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Vigilance HealthHealth Information Exchange
Education
October 9, 2013
Copyright © 2013 VigilanceHIT. All rights reserved. 1
James Coburn, CEOLaura Landry, EVP and Co-FounderMark Davis, Sr. Project ManagerKatharine Phillips, Sr. Project Manager
2Copyright © 2013 VigilanceHIT. All rights reserved.
Housekeeping – Meaningful Use
– Meaningful Use Reports
– Upcoming Meetings
– Help Us Help You
– Gold Coast HIT Resource Center – Stage 2
HIE
To-Do List for Practice
Agenda
3Copyright © 2013 VigilanceHIT. All rights reserved.
Send all MU reports to reports@goldcoasthit.org
All reports received the previous week will be addressed on the Tuesday, 9:30 am and 12:30 pm, Meaningful Use and Gap Analysis online meeting
Email MU questions ahead of the call so that we can research them and have an answer ready
Stage 1 questions: stage1@goldcoasthit.org – answered on Tuesday meetings
Stage 2 questions: stage2@goldcoasthit.org – answered on the monthly Meaningful Use Workgroup meeting, first Wednesday of each month
Meaningful Use Reports and Questions
4Copyright © 2013 VigilanceHIT. All rights reserved.
Go to the calendar on our website, www.goldcoasthit.org for registration details!
Every Tuesday 9:30 and 12:30– Stage 1 Meaningful Use Questions and Gap Analysis
Upcoming Online Meetings
5Copyright © 2013 VigilanceHIT. All rights reserved.
Gold Coast has 1200+ providers that are going to attest for Meaningful Use in 2013
Tuesday Gap Analysis calls are critical to your success
If you are attesting for 90 days, somebody from the practice MUST attend one of the Tuesday calls every week
You worry about right now, let us worry about your next steps
Help Us Help You
www.vigilancehit.salesupplychain.com
Copyright © 2013 VigilanceHIT. All rights reserved. 6
Health Information Exchange 102
Laura LandryExecutive VP and Co-Founder
November 13th, 2013
Copyright © 2013 VigilanceHIT. All rights reserved. 6
8Copyright © 2013 VigilanceHIT. All rights reserved.
Vigilance Health is the new name for Gold Coast Health IT Resource Center
The Gold Coast Health IT Resource Center will not go away
– We will continue to help enrolled providers with Stage 1 Meaningful Use
Vigilance Health is here to fill the gaps in support for current and emerging models of healthcare
We are your trusted technology advisor as you move forward
Gold Coast HIT Resource Center – Stage 2
9Copyright © 2013 VigilanceHIT. All rights reserved.
Review from Last Time
A quick review to refresh your memory
– Healthcare Ecosystem
– What is HIE? What is Interoperability?
– What does HIE mean for me?
10Copyright © 2013 VigilanceHIT. All rights reserved.
Health Care Ecosystem
Physicians Network
Disease Control Centers
RadiologyCenters
Long TermCare
Pharmacy& Pharmacy Benefits Mgmt.
Hospitals(for Inpatients &
Outpatients)
Labs & Imaging
Lab Systems PT, Herbalist Chiropractor
Public Health
General
Over the counter prescriptions
Patient
Family, Friend, Internet, TV, Radio, Twitter
11Copyright © 2013 VigilanceHIT. All rights reserved.
The Big Questions
What is health information exchange?
– Ability to electronically access medical information when and where it is needed to make critical healthcare decisions
What is interoperability?
– Your systems connected to your referring network for your patients and business needs
12Copyright © 2013 VigilanceHIT. All rights reserved.
What Does HIE Mean For Me?
Better information = better care Timely information about
significant events related to your patient’s care (e.g. ER visits, filled prescriptions, etc.)
New patient history in a usable format
Improved care transitions
Better informed and engaged patients
Greater ability to prevent unnecessary readmissions and medical errors
Reimbursement Tied to Interoperability Avoid penalties
Assure EHR incentive payments
Enables participation in:
– Shared savings initiatives
– Pay for Performance incentives
13Copyright © 2013 VigilanceHIT. All rights reserved.
How Does HIE Work
Operational vs. Technical
– What are the components of HIE?
– What are the capabilities?
– What is the limitations?
14Copyright © 2013 VigilanceHIT. All rights reserved.
How Does HIE Work?
Operational
• Providers in the business network agree to share data
• Systems linked together
• When patient is seen, relevant clinicians/directly to their EHR
• The “aggregated” record is available as necessary and allowed
Technical
• Your EHR connects to HIE
• HIE resolves patient identity (L Landry at 123 Main St, #205 is the same person as Laura Landry at 123 Main St, #205)
• Designated people are entitled to see or be sent certain data elements based on their role (MD, RN, etc.)
15Copyright © 2013 VigilanceHIT. All rights reserved.
Goal: Fully Interoperable Healthcare System
The Right Data at the Right Time to the Right People
to Support Optimum Health Outcomes
HIE
Radiology
Patient -PHR
Pharmacy
Hospital
Providers
Laboratory
Payers
Personal Health Record
16Copyright © 2013 VigilanceHIT. All rights reserved.
Vigilance Core HIE Components
The Right Data at the Right Time to the Right People
to Support Optimum Health Outcomes
Personal Health Record
HIE
• Master Patient Index (MPI)
• Interfaces• Clinical
Database
• Data Warehouse • Security
• Care Manager
• Notification
• Portals
17Copyright © 2013 VigilanceHIT. All rights reserved.
Interoperability Limited by EHR Capabilities
Can your EHR create electronic order messages? Order from multiple labs? Order from multiple imaging centers?
Provider
EHR
Practice Management System
• Interfaces• HL7?• IHE?
HIE
18Copyright © 2013 VigilanceHIT. All rights reserved.
What Does HIE Accomplish
Patient-centric care
– Just as online banking collects all of your financial transactions in one place, the HIE collects all healthcare transactions for one patient in one place
– Primary care physician is like the “main office” of the bank
– Almost everyone else (specialists and hospitals) are like out-of- network ATMs – the data still goes to the main bank
– Sensitive data still remains segregated and protected
19Copyright © 2013 VigilanceHIT. All rights reserved.
HIE is Key to Meaningful Use
Using certified EHR technology in ways that can be measured by quality and quantity such as
- ePrescribing, labs, public health registries, PQRI
- submitting clinical quality data/other measures: P4P, ACO, PCMH
- exchanging information to improve care continuity
20Copyright © 2013 VigilanceHIT. All rights reserved.
Meaningful Use Goals
• Patient-centered medical practice
• Patient care quality, safety, efficiency• Care coordination• Population and public health
• Adequate privacy and security for personal health information
Support
Improve
Ensure
21Copyright © 2013 VigilanceHIT. All rights reserved.
Stage 2 Measures and HIE
Measure HIE Function
Transition of Care>10% of transitions of care from acute Communicator for Direct Messagingenvironment have summaries transmitted Hospital Connect to populate health via direct summaries
View, Download, Transmit (VDT)PHR populated for more than 50% of patients Communicator for VDT5% of patients view, download, transmit their Hospital Connect to populate health summariesinformation Ambulatory CCD integration to populate from Required for hospitals and physicians practices
Secure Messaging>5% of patients send a secure message Communicator for PHRRequired for Physicians
ResultsCore for EP: >55% electronic results Results delivered and received electronically
22Copyright © 2013 VigilanceHIT. All rights reserved.
The Classic HIE Challenge
Copyright Sandlot Solutions Confidential
23Copyright © 2013 VigilanceHIT. All rights reserved.
Vigilance HIE is Powered by Sandlot Solutions
Copyright Sandlot Solutions Confidential
24Copyright © 2013 VigilanceHIT. All rights reserved.
Benefits of HIE
Adoption of EHRs
Meaningful Useof EHRs
Exchangeof Health
Information
• Improved Health Outcomes
• Ability to Study& Improve CareDelivery
• Increased Transparency& Efficiency
• Shared Savings from patient risk
• Remain viable and competitive
25Copyright © 2013 VigilanceHIT. All rights reserved.
HIE Preparation Steps
STEP 1ID who you most need to receive data from and send data to
• Lab• Hospitals• Specialists• Surgery/Diagnostic
Centers
STEP 2ID HIEs in your
local area
• Private HIEs (hospital, med groups, IPAs, etc.)
• Community HIEs (open to all providers)
• Colleagues’ HIE providers
STEP 3Determine which HIE has greatest overlap with your
own list from Step 1
26Copyright © 2013 VigilanceHIT. All rights reserved.
Get Help with Getting Ready for HIE
12:30PM
HIE Workshop
Fill out a form with the Step 1 Information
and
Get your questions answered as you go!
27Copyright © 2013 VigilanceHIT. All rights reserved.
Survey
We’d like to make sure that our Interoperability Platform is able to connect with all of your referring organizations and vendors. There is a survey at the end of this webinar that asks for the following information so that we can start contacting them to build interfaces:
Labs, hospitals, IPA, ACO, Surgical Centers, Nursing Homes, Health Plans
The more vendors we are connected with, the more effective we will be in helping you!
28Copyright © 2013 VigilanceHIT. All rights reserved.
To-Do List for Practice
1. TAKE THE SURVEY AT THE END OF THE MEETING!
2. Tell us who your office contact for Health Information Exchange? Let us know so that we can keep them informed
– Have them email us at hie@vigilancehit.com
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