![]() With help from an Agency for Healthcare Research and Quality grant, the Hawaii Primary Care Association in 2005 began developing a Master Visit Registry (MVR) that helps doctors locate a patient's history of visits, shows what type of care they received and who provided the care. Project leaders hope to expand the network to multiple facilities across the state's six major islands. The phrase 'Pupukahi i Holomua' is Hawaiian for "unite in order to progress." With this spirit in mind, the Holomua Project to Improve Transitional Care in Hawaii launched a four-year project to help community health centers and hospitals improve care for their shared patients transitioning between the participating CHCs and hospitals. More information on the project is available at. In addition, the team trained over 100 HMVR end-users across three health care facilities, created policies and procedures for transitioning patients, and increased partners’ awareness of managing patients who visited multiple facilities. The collaborators successfully developed and implemented a live health information exchange involving approximately 250,000 patients, 150 clinician users, and 500,000 visits. The non-technological methods were based on abundant research that illustrates the necessity of attending to the human side of information technology to ensure success of implementation efforts. The non-technological solutions related to transitional care involved charting workflows, developing corresponding polices and procedures, and using dialogue and communication to facilitate the process. It was chosen since it represents a scalable, interoperable solution that takes into account the disparate resources of all partner organizations. The technological solution involved developing and implementing the HMVR as a means of sharing health information between systems. The project consisted of both technological and non-technological solutions to the problem of transitional care. Determine mechanisms by which information resources, information systems, and other information technology initiatives and/or networks in Hawaii can best support the Holomua Project.Increase participation and involvement of patients and families in decisionmaking on health related matters and.Reduce occurrences of duplicated diagnostic procedures performed.Reduce incidence of medical errors that may occur due to linguistic and/or cultural barriers between patients and medical providers.Increase accuracy and timeliness of shared patient information during transitional care between primary and tertiary care facilities. ![]() The specific aims of the project were to: The HMVR sought to improve coordination of care that patients receive when transitioning between CHCs and TCs. The Holomua Project piloted an endeavor to improve the flow of information between patients and families, community health centers (CHCs), and tertiary centers (TCs) by developing and implementing the Holomua Master Visit Registry (HMVR). ![]()
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