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Get Ready to RHIO

Health Information Exchanges and Emergency Preparedness

Jeff Odell, Senior Vice PresidentMedVirginia804.359.4500 x227jodell@medvirginia.netwww.medvirginia.net

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Topics

Regional Health Information Organizations – MedVirginia Example

Health Information Exchange principles The Nationwide Health Information

Network – Why It Matters Specific Use Cases for Emergency

Responders

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2014

Interoperable Electronic

Health Information

EHRs PHRs Public Health Home Telehealth

Standards … Interoperability

Nationwide Health Information Network

Widespread Adoption of Interoperable Electronic Health Records by 2014

2004

Health IT AGENDA

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Definition: RHIO

A governance entity composed of organizations and individuals with a stake in facilitating the electronic exchange of health information for the purpose of improving quality, safety and effectiveness for the communities in which they operate.

Regional Health Information Organization

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MedVirginia Overview

- Collaboration in Health IT

- Health Information Exchange

- Enhance Practice Automation

Vision: “…Central Virginia as the most electronically integrated medical community in the U.S.”

A RHIO created by not-for-profit hospitals and practicing physicians in Central Virginia for the purposes of:

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Health Information Technology (HIT) vs. Health Information Exchange (HIE)

H

LIS RxIS CIS EMR

HIE HIE HIE

HIEHIEHIE

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MedVirginia Health Information Exchange (HIE)

Operational January 2006 One of a few “live” RHIO’s in the U.S. Targeting Central Virginia medical community Enrollment underway – 6 hospitals, 1000+

users in over 110 physician offices Master Patient Index of 540,000+ patients Over 1 million messages processed

each month

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Clinical data repository

Master patient index

Hospitals create an enterprise view

Radiology (RIS)

Pharmacy

Lab

EmergencyOrder entry

Billing

Ambulatory

Hospital

Source: Forrester

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Entities come together in regions

Hospital

Hospital system

Physician group

Retail pharmacy

Lab

Clinic

Public health agency

RHIO

Source: Forrester

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Patient-centric Clinical Chart

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Nationwide HealthNationwide HealthInformation NetworkInformation Network

NHIN “is a secure, nationwide, NHIN “is a secure, nationwide, interoperable health information interoperable health information infrastructure that will connect providers, infrastructure that will connect providers, consumers, and others involved in consumers, and others involved in supporting health and healthcare.”supporting health and healthcare.”

MedVirginia is a “Trial Implementations” MedVirginia is a “Trial Implementations” contract awardee.contract awardee.

Source- www.hhs.gov/healthit

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Health IT Medical clipboard becomes a thing of the past Secure interoperable electronic records are available to

patients and their doctors anytime, anywhere Immediate access to accurate information reduces

dangerous medical errors and helps control health care costs

One of Secretary Leavitt’s Priorities

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NHIN Awardees

CareSpark

Delaware Health Information Network

Indiana University Long Beach Network for Health

Lovelace Clinic Foundation

MedVirginia New York eHealth Collaborative

North Carolina Healthcare Information and Communications Alliance

West Virginia Health Information Network

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Regions participate in a national network

New Mexico

Long Beach

Southwest Tenn.

Delaware

Central VA

Indiana

Long Island

NHIN

W. VA

NC

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NHIN “Use Cases”Developed by the American Health Information Community (AHIC). Specific deployment of HIT in addressing prioritized needs:Medication Management EHR – Labs Emergency Responder EHR Biosurveillance Quality Consumer Empowerment - Registration and Rx History Consumer Access to Clinical Information

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Emergency Responder Use Case

Specifies “….timely electronic access to critical health information relating to the assessment, stabilization and treatment of the victims of emergency incidents. …range from individuals suffering from accidents or acute episodes of illness to large groups …as the result of widespread casualty incidents including natural disasters and terrorism.”

Source: www.hhs.gov/healthit/usecases

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Emergency Responder Data Elements Demographics Emergency Contact Info Allergies Medication History Problem List Immunizations Pain Status Treatment History Patient Location Triage Category Advance Directive

MedVirginia’s Emergency Responder Vision #1

DischargeSummaries

Reference Lab Results

Clinical Results from Hospitals and Providers

MedicationsAllergies

Critical patient info available en-route & at scene

Physiciane-Prescribing

MedVirginia’s Emergency Responder Vision #2

DischargeSummaries

Reference Lab Results

Clinical Results from Hospitals and Providers

MedicationsAllergies

Critical patient info available via RHIOs post-disaster or post-evacuation

Physiciane-Prescribing

Remote database populated during “good times”

MedVirginia’s Emergency Responder Vision #2

Critical patient info available via RHIOs post-disaster or post-evacuation

Remote database web-accessible by providers where evacuees go

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And Vision #3 … Biosurveillance

Feed Emergency Dept data (chief complaint, labs, diagnosis, etc.) into Early Event Detection & Syndromic Surveillance Systems operated at local Ambulance Authority.

Support Public Health and 1st Responders

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Final Thoughts

Seek out & join your state/local RHIO or HIE projects Good source: www.ehealthinitiative.org

Understand the Emergency Responder and Biosurveillance Use Cases. Google “AHIC Use Cases”

Advocate for health information exchange to include emergency responders.