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Kansas Health Information Network, Inc.
How the Kansas Medical Society is building a provider-led platform to support interoperability and enable practices to thrive in the coming
system transformation
KHIN
Health Information Exchange (HIE) is similar to cell phone technology
KHIN
What does a Health Information Exchange do?
1. Data Transport-Interoperability
a) Transitions of Care
b) Patient Engagement
c) Public and Population Health
2. Data Normalization, Aggregation
and Reporting
KHIN
Kansas Health Information Network
Community Mental Health Center ( 41 )
FQHC ( 42 )
Physician Practice ( 281)
LACIE Connected Participant ( 162 )
Hospital ( 81 )
KHINs LIVE Participants
KHIN
KHIN Key Statistics
1. Over 2 Million + Unique
Patients in KHIN
2. Over 10 million patients
available for query
3. 1,238+ KHIN Members
4. 620 +Health Care
Organizations in Production
KHIN
Interoperability: EHR Vendors Connected
Allscripts 3
Askesis 1
Cerner 4
Champ/Nightingale 1
ClaimTrak 1
CPSI 7
Custom (CPSI: VHUB) 6
Custom (Meditech: Iatrics) 1
eClinical Works 19
eMDs 8
Epic 3
GE Centricity/Qvera 2
Greenway 5
Healthland 6
HMS 2
KIPHS 2
Mckesson/PDS 12
McKesson Lytec MD 1
McKesson/Relay Health 1
McKesson/Paragon 1
Meditech 25
Medicity 1
NextGen 5
Netsmart 5
Phoenix Ortho 1
Prognosis 1
Pulse 3
Siemens 28
SuccessEHS 8
Total: 163
KHIN
KHIN Products 2015
1. Secure Clinical Messaging/DIRECT2. Provider Portal
• EHR Query functionality• Web based access
3. Personal Health Record
4. Image Exchange5. Public Health Interfaces
• Immunizations• Syndromic Surveillance• Reportable Diseases• Cancer Registry• Infectious Disease Registry
6.Alerts and Data Extracts
KHIN
Kansas Health Information Network, Inc. Helping Providers Meet MU Requirements
2014-2015 83 Hospitals & 62 Clinics
Public Health Transmissions
1. Immunizations2. Electronic Lab
Reporting3. Syndromic
Surveillance4. Cancer5. Infectious Diseases
Patient Engagement6. Summary of Care7. Secure Messaging8. Patient Education
Transitions of Care1. Summary of Care
a) DIRECTb) eHealth
Exchange
KHIN
Certificates for MU Audit
KHIN
Kansas Health Information Network, Inc. Helping Providers Participate in Value Based Payment
Models
2014-2015: 108 Hospitals & 2330 Physicians Received BCBS Incentive Payments
• Data Sharing/Health Information Exchange
• Shared Personal Health Record for Patients
• Data Warehouse-Analytics/Risk Stratification
• Care Management for High Risk Patients
• Critical Incident Alerts for Admits and Discharges
KHIN
Kansas Health Information Network works with KaMMCO Health Solutions (KHS) Data Warehouse
Scalable Data Hosting Plan starting at 500GB of data featuring backup and remote site replication
KHIN
Sample Analytic Reports
KHIN
Sample Analytic Reports
KHIN
Sample Analytic Reports
KHIN
Sample Analytic Reports
KHIN
HIE Infrastructure Models
HIE 1.0 Proprietary
HIE 2.0 Shared
Comparison Factor 1
Technology
Solely Held:• Contracts• Technical Platform• EHR hubs• Nationwide Connections
(eHealth Exchange)• Help Desk
Shared:• Contracts• Technical Platform• EHR hubs• Nationwide
Connections (eHealth Exchange)
• Help Desk
Comparison Factor 2
Personnel
Hired Employees:• CEO/COO/CFO• Project Managers• Integration Engineers• Administration & Billing• Data Management• Analytics
Shared Employees:• CEO/COO/CFO• Project Managers• Integration Engineers• Administration & Billing• Data Management• Analytics
KHIN
HIE Infrastructure Models
HIE 1.0 Proprietary
HIE 2.0 Shared
Comparison Factor 3
Data Manageme
nt
Private Data Warehouse: w/ back up and remote site replication• Firewall• Internet• Licenses • Security• Reporting
Shared Warehouse with Data Vaults for each region:• Firewall• Internet• Licenses • Security• Reporting Individual reporting
Comparison Factor 4
Analytics
Private Analytics:• Analytic Staff• Licensed Software and
Analytic Tools• Proprietary Reports
Shared Analytics:• Analytic Staff• Licensed Software and
Analytic Tools• Shared Reports• Proprietary Reports
KHIN
HIE Infrastructure Models
HIE 1.0 Proprietary
HIE 2.0 Shared
Comparison Factor 5
Cost
• Large initial capital investment
• Large personnel investment
• Smaller base to spread costs
• Every connection is “new” with a resulting cost
• Exclusive Legal Documents
• Minimal capital investment
• Minimal personnel costs
• Large base to spread costs
• One connection serves all
• Shared Legal Documents
Comparison Factor 6
Knowledge
• Limited Knowledge Base • Proprietary Policies and
Procedures • Learnings not shared
• Broad, shared knowledge base
• Shared policies and procedures adapted to each region
• Learning community
