AN OVERVIEW OF THE WVHIN

SEPTEMBER 27, 2012

HISTORY WVHIN established by WV Legislature in 2006

Purpose: Promote the design implementation, operation and maintenance of a fully interoperable network to facilitate public & private use of health care information

Board of DirectorsPublic/Private partnership17 memberFinance CommitteePrivacy & Security Committee

Funding$7.8M Office of the National Coordinator$3.5M WV Legislature$9.9M WV Health Care Authority$250,000 Highmark

2

WVHIN How is the WVHIN achieving its purpose?

Enabling the secure ELECTRONIC exchange of patient health information through:

WVDirect Secure Messaging Health Information Exchange (HIE)

Why are we working to achieve this purpose? Today patient information is stored in silos and access to this

information is not timely, therefore providers must make decisions about a patient’s health without the full picture

Facilitate accomplishment of Meaningful Use Create efficiencies and cost savings within the healthcare

system

3

HEALTH INFORMATION EXCHANGE

4

WVHIN

Health System

Hospital Owned Physician Practices

Hospitals

Clinic Surgical-CentersPersonal Health Record

Research

Medicaid Initiatives

e-Directive Registry

Pharmacies

NHINOther HIE Initiatives

Clinic Group

Clinic

Clinic

Independent Lab and Imaging Center

Independent Hospital

Independent Physician

Physician

Network

Physician A Physician BPhysician C

Community HIE

Public Health & Immunization RegistriesNursing Homes

FUNCTIONS OF THE EXCHANGE• Master Patient Index• Record Locator Service• Single User Portal• E-Prescribing• Clinical Messaging• Inquiry• Provider referrals• Virtual Personal Health Record (vPHR)• Public Health reporting & alerts• WVDirect secure messaging services• Access to e-Directive Registry

5

WVHIN IMPLEMENTATION ACTIVITIESWHAT WHEN

HIE Implementation Kick-off August 2011Go Live – Direct Services January 2012HIE Go Live - Wheeling Hospital WVU HealthCare E-Directive Registry

May – June 2012

600 Providers with Direct AddressesConnection to Bureau for Public Health’s Immunization Registry

September 2012

Go Live – Analytics and Reporting Suite

September 2012

Statewide HIE Rollout Years 2 – 3 (starting Aug 2012)

6

YOUR WVHIN CONNECTIONS Public HealthImmunization

Registry (Inquiry &

submission)Electronic Lab

Reporting (future 2012)

Syndromic Surveillance (future 2013)

Participating

Organizations

Today:

Wheeling HospitalRuby Memorial HospitalCity HospitalJefferson Memorial Hospital70+ clinics

Other Connectio

nsWV e-Directive

Registry

Medicaid Claims

Personal Health Record (currently

through HealthVault)

7

HIE Participant Implementation Activities TimeframeHIE Onboarding initiating:• Preston Memorial• Mon General• Reynolds Memorial• Thomas Hospital• Montgomery General

Q4 2012

Under review:• Summersville Regional Medical Center• Huntington Internal Medicine Group

12/31/12

Anticipated Onboarding: • 25 non-hospital healthcare orgs. To be identified

by 12/31/12• UHC - Clarksburg• OVMC• Fairmont General• Princeton Community• Cabell Huntington

2013

8

• Braxton County Memorial Hospital

• Camden Clark Medical Center• Grafton City Hospital• Hampshire Memorial Hospital

• Reynolds Memorial Hospital• Stonewall Jackson Memorial

Hospital• Wheeling Hospital• WVUH (lab)

9

WHO ARE THE DIRECT SUBSCRIBERS IN WV?300+ ACCOUNTS REPRESENTING HOSPITALS, PUBLIC HEALTH, FQHCS, CLINICS, BEHAVIORAL HEALTH, PHARMACY, PRIMARY CARE, SPECIALISTS, DENTISTS, LABS, EYE CARE. 600+ PROVIDERS.

INITIATING EHR INTEGRATION: COMMUNITY HEALTH NETWORK, GENESIS

8 PARTICIPATING HOSPITALS:

• Transmission of Summary of care document

• Immunization Registry• Lab Reporting• Syndromic Surveillance • Patient Portal

• Secure Messaging• Advanced Directives• ePrescribe• Lab Results delivery• Cancer Registry

(future)• Specialized Registry

(future)

10

WVHIN can support your MU requirements

IMPROVE YOUR QUALITY INITIATIVES Healthcare Organizations are faced with multiple quality initiatives

designed to improve care (i.e. NCQA, Meaningful Use, PQRI, PCMH)

Two key factors in meeting quality standards are reducing unnecessary ER visits and hospital readmissions

Communicating with outside institutions to improve these quality measures is not efficient and often nonexistent. The “transitions of care” into and out of our offices and hospitals can be better communicated with WVDirect

11

PERSONAL HEALTH RECORD (PHR)

12

Other WVHIN Activities• Personal Health Record

• Additional Data Sources

• Online provider directory with ability to launch messages

• HISP to HISP connections (allows WVDirect to connect to other Direct systems):• In the works: Maryland, Florida, South Carolina, Ohio

• Review of opportunities for expanded functionality

• Expanding and finalizing policies

13

SUMMARY – TRAITS OF WVDIRECT & HIETRAIT WVDIRECT HIE

Patient Transition Anticipated Unanticipated

Availability Sent to One Provider/Organization

Available to many providers

Consent No Patient Notice Patient Notice Required

Send vs. Query Push of InformationProvider must send to another

provider

PullProvider must query for

informationMessage Tailored General

EHR Status/Workflow 1. No EHR Needed as Direct can be accessed through WVHIN Portal

2. If EHR allows for integration of Direct, access messages through EHR

1. Need IHE Standards Compliant EHR to connect and contribute data to HIE; provider stays in EHR workflow

2. No EHR needed for view only portal use

Structured DataPopulation & Patient Health

Supports Care Transition Activities

Support Population Health and Care Transition Activities

14

TRAIT WVDIRECT HIEPatient Transition Anticipated Unanticipated

Availability Sent to One Provider/Organization

Available to many providers

Consent No Patient Notice Patient Notice

Send vs. Query Push of InformationProvider (or provider’s

system) must send to another provider

PullProvider must query for

information

Message

Tailored General

EHR Status/Workflow 1. No EHR Needed as Direct can be accessed through WVHIN Portal

2. If EHR allows for integration of Direct, access messages through HER

1. Need IHE Standards Compliant EHR to connect and contribute data to HIE; provider stays in EHR workflow

2. No EHR needed for view only portal use

Population & Patient Health

Supports Care Transition Activities

Support Population Health and Care Transition Activities

WV E-DIRECTIVE REGISTRY

Provides accurate, relevant advance directive information available in a medical crisis

24/7 online access by health care providers through WVHIN Registry updated annually with a mailing to patients

15

Obtain forms – www.wvendoflife.org Submit forms - FAX 304-293-7442

For info call - 877-209-8086