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According to Elise McKenna, RN, MPH, MSED, project manager for the Morrisville Health Service Area, “we used the practice profiles to drive the conversation around avoidable ED visits. For our health service area, we have determined that we need to place an ED social worker in the hospital to ensure timely follow-ups after a patient visits the ED.” Given the importance of the registry to the overall mission of the Blueprint, the news that support would end for the application underlying the registry in 2015 was especially troubling. A new solution had to be developed quickly. The Blueprint, CHA, and VITL developed and executed a plan that minimized the impact of any system downtime while maximizing the investments already made in the current system. More BonusesThe key elements of the proposal were: The State of Vermont secured a perpetual source code license to the software underlying the registry. CHA expanded their role to include the installation, maintenance and technical support of the registry in its new environment. VITL expanded their role and now manages the hosting environment for the registry. Hans Kastensmith, principal at CHA, when talking about the project said, “it’s challenging enough to bring up software that you wrote yourself, now imagine receiving 163 thousand lines of code from another vendor and having a week to verify its completeness and to make it operational.” By December, 2015 CHA had reconstituted the registry on servers managed by VITL. All of the previous data from the prior system was transferred and validated as part of this effort. Getting the registry up and running in its new environment was the first major milestone to be accomplished on schedule. Now that the system itself was up, registry services had to be restored to users and data sources had to be reconnected to bring continual updates to the system.
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