Transcript Document
The Next Dimension: Connecting with Other Providers through Technology
Presentation to Cure
MD
User Group Tom Check President and CEO of Healthix
October 22, 2013
Topics
What is Health Information Exchange?
Directed Exchange Query-Based Exchange Benefits and Types of Data Examples in New York State What’s Available to You?
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What is Health Information Exchange?
Health Information Exchange is any of several technologies that allow you to share patient data from your EMR with other providers (and health plans and patients), and for you to receive or access data from those sources, electronically. HIE can support: • Operational efficiencies • More fully-informed diagnosis and treatment • Active collaboration with other providers 2
Directed Exchange
• Protocols and standards for a provider to send patient information securely to another provider.
• Register with Direct addresses and connect to a HISP.
• Use to: • Refer a patient for a consult or treatment • Report the results of a consult • Transfer of Care • Content can be a CCD or C-CDA document.
• Standards established and promoted by: • Office of the National Coordinator for Health IT • HL-7 2
Query-Based Exchange
• Providers can: • Provide patient data to the exchange • Access patient data from the exchange • Via portal or through the EMR • Subscribe for the exchange to push data to them • Notify provider if his/her patient registers in an Emergency Department or is admitted as an Inpatient • Send and receive Direct messages • Route orders and receive results 2
How does an HIE connect providers?
HIE KEY
= Transmission of
Clinical
Patient Information
Clinicians
Examples of Data Available in HIE
• Encounters • Encounter Summaries • Diagnoses • Allergies • Next of Kin • Insurance • Radiology Reports • Lab Test Reports • Discrete Lab Values • Microbiology Reports • Medications • Discharge Summaries 7
Benefits to Patient Care
• Transitions of Care – Receive and send referral orders, transfer forms, and plans of care as patients move among providers, including between acute and post-acute care.
• Be notified immediately when the patient or health plan member enters an ED or hospital.
• Access the patient’s clinical data to guide diagnosis and treatment, and to improve care.
• Collaborate with ACOs, Hospitals, and other partners.
• Analytic Reporting to evaluate and improve outcomes.
• In emergency or disaster, public health authority can see if missing person has registered in a hospital.
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HIE and Meaningful Use
• Support Patient Access to Data • Perform Medications Reconciliation • Exchange Summary of Care Record on Transfer • Submit Data to Public Health Registries • Maintain current problems, medications, allergies 9
Examples of HIE in New York State
• 11 Public Exchanges, regionally-based • Several Private Exchanges, operated by Integrated Delivery Networks for their participants • Exchanges are planning to connect with each other in the State Health Information Network – New York (SHIN-NY) • SHIN-NY will eventually connect to HealtheWay, the national exchange 2
HIE Adoption in New York State
80% 70% 60% 50% 40% 30% 20% 10% 0% Active Physicians FQHCs Hospitals Home Care Agencies Long Term Care Facilities Public Health Departments
Data as of June 2013
11 RHIOs in New York State
The New York State Health Information Exchange
- Statewide Health Information Network of New York
(SHIN-NY)
-
will enable connectivity between RHIOs.
5 RHIOs in NYC and Long Island
Healthix and BHIX have applied to the NYS AG for approval to merge.
Bronx Manhattan S.I.
Nassau = Hospital = LTC Facility Brooklyn Queens
Healthix BHIX Merged Healthix Hospitals 45 6 51 Long Term Care 21 6 27
Suffolk
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Participants in Healthix, BHIX and Merged
7 10 4 13
H
9
Participants B
3
M
12
Type
Integrated Health Systems 3 2 4 7 10 Independent Voluntary Hospitals 12 8 20 Long Term Care Providers Federally Qualified Health Ctrs Physician Groups / IPA’s
Healthix Acute Care Beds BHIX Merged
15,101 2,257 1,324 1,477 16,425 3,734 2 4 10 0 2 3 4 Independent Homecare Agency 0 12 2 3 4 20 2 4 Diagnostic Radiology Centers Behavioral Health / CBOs Governmental Providers Health Plans
61 39 96 Total: 17,358 2,801 20,159 Extended Care Beds Healthix BHIX Merged
2,528 1,226 3,754 4,783
7,311
951
2,177
5,734
9,488
How Many Patients?
• Challenge: matching patient identities across providers • The HIE matches patient records from multiple sources to send you results when you request patient data.
• HIEs are conservative in matching identities: linking records that are not the same person is worse than not linking records that are the same person.
• Healthix (pre-merger) holds records of 15.3 M facility MRNs, which it has linked as 9.3 M individual patients.
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What’s Available to You?
• Directed exchange: • Get a Direct address and subscribe to a HISP • Query-Based Exchange: • What HIEs service your region?
• What data, services and sources do they offer?
• What patient consent is required?
• How can you connect: • By logging onto the HIE portal?
• By launching a query through your EMR?
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Tom Check President and CEO, Healthix (646) 432- 3672 [email protected]
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