Align All Health

align all health logos

Align All Health is a targeted intervention for hospitals and community mental health centers to improve health outcomes and care transitions for high-risk and behavioral health patients.

 Grant is available through June 2022.

→ Enroll with this fillable form (PDF download)

Opportunity

With successful participation in the Align All Health grant opportunity, Kansas hospitals and community mental health centers (CMHCs) may each earn a $1,000 stipend from KHC. Stipends are limited to the first 66 facilities to enroll and complete the process. Other facilities affiliated with participating hospitals and that have access to the Kansas Health Information Network (KHIN) dashboard technology may also participate, eg, physician office and long-term care.

 

Why participate:

  • Learn ways to optimize use of your facility’s KHIN dashboard and alerting technology.
  • Test and implement data-driven strategies for identifying your organization’s high-risk patients with behavioral health needs.
  • Review and strengthen workflows with health care partners.
  • Support your organization’s 2022 goals for improving care transitions, reducing readmissions, improving interoperability, and advancing community partnerships for behavioral health.



Participating facilities will:

  1. Meet with advisor for orientation and support. Complete a brief pre- and post-assessment of current practices.
  2. Receive virtual training for how to use the KHIN dashboard and acute alerts for high-risk patients.
  3. Using your KHIN high-risk dashboard, identify attributable behavioral health patients to monitor care transitions.
  4. Test a workflow change idea that incorporates use of KHIN technology and improved care transitions. (Collaboration between hospitals and CMHCs is encouraged.)
  5. Track follow-up to alerts and/or care transitions for identified high-risk patients through June 2022.

 

Most measures during this test of change will be tracked by KHIN coordinators within the KHIN dashboard system. Below is a sample of the tracking that will occur as a part of this pilot initiative:

tracked by chart

 

Background

In 2021, many Kansas hospitals and CMHCs across the state have implemented new KHIN dashboard and acute alert technology. Practical workflow applications and implementation strategies are needed to support data-driven care management processes for high-risk patients. KHC has received a grant to conduct the Align All Health initiative through June 2022. This grant provides opportunities for facilities to explore how the KHIN Health Information Exchange (HIE) technology can help bridge gaps in care for high-risk patients, particularly those with behavioral health conditions. The KHIN high-risk patient dashboard includes those with three or more chronic disease conditions who have also experienced five or more emergency room visits in the last 18 months. For more information, contact KHC at This email address is being protected from spambots. You need JavaScript enabled to view it. or call (785) 235-0763.

The KHC Align All Health Initiative is conducted by the Kansas Healthcare Collaborative in partnership with the Kansas Health Information Network and with grant funding from the COPIC Medical Foundation.

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