RIQIRhode Island Quality Institute
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Every hospital in Rhode Island is connected by CurrentCare, RIQI's statewide health information exchange (HIE) based on InterSystems HealthShare[R] platform.
Founded in 2001, the Rhode Island Quality Institute (RIQI) is a collaboration of leaders in the Rhode Island community who share the intent to substantively improve the healthcare system in the state.
Laura Adams, RIQI's president and CEO, recalls a primary care physician's response to the initial installation of CMD in his practice.
When RIQI did a return on investment analysis on its portfolio of products and services in November 2017, it demonstrated a $13.3 million savings on $6.3 million in spending, with the CMDs and alerts contributing the lion's share of the savings, despite having been built for only a little over $500,000.
In enhancing the dashboard in 2017, RIQI added real-time risk score adjustments for patients, because there is often lag time before providers get risk score updates from insurers.
Physicians told the RIQI that they often have no knowledge that their patients have been hospitalized until too long after the fact.
The RIQI example illustrates a closed-loop feedback system at its simplest, yet it achieves impressive results.
He predicts that it will be "incredibly helpful" for these providers to know "the basic information that they have zero access to today.), The RIQI aims to support a "health home" program for the state's Medicaid population by "creating the links between the physical provider and mental health provider as part of a continuous-care process," he says.
The RIQI previously had selected those two vendors in an "environmental scan" of the industry as the furthest along in being able to produce a CCD and were, in Christensen's words, the best candidates for trying to create this interoperability." All that held up the expansion was funding, which thanks to SAMHSA, is now in hand.