Transcript Pre-Meeting Primer: Health Information Exchange Overview

Physicians and Health Information Exchange (HIE)
Physicians and Health Information Exchange (HIE)
What
is
HIE?
What is HIE?
Today’s Reality…
Have you ever had an
afternoon like this?
• Patient waiting in the room for follow
up of emergency room visit
• Records not yet received
How long does patient wait?
How long do you wait?
What assumptions do you not
want to make…
© eHealth Initiative & Foundation, 2006
2
Today’s Reality…
• Data is stored in silos, across multiple stakeholder
groups
• Clinical research and public health is hindered by paperbased, fragmented systems – costly and slow processes
• Data is required from multiple sources to have timely,
and effective clinical decision support
• Public health agencies forced to utilize phone, fax and
mail to conduct public health surveillance, detection,
management and response
• Physicians spend 20 - 30% of their time searching for
information…10 - 81% of the time, physicians don’t find
the information they need in the patient record
© eHealth Initiative & Foundation, 2006
3
Why Health Information
Exchange…
Health information exchange (HIE):
• the mobilization of healthcare information
electronically within a region or community.
•facilitate access to and retrieval of clinical data
across organizations to provide safer, more timely,
efficient, effective, equitable, patient-centered care.
© eHealth Initiative & Foundation, 2006
4
‘HIT’ from ‘HIE’…Is There a Difference?
Health Information Technology
(HIT)
 Local deployments of technology
to support organizational
business and clinical
requirements
Health Information Exchange
(HIE)
 Infrastructure to enable data
sharing between organizations
© eHealth Initiative & Foundation, 2006
5
Example of Health Information
Technology (HIT)
• Electronic Medical Record (EMR)
• Management Information System
(MIS)
• Laboratory Information System (LIS)
• Computerized Physician Order Entry
(CPOE)
• E-prescribing and order-entry only
with (eRx)
• Personal Health Records (PHR)
© eHealth Initiative & Foundation, 2006
6
Public Interest in Health Information
Consumer Experience with Patient Safety and Quality Information
Percentage who say...
They had to wait or come back for another
appointment because the provider did not have all
their medical information
They have seen a health care professional and noticed
that they did not have all of their medical information
The coordination among the different health
professionals that they see is a problem
0
10
20
30
40
50
60
70
80
Source: Kaiser Family Foundation/AHRQ/Harvard School of Public Heallth National Survey on Consumer's Experiences with Patient Safety
and Qualtiy Information , November 2004
© eHealth Initiative & Foundation, 2006
7
HIE: Opportunities to Consider
•
•
•
•
Order tests, medications, referrals
Receive results (labs, imaging, dispensing records)
Get paid (claims, claims attachments)
Query (patient eligibility, allergies, diagnoses, meds, labs, other
providers, immunizations)
Send/receive a message/document (d/c summaries, consultation
results)
Emergency alerting and situational awareness (PH alerts, system
status e.g. ER saturation)
Patient record access/communication (patient portal, e-visits,
reminder/recall)
Decision support (powered by ALL meds, allergies, etc.)
Accountability (quality-safety-cost scorecards)
Surveillance (outbreaks, underserved, disease trends)
Collaborate (shared case management tools)
•
•
•
•
•
•
•
© eHealth Initiative & Foundation, 2006
8
Today’s Health Information Exchange
Initiatives: What Are They Doing?
Primary focus continues to be building systems to support
sharing of clinical information
DATA CURRENTLY BEING SHARED ELECTRONICALLY
2006 SURVEY RESULTS
26%
22%
en
t
pa
ti
In
m
En
ro
ll
26%
21% 22%
18%
20%
13% 11% 13% 12%
9%
od
es
L
ab
Ou
or
tp
at
ati
or
en
Ou
y
tE
tp
pis
ati
en
od
Ou
tL
es
ab
tp
ati
Re
en
su
tP
lts
re
sc
rip
tio
ns
Pa
Pa
tie
th
olo
ntre
po gy
rte
dD
ata
Pu
lm
Ra
on
dio
log ary
yI
Ra
m
a
dio
log ges
yR
es
Re
ult
tai
s
lP
ha
rm
ac
y
GI
Ep
is
od
es
en
tE
lig
ibi
lity
tio
n
Ep
is
cta
ED
Di
© eHealth Initiative & Foundation, 2006
9
26%
13%
aim
s
Cl
rd
io
Ca
22% 23%
15%
log
y
30%
25%
20%
15%
10%
5%
0%
Focus on Disease Management,
Quality Reporting, and Population Health
Advancements in functionality to support improvements in quality and
safety are evident. Traditional uses to support care delivery, a
number are now expanding functionality
Data Exchange Functionalities in 2006
30%
26%
25%
25%
24%
23%
20%
20%
20%
14%
14%
Disease/chronic
Prov ide quality
Prov ide public
care management
performance
15%
13%
10%
5%
0%
Clinical
Results deliv ery
Consultation/referral Electronic referral
documentation
processing
Alerts to prov iders
reporting to
clinicians
© eHealth Initiative & Foundation, 2006
10
Prov ide
health electronic lab disease/chronic
reporting
care management
Physicians and Health Information
Exchange: Tips for Success
• Trust and transparency
 Neutral entity that brings together multiple
stakeholders
• Physician Champions needed
• Incremental steps towards a long-term vision
and strategy
• Select HIE functions that make a clinical
difference and improve outcomes
• Point of care and work flow
 Accessible and integrated into routines to
provide value
• Data must be current and reliable
• Ensure privacy and integrity of data
© eHealth Initiative & Foundation, 2006
11
Engaging Physicians in Health Information
Exchange
For more information contact:
© eHealth Initiative & Foundation, 2006
12