{"id":2123,"date":"2011-09-23T09:32:14","date_gmt":"2011-09-23T13:32:14","guid":{"rendered":"http:\/\/www.healthit.gov\/buzz-blog\/?p=2123"},"modified":"2026-01-06T15:10:38","modified_gmt":"2026-01-06T15:10:38","slug":"inlandnwbeaconcommunity","status":"publish","type":"post","link":"https:\/\/healthit.gov\/blog\/insights-updates\/inlandnwbeaconcommunity\/","title":{"rendered":"Beacon Community of the Inland Northwest Uses Past Successes to Improve Care"},"content":{"rendered":"\n<p>As the Inland Northwest Health Services (INHS) began establishing its Beacon Community\u2014the Beacon Community of the Inland Northwest (BCIN)\u2013we knew at least one thing: Evidence-based clinical best practices combined with a technology-based care coordination process could help improve patient outcomes.\u00a0 How did we know?\u00a0 INHS had already achieved successes for injured workers through its <a href=\"https:\/\/www.gocohe.com\/\">Centers for Occupational Health &amp; Education<\/a> (COHE).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-about-the-bcin\">About the BCIN<\/h2>\n\n\n\n<p>The <a href=\"https:\/\/www.youtube.com\/user\/HHSONC#p\/u\/26\/YrPdQrVrCNE\">BCIN<\/a> is a part of INHS\u2019 Center of Innovation and Quality, and represents 14 counties in eastern Washington, north central Washington, and northern Idaho, with large rural and traditionally underserved populations. The main goal of the BCIN is to increase care coordination for patients with diabetes in rural areas and expand the existing health information exchange network to provide a higher level of connectivity throughout the region. More specifically, <a href=\"https:\/\/www.youtube.com\/user\/HHSONC#p\/u\/26\/YrPdQrVrCNE\">BCIN<\/a> aims to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Prevent diabetes complications through improved access to routine and timely care<\/li>\n\n\n\n<li>Increase communication among providers to ensure more consistent care and follow-up<\/li>\n\n\n\n<li>Reduce costly emergency care<\/li>\n\n\n\n<li>Track outcomes through better access to data and identify best practices that are associated with better outcomes<\/li>\n<\/ul>\n\n\n\n<p>To help achieve these goals, the BCIN is expanding on and adapting the COHE model\u2014which uses care coordinators to help injured workers get back to work\u2014to help patients in the region manage their diabetes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-about-cohe\">About COHE <\/h2>\n\n\n\n<p>The COHE deployed health service coordinators (HSCs) to help improve provider-patient and provider-employer communication and improve patient self-management. For example, the HSCs help track down and address barriers that are keeping a patient from returning to work or recovering from their injury \u2014from monitoring the claim in the computer to calling the involved parties. The COHE web application assists the HSCs in determining which claim to \u201ctouch\u201d from priority-based criteria. Employers, patients and providers also have access to the web application to get information they need, when they need it, and in the form they can use it.<\/p>\n\n\n\n<p>COHE began as a pilot project for Washington State\u2019s workers\u2019 compensation agency in 2002 and was made permanent by the state in March 2011. More than 1,000 providers and 27 urban and rural hospital emergency departments are now working together to save the workers\u2019 compensation system direct medical and disability costs thus influencing employer workers\u2019 comp premiums.&nbsp; But more importantly, the COHE has reduced the incidence and duration of temporary and long-term disability to injured workers. This helps workers get back to their lives\u2014and their livelihood\u2014faster.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-university-of-washington-study\">University of Washington Study<\/h2>\n\n\n\n<p>A study conducted by the <a href=\"https:\/\/www.lni.wa.gov\/ClaimsIns\/Files\/Providers\/ohs\/CoheSummaryFindings1207.pdf\">University of Washington<\/a> &nbsp;found that injured workers who had received care through COHE providers:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Received benefits faster and lost fewer work days than non-COHE patients<\/li>\n\n\n\n<li>Received an average of nearly $600 per claim in first-year disability<\/li>\n\n\n\n<li>Experienced reduced medical costs<\/li>\n<\/ul>\n\n\n\n<p>In a May 2011 <a href=\"https:\/\/findarticles.com\/p\/articles\/mi_qa5289\/is_20110505\/ai_n57553324\/\"><em>Spokane Journal of Business<\/em><\/a> article about COHE, Suzanne Heeren, a claims assistant at Red Lion Hotels Corporation, commented that injured employees return to work more quickly since the company began participating in the COHE program. She states in the article:<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>&#8220;The COHE system helps everyone stay on the same track\u2014the employer, the worker, the provider, and L&amp;I (state Department of Labor &amp; Industries).\u201d<\/p>\n<\/blockquote>\n\n\n\n<p>Karen Gude, a labor stakeholder and advisory member to the COHE program, believes the health services coordinator is a very important part of the best practices put forth by the COHE program. Ms. Gude says:<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cI do see the health services coordination role in this particular project as a core component of its success.\u201d In terms of the COHE as a whole, \u201cI support it 100 percent.\u201d<\/p>\n<\/blockquote>\n\n\n\n<p>The Washington State Governor, Chris Gregoire, even weighed in about COHE:<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u201cOur occupational health centers help prevent long-term disability by ensuring workers receive the right medical care early. That means employees are back on the job quicker \u2013 earning a paycheck to support their families. And it will help reduce the amount of future increases in workers\u2019 comp premiums. Saving businesses money that they can reinvest in the workforce is essential to our economic recovery.\u201d<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-building-on-success\">Building on Success<\/h2>\n\n\n\n<p>While BCIN\u2019s goals to help patients manage their type 2 diabetes is significantly different than helping injured employees get back to work, COHE serves as a model of how combining information technology with timely care coordination can improve patient outcomes. BCIN hopes that adapting the COHE model\u2014especially the use of care coordinators\u2014will help improve care outcomes for patients with type 2 diabetes across 34,000 square miles of mostly rural geography in eastern Washington and north Idaho.<\/p>\n\n\n\n<p>Moreover, to connect providers and patients, the BCIN is expanding upon another of INHS\u2019 established programs\u2014the INHS health information network, which helps hospitals and health care facilities securely access patient\u2019s health information using health information technology\u2014including more than 3.5 million electronic health records.<\/p>\n\n\n\n<p>&#8220;The COHE program achieved great successes in improving care for injured workers through the combination of health information technology with care coordination and performance outcomes.&nbsp; For the Beacon Community of the Inland Northwest, we are building on those successes to bring a new level of coordinated care to patients with type 2 diabetes throughout our region.&nbsp; With a strong health information exchange infrastructure at the core, our team has build robust care coordination, decision support, performance reporting and workflow management that layers over the HIE &#8211; all working together to create additional value for providers and improve care for patients.&nbsp; It is an exciting opportunity to impact chronic disease and make a significant improvement in the health of our region.&#8221; &#8211; Jac J. Davies, MS, MPH, Director of the Beacon Community of the Inland Northwest<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-for-more-information\">For More Information<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Beacon Community Program<\/li>\n\n\n\n<li>Beacon Community of the Inland Northwest<\/li>\n\n\n\n<li><a href=\"https:\/\/www.gocohe.com\/\">Center for Occupational Health and Education<\/a><\/li>\n<\/ul>\n\n\n\n<p>Also check out a <a href=\"https:\/\/www.youtube.com\/watch?v=YrPdQrVrCNE\">short film<\/a> about the BCIN.<\/p>\n\n\n\n<p><object width=\"560\" height=\"315\" classid=\"clsid:d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"https:\/\/download.macromedia.com\/pub\/shockwave\/cabs\/flash\/swflash.cab#version=6,0,40,0\"><param name=\"allowFullScreen\" value=\"true\"><param name=\"allowscriptaccess\" value=\"always\"><param name=\"src\" value=\"https:\/\/www.youtube.com\/v\/YrPdQrVrCNE?version=3&amp;hl=en_US\"><param name=\"allowfullscreen\" value=\"true\"><embed width=\"560\" height=\"315\" type=\"application\/x-shockwave-flash\" src=\"https:\/\/www.youtube.com\/v\/YrPdQrVrCNE?version=3&amp;hl=en_US\" allowfullscreen=\"allowfullscreen\" allowscriptaccess=\"always\"><\/object><\/p>\n\n\n\n<p><em>Dr. Daniel T. Hansen has served as Program Director for the Eastern Washington Center for Occupational Health and Education since 2003. Dr. Hansen also currently serves as Co-team Lead for the Care Coordination Work Group in the Beacon Community of the Inland Northwest. Other notable current projects include Participatory Ergonomics in the Grocery Industry (and related supply chain) with Eastern WA University and a number of Green Belt\/Lean Projects at Spokane-area hospitals. From 2001 to 2004, Dr. Hansen practiced in conjunction with the Industrial Rehabilitation Division of St. Luke\u2019s Rehabilitation Institute in Spokane, WA\u2013 a multidisciplinary program serving injured workers in three States.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As the Inland Northwest Health Services (INHS) began establishing its Beacon Community\u2014the Beacon Community of [&hellip;]<\/p>\n","protected":false},"author":619,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_selected_menu":"","_show_breadcrumbs":"true","_blog_show_featured_image":false,"footnotes":""},"categories":[1],"archived-category":[677,765],"featured":[],"topics":[408,439,425,441],"class_list":["post-2123","post","type-post","status-publish","format-standard","hentry","category-insights-updates","archived-category-beacon-communities","archived-category-from-the-onc-desk","topics-care-continuum","topics-historical-programs","topics-hit-policy","topics-hitech-programs"],"acf":{"blog_authors":[{"blog_author_profiles":"198475"}],"hp_news_hide":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.8.1) - 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