ZaneNet was awarded a contract under MRCS, LLC to customize the Omnibus Care Plan (OCP) application to facilitate referrals for patients enrolled in the Prince George’s County Department of Health’s PreventionLink program. The PreventionLink program integrates clinical practice with evidence-based public health programs to improve health outcomes for patients at all levels of risk for chronic disease, from persons at risk for diabetes and heart disease to high-system utilizers with frequent hospitalizations. Innovations in the use of health information technology and the development of communities of practice bring together stakeholders in chronic disease care with a shared goal of reducing the burden of diabetes, hypertension, and stroke in underserved areas of Prince George’s, St. Mary’s, Charles, and Calvert counties.
The OCP is a secure, cloud-hosted application infrastructure that has embraced the FHIR standard environment. Using this standard, SAMHSA created the OCP which is an SoF infrastructure to support care coordination, care management, screening, and consent management. The OCP was envisioned from the beginning to support a care team, patient-centered approach. The OCP facilitates a multi-practitioner, multi-organization approach to patient-centered care. In other words, the OCP facilitates practitioners from multiple organizations to participate in the care associated with a patient. This eliminates the need for data to be shipped from place to place in providing the care the patient requires. The Care Team has immediate access to patient information in one place without having to manage many separate electronic sources of patient data. ZaneNet has worked with members of the County’s Department of Health to ensure that the OCP application can be leveraged to share important health information for PreventionLink patients to better coordinate and access care. The County intends to utilize the application in April as part of its ongoing program.