30E HCCN Progress Report -edits

OMB Number: 0915-0285; Expiration Date XX/XX/20XX
Health Center Controlled Networks (HCCN) PROGRESS REPORT TABLE
HCCN NAME: Number of Participating Health Centers (Baseline) Number of Participating Health Centers (Current)	APPLICATION TRACKING NUMBER:	GRANT NUMBER:

PARTICIPATING HEALTH CENTER
Participating Health Center Name
Grant/Look alike Number
PATIENT DETAILS
Total Patients (UDS Definition)
Number of Sites (Baseline)
Number of Sites (Current)
ENHANCE THE PATIENT AND PROVIDER EXPERIENCE
What percentage of patients accessed their patient portal within the last 12 months?at this PHC
What patient portal features are currently available to patients?						[ ] medical history [ ] lab/test results [ ] shared care plans [ ] education/self-management tools[ ] appointment reminders [ ] appointment scheduling [ ] medication refill [remote monitoring devices] [ ] other (explain)
What percentage of patients have used a digital tool mation with the PHC between visits to communicate health infor(e.g., electronic messages sent through the patient portal to providers, remote monitoring) in the last 12 months?
What percentage of providers reported increased satisfaction post implementation of at least one health IT-facilitated intervention?
What health IT-facilitated intervention has this PHC used within the last 12 months to improve provider satisfaction?						[ ] improved CDS [ ] EHR template customization/optimization [ ] telehealth [ ] eConsults [ ] mobile health [ ] dashboards [ ] other reporting tools (please explain)
ADVANCE INTEROPERABILITY
In the last 12 months, this PHC complete a security risk analysis?did						[_] Yes [_] No Previously completed within project period[_]
In the last 12 months, this PHC implement a breach mitigation and response plan based upon the completion of a security risk analysis?did						[_] Yes [_] No Previously completed within project period[_]
In the last 12 months, did this PHC experience a data breach or ransomware event?						[_] Yes [_] No
In the last 12 months, summary of care record to at least 3 external health care providers and/or health systems using certified EHR technology through platforms that align with HL7 or national standards specified in the ONC Interoperability Standards Advisory? a this PHC transmitdid						[_] Yes [_] No
I. summary of care record above, please provide details about the platform you are using to transmit af you answered yes to Question 4
In the last 12 months, data into structured EHR fields (i.e., not free text or attachments) from at least 3 external clinical and/or non-clinical sources?did this PHC integrate						[_] Yes [_] No
USE DATA TO ENHANCE VALUE
What other health IT tools this PHCand solutions did use in the last 12 months to analyze data in support of value-based care activities?						[ ] Busines Intelligence Software s [ ] Data Analytics [ ] Predictive Analytics [ ] SMART Apps [ ] Patient-Centered Tools [ ] other (please explain)
In the last 12 months, did this PHC use a dashboard and/or standard reports to present useful data to inform value-based care activities (e.g., improve clinical quality, achieve efficiencies, reduce costs)?						[_] Yes [_] No
In the last 12 months, did this PHC use h ealth IT to collect or share social risk factor data with care teams and use this data to inform care plan development on at least 50 percent of patients identified as having a risk factor?						[_] Yes [_] No
Describe progress to date on the applicant choice objective
THE HEALTH CENTER CONTROLLED NETWORK WILL COMPLETE THIS SECTION AT THE END OF THE 3-YEAR PROJECT PERIOD FOR THE ONE-TIME FINAL REPORT
CUSTOMER SATISFACTION CHALLENGES AND BARRIERS LESSONS LEARNED CONTINGENCY PLANNING PROMISING PRACTICES KEY CONTACT
Public Burden Statement: Health centers (section 330 grant funded and Federally Qualified Health Center look-alikes) deliver comprehensive, high quality, cost-effective primary health care to patients regardless of their ability to pay. . paperwork@hrsa.gov HYPERLINK "https://sharepoint.hrsa.gov/sites/bphc/oppd/ED1/OMB%20Forms%20Approval%202020/paperwork@hrsa.gov" 42 U.S.C. 254b HYPERLINK "http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254b&num=0&edition=prelim"