Overview: Indiana Health Information Exchange

Better Outcomes. Delivered.

OverviewJune 12, 2012

Copyright © 2012 Indiana Health Information Exchange, Inc

www.ihie.org

History

The nation’s largest health information exchange: 93 Indiana hospitals and 20,000 physician participation.


www.ihie.org

IHIE Statistics

• Nation’s largest HIE• Founded in February 2004• Based on the technology,

knowledge, and experience of the Regenstrief Institute

• 75 employees• Providing services to 93

hospitals (23 health systems), 20,000 clinicians, and 5 payers

• Serving an area with a population of about 4 million people


www.ihie.org

Patient

Physician

Physician

Physician

Hospitals

Payers

Physician Offices

Labs / Imaging Centers

Public Health

Outpatient Rx

Health Data Services

Health Information Exchange

Data Repository

Network Applications

Data Stewardship

Hospitals

Payers

Physician Offices

Public Health

Labs / Imaging Centers

Researchers

Value-Added Services

• Results Delivery• MU Support• Public Health

Integration

• Results Delivery• MU Support• Clinical Quality

Services• Community Health

Record Access

• Results Delivery• Community

Health Record System

• Biosurveillance• Reportable

Conditions• Results Delivery

• Quality Reporting• Physician Bonus

Administration

• De-identified, longitudinal clinical

data


™

Public Health Emergency Surveillance System

(PHESS)

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IHIE in a State and National Context


www.ihie.org

ARRA Funding ($787 Billion)

HITECH (~$34 Billion)

Health Information Exchange ($2 Billion)

Funding across all 50 states and US territories

AL AK AR AZ CA CO - - - - - VA WA WI WV WY

State HIE Cooperative Agreement Program

($564 Million)

Regional Extension Centers

($598 Million)

Beacon Cooperative Agreement

Program

ARRA HITECH – Once in a Generation Opportunity


www.ihie.org

Beacon Community Concept


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IHIE is a Beacon Community:As part of the ARRA HITECH legislation, IHIE has been selected as one of 17 Beacon Communities nationwide:

• Beacon Communities were selected based on their levels of HIE and EHR accomplishment

• $16M investment in HIE and EHR capabilities aimed at improving health outcomes

• Funding for a 3 year project

• Focuses on Dartmouth Atlas Hospital Referral Region 183… >40 Central Indiana counties

• Beacon Communities are expected to make measurable improvement in health outcomes:

– Quality– Efficiency– Population Health

The Beacon Cooperative Agreement Program


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IHIE’s Services


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Review of Services

IHIE is “…at the forefront of the effort to strengthen our nation’s chaotic healthcare system.” – U.S. News & World Report, August 2005

The following services are all based upon tools and technology developed at Regenstrief Institute:

• Public Health Emergency Surveillance System • DOCS4DOCS® Clinical Messaging Service• Indiana Network for Patient Care™ (INPC™)• Quality Health First® Program• ImageZoneSM Cloud-based Medical Image Sharing


www.ihie.org

PHESS Mandate & Rule• Statewide infrastructure to analyze data from Indiana emergency

departments for the early detection of:• Acts of bioterrorism• Other public health emergencies

• 107 Indiana hospitals connected• 1 hospital via MHIN• 1 hospital via HealthBridge

• 5300 ED visits per day• Monitor emergency department “primary complaint” “If I was having a huge...outbreak, I could

know it early instead of waiting for two weeks or a month.” – Dr. Virginia Caine, Marion County Health Department director


Indiana StateDepartment of Health

Indiana State Department of HealthPublic Health Emergency Surveillance System (PHESS)

www.ihie.org

• IHIE’s DOCS4DOCS clinical messaging service takes text reports (e.g. lab, pathology, radiology, transcription, cardiology) from their source information systems and delivers those results to physicians associated with the source organization (medical staff or non-medical staff) via any of three methods: • Into “DOCS4DOCS”, a web-based “inbox” that is accessible via the

hospital portal or other IHIE portal • Via fax (if they insist)• Directly into the physician practice EHR

• We deliver only what the customers tell us they want us to deliver.

“While many major metropolitan areas have similar systems, (IHIE’s) was one of the first and is viewed by many as one of the best…” – Indianapolis Star, June 2007


www.ihie.org

Inbox

www.ihie.org


What is The Indiana Network for Patient Care™• A patient-centric community health record for a growing number of Indiana

citizens (the “jig-saw puzzle assembler”)• Includes provider, payor, and public Health Data• Growing to serve over half the population of Indiana• Used primarily in EDs but also accessible to approximately 1/3 of

ambulatory care physicians in the Indianapolis market

™

www.ihie.org

INPC Membership includes:• 93 hospitals (23 different hospital systems )• 5 large medical groups and clinics• 5 payors• Several free-standing labs and imaging

centers• State and local public health agencies


INPC Data:• 10.75 million unique patients• 20 million registration events • 3 billion coded results • 38 million dictated reports • 9 million radiology reports • 12 million drug orders• 120 million radiology images

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Sample Clinical Abstract

www.ihie.org

A chronic disease management and preventive care program:

• Multi-payor, value-based pay-for-performance

• Helps physicians identify and prioritize health screenings and other testing; provide early interventions and consistent support

• Enhance reimbursement for physicians

• Focused on cancer screenings, diabetes care, heart disease care

• Payor participants include: Anthem BCBS, UnitedHealthcare, Unified Group Services, Medicare, Medicaid

• Over 1,900 physicians in 70 communities participate

• Covers over 1 million patients


www.ihie.org

Initial Quality Measures

Quality improvement measures are grouped the following categories:• Asthma Treatment• Children’s Health• Diabetes Care• Heart Health• Women’s Health• Other Clinical Measures


www.ihie.org

Provider Performance

Payers

PhysicianGroup

PatientSummary

CommunityPerformance

Public

• Quality Health First® Program


www.ihie.org

QHF Program Patients

Dec-08 Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11500,000

600,000

700,000

800,000

900,000

1,000,000

1,100,000

1,200,000

549,419

560,939556,593

634,460

720,205

865,881878,999

928,563

1,032,424

1,124,383


www.ihie.org


Cloud-based Medical Image Sharing

Sharing Images. Saving Lives.

Enables Instant Image Access and Enhances Quality-of-Care for:• Trauma Transfers• Referrals and consultations• Referring physician communications• Enhances communication with referring physicians and builds loyalty

www.ihie.org


• Physician Practice

• Medical Center

• Patient

• 1

• 2

• hospital IT

• Gateway

• 3

• 4

www.ihie.org

Thank You317.644.1750www.ihie.org


Health & Medicine

Overview: Indiana Health Information Exchange