Atlantic General Hospital in Berlin, Md., has a relatively mature patient-centered, medical home program that has been in place for about five years. To advance its population health management strategy, the Most Wired hospital is investing in health IT to connect with high-risk patients, coordinate care for high-risk and rising-risk patients, and compare outcome and utilization data for providers to understand and disseminate best practices in the community. 

Its ambulatory electronic health record centralizes patient-centered, medical home resources for providers spread throughout the region. Andrew Fowler, vice president and chief information officer, says, “This allows us to efficiently develop collaborative care plans for our patients in the community, to intensify care coordination and significantly reduce the frequency of use of high-cost assets such as the emergency room and the inpatient hospital bed.”

Atlantic General Hospital’s Pop Health Checklist

  • Develop a daily plan of care report, highlighting information from each discipline in the electronic health record.
  • Implement a virtual desktop infrastructure that allows secure mobile access for BYOD providers.
  • Use health IT to efficiently develop collaborative care plans for patients.
  • Compare outcome and utilization data for providers to understand and disseminate best practices in the community.
  • Face difficulties and workarounds due to issues of interoperability. Atlantic General’s ambulatory and hospital-based platforms are not yet synced, so there is more than one data repository.
  • Actively participate with state-operated health information exchanges.

In Other Most Wired News...

The Most Wired program inspires celebrations among hospitals and health systems that take a variety of forms. But some stand out. The Most Wired team was thrilled when it learned that the Virginia Hospital Center wanted to make cupcakes featuring the Most Wired logo and was even more pleased with the result. The accolades keep coming, with the Arlington, Va., hospital's effort also has been designated — unofficially — as Most Delicious.

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