Quality Health Network

“The Articles of Incorporation and Bylaws of the Organization were amended in 2017. The Articles of Incorporation were amended in March 2017 to remove Rocky Mountain Health Maintenance Organization, Incorporated as a supported organization and to add and substitute Rocky Mountain Health Foundation as a supported organization. Corresponding changes were also made to the Organization's Bylaws at the same time.”

“The board consists of nine members. There are five tax exempt non-profit entities represented on the board and one taxable nonprofit entity. Each entity chooses a member to serve on the board. Three members are at large. All members of the board elect the three members at large.”

“A copy of form 990 is provided to each board member before its' filing. Each board member is given an opportunity to comment on the 990 and ask questions before it is filed.”

“Conflict of interest disclosure statements are reviewed by the Executive Director and legal counsel. All Board members, officers and key employees are covered under the policy. Before each Board meeting legal counsel and the Executive Director review the agenda and determine if there is a conflict of interest potential for each board action item and during each board meeting legal counsel and the Executive Director are present to do the same. If there is a potential for a conflict, legal counsel advises the Board and the Board acts in accordance with its' conflict of interest policy. If someone has a conflict that person cannot participate in the deliberations or decision on the transaction.”

“Line 15a: The process is used for Executive Director (who is the top management official) compensation. The Board Chair, Board Vice Chair and Treasurer meet to determine the compensation amount relying on data of compensation rates for executives involved in health care in the Mesa County area. Their determination is documented contemporaneously in e-mail exchanges. In addition, in 2017 the Board had executive compensation reviewed by a compensation consultant. Line 15b: The Organization uses a compensation survey and/or a third party consultant to review salaries of several key positions including officers.”

“No requests for these documents have been received. However, if such a request were made, we would provide a copy of these documents to the extent required by applicable law for 501(c)(3) organizations.”

“QHN is pleased that the Grand Junction Veterans Affairs Medical Center(VAMC) recognized the value of this data repository resource and signed an agreement to connect their providers and care team members to QHN. The providers at the VAMC have recognized the value of the QHN system for improved care coordination, and have continued to expand the number of VAMC users to nearly 150 utilizing QHN. Access to the extensive QHN clinical data repository by VAMC providers, continues to support quality of care improvements for the approximately 40,000 VA patients across western Colorado and eastern Utah. The large rural expanse & geographically challenging terrain western Colorado encompasses can make access to VAMC facilities difficult for veterans. Consequently, veterans must seek care from their community's local hospitals, physicians and other healthcare providers. This makes it difficult for VAMC providers to coordinate veterans' care, something critical to improving quality and reducing costs and the burden on government. The vast majority of providers in western Colorado are connected to QHN, allowing them to exchange critical health information when it's needed for care, regardless of where the patient is treated. Historically when veterans are seen at the local VAMC facilities, this information has not been accessible so VAMC providers were often unaware of the services their patients receive outside of the VA system. Care coordination & care transitions rely upon the successful and timely transfer of physician generated patient-centric progress notes & care plans between & among treating providers. This data can be summarized within the providers EHR system in a document called a Continuity of Care Document (CCD) or progress note. Every day thousands of healthcare providers across western Colorado access the QHN Patient Summary record in order to view inpatient and outpatient data, lab and radiology results. The data contained in QHN is of great value to providers and helps create a clinical picture of the patient. To advance the exchange of ambulatory encounter information throughout 2017, QHN continued participation in two major grant opportunities. The Colorado Advanced Interoperability Initiative (CAII) grant contract work is focused on the acquisition of encounter-based summaries from ambulatory settings, long-term care and behavioral health providers. The Medicaid 90-10 Health Information Technology (HITECH) administrative contract funding supports QHN's work with qualified Medicaid and referring organizations to assist providers with enhanced HIE utilization, which includes but is not limited to: the exchange of ambulatory encounter information, alert notifications, lab and radiology reports, single sign on, and image exchange. The goal of this grant contract work is to enrich and create a more complete patient longitudinal health record in the HIE, improve transitions of care and to support ambulatory and long-term / post-acute care providers via the exchange of clinical data. Currently more than 160 providers are exchanging ambulatory encounter data with QHN, which may include, CCDs, care summaries (transcription), progress notes, alert notifications and lab/radiology reports. QHN's secure network and uniquely connected technology, also allows authorized providers to receive hospital (emergency department, etc.,) Admission, Discharge and Transfer (ADT) alerts for real-time notifications of care occurrences that occur on their patients. During 2017, QHN continued to focus on the expansion of the delivery of ADT alerts to providers, care coordinators and organizations. Managing a patient's care across all care settings is the cornerstone of the new Medicaid and Medicare payment models. QHN is providing alerts to multiple FQHCs in QHN's service area to support this quality improvement and cost containment work and help reduce the burden on these government programs. While QHN's historical focus has predominately been on”