN

WHITE

STEPHENS

HABERSHAM

WHITFIELD

CHEROKEE

HARALSON

JACKSON

FORSYTHBARTOWFLOYD

PAULDING

COBBPOLK

FRANKLINDAWSON

HALL

OGLETHORPE

BANKS

MADISON

GWINNETT CLARKE

HART

BARROW

WALTONOCONEE

ELBERT

WILKESLINCOLN

DOUGLAS

COWETA

CLAYTON

FULTON

HEARD

DEKALB

FAYETTE HENRY

NEWTON

SPALDING

CARROLL

HANCOCK

MORGAN

JEFFERSON

WALTON

GREENE

JASPER

BUTTS

LINCOLN

WARREN

PUTNAM

COLUMBIA

BURKEBALDWIN

RICHMOND

TALIAFERRO

MCDUFFIE

GLASCOCK

ROCKDALE

MERIWETHER

LAMARTROUPPIKE

UPSON

WASHINGTON

BALDWINJONES

MONROE

WILKINSONBIBB

CRAWFORD TWIGGS

BLECKLEY

EMANUELJOHNSON

JENKINSSCREVEN

BULLOCHHOUSTON

PEACH

TALBOTHARRIS

MUSCOGEE

MARION TREUTLENEFFINGHAM

CANDLER

TAYLOR LAURENS

DODGE

HOUSTON

CHATTAHOOCHEE

MARION

STEWART SUMTER

SCHLEYDOOLY

PULASKI

WILCOXTELFAIR

WHEELER

BEN HILLLEETERRELL

QUITMAN

CRISP

JEFF DAVIS

TREUTLEN

TOOMBS

APPLING

TATTNALL

LONG

LIBERTY

BRYANCHATHAM

CANDLER

EVANS

MACON

WEBSTER

MONT-GOMERY

RANDOLPH

WORTHDOUGHERTYCALHOUNCLAY

TURNER

TIFT

COFFEEWAYNEBACON

COLQUITTMITCHELL

EARLY BAKER

COOK

ATKINSON

WARE

PIERCE

BRANTLEYGLYNN

MCINTOSHIRWIN

BERRIEN

MILLER

SEMINOLE

DECATUR GRADY THOMAS BROOKS LOWNDES

ECHOLS

LANIER

CHARLTONCAMDENCLINCH

DADE

CHATTOOGA

WALKER

GORDON

RABUN

MURRAY

GILMER

CATOOSA FANNIN

LUMPKIN

PICKENS

UNIONTOWNS

FRANKLIN

WHITE

STEPHENS

HABERSHAM

WHITFIELD

CHEROKEE

HARALSON

JACKSON

FORSYTHBARTOWFLOYD

PAULDING

COBBPOLK

FRANKLINDAWSON

HALL

OGLETHORPE

BANKS

MADISON

GWINNETT CLARKE

HART

BARROW

WALTONOCONEE

ELBERT

WILKESLINCOLN

DOUGLAS

COWETA

CLAYTON

FULTON

HEARD

DEKALB

FAYETTE HENRY

NEWTON

SPALDING

CARROLL

HANCOCK

MORGAN

JEFFERSON

WALTON

GREENE

JASPER

BUTTS

LINCOLN

WARREN

PUTNAM

COLUMBIA

BURKEBALDWIN

RICHMOND

TALIAFERRO

MCDUFFIE

GLASCOCK

ROCKDALE

MERIWETHER

LAMARTROUPPIKE

UPSON

WASHINGTON

BALDWINJONES

MONROE

WILKINSONBIBB

CRAWFORD TWIGGS

BLECKLEY

EMANUELJOHNSON

JENKINSSCREVEN

BULLOCHHOUSTON

PEACH

TALBOTHARRIS

MUSCOGEE


CANDLER

TAYLOR LAURENS

DODGE

HOUSTON

CHATTAHOOCHEE

MARION

STEWART SUMTER

SCHLEYDOOLY

PULASKI

WILCOXTELFAIR

WHEELER

BEN HILLLEETERRELL

QUITMAN

CRISP

JEFF DAVIS

TREUTLEN

TOOMBS

APPLING

TATTNALL

LONG

LIBERTY

BRYANCHATHAM

CANDLER

EVANS

MACON

WEBSTER

MONT-GOMERY

RANDOLPH


TURNER

TIFT

COFFEEWAYNEBACON

COLQUITTMITCHELL

EARLY BAKER

COOK

ATKINSON

WARE

PIERCE

BRANTLEYGLYNN

MCINTOSHIRWIN

BERRIEN

MILLER

SEMINOLE


ECHOLS

LANIER


DADE

CHATTOOGA

WALKER

GORDON

RABUN

MURRAY

GILMER

CATOOSA FANNIN

LUMPKIN

PICKENS

UNIONTOWNS

FRANKLIN

WHITE

STEPHENS

HABERSHAM

WHITFIELD

CHEROKEE

HARALSON

JACKSON

FORSYTHBARTOWFLOYD

PAULDING

COBBPOLK

FRANKLINDAWSON

HALL

OGLETHORPE

BANKS

MADISON

GWINNETT CLARKE

HART

BARROW

WALTONOCONEE

ELBERT

WILKESLINCOLN

DOUGLAS

COWETA

CLAYTON

FULTON

HEARD

DEKALB

FAYETTE HENRY

NEWTON

SPALDING

CARROLL

HANCOCK

MORGAN

JEFFERSON

WALTON

GREENE

JASPER

BUTTS

LINCOLN

WARREN

PUTNAM

COLUMBIA

BURKEBALDWIN

RICHMOND

TALIAFERRO

MCDUFFIE

GLASCOCK

ROCKDALE

MERIWETHER

LAMARTROUPPIKE

UPSON

WASHINGTON

BALDWINJONES

MONROE

WILKINSONBIBB

CRAWFORD TWIGGS

BLECKLEY

EMANUELJOHNSON

JENKINSSCREVEN

BULLOCHHOUSTON

PEACH

TALBOTHARRIS

MUSCOGEE


CANDLER

TAYLOR LAURENS

DODGE

HOUSTON

CHATTAHOOCHEE

MARION

STEWART SUMTER

SCHLEYDOOLY

PULASKI

WILCOXTELFAIR

WHEELER

BEN HILLLEETERRELL

QUITMAN

CRISP

JEFF DAVIS

TREUTLEN

TOOMBS

APPLING

TATTNALL

LONG

LIBERTY

BRYANCHATHAM

CANDLER

EVANS

MACON

WEBSTER

MONT-GOMERY

RANDOLPH


TURNER

TIFT

COFFEEWAYNEBACON

COLQUITTMITCHELL

EARLY BAKER

COOK

ATKINSON

WARE

PIERCE

BRANTLEYGLYNN

MCINTOSHIRWIN

BERRIEN

MILLER

SEMINOLE


ECHOLS

LANIER


DADE

CHATTOOGA

WALKER

GORDON

RABUN

MURRAY

GILMER

CATOOSA FANNIN

LUMPKIN

PICKENS

UNIONTOWNS

FRANKLIN

WHITE

STEPHENS

HABERSHAM

WHITFIELD

CHEROKEE

HARALSON

JACKSON

FORSYTHBARTOWFLOYD

PAULDING

COBBPOLK

FRANKLINDAWSON

HALL

OGLETHORPE

BANKS

MADISON

GWINNETT CLARKE

HART

BARROW

WALTONOCONEE

ELBERT

WILKESLINCOLN

DOUGLAS

COWETA

CLAYTON

FULTON

HEARD

DEKALB

FAYETTE HENRY

NEWTON

SPALDING

CARROLL

HANCOCK

MORGAN

JEFFERSON

WALTON

GREENE

JASPER

BUTTS

LINCOLN

WARREN

PUTNAM

COLUMBIA

BURKEBALDWIN

RICHMOND

TALIAFERRO

MCDUFFIE

GLASCOCK

ROCKDALE

MERIWETHER

LAMARTROUPPIKE

UPSON

WASHINGTON

BALDWINJONES

MONROE

WILKINSONBIBB

CRAWFORD TWIGGS

BLECKLEY

EMANUELJOHNSON

JENKINSSCREVEN

BULLOCHHOUSTON

PEACH

TALBOTHARRIS

MUSCOGEE


CANDLER

TAYLOR LAURENS

DODGE

HOUSTON

CHATTAHOOCHEE

MARION

STEWART SUMTER

SCHLEYDOOLY

PULASKI

WILCOXTELFAIR

WHEELER

BEN HILLLEETERRELL

QUITMAN

CRISP

JEFF DAVIS

TREUTLEN

TOOMBS

APPLING

TATTNALL

LONG

LIBERTY

BRYANCHATHAM

CANDLER

EVANS

MACON

WEBSTER

MONT-GOMERY

RANDOLPH


TURNER

TIFT

COFFEEWAYNEBACON

COLQUITTMITCHELL

EARLY BAKER

COOK

ATKINSON

WARE

PIERCE

BRANTLEYGLYNN

MCINTOSHIRWIN

BERRIEN

MILLER

SEMINOLE


ECHOLS

LANIER


DADE

CHATTOOGA

WALKER

GORDON

RABUN

MURRAY

GILMER

CATOOSA FANNIN

LUMPKIN

PICKENS

UNIONTOWNS

FRANKLIN

WHITE

STEPHENS

HABERSHAM

WHITFIELD

CHEROKEE

HARALSON

JACKSON

FORSYTHBARTOWFLOYD

PAULDING

COBBPOLK

FRANKLINDAWSON

HALL

OGLETHORPE

BANKS

MADISON

GWINNETT CLARKE

HART

BARROW

WALTONOCONEE

ELBERT

WILKESLINCOLN

DOUGLAS

COWETA

CLAYTON

FULTON

HEARD

DEKALB

FAYETTE HENRY

NEWTON

SPALDING

CARROLL

HANCOCK

MORGAN

JEFFERSON

WALTON

GREENE

JASPER

BUTTS

LINCOLN

WARREN

PUTNAM

COLUMBIA

BURKEBALDWIN

RICHMOND

TALIAFERRO

MCDUFFIE

GLASCOCK

ROCKDALE

MERIWETHER

LAMARTROUPPIKE

UPSON

WASHINGTON

BALDWINJONES

MONROE

WILKINSONBIBB

CRAWFORD TWIGGS

BLECKLEY

EMANUELJOHNSON

JENKINSSCREVEN

BULLOCHHOUSTON

PEACH

TALBOTHARRIS

MUSCOGEE


CANDLER

TAYLOR LAURENS

DODGE

HOUSTON

CHATTAHOOCHEE

MARION

STEWART SUMTER

SCHLEYDOOLY

PULASKI

WILCOXTELFAIR

WHEELER

BEN HILLLEETERRELL

QUITMAN

CRISP

JEFF DAVIS

TREUTLEN

TOOMBS

APPLING

TATTNALL

LONG

LIBERTY

BRYANCHATHAM

CANDLER

EVANS

MACON

WEBSTER

MONT-GOMERY

RANDOLPH


TURNER

TIFT

COFFEEWAYNEBACON

COLQUITTMITCHELL

EARLY BAKER

COOK

ATKINSON

WARE

PIERCE

BRANTLEYGLYNN

MCINTOSHIRWIN

BERRIEN

MILLER

SEMINOLE


ECHOLS

LANIER


DADE

CHATTOOGA

WALKER

GORDON

RABUN

MURRAY

GILMER

CATOOSA FANNIN

LUMPKIN

PICKENS

UNIONTOWNS

FRANKLIN

WHITE

STEPHENS

HABERSHAM

WHITFIELD

CHEROKEE

HARALSON

JACKSON

FORSYTHBARTOWFLOYD

PAULDING

COBBPOLK

FRANKLINDAWSON

HALL

OGLETHORPE

BANKS

MADISON

GWINNETT CLARKE

HART

BARROW

WALTONOCONEE

ELBERT

WILKESLINCOLN

DOUGLAS

COWETA

CLAYTON

FULTON

HEARD

DEKALB

FAYETTE HENRY

NEWTON

SPALDING

CARROLL

HANCOCK

MORGAN

JEFFERSON

WALTON

GREENE

JASPER

BUTTS

LINCOLN

WARREN

PUTNAM

COLUMBIA

BURKEBALDWIN

RICHMOND

TALIAFERRO

MCDUFFIE

GLASCOCK

ROCKDALE

MERIWETHER

LAMARTROUPPIKE

UPSON

WASHINGTON

BALDWINJONES

MONROE

WILKINSONBIBB

CRAWFORD TWIGGS

BLECKLEY

EMANUELJOHNSON

JENKINSSCREVEN

BULLOCHHOUSTON

PEACH

TALBOTHARRIS

MUSCOGEE


CANDLER

TAYLOR LAURENS

DODGE

HOUSTON

CHATTAHOOCHEE

MARION

STEWART SUMTER

SCHLEYDOOLY

PULASKI

WILCOXTELFAIR

WHEELER

BEN HILLLEETERRELL

QUITMAN

CRISP

JEFF DAVIS

TREUTLEN

TOOMBS

APPLING

TATTNALL

LONG

LIBERTY

BRYANCHATHAM

CANDLER

EVANS

MACON

WEBSTER

MONT-GOMERY

RANDOLPH


TURNER

TIFT

COFFEEWAYNEBACON

COLQUITTMITCHELL

EARLY BAKER

COOK

ATKINSON

WARE

PIERCE

BRANTLEYGLYNN

MCINTOSHIRWIN

BERRIEN

MILLER

SEMINOLE


ECHOLS

LANIER


DADE

CHATTOOGA

WALKER

GORDON

RABUN

MURRAY

GILMER

CATOOSA FANNIN

LUMPKIN

PICKENS

UNIONTOWNS

FRANKLIN

WHITE

STEPHENS

HABERSHAM

WHITFIELD

CHEROKEE

HARALSON

JACKSON

FORSYTHBARTOWFLOYD

PAULDING

COBBPOLK

FRANKLINDAWSON

HALL

OGLETHORPE

BANKS

MADISON

GWINNETT CLARKE

HART

BARROW

WALTONOCONEE

ELBERT

WILKESLINCOLN

DOUGLAS

COWETA

CLAYTON

FULTON

HEARD

DEKALB

FAYETTE HENRY

NEWTON

SPALDING

CARROLL

HANCOCK

MORGAN

JEFFERSON

WALTON

GREENE

JASPER

BUTTS

LINCOLN

WARREN

PUTNAM

COLUMBIA

BURKEBALDWIN

RICHMOND

TALIAFERRO

MCDUFFIE

GLASCOCK

ROCKDALE

MERIWETHER

LAMARTROUPPIKE

UPSON

WASHINGTON

BALDWINJONES

MONROE

WILKINSONBIBB

CRAWFORD TWIGGS

BLECKLEY

EMANUELJOHNSON

JENKINSSCREVEN

BULLOCHHOUSTON

PEACH

TALBOTHARRIS

MUSCOGEE


CANDLER

TAYLOR LAURENS

DODGE

HOUSTON

CHATTAHOOCHEE

MARION

STEWART SUMTER

SCHLEYDOOLY

PULASKI

WILCOXTELFAIR

WHEELER

BEN HILLLEETERRELL

QUITMAN

CRISP

JEFF DAVIS

TREUTLEN

TOOMBS

APPLING

TATTNALL

LONG

LIBERTY

BRYANCHATHAM

CANDLER

EVANS

MACON

WEBSTER

MONT-GOMERY

RANDOLPH


TURNER

TIFT

COFFEEWAYNEBACON

COLQUITTMITCHELL

EARLY BAKER

COOK

ATKINSON

WARE

PIERCE

BRANTLEYGLYNN

MCINTOSHIRWIN

BERRIEN

MILLER

SEMINOLE


ECHOLS

LANIER


Key Lessons Learned

Must be physician drivenMust be physician drivenLeaders must focus on community - not individual practices or hospitals needsProcess must be inclusive, not ,competitiveThe Goal is improved Quality of CareThe Goal is improved Quality of Care, technology simply facilitates achieving th lthe goal.


"working together for a better future"

Documents

And Their PatientsAnd Their Patients Their PatientsAnd Their Patients . Who Are We? CENTRAL ... 9/29/08. The CGHN Vision Patient at ... Progress Notes