The Maryland Health Care Commission, in collaboration with the Chesapeake Regional Information System for our Patients (CRISP), the State-designated health information exchange (HIE), launched a new grant program for independent Maryland nursing homes.  The goal of the grant program is to facilitate the adoption and use of health information technology (health IT) among independent nursing homes to support improved transitions of care between hospitals and their facility.  Approximately $440K from the 2011 Office of the National Coordinator for Health Information Technology Challenge Grant award is available for the grant program.
In February 2013, independent nursing homes were invited to apply for funds to advance health IT adoption and use; this included the purchase, license and/or implementation of an electronic health record (EHR) system for one or more of their facilities.  Approximately 16 independent nursing homes submitted a proposal for funding under the grant program.  A key requirement of funding is the use of CRISP's Encounter Notification Service (ENS) to enhance care coordination.  Applicants were encouraged to solicit the services of a State-Designated management service organization (MSO) to assist in the implementation of the grant program, and were required to identify hospital partners to improve care transitions and reduce hospital readmissions.  An evaluation panel that consisted of representatives from MHCC, CRISP, the Department of Health and Mental Hygiene, and the University of Maryland evaluated each application.  The awarded projects are summarized below.

Awarded Long Term Care Facilities

Berlin Nursing Home and Rehabilitation Center (BNRC), BRNC Care Continuum Health Data Exchange, $123,150

BNRC intends to integrate existing clinical data sources from BRNC’s installed EHR, cueSHIFT, BNRC’s contract physician group Five Star Physician Services installed EHR, PrognoCIS, and Atlantic General Hospital.  Currently, Five Star Physician Services charts visits within PrognoCIS and prints a hard copy for inclusion within the residents paper chart at BNRC.  The grant will enable Five Star Physician Services to send continuity of care documents into cueSHIFT.  Atlantic General Hospital will send patient reports and results into cueSHIFT and PrognoCIS.      





King Farm Presbyterian Retirement Community (Ingleside at King Farm), Health Information Exchange at Ingleside at King Farm, $102,356

King Farm Presbyterian Retirement Community, d/b/a Ingleside at King Farm (IKF) is in the process of implementing EHRs using Answers on Demand and intends to use the grant to facilitate the adoption and use of health IT and HIE to support improved care for its residents as they transition between hospitals and the community.  IKF proposes to implement its EHR vendor’s HIE interface to connect all of its disparate systems together, which will allow IKF to exchange lab and radiology results, and potentially continuity of care documents (CCDs).      






Lions Center for Rehabilitation and Extended Care, Western Maryland Interoperability Project, $175,000 

The Western Maryland Interoperability Project is an opportunity to promote the use of HIE between a hospital, two nursing homes and an accountable care organization (ACO) within an underserved region of Maryland.  The Lions Center for Rehabilitation and Extended Care of Eagle Nursing and Rehab Center (‘the Facilities’)  primary markets are Allegany and Garrett counties.  The Facilities are in the process of investing in health IT to improve the quality and efficiency of services provided within the Facilities and will work with ZaneNet, Western Maryland Health System and MedChi ACO to send CCDs to CRISP.

Last updated July 10, 2013