El Dorado County Safety Net Technology Project / ACCESS*

描述（由申请方提供）：埃尔多拉多县是位于加州州东北部的一个农村县，根据联邦农村卫生政策理事会办公室编制的“农村医疗服务研究区域报告”的定义，该县被指定为农村县，该报告将所有埃尔多拉多县指定为农村县。 埃尔多拉多县的总人口为156,300人，分布在1,805平方英里的土地上，人口密度为每平方英里86人。 ACCEL项目的创新特征包括在农村地区应用HIT以实现全县范围的患者信息系统;公共和私人实体之间的HIT连接;以及为低收入、无保险、符合医疗补助条件和/或目前没有“医疗之家”的少数民族社区患者提供获得优质医疗保健服务的困难问题的解决方案。“ACCEL项目将展示和记录改善的访问，改善患者的结果，并提高护理质量，目前有16，479人服务不足。 在从规划补助金阶段进入实施阶段的过程中，埃尔多拉多县安全网提供者网络（包括该县五个最大的医疗服务提供者）做出了几项关键决定，这将使HIT做法得以有序发展和管理，以减少医疗差错，改善整体患者安全，并将优质医疗服务扩大到目前服务不足的人群。 三年期联邦供资申请为1 499 800美元，由当地供资（匹配）1 518 685美元和合作伙伴额外捐款2 702 322美元提供支持。

DESCRIPTION (provided by the applicant): El Dorado County is a rural county located in northeastern California and is designated as rural by definition through the "Rural Medical Service Study Areas Report" prepared by the Federal Rural Health Policy Council Office, which designates all of El Dorado as rural. The total population of El Dorado County is 156,300 spread over 1,805 square miles, or a population density of 86 people per square mile. Innovative features of the ACCEL project include the application of HIT in a rural area to achieve a countywide patient information system; HIT connections between public and private entities; and solutions for the difficult issue of providing access to and quality health care services for low-income, uninsured, Medicaid eligible, and/or minority community patients who currently do not have a "medical home." The ACCEL project will demonstrate and document improved access, improved patient outcomes, and improved quality of care to 16,479 currently underserved people. In moving from the planning grant stage to the implementation stage, several key decisions have been made by the El Dorado County Safety Net Provider Network (includes the five largest providers of medical services in the county), which will allow the orderly development and management of HIT practices to reduce medical errors, to improve overall patient safety, and to extend quality medical care to currently underserved populations. The three-year Federal funding request is $1,499,800, which is supported by local funding (match) in the amount of $1,518,685 and partner additional contribution in the amount of $2,702,322.