Health Information Exchange Connected Communities. Connected Healthcare
- 1. Health Information Exchange Connected Communities. Connected Healthcare Phyllis Albritton Nancye Lahue Executive Director Technical Director CORHIO BEACON Program San Luis Valley Health Information Technology Symposium, November 4, 2011 1
- 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 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved CORHIO Proprietary - Not For Redistribution
- 3. New Realities in Health New Payment Care Models Improved Technology & Quality of New Care Delivery Interoperability Care & Models Value! Patient Engagement 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved CORHIO Proprietary - Not For Redistribution
- 4. Care Coordination and Transitions: Reality Meets Opportunity Hospital Readmission 19.6% of Medicare patients were readmitted within 30 days of discharge 1 in 5 older adults with complex chronic health conditions is readmitted within 30 days of hospital discharge 34% were readmitted within 90 days of discharge $17.4 billion cost to Medicare for unplanned hospital readmissions in 2004 Chronic Conditions 75% of health care expenditures are for chronic illnesses 16 physicians providers an individual with chronic illness may see in a year Medication Management 66% of medication errors occur during transitions: admission, transfer or discharge Source: 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. 息 2011 Colorado Regional Health Information Organization (CORHIO) All Rights Reserved CORHIO Proprietary - Not For Redistribution
- 6. About CORHIO A nonprofit, public- Shared health Who We Are Vision private partnership information for all individuals in every The state-designated Colorado community entity for health information exchange promoting 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 health information technology
- 7. HIE Progress in Colorado Future Northern Colorado Convening Steamboat Participant Agreement (QHN) Grand Connected to HIE (Live) Boulder County NW Grand Summit Denver Central Denver Aurora Junction S. Metro Aspen Denver Live on CORHIO (QHN) (QHN) Salida Implementing CORHIO Delta CO Springs (QHN) Gunnison QHN (QHN) Montrose Investigating HIE (QHN) Pueblo LTPAC Challenge Grant San Luis Community Durango Valley (QHN) 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved CORHIO Proprietary - Not For Redistribution 7
- 8. Participating Providers http://www.corhio.org/participating-providers.aspx 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 8 CORHIO Proprietary - Not For Redistribution
- 9. Vision for HIE No Wrong Door for Patients Providers have access to a patients complete health history to provide high quality, cost effective treatment during the visit Providers have access to the information needed to evolve with health 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 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 11/16/2011 CORHIO Proprietary - Not For Redistribution 9
- 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) 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 10 11/16/2011 CORHIO Proprietary - Not For Redistribution
- 11. Is this your reality? The typical primary care physician has 229 other physicians working in 117 practices with which care must be coordinated. Source: Annals of Medicine 2011 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 11 CORHIO Proprietary - Not For Redistribution
- 12. Perhaps, this is Your Reality? 41.9% to 70% of Medicare patients admitted to the hospital received services from an average of 10 or more physicians during their stay 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 12 CORHIO Proprietary - Not For Redistribution
- 13. How Does HIE Work? The Clinician Perspective Paper & phone based with some limited One electronic connection to the HIE to access/share electronic connections patient information across the state 息 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 and Results Delivery Electronic Laboratory Reporting Immunizations 息 2010 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved CORHIO 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 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 15 11/16/2011 CORHIO Proprietary - Not For Redistribution
- 16. A Roadmap for HIE in Colorado Support Data Analytics CCDs Health Plan Participation / & Funding Public Health (CDPHE) Orders & (2012) Support Referrals SDAC/RCCO Data (2011/2012) QHN for Analytics Integrations Results (2011/2012) Delivery Patient Tools (2011) (2012/2013) Stakeholder Engagement 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 16 11/16/2011 CORHIO Proprietary - Not For Redistribution
- 17. Providers in communities will become communities of providers - Dr. David Ehrenberger, CMO Avista Adventist Hospital 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved 17 11/16/2011 CORHIO Proprietary - Not For Redistribution
- 18. Thank you! Phyllis Albritton Executive Director palbritton@corhio.org 720-285-3200 18 息 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights Reserved CORHIO Proprietary - Not For Redistribution
- 19. Governance and Stakeholder Trust Nancye Lahue Technical Director BEACON Program San Luis Valley 19 Health Information Technology Symposium, November 4, 2011 19 November 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. 20 November 4, 2011 INHS Business CONFIDENTIAL
- 21. Current Beacon Area November 4, 2011 INHS 21 Business 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) 22 November 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) 23 November 4, 2011 INHS Business CONFIDENTIAL
- 24. Journey Through the HIE Shared Shared Technology Information Hub Technology Other Hubs Environment: Environment: Environment: New business relationships with Population-based approach to Collaboration based on decision-making occurring care delivery in a competitive community relationships and outside the community health system individual leaders Technology: Technology: Technology: Disparate information systems Disparate information systems Shared information systems relying on health information interacting with shared with standardized data exchange to conduct business information hub that supports common metrics and care coordination 24
- 25. Health Information Exchange Primary Care Long Term Care Provider BCIN HUB EMR EMR Quality Measures Primary Care Care Provider Coordination EMR/Disease Tools Management Electronic Health Pharmacy Application Record Information System Specialty data Care EMR Hospital Other HIEs Phase 1 Information 25 System Phase 2
- 26. Guiding Principals Level the playing field Technology agnostic Speed of delivery Focused set of options Incentive Alignment Funding Strategy ADDS VALUE 26 November 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 27 November 4, 2011 INHS Business CONFIDENTIAL
- 28. Questions?? November 4, 2011 INHS 28 Business CONFIDENTIAL
- 29. Thank you Inland Northwest Health Services (INHS) Contact: Nancye Lahue lahuen@inhs.org (509) 868-8462 29 November 4, 2011 INHS Business CONFIDENTIAL
Editor's Notes
- #2: San Luis Valley HIT ConferenceNovember 4, 2011Phyllis AlbrittonExecutive Director
- #3: What are we doing? Why are we doing it?
- #8: LTPAC GrantMental/Behavioral Health Grant
- #12: PCPs especially are challenged with evolving beyond todays paper records to adopt the HIT needed to effectively participate in an ACO or other payment models such as PCMH, Prometheus etc But if you rely on paper records, faxes and phone calls at a health plan, specialty practice or hospital, you can probably relate to this.
- #14: Currently, the typical practice is using paper files and relaying patient information by phone, fax and snail mail. Some practices have a one-way computer-based connection with 1 or 2 local hospitals. Some practices have an electronic connection with a lab like Quest or LabCorp. Each electronic connection, if it exists, needs to be built and maintained individually which is very expensive. Plus, the connections are usually limited in terms of what information is transmitted.Most practices lack electronic connections with behavioral health and long term care providers.With Health Information Exchange, your practice has real-time, electronic connections to all other providers on the exchange. Patient data can be accessed by providers when and where its needed for patient care. Each provider builds ONE connection to the network, instead of multiple, costly connections to individual providers.HIE not only makes sense for patient care, but it makes sense economically as well.