Georgia Health Information Exchange

Georgia Rural Health IT ForumJanuary 26, 2012

Georgia HIE Mission & Vision Revisited

Facilitate a statewide health information exchange for Georgia that is trusted and valued by all stakeholders in order to improve health care coordination, reduce costs, and establish a solid foundation for long-term financial sustainability.

Mission

Foster a healthier Georgia through the use and exchange of electronic health information by improving patient-

centered health care, increasing efficiency and promoting the health status of the entire state population.

Vision

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Vision: Coordinated Care in Georgia

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Georgia’s Objectives to Achieve HIE

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Georgia HIE Governance

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Provides

input

Provides

input

Georgia HIE Governance Structure

Georgia Medicaid

Committees & Workgroups

eHealth State Agency

Council

HIT Coordinator

GHIE Inc. GA-HITREC

Local/Regional HIEs

Data Contributors

(Providers, Payers, Others)

GHIE Board Recommends

Georgia State GovernmentActual & Potential Participants

Georgia Public/Private Collaborative

Statewide HIE Policies & Requirements 6

DCHApproves & Enforces Policies

GHIE Committees and Workgroups

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GHIE,

• Legal & Privacy• Secondary Use (On Hold)• Service Area Health Information

Exchanges (SAHIEs)• Technology

Act and Get Involved

• Clinical– E-prescribing– Lab results exchange– Patient care summary exchange

• Finance

To get involved inquire at hitt@dch.ga.gov

Stay Engaged & Spread the Word

• Quarterly DCH Town Halls

• Monthly eNewsletter: DCH-I

Coming Soon• Follow us on Facebook and Twitter

• Regular webcasts and roundtable events

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Georgia’s Story: Progress

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Recent Progress

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• Technical & Policy Readiness Assessment• Environmental Scan• Legal & Privacy Services• Financial Modeling Services• Advertising & Marketing Services

Georgia HIE Development Status

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• Phase 1 – Direct (Secure Messaging)– Active RFP; responses due Jan 31st

– Q2 deployment• Phase 2 and 3

– Core and Value-Added Services– RFP expected to post in Q1– Deployment

• Phase 2: Q3• Phase 3: Q4

Potential Phasing of Georgia HIE Services

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By September 30, 2012Georgia providers will share at least

1 million electronic health information

messages using Direct

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Connecting more than

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Connecting more than50 counties

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Connecting more than50 counties

40 healthcare organizations

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Connecting more than50 counties

40 healthcare organizations

Tens of thousands of clinicians and patients

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In 2012, Georgia will…

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• Enter Top 10 of states using Direct

• Enter Top 20 of ePrescribing states

• Have one of the most robust statewide health information exchanges in the country

ONC stated that with Phase 1, Georgia will “leap frog most other states” in its progress to establish a statewide health information exchange.

Upcoming Events

March 12, 2012• Georgia eHealth Summit

June 2012: Georgia Health IT Town Hall• Provider registration for the Georgia HIE• Measurement framework• Phase 2 implementation progress

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Questions

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Appendix

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Health Information Exchange

• What is HIE?– Enables secure exchange of patient health information

between providers and healthcare organizations• Why is HIE important?

– HIE saves lives and improves health care outcomes by enhancing communication between providers, allowing for improved decision support and enabling patients to access information and better manage their personal healthcare

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Health Information Exchange

• What are the benefits of HIE?– When clinical records are available at the point of care,

patients receive more accurate and timely service.• Reduced likelihood of dangerous drug interactions• Avoidance of duplicate testing and unnecessary procedures• Improved provider-patient communication and coordination of care• Enhanced security for personal health information

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Georgia & Interoperability

27Payor OrganizationsSpecialty Facilities

EMS ProvidersCommunity Service Boards

Primary Care Physicians

Personal Health Records

SAHIEs

Health Systems

Radiology Federal Agencies

Telemedicine

FCHCs

Nursing Homes

State Agencies

Laboratories

Pharmacies Georgia Hospitals & Health Centers

HIE Phase 1: Direct Secure Messaging

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Georgia’s Health Information Exchange Model (Phase 1)

What is Direct?

b.wells@direct.aclinic.org h.elthie@direct.ahospital.org

• Simple. Connects healthcare stakeholders through universal addressing using simple push of information.• Secure. Users can easily verify messages are complete and not tampered with en route.• Scalable. Enables Internet scale with no need for central network authority that must provide sophisticated

services such as EMPI, distributed query/retrieve, or data storage.• Standards-based. Built on well-established Internet standards, commonly used for secure e-mail

communication; i.e.,. SMTP (or XDR) for transport, S/MIME for encryption, X.509 certificates for identity assurance

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What you need for Direct

• HIE Participant– Individual or organization that has a demonstrated need to

exchange health information• Certificate Authority (CA)

– Issues digital certificates to HIE Participants• Registration Authority (RA)

– Verifies identities of HIE Participants• HISP (Health Information Service Provider)

– Provides and manages Direct addresses, publishes certificates, routes (possibly storing) Direct messages

– HISPs can offer other HIE services

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Direct Addresses

• Direct Addresses are used to route information– Look like email addresses– Used only for health information exchange

b.wells@direct.aclinic.org

• An individual may have multiple Direct addresses

Endpoint Domain

Direct Address

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Georgia Statewide HIE: Use Case #1Referral to Specialist (Example of “Push”)

Patient visits primary care provider; provider needs to refer patient to a specialist

1. Provider uses EHR to initiate referral message and locate specialists

Provider’s EHR system looks up specialist practices in GA’S HIE provider directory

3. GA HIE Network documents access to Network in audit log

4. Specialist receives referral request and sends response to referring physician through the GA HIE Network

5. Specialist sees patient

2. Referring provider sends referral and reference clinical documents to the specialist system

Provider DirectoryProvider DirectorySecurity Services & Authorization Framework

Security Services & Authorization Framework

Secure Message Exchangevia Direct Project

Secure Message Exchangevia Direct Project

Transaction Audit Log & Reporting

Transaction Audit Log & Reporting

Georgia Statewide Health Information ExchangePhase 1