Transcript Inland Empire Health Information Exchange (IEHIE)

Inland Empire Health Information
Exchange (IEHIE)
Past, Present and Future
Dr. Richard Swafford, PhD
Executive Director
IEHIE
[email protected]
951-686-1326
Past, Present and Future
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Overview of IEHIE
Timeline of IEHIE Activities
Initial Goals versus Current Status
Current Activities
Future Activities
IEHIE: A Regional HIE
• The Inland Empire Health
Information Exchange (IEHIE) covers
the San Bernardino and Riverside
Counties with a population of over
4.1 million.
• The IEHIE represents a large group
of hospitals and medical centers,
medical groups, IPAs and physician
practices.
• The IEHIE operates as 501(c)3
under the Inland Empire EHR
Resource Center.
IEHIE Mission
To achieve continuity of care in the Inland Empire
community by allowing providers and patients
trusted, timely and secure access to patient health
information.
What is HIE: 40,000 Foot View
• Health Information Exchange (HIE) is
defined as the mobilization of
healthcare information electronically
across organizations within a region,
community or hospital system.
• HIE provides the capability to
electronically move clinical
information among disparate health
care information systems while
maintaining the meaning of the
information being exchanged.
• The goal of HIE is to facilitate access
to and retrieval of clinical data to
provide safer, more timely, efficient,
effective, equitable, patient-centered
care.
Timeline of IEHIE Activities (2009)
• Apr 2009
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– Riverside County Medical Association
(RCMA) and Hospital Association of Southern California
(HASC) bring together the Inland Empire Health
Information Technology Consortia (IEHITC). Health
Information Exchange (HIE) is the primary focus.
Jul 2009 – IEHITC Founding Board adopted with 27
original members
Sep 2009 – Financial model adopted that included fees
for IEHITC membership
Dec 2009 – Request for Information (RFI) issued for HIE
Vendors and HIE Organizations.
Timeline of IEHIE Activities (2010)
• Apr 2010
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– Formal Leadership Group (LG) created and
a RFP to hire a consultant is presented and approved.
Funding model to pay for consultant is approved.
Jun 2010 – Consultant selected – Object Health
Sep 2010 – IEHIE IS BORN and becomes a project
within the IEEHRC 501.c.3.
Nov 2010 – RFP for HIE vendor is approved and sent to
22 HIE vendors. Governing Council (GC) is created and
the first elections are accomplished. Subcommittees
are also created within the GC.
Dec 2010 – 5 HIE finalists are identified.
Timeline of IEHIE Activities (2011)
• Jan 2011 – IEHIE Charter adopted and IEHIE Financial Model
approved.
• Feb 2011 to Apr 2011 – HIE Vendor selection including
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demonstrations and site visits is accomplished.
May 2011 – Orion Health selected and contract negotiations
begin
Jul 2011 – Project Director contracted and pilot participants
identified. Participation agreement finalized and sent
Sep 2011 – Orion Contract negotiations complete and IEHP
announces funding of both counties
Oct 2011 – IEEHRC Board approves IEHIE 5 year budget and sets
financial target for contract signature
Nov 2011 – IEHIE Executive Director hired.
Dec 2011 – IEHIE web site and marketing materials approved
and launched as well as the second GC elections
Timeline of IEHIE Activities (2012)
• Jan 2012
– Orion contract signed and executed. Pilot launched
with 14 pilot participants
• Feb 2012
– IEHIE awarded CHCF Grant
That takes us up to today…
Initial Goals Versus Current Status
March 2012 Status:
July 2009 IEHITCC Goals:
1. Share information on a specific patient
for the care of the patient.
2. Fulfill requirements to receive stimulus
funds
3. Facilitate sharing and reporting of data
4. Develop a list of core data fields to share
5. Organize Data in a way that is usable
6. Comply with Privacy Requirements
7. Comply with Meaningful Use
Requirements
8. Establish Sustainability Model
Current Activities (Structure)
INLAND EMPIRE EHR RESOURCE CENTER
501 (c) 3
Board of Directors
Local Extension
Center
IEHIE Governing Council
Finance & Funding Committee
Technical/Operations Committee
Policy/Legal Committee
(Privacy &Security)
Communications/Outreach Committee
Current Activities (Structure)
IEHIE Governing Council
Elected 12.11(15 seats)
Hospitals
(4 seats)
Large
Doug Leeper (LLUMC)
Physicians
(4 Seats)
Public Health
Other Healthcare Providers
Business/Community
Health Plans
Board of Supervisors
LEC
(1 seat)
(1 seat)
(1 seat)
(1 seat)
(2 seats)
(1 seat)
IPA/Medical Group
Sarah Mack
Leigh Hutchins (Prime Care)
(Riv. Co. Dept. Public
Health)
Brian Hughes (VNA)
Bill Davenhall
ESRI
Brad Gilbert, MD (IEHP)
Riverside Seat
Supervisor Bob Buster
Sm/Med
Sm/Med
Rich Gagnon (Redlands
Comm. Hosp.)
Harold Jackson, DO
San Bernardino Seat
(Raincross Med. Grp)
Supervisor Josie Gonzales
At Large
At Large
Andrew Robertson, MD
Nabil Razzouk (Arrowhead
Orthopedics)
(St. Bernardine)
Inland Region
HASC
Christina Bivona-Tellez)
RCMA/SBCMS
Tarek Mahdi, MD
Leroy Ounanian, MD
Current Activities
Membership and Participation
Members (48)
2
Participants (15)
4
1
21
6
8
21
Hospital
Medical Groups
Hospital
Health Plan
Associations
Health Plan
Medical Groups
Current Activities
• Financial Model
– Self-sustaining model based on participant and
member fees
• Hospitals – Bed Count
• Medical Groups – Physician Count
• Health Plans – Member Lives
– Project-specific grants
• Ex: CHCF Grant for HL7 ELINCS Lab Orders
Savings Example - Alabama
Future Activities
Phase 1:
Spring
2012
• Clinical Portal
• Patient Portal
• Site
Connectivity
Phase 2:
Summer
2012
• Case
Management:
Diabetes
• Orders
Phase 3:
Fall
2012
Three Phased Implementation approach:
• Each facility begins with Phase 1
• Facilities can be at any phase at any time
• Future expansion beyond 2012 available
Modules beyond Phase 1 (Base HIE):
• Menu format for additional modules
• Pay as you go
• Fees based on size are available
• Imaging
• EMR Lite
• eRX
Future Activities
3 Year Projected Growth by Facility
30
28
28
27
Participant Facilities
25
20
19
17
15
Hospital
14
Medical Group
10
Health Plan
5
0
1
2012
2
2013
Years
2
2014
IEHIE has come a long way in a relatively short period.
The future holds many exciting opportunities.