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Health Information Technology for Post-Acute Care (HITPAC)

The Health Information Technology for Post Acute Care (HITPAC) project aimed to transform the fragmented medication reconciliation processes and facilitate stronger care transition communication across health care settings through the electronic exchange of health information. This means for our:

  • Patients and nursing home residents: improved medication safety and fewer unnecessary hospital readmissions.
  • Health care system: reduced medical costs through efficiency and appropriate care.

Project Brief > (2-page PDF)

This was a Centers for Medicare & Medicaid Services (CMS) special innovation project, under its Medicare Quality Improvement Organization (QIO) Program. One of the methods CMS promotes to reduce avoidable readmissions from nursing homes is the use of the electronic health record (EHR) and health information exchange (HIE). In 2012, CMS funded three QIOs to 1) accelerate EHR adoption and use, and 2) work towards achieving health information exchange in two areas: transitions of care and medication management. As the Medicare QIO for Minnesota, Stratis Health lead the HITPAC project.

In Minnesota, two communities of hospitals and their referring skilled nursing facilities worked collaboratively to develop a standardized computer language that can be used across systems and eventually be transported as health information exchange.

Urban Community Rural Community
Fairview Ridges Hospital
Fairview Southdale Hospital
Augustana Health Care Center of Minneapolis
Benedictine Health Center at Innsbruck
The Colony of Eden Prairie
Ebenezer Ridges Care Center
Martin Luther Care Center
St. Gertrude's Health & Rehabilitation Center
Fairview Lakes Hospital
Birchwood Health Care Center
Ecumen of North Branch
Golden LivingCenter Rush City
Margaret S. Parmly Residence


Stratis Health HITPAC team provided education and technical assistance in workflow re-design to the participants.

For more information about HITPAC, contact Candy Hanson, program manager, Stratis Health, 952-853-8524.


Environmental Scan of Adoption and Use of Electronic Health Records and Health Information Exchange in Minnesota Skilled Nursing Facilities. Stratis Health report. January 2013. (31-page PDF)

Health Information Technology for Post Acute Care (HITPAC): Minnesota Project Overview. Presented by Candy Hanson, Program Manager, Stratis Health. June 2013. (21-slide PowerPoint)

HITPAC Care Coordination Toolkit. Presented on April 30, 2013, by Julie Jacobs, HIT Consultant, Stratis Health. (11-minute webinar)

Webinar: Communicating Changes in Condition: Using the SBAR Tool. Presented on September 30, 2013, by Kristi Wergin, RN, BSN, Program Manager, Stratis Health. (30-minute webinar)

Webinar: HITPAC and Health Information Exchange: Bringing It Together. Presented on May 28, 2013, by Candy Hanson, RN, BSN, and Greg Linden, MBA, CPHIT/CPEHR, Stratis Health. (28-minute webinar)

Webinar: Medication Reconciliation. How medication reconciliation differs from medication regimen review, and how electronic health records can help the process. Presented by Joe Litsey, PharmD, Certified Geriatric Pharmacist. (52-minute webinar)