QUALITY HEALTH NETWORK

Programs

1. Data management:qhn utilizes a secure hie network as the foundation for the services provided to health organizations and providers to support the quadruple aim in healthcare improving patient outcomes, improving the physician experience, improving patient experience, and reducing the cost of healthcare for all. Since its inception, qhn has continued a steady focus on its founding purpose of expanding the opportunity, resources, and infrastructure necessary to increase the widespread provision of highquality coordinated healthcare. The provision of services by the qhn network has placed western colorado in a strong position to achieve innovative, meaningful healthcare reforms. Qhn continues to support cross-state and cross-regional hie-to-hie connectivity. This is an effort to improve the coordination and continuity of care statewide, and as people travel across state borders. This hie-to-hie information exchange work was established statewide with contexture, the hie that serves the eastern part of colorado, and has been expanded to include the hies in utah (uhin) and arizona (contexture). This type of exchange, based on the patient-centered data home (pcdh) concept, is a…

   $2,377,179 spent$2,834,566 earned by the program
   58% of program spending

2. Clinical improvement, population health management and chronic disease management:while the chronically ill comprise a relatively small percentage of the total population, they historically account for a large percentage of the healthcare delivery system resources and associated expenses. Medicare and medicaid eligible populations suffer disproportionately from chronic illnesses. A key component of qhn's quality improvement activities is the provision and implementation of high-value technical applications to support providers' ability to identify and manage the care of chronically ill patients. These applications support population health management, risk stratification, predictive modeling tools, and proactive care coordination to reduce the burden on these government supported programs. These tools help in the early identification and treatment of patients with chronic disease to improve patient outcomes and reduce healthcare costs. As the electronic network connectivity work in the qhn medical trade area continues to mature, the process to improve evidence-based, coordinated care for chronic disease is progressing by implementing these sophisticated applications. This helps…

   $1,129,294 spent$1,346,577 earned by the program
   28% of program spending

3. Indigent care support in qhn's medical trade area, the estimated underserved (uninsured or underinsured) population approaches 30 percent. This population tends to be transitory in nature, as the area attracts many seasonal and short-term workers in the farming, service, and recreational industries. These underserved patients often "float" in and out of eligibility for insurance/financial assistance and other government supported subsidies and present for care in multiple care settings. To effectively treat this population, access to current patient eligibility and clinical information from previous care episodes is critical. The qhn hie supports equitable treatment for all patients wherever they may present for care by providing accurate patient demographics to authorized providers to assist with ascertaining eligibility and clinical information to support care coordination and continuity. The cohorts of underserved patients positively impacted by this qhn functionality are most frequently medicaid and/or medicare eligible. The resulting effect of this system functionality is more efficient, cost effective care for this underserved population, which helps reduce the burden on…

   $447,119 spent$533,148 earned by the program
   11% of program spending

4. Support for public health programs: qhn continues to work with public health and community providers to improve patient care and public health through the timely exchange of, and access to, health information. The mesa county health department (mchd) has a unidirectional interface with qhn for direct delivery of transcription and laboratory and radiology results, adt's and has been actively involved in the community care coordination pilot. Qhn continues to work with other public health agencies throughout western colorado to share information and improve the connectivity with the qhn network. To better serve the indigent population in mesa county, mchd partnered with marillac clinic, the federally qualified health center (fqhc) in the grand junction area, colocating a marillac clinic within the health department. This has allowed patients who seek care at mchd to have quick and easy access to a full range of medical services, including vision and dental care. Qhn supports these public health programs, mchd and marillac clinic, through its existing secure highspeed electronic data collection/delivery infrastructure in addition to qhn's work supporting other fqhcs across qhn's…

   $112,176 spent$133,759 earned by the program
   3% of program spending

The 4 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $4,065,768.