Health Information Exchange Connected Communities. Connected Healthcare

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Text of Health Information Exchange Connected Communities. Connected Healthcare

  • 1. Health Information ExchangeConnected Communities. Connected HealthcarePhyllis AlbrittonNancye LahueExecutive Director Technical DirectorCORHIOBEACON Program San Luis Valley Health Information Technology Symposium,November 4, 20111

2. Todays Session Roadmap About CORHIO & Colorados Vision for HIE What is HIE? Current HIE Activity in Colorado Technical Infrastructure Other HIT Initiatives at CORHIO 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution 3. New Realitiesin Health NewPaymentCare Models ImprovedTechnology & Quality of New Care Delivery Interoperability Care &Models Value! PatientEngagement 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution 4. Care Coordination and Transitions: Reality Meets OpportunityHospital Readmission19.6% of Medicare patients were readmitted within 30 days of discharge1 in 5 older adults with complex chronic health conditions is readmitted within30 days of hospital discharge34% were readmitted within 90 days of discharge$17.4 billion cost to Medicare for unplanned hospital readmissions in 2004Chronic Conditions75% of health care expenditures are for chronic illnesses16 physicians providers an individual with chronic illness may see in a yearMedication Management66% of medication errors occur during transitions: admission, transfer or dischargeSource: National Transitions of Care Coalition: Improving Transitions of Care , Sept. 2010 5. The Consumer Perspective About Their Providers 88% want doctors to use EMRs. 92% want doctors to exchange patient info with other doctors. About Themselves Few adults have electronic access to records or doctors: Record access (14%). Schedule appointments (22%). Email doctors (21%). Refill prescriptions (34%). 73% would use a secure online healthcare communication solution. 50% would consider switching doctors for the ability to communicate and complete health care tasks online.Sources:"A Call for Change: The Commonwealth Fund 2011 Survey of Public Views of The U.S. Health System."Intuit Healths second annual Health Care Check-Up Survey. 2011 Colorado Regional Health Information Organization (CORHIO) All Rights Reserved CORHIO Proprietary - Not For Redistribution 6. About CORHIO A nonprofit, public- Shared healthWho We AreVision private partnership information for all individuals in every The state-designated Colorado community entity for health information exchangepromoting the right (HIE) in Colorado care, at the right time and the right place.Goals for 2015 Health information exchange deployed in every community 85% of all providers are meaningful users of EHRs and healthinformation technology 7. HIE Progress in Colorado Future Northern Colorado ConveningSteamboatParticipant Agreement(QHN) Grand Connected to HIE (Live)Boulder CountyNWGrand Summit Denver CentralDenver Aurora Junction S. MetroAspen Denver Live on CORHIO(QHN)(QHN) Salida Implementing CORHIO DeltaCO Springs(QHN) Gunnison QHN (QHN)Montrose Investigating HIE (QHN)Pueblo LTPAC Challenge Grant San LuisCommunity DurangoValley(QHN) 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution 7 8. Participating Providers http://www.corhio.org/participating-providers.aspx 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 8CORHIO Proprietary - Not For Redistribution 9. Vision for HIE No Wrong Door for Patients Providers have access to a patients complete health history toprovide high quality, cost effective treatment during the visit Providers have access to the information needed to evolve withhealth reform (e.g., ACOs) Patients are active participants in their healthcare Communities and policy makers have accesses to aggregated, de-identified health data to improve community and public health 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 11/16/2011 CORHIO Proprietary - Not For Redistribution9 10. What is HIE? Health information exchange (HIE) is the ability to electronically exchange patient health information including: Lab results Secure Messaging/Email Pathology results ADTs Radiology reports Orders Transcribed notes Patient care summaries,meds, allergies, Dx (CCD) Referrals & Consults when its needed for patient care. (all data shared safely & securely, meeting or exceeding HIPAA standards) 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved1011/16/2011 CORHIO Proprietary - Not For Redistribution 11. Is this your reality?The typical primary carephysician has 229 otherphysicians working in 117practices with which caremust be coordinated. Source: Annals of Medicine 2011 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 11CORHIO Proprietary - Not For Redistribution 12. Perhaps, this is Your Reality?41.9% to 70% of Medicarepatients admitted to thehospital received services froman average of 10 or morephysicians during their stay 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 12CORHIO Proprietary - Not For Redistribution 13. How Does HIE Work?The Clinician PerspectivePaper & phone based with some limitedOne electronic connection to the HIE to access/shareelectronic connections patient information across the state 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 13 CORHIO Proprietary - Not For Redistribution 14. Public Health Initiatives CORHIO Support Services Newborn Metabolic Screening Orders andResults Delivery Electronic Laboratory Reporting Immunizations 2010 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution 15. Additional CORHIO HIT Initiatives CO-REC Mental & Behavioral Health Policy Workgroup Long Term Care Medicaid State HIT Plan Meaningful Use/Medicaid EHR Incentive Program SDAC CIVHC All Payer Claims Database 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved1511/16/2011 CORHIO Proprietary - Not For Redistribution 16. A Roadmap for HIE in ColoradoSupport DataAnalytics CCDs Health PlanParticipation / &Funding Public Health (CDPHE) Orders & (2012) SupportReferrals SDAC/RCCO Data(2011/2012)QHNfor Analytics Integrations Results (2011/2012) Delivery Patient Tools (2011) (2012/2013) Stakeholder Engagement 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved1611/16/2011 CORHIO Proprietary - Not For Redistribution 17. Providers in communities will become communities of providers - Dr. David Ehrenberger, CMO Avista Adventist Hospital 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved1711/16/2011 CORHIO Proprietary - Not For Redistribution 18. Thank you! Phyllis AlbrittonExecutive Directorpalbritton@corhio.org720-285-320018 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved CORHIO Proprietary - Not For Redistribution 19. Governance and Stakeholder Trust Nancye Lahue Technical DirectorBEACON ProgramSan Luis Valley 19Health Information Technology Symposium, November 4, 201119November 4, 2011 INHS Business CONFIDENTIAL 20. INHS Introduction Founded in 1994 501(c)(3) Non-profit Healthcare and Healthcare IT Focus 1,100 employees across 4 business lines 2010 Gross Revenue of $167 million Nationally recognized leader in healthcare collaboration INHS is governed by our board made up of sponsoring hospitals and community physicians. Customers govern their projects and IT direction independently. 20November 4, 2011 INHS Business CONFIDENTIAL 21. Current Beacon AreaNovember 4, 2011 INHS21Business CONFIDENTIAL 22. Information Resource Management (IRM) 300+ IT Professionals 750+ Physician EMR systems hosted 38 Hospital HIT systems operated & hosted Nationally recognized programs (Beacon Community, VLER, SSA, CDC, 21 of 100 Most Wired Hospitals, 5 HIMSS Level 6 Hospitals)22November 4, 2011 INHS Business CONFIDENTIAL 23. Key Differentiators Owner / Operator of Healthcare Systems 100% focused on Hospital HIT and Physician EMR 100+ healthcare entities already committed to Beacon Host and support (24 x 7 x 365)23November 4, 2011 INHS Business CONFIDENTIAL 24. Journey Through the HIESharedSharedTechnology Information HubTechnologyOtherHubsEnvironment:Environment:Environment:New business relationships with Population-based approach toCollaboration based ondecision-making occurring care delivery in a competitivecommunity relationships andoutside the community health systemindividual leadersTechnology: Technology:Technology:Disparate information systems Disparate information systemsShared information systemsrelying on health information interacting with sharedwith standardized dataexchange to conduct businessinformation hub that supportscommon metrics and carecoordination24 25. Health Information ExchangePrimary Care Long Term CareProviderBCIN HUBEMREMR Quality MeasuresPrimary Care CareProviderCoordinationEMR/DiseaseToolsManagementElectronic HealthPharmacy Application Record Information SystemSpecialtydataCareEMRHospitalOther HIEsPhase 1 Information25 SystemPhase 2 26. Guiding Principals Level the playing field Technology agnostic Speed of delivery Focused set of options Incentive Alignment Funding Strategy ADDS VALUE26November 4, 2011 INHS Business CONFIDENTIAL 27. Importance of Trust Warehousing Data demands trust Secure Transfer of Data Secure Storage of Data Secure Access of Data Communication Strategic Planning Collaboration Advisory Committee Sustainability Adding value Flexibility for different customers while maintaining standardization 27November 4, 2011 INHS Business CONFIDENTIAL 28.