JamesLHollyMD.com

	James L. Holly, M.D.

About SETMA Joint Commission Contact Information History Mission Statement Medical Home Scope of Services I-CARE Initiative Infusion Center The SETMA Way - What is it? SETMA's Model of Care Patient-Centered Medical Home The SETMA Approach to Patient Care	In The News Letters Vital Signs - Examiner Publication SETMA's Providers as of January, 2015 SETMA Knows - Abraham Lincoln and Healthcare Analytics SETMA – 1999 – Four Seminal Events PC-PCC Award January, 2015 Vital Signs Spring 2015 Vital Signs Q&A for PC-PCC Award Links to SETMA 2012 eHealth Innovator Award for LESS initiative Handout for Attendees eHealth Conference January 12, 2012 eHealth Initiative 2012 Award Program Application The eHealth Initiative's 2012 Award Letter 2012 National Quality Forum National Healthcare Improvement Award Effective prioritization of performance improvement goals Dashboard to Measure and Manage Whole System Performance Commitment to transparency Date-driven improvement of NQS priorities Demonstration of readiness to assume responsibilities of an ACO Demonstrated results on publicly reported performance measures Public Reporting Quality Metrics for 2009, 2010, 2011 Internally Tracked Reporting Quality Metrics for 2009, 2010, 2011 Complete Application in PDF Format SETMA's Medical Home Pilgrimage 2009 Medical Home Series I 2010 Medical Home Series II 2011 Medical Home Series Two 2009, 2010, 2011 Medical Home Miscellaneous Articles The Dr. and Mrs. James L. Holly Distinguished Professorship Universal American Letter of Transmittal for Support Dr. Holly's Acceptance Address for the 2012 Distinguished Alumnus Award CMS Medical Home Feedback Report Qualify & Cost SETMA questions Influenza Data SETMA I - October 2011 SETMA II - October 2011 Mark A. Wilson Clinic SETMA West - October 2011 SETMA and Fox 4 News - Healthy Living Videos SETMA Advertisements - Display and Video SETMA Announcements Featured Content Archive	Syllabus PC-MH Externship SETMA's MS4 Patient-Center Medical Home Selective Syllabus Introduction to SETMA's Senior Externship and Syllabus An Introduction to the Origins and Beginnings of Southeast Texas Medical Associates, LLP Patient-Centered Communication PC-MH Health Affairs August 15, 2013 Policy Brief -- Health Gap SETMA 8.20.13 Provider Training -- Health Affairs 2.14.13 -- Patient Engagement SETMA Provider Training 8.20.13 during First Senior Medical Student PC-MH Externship Medical Home Coordination Review Tutorial 2011 Medical Home Series Two Teaching Tool for PC-MH Course - Patient Care Activation, Engagement, Shared-Decision Making	Patient Information What Does Patient-Centered Medical Home Mean to You? What Does Patient-Centered Medical Home Mean to You? Health information exchange Patient Rights and Responsibilities Patient Directions Contact SETMA – Secure Texting What is HIPAA? Authorization To Release or Obtain Medical Records Complete Privacy Policy Website Privacy Policy	Presentations Invited Presentations SETMA Provider Training
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I Care Initiative - Initiative for Comprehensive Advanced Healthcare Resources for the Elderly

SETMA since its inception in 1995 has been providing high quality healthcare to local residents in nursing homes. Under the auspices of the Late Dr Mark Wilson a system was created where he and his partners would make routine visits to long-term care facilities and do clinical- decision-making based on the technologies and resources available at the time.

In our constant desire to improve quality and safety, and to make available the latest and best resources available to our patients, the iCARE initiative was launched in 2011. I-CARE stands for Initiative for Comprehensive Advanced Healthcare Resources for the Elderly.

SETMA realized that Nursing home residents require the most care as they usually have the most ailments and unfortunately have the least resources available to them in the community and consequently are living in the nursing facilities.

Applying the rules of “Patient centeredness”( SETMA is the only certified “patient centered medical home” in the Southeast Texas and we currently have accreditation from three agencies and will soon have accreditation from all four) ) and under the Leadership of Dr. Anwar, Dr Leifeste and Dr Aziz for the first time in the history of Southeast Texas a dedicated team was made comprising of Nurse Practititioners, Family Practitioners, Internists and Geriatricians to improve the care delivered in nursing facilities. The i-CARE team uses their systems by routinely visiting each Nursing facility and using their award-winning electronic medical records to document that care. The EMR is used to access every patients needs. The EMR incorporates laboratory, imaging and hospital data which takes clinical integration and clinical decision making to a level never seen in this area of medicine.

The EMR also brought to bear advanced clinical tools to manage difficult clinical conditions and thus addressing the unique needs of long-term, residential-care patients, including assessment tools for:

In order to accomplish this SETMA provides:

A level-two reference laboratory
Access to laboratory results for nursing home patients
Mobile X-ray and EKG services
24 Hour a Day, Seven days a week response to emergent needs
A newly deployed I-CARE.com e-mail access for communication with the I-CARE Team.
A community-wide Health Information Exchange, which is presently connected with one hospital but within the year will be connected with all nursing homes, hospitals, medical practices, Altus Hospice and other healthcare agencies.
NextMD which is a secure web portal which will supplement the capacities of SETMA's website
A hospital, inpatient support team which provides "transitions of care" documents to nursing homes when their residents return from the hospital with
Complete orders for nursing home care
Reconciled Medications
Detailed summary of hospital course and testing performed

These tools are used not only by SETMA providers but for the also the nursing staff at the facilities thus raising medical care standards and integration between SETMA providers and NH staff to unprecedented levels.

SETMA i-CARE team also made sure that there is redundancy in the system i.e. each Nursing facility has more than one provider covering so there are no gaps in coverage and also in constant contact with the SETMA Hospital inpatient team which covers all the area hospitals 24 hours a day 7 days a week.

It is our privilege and honor to take care of your loved ones with best healthcare team aided with best technology resources there is to offer. Please contact us through via email, phone or website.

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