Transcript Slide 1

Wyoming HIT/HIE Conference
“A Call to Action”
The Wyoming Health Information
Organization
January 24, 2008
Historical Perspective
• 2003 - Legislature creates the WHCC
• 2003 - WHCC conducts survey that shows
26% of providers using some type of
electronic applications ranging from
patient billing to dictation
• 2004 - Legislature authorizes WHCC to
plan for interoperable HIE, JSI Study
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Historical Perspective
• 2004 - Wyoming Dept. of Health study shows
providers with electronic systems reluctant to
participate in Immunization Registry because
of cost and duplicate processes
• 2005 - Mountain Pacific Quality Health
Foundation survey shows 15% of primary care
physicians utilizing some type of clinical
records application
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Historical Perspective
• 2005 - JSI report suggests
o need to expand use of HIT
o state support is required
o cost is a barrier to HIT adoption
o HIT adoption consistent with national rates of
10% to 15%
• 2005 – WHCC recommends RHIO
• 2006 – WyHIO incorporated as not-for-profit
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WyHIO Mission
• To enhance access, quality, safety, and the
efficiency of healthcare in Wyoming
• To promote implementation of an electronic
information exchange
• To utilize technology to assure secure and
confidential interconnectivity
• To build the health information
communication technology infrastructure for
Wyoming
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Current Board
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Consumer/Public Interest
Health Professionals
At Large
Quality Improvement Organizations
Professional Organizations
Insurance Organizations
Business/Purchasers
Current Board (cont’d)
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Safety Net Organizations
Hospital Organizations
Wyoming Healthcare Commission
Wyoming Department of Health
WyHIO Major Activities
• Partner with other organizations on FCC grant
• Governor’s HIT Task Force
• Partner with University of Wyoming on
Privacy/Security website
• Regional collaborations – Colorado, Montana,
New Mexico, Utah, South Dakota
• HIT Capabilities study for WHCC – recap
follows
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HIT Capabilities Study
To provide the WHCC information on
• Existing HIT capability
• Access to high speed internet
connections
• Assess system capability within facilities
in Wyoming
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Stakeholder Groups
• Physician Practices
• Pharmacies
• Clinics
• Hospitals
• Non-hospital based - surgery, urgent care
• Ambulatory care - MRI, X-ray, labs
• Dentists
• APNs
• Chiropractors
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Stakeholder Groups
(cont’d)
• Hearing Aid Specialists
• Optometrists
• Physical/Occupational Therapists
• Podiatrists
• Psychologists
• Respiratory Care Therapists
• Speech Therapists & Audiologists
• Mental Health Professionals
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Survey Document Subjects
• Practice demographics – type and size
• Hardware – age, networking
• Software – OS, standards,
administrative,
EHR/EMR, PACS, use of websites
• Access – participation in HIE, internet
• Comments and opinions
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Conclusions
• Responders generally in favorable
position to participate in an HIE
• Most providers have hardware and
software needed - computers and
Operating Systems are current
• Internal networking and high speed
Internet access are both widespread
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Conclusions
• Administrative and patient management
functions overwhelming automated
• EMR adoption rate increasing, but still low;
estimate 25% to 30% of physicians now
using EMR
• 42% participation in two-way exchange
• Must improve ability of providers to
capture, store, and exchange clinical data
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Conclusions
• Privacy and security of information remains
an issue, and must be addressed
• Providers are progressing toward
establishing local HIEs
• Challenge is to provide resources and
leadership needed to coordinate local
efforts and, longer term, to establish a
statewide HIE network
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Capability - Two-way Exchange
Two Way Exchange by Provider Type
Type of Facility
Healthcare clinic
48.20%
Hospital
75.00%
Private practice physician office
41.50%
Retail pharmacy
Mental health and substance…
Other (please specify):
60.30%
34.20%
37.30%
Dental office
Physical/occupational therapy office
Hearing specialist/audiologist
All
38.90%
28.10%
29.20%
42.20%
Percent of Facilities
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Recommendations
• Gather and maintain data on HIT/HIE activities
in Wyoming
• Identify the barriers providers experience in
implementing HIT/HIE, and other reasons for
not participating in HIE
• Recruit HIT/HIE champions and conduct
outreach program
• Identify small pilot projects to demonstrate
value
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Recommendations
• Establish statewide advisory council with
authority to convene stakeholders, gain
consensus, coordinate HIT/HIE activities
statewide
• A central organization to be the focal point for
expansion of HIT/HIE; support advisory
council; provide technical, educational, and
operational support for HIT/HIE in Wyoming
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Recommendations
• Fund a statewide planning effort under the
direction of the advisory council to identify
provider needs and business case, develop
policies, standards, and actions for statewide
HIE network
• Develop an HIT/HIE implementation plan
based on the planning and pilot
demonstration efforts
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Contact the WyHIO
Wyoming Health Information Organization
109 East 17th Street
Cheyenne, WY 82001
307-432-4025
[email protected]
www.wyhio.org
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