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This presentation provides a brief description of the history behind the formation of the Indiana Health Information Exchange as well as a quick summary of the services offered. This presentation is given frequently to groups interested in learning more about IHIE and is updated often.
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Better Outcomes. Delivered.
OverviewJune 12, 2012
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
History
The nation’s largest health information exchange: 93 Indiana hospitals and 20,000 physician participation.
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
IHIE Statistics
• Nation’s largest HIE• Founded in February 2004• Based on the technology,
knowledge, and experience of the Regenstrief Institute
• 75 employees• Providing services to 93
hospitals (23 health systems), 20,000 clinicians, and 5 payers
• Serving an area with a population of about 4 million people
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
Patient
Physician
Physician
Physician
Hospitals
Payers
Physician Offices
Labs / Imaging Centers
Public Health
Outpatient Rx
Health Data Services
Health Information Exchange
Data Repository
Network Applications
Data Stewardship
Hospitals
Payers
Physician Offices
Public Health
Labs / Imaging Centers
Researchers
Value-Added Services
• Results Delivery• MU Support• Public Health
Integration
• Results Delivery• MU Support• Clinical Quality
Services• Community Health
Record Access
• Results Delivery• Community
Health Record System
• Biosurveillance• Reportable
Conditions• Results Delivery
• Quality Reporting• Physician Bonus
Administration
• De-identified, longitudinal clinical
data
Copyright © 2012 Indiana Health Information Exchange, Inc
™
Public Health Emergency Surveillance System
(PHESS)
www.ihie.org
IHIE in a State and National Context
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
ARRA Funding ($787 Billion)
HITECH (~$34 Billion)
Health Information Exchange ($2 Billion)
Funding across all 50 states and US territories
AL AK AR AZ CA CO - - - - - VA WA WI WV WY
State HIE Cooperative Agreement Program
($564 Million)
Regional Extension Centers
($598 Million)
Beacon Cooperative Agreement
Program
ARRA HITECH – Once in a Generation Opportunity
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
Beacon Community Concept
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
IHIE is a Beacon Community:As part of the ARRA HITECH legislation, IHIE has been selected as one of 17 Beacon Communities nationwide:
• Beacon Communities were selected based on their levels of HIE and EHR accomplishment
• $16M investment in HIE and EHR capabilities aimed at improving health outcomes
• Funding for a 3 year project
• Focuses on Dartmouth Atlas Hospital Referral Region 183… >40 Central Indiana counties
• Beacon Communities are expected to make measurable improvement in health outcomes:
– Quality– Efficiency– Population Health
The Beacon Cooperative Agreement Program
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
IHIE’s Services
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
Review of Services
IHIE is “…at the forefront of the effort to strengthen our nation’s chaotic healthcare system.” – U.S. News & World Report, August 2005
The following services are all based upon tools and technology developed at Regenstrief Institute:
• Public Health Emergency Surveillance System • DOCS4DOCS® Clinical Messaging Service• Indiana Network for Patient Care™ (INPC™)• Quality Health First® Program• ImageZoneSM Cloud-based Medical Image Sharing
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
PHESS Mandate & Rule• Statewide infrastructure to analyze data from Indiana emergency
departments for the early detection of:• Acts of bioterrorism• Other public health emergencies
• 107 Indiana hospitals connected• 1 hospital via MHIN• 1 hospital via HealthBridge
• 5300 ED visits per day• Monitor emergency department “primary complaint” “If I was having a huge...outbreak, I could
know it early instead of waiting for two weeks or a month.” – Dr. Virginia Caine, Marion County Health Department director
Copyright © 2012 Indiana Health Information Exchange, Inc
Indiana StateDepartment of Health
Indiana State Department of HealthPublic Health Emergency Surveillance System (PHESS)
www.ihie.org
• IHIE’s DOCS4DOCS clinical messaging service takes text reports (e.g. lab, pathology, radiology, transcription, cardiology) from their source information systems and delivers those results to physicians associated with the source organization (medical staff or non-medical staff) via any of three methods: • Into “DOCS4DOCS”, a web-based “inbox” that is accessible via the
hospital portal or other IHIE portal • Via fax (if they insist)• Directly into the physician practice EHR
• We deliver only what the customers tell us they want us to deliver.
“While many major metropolitan areas have similar systems, (IHIE’s) was one of the first and is viewed by many as one of the best…” – Indianapolis Star, June 2007
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
Inbox
www.ihie.org
Copyright © 2012 Indiana Health Information Exchange, Inc
What is The Indiana Network for Patient Care™• A patient-centric community health record for a growing number of Indiana
citizens (the “jig-saw puzzle assembler”)• Includes provider, payor, and public Health Data• Growing to serve over half the population of Indiana• Used primarily in EDs but also accessible to approximately 1/3 of
ambulatory care physicians in the Indianapolis market
™
www.ihie.org
INPC Membership includes:• 93 hospitals (23 different hospital systems )• 5 large medical groups and clinics• 5 payors• Several free-standing labs and imaging
centers• State and local public health agencies
Copyright © 2012 Indiana Health Information Exchange, Inc
INPC Data:• 10.75 million unique patients• 20 million registration events • 3 billion coded results • 38 million dictated reports • 9 million radiology reports • 12 million drug orders• 120 million radiology images
www.ihie.org
Sample Clinical Abstract
www.ihie.org
A chronic disease management and preventive care program:
• Multi-payor, value-based pay-for-performance
• Helps physicians identify and prioritize health screenings and other testing; provide early interventions and consistent support
• Enhance reimbursement for physicians
• Focused on cancer screenings, diabetes care, heart disease care
• Payor participants include: Anthem BCBS, UnitedHealthcare, Unified Group Services, Medicare, Medicaid
• Over 1,900 physicians in 70 communities participate
• Covers over 1 million patients
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
Initial Quality Measures
Quality improvement measures are grouped the following categories:• Asthma Treatment• Children’s Health• Diabetes Care• Heart Health• Women’s Health• Other Clinical Measures
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
Provider Performance
Payers
PhysicianGroup
PatientSummary
CommunityPerformance
Public
• Quality Health First® Program
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
QHF Program Patients
Dec-08 Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11500,000
600,000
700,000
800,000
900,000
1,000,000
1,100,000
1,200,000
549,419
560,939556,593
634,460
720,205
865,881878,999
928,563
1,032,424
1,124,383
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
Copyright © 2012 Indiana Health Information Exchange, Inc
Cloud-based Medical Image Sharing
Sharing Images. Saving Lives.
Enables Instant Image Access and Enhances Quality-of-Care for:• Trauma Transfers• Referrals and consultations• Referring physician communications• Enhances communication with referring physicians and builds loyalty
www.ihie.org
Copyright © 2012 Indiana Health Information Exchange, Inc
• Physician Practice
• Medical Center
• Patient
• 1
• 2
• hospital IT
• Gateway
• 3
• 4
www.ihie.org
Thank You317.644.1750www.ihie.org
Copyright © 2012 Indiana Health Information Exchange, Inc
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