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Health Information ExchangeConnected Communities. Connected Healthcare
San Luis Valley Health Information Technology Symposium, November 4, 2011 1
Phyllis AlbrittonExecutive Director
CORHIO
Nancye LahueTechnical DirectorBEACON Program
Today’s Session Roadmap
• About CORHIO & Colorado’s Vision for HIE • What is HIE? • Current HIE Activity in Colorado• Technical Infrastructure• Other HIT Initiatives at CORHIO
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
Patient Engagement
New Realities in Health Care
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
New Payment Models
New Care Delivery Models
Technology & Interoperability
Improved Quality of
Care & Value!
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
The Consumer Perspective
About Their Providers• 88% want doctors to use EMRs. • 92% want doctors to exchange patient info with other doctors.
About ThemselvesFew 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.
© 2011 Colorado Regional Health Information Organization (CORHIO) All Rights Reserved CORHIO Proprietary - Not For Redistribution
Sources: "A Call for Change: The Commonwealth Fund 2011 Survey of Public Views of The U.S. Health System." Intuit Health’s second annual Health Care Check-Up Survey.
About CORHIO
Who We Are
• A nonprofit, public-private partnership
• The state-designated entity for health information exchange (HIE) in Colorado
Vision
• Shared health information for all individuals in every Colorado community promoting the right care, at the right time andthe 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
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
Northern Colorado
Steamboat(QHN)
Pueblo
CO Springs
Aspen(QHN)
Montrose(QHN)
Boulder
NW Denver
S. Metro Denver
San Luis Valley
Summit
Grand County
Durango(QHN)
Gunnison(QHN)
Delta(QHN)
Grand Junction(QHN) Live on CORHIO
Implementing CORHIO
QHN
Investigating HIE
LTPAC Challenge Grant Community
AuroraCentral Denver
Salida
Future
Convening
Participant Agreement
Connected to HIE (Live)
8
Participating Providershttp://www.corhio.org/participating-providers.aspx
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
9
Vision for HIE
• No Wrong Door for Patients
• Providers have access to a patient’s 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
04/09/2023 © 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
04/09/202310
What is HIE?
Health information exchange (HIE) is the ability to electronically exchange patient health information including:
…when it’s needed for patient care.
(all data shared safely & securely, meeting or exceeding HIPAA standards)
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
– Lab results
– Pathology results
– Radiology reports
– Transcribed notes
– Referrals & Consults
– Secure Messaging/Email
– ADTs
– Orders
– Patient care summaries, meds, allergies, Dx (CCD)
11
“The typical primary care physician has 229 other physicians working in 117 practices with which care must be coordinated.”
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
Source: Annals of Medicine 2011
Is this your reality?
12
41.9% to 70% of Medicare patients admitted to the hospital received services from an average of 10 or more physicians during their stay
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
Perhaps, this is Your Reality?
13
How Does HIE Work?
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
The Clinician Perspective
Paper & phone based with some limited electronic connections
One electronic connection to the HIE to access/share patient information across the state
Public Health Initiatives
• CORHIO Support Services• Newborn Metabolic Screening Orders and
Results Delivery• Electronic Laboratory Reporting• Immunizations
© 2010 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
04/09/202315
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
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
04/09/202316
A Roadmap for HIE in Colorado
Results Delivery(2011)
Referrals(2011/2012)
CCDs & Orders(2012)
Public Health (CDPHE) & QHN Integrations(2011/2012)
Support Data Analytics
Health Plan Participation / Funding
Support SDAC/RCCO Data for Analytics
Patient Tools(2012/2013)
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
Stakeholder Engagement
04/09/202317
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
“Providers in communities will become communities of providers”
- Dr. David Ehrenberger, CMO Avista Adventist Hospital
18
Thank you!
Phyllis AlbrittonExecutive Director
palbritton@corhio.org 720-285-3200
© 2011 Colorado Regional Health Information Organization (CORHIO) - All Rights ReservedCORHIO Proprietary - Not For Redistribution
Governance and Stakeholder Trust
November 4, 2011 INHS Business CONFIDENTIAL
19
Nancye LahueTechnical DirectorBEACON Program
San Luis Valley Health Information Technology Symposium, November 4, 2011 19
• 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.
November 4, 2011 INHS Business CONFIDENTIAL
20
INHS Introduction
21November 4, 2011 INHS Business CONFIDENTIAL
Current Beacon Area
• 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)
November 4, 2011 INHS Business CONFIDENTIAL
22
Information Resource Management (IRM)
• 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)
November 4, 2011 INHS Business CONFIDENTIAL
23
Key Differentiators
24
Environment:
Collaboration based on community relationships and individual leaders
Technology:
Shared information systems with standardized data
Environment:
New business relationships with decision-making occurring outside the community
Technology:
Disparate information systems relying on health information exchange to conduct business
Environment:
Population-based approach to care delivery in a competitive health system
Technology:
Disparate information systems interacting with shared information hub that supports common metrics and care coordination
Shared Technology
Shared Technology Information Hub
Other Hubs
Journey Through the HIE
Health Information Exchange
25
Primary Care Provider
EMR
Specialty CareEMR
HospitalInformation
System
Long Term Care EMR
PharmacyInformation
System
Primary Care Provider
EMR/Disease Management Application
Other HIEsPhase 1
Phase 2
Care Coordination Tools
Electronic Health Record
Quality Measures
data
data
data
data
data
data
data
BCIN HUB
• Level the playing field– Technology agnostic– Speed of delivery– Focused set of options– Incentive Alignment– Funding Strategy– ADDS VALUE
November 4, 2011 INHS Business CONFIDENTIAL
26
Guiding Principals
• 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
November 4, 2011 INHS Business CONFIDENTIAL
27
Importance of Trust
28November 4, 2011 INHS Business CONFIDENTIAL
Questions??
29
Inland Northwest Health Services (INHS)Contact: Nancye Lahue
lahuen@inhs.org(509) 868-8462
November 4, 2011 INHS Business CONFIDENTIAL
Thank you
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