HealthNet of Indianapolis - Davies Community Health Organization Award

Since 1968, HealthNet has improved the health status of Indianapolis’ inner-city neighborhoods by making quality health services accessible to everyone. Through 150 licensed providers, HealthNet annually provides affordable health care to more than 59,286 individuals, 65% of whom are Medicaid recipients.  In addition, 77% of patients served are under the age of 35 (54% ages 0-17 years, 23% ages 18-34 years).  HealthNet has a network of 8 primary care health centers, 1 OB/GYN care center, 1 pediatric and adolescent care center, 1 maternal fetal medicine center, 5 dental clinics, 7 school-based clinics, a homeless program with 8 shelter clinics, and additional support services. HealthNet’s mission is to improve lives with compassionate health care and support services, regardless of ability to pay.  The organization has also been accredited by the Joint Commission as an Ambulatory Practice since 1980, and is the only FQHC in Indiana with this distinction.  HealthNet achieved Patient Centered Medical Home (PCMH) designation from the Joint Commission in October 2012 and has successfully attested 98% of its eligible providers for Medicaid Meaningful Use.

HealthNet’s successful use of Health IT to move metrics is highlighted in case studies focused on the value of leveraging IT to standardize care and improve patient outcomes. With the assistance of electronic health records and a variety of IT interventions, HealthNet has reduced low birth weights, improved care outcomes for pediatric patients, and significantly increased patient satisfaction.

HealthNet focused on using the new electronic technology to develop templates and reports and redesign workflows to improve performance on a selected set of clinical quality measures, which had previously been stagnant and far below national averages. After project implementation, improvements on the selected measure sets were dramatic, ranging from 4% improvement on measures that were already being done well, to 181% improvement on the lowest performing measures at baseline.

Read HealthNet's Clinical Value case study

This case study illustrates how the use of health information technology allowed HealthNet to accomplish this standardization with improvements in patient outcomes. Most notably, HealthNet increased first trimester entry into prenatal care to 71% and decreased low birth weight deliveries to 6.8%. These changes correspond to a 22% improvement in women accessing care in the first trimester, and the number of low birth weight deliveries decreased 16% from 2011 to 2014.

Read HealthNet's Pre-Natal Care Population Management Case Study 

Patients seen at large multi-specialty medical groups like HealthNet typically fare no better than those seen at completely separate, individual practices due to lack of consistent and coordinated care and communication between specialties at these organizations. Patient care quality and as well cost inefficiencies are major factors that can raise the cost and worsen outcomes for patients. The implementation of an integrated and coordinated care system through a single Electronic Medical Record (EMR) can mitigate these problems and allow organizations like ours to provide the highest quality and most cost-efficient care available for HealthNet's patient population.

Read HealthNet's Specialties Integration Case Study

From the 2009 to 2014, HealthNet has had a 230% return on investment (ROI), and several additional “soft” ROIs. The largest contributors to HealthNet's returns have been the real time clinical quality reporting capabilities, standardization of data capture, and improvements in practice management capabilities. All of these have led to increased collections, attainment of quality recognition incentives, and over 98% of eligible providers successfully attested for Medicaid Meaningful Use.

Learn more about the Return on Investment achieved through the use of IT by HealthNet

Keywords: 
Population Health, community health center, Davies Award