This session discusses how the implementation of an innovative health information exchange for ambulatory clinics moving toward functional care coordination, designed with a robust clinical data repository, was used to create a longitudinal health record and clinical decision support tools. The effect of the information exchange on patient care and outcomes is also shared.

Contact hours available until 5/4/2015.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Faculty, Planners and Authors Conflict of Interest Disclosure:
Planning Committee: Laurie Levknecht discloses other financial or material support as an employee of Elsevier CPM Resource Center.
Speaker(s):
• Jennifer Polello discloses grant/research support from a grant from the Office of the National Coordinator, Department of Health and Human Services
• Kimberly Wells discloses grant/research support from a grant from the Office of the National Coordinator, Department of Health and Human Services.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Non-Endorsement of Products:
Accreditation of activities for contact hours does not imply approval or endorsement of any product, advertising, or educational content by ANIA, Anthony J. Jannetti Inc., or the American Nurses Credentialing Center’s Commission on Accreditation.

Accreditation Statement:
This educational activity is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and ANIA.

Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Anthony J. Jannetti, Inc. is a provider approved by the California Board of Registered Nursing, provider number, CEP 5387.

Objectives:

Describe how a community-based longitudinal health record, disease management system, and quality measurement program have affected patient health and care outcomes.
Discuss lessons learned from the implementation process and how these might be applied to other community-based population health initiatives.
Discuss how a community-wide clinical decision support system can drive evidence-based practice.