DHIN Customer Profile Webinar

September 25, 2009

Better Communication for Better Healthcare

Gina B. Perez, MPA

DHIN Executive DirectorAdvances in Management, Inc.

About DHIN

• Created statutorily in 1997 as a public instrumentality of the State of Delaware

• The Nation’s First Statewide Clinical Health Information Exchange

• State Designated Entity• Public – Private Partnership• Funded by Federal, State and

Private Resources (beginning in 2005)

• Went live in May 2007

DHIN Vision

Develop a network to exchange real-time clinical information among all health care providers (office practices, hospitals, labs and diagnostic facilities, etc.) across the state to improve patient outcomes and patient-provider relationships, while reducing

service duplication and the rate of increase in health care spending.

DHIN’s Success• Critical Mass

– Over 50% provider adoption– Distributes more than 85% of lab tests in DE– 648,000 unique patient records– 40 million transactions per year (and growing)

• Only HIE with both LabCorp and Quest Diagnostics Participating

• Improved efficiency and quality of care

Christiana Care Health System

Beebe Medical CenterNanticoke Memorial Hospital

Bayhealth Medical Center

LabCorp

Doctors Pathology Services

Quest Diagnostics

DuPont Hospital for

Children

VA Hospital (FedCONNECT)

St. Francis Hospital

Data Senders

DHIN Functionality• Secure Results Delivery with Standard Result Format

(since 2007)

– Lab and Pathology Results

– Radiology Reports

– Admission Face Sheets

• Patient Record SearchInquiry(Live June 15th)

• Medication History Pilot (planned)

• Public Health Reporting – Real-time reporting of data from hospitals to the Division of

Public Health’s DERSS system (Delaware Electronic Reporting and Surveillance System)

- Secure Inbox (68%)*- Auto-Print/Fax (12%)- EMR Interface (20%)

*Pending EMR Connection (26%)

EMR Connectivity• DHIN Certified EMRs

– Allscripts - Misys– STI Computer Services - eClinicalWorks– Varian - MediNotes/Eclipsys

• EMR Vendors in Negotiations (expected to go live in 2010)

– NextGen - GE/Centricity– Cerner - McKesson– Advanced Data Systems Corp

• Negotiated Discounts

• Electronic Order Entry • Incorporate Lab Results into EHRs as structured

data• Maintain an Active Medication List • Perform Medication Reconciliation • Implement Drug-Allergy, Drug Formulary, Drug-

Drug Interactions• Standards-Based Transactions

Meaningful Use: How HIEs Can Help

Meaningful Use: How HIEs Can Help

• Electronic Insurance Eligibility Verification

• Electronic Claims Submission

• Maintain an up-to-date “problem list” of current and active diagnoses based on ICD-9 and SNOMED

• Record Demographic Data (preferred language, insurance type, gender, race and ethnicity)

• Quality Reporting– Generate List of patients by specific conditions for

outreach and quality improvement

Meaningful Use: How HIEs Can Help

• Patient Access to Electronic Information– Provide Access to Patient-Specific Education Resources– Send Reminders to Patients for Preventative and Follow-Up

Care

• Exchange Key Clinical Information– Clinical Summary

• Public Health Reporting– Immunization Registry – Electronic Syndromic Surveillance

• Proof of Compliance with HIPAA Privacy and Security Rules