January 2012Bill Beighe, CIO

CaleConnect BODCalHIPSO BOD

PMG & Santa Cruz County

• Only IPA• Enjoy Excellent Relationship with Santa Cruz Medical

Society– Many members in common– Co-sponsor the Medical Society EHR Demo Day for 3 years– Collaborate on Health Improvement Projects

• Collaborate on care with virtually all in the community – Exchange is open to all

• Sutter / PAMF has a large presence

Point to Point Interfaces $$$Scanning/Faxing Re-KeyingData

Single Bi-directional InterfaceScanning/Faxing Automated EntryStructured Data

Connectivity: Community Level Traditional vs HIE

HIE Is Key • HealthCare Reform• “Bending the Cost Curve”• Prevention• Inform• Quality Outcomes• Deliver Information about the patient to the provider

at the point of care• Challenge – How will we Enable, Promote, Accelerate

HIE in the State of CA

• Regional HIO • Started in 1996• County Population 270,000• 95% in Patient Index• Bi-directional Exchange

130,000 + clinical documents / month

• Two full-service hospitals• 367+ MDs – 900+ Users• Web & EHR Interfaces • 4 Outpatient Laboratories• 5 Radiology Centers• County Health Services &

Jail• Safety Net Clinics

Monterey Bay

California

Timeline of HIE in Santa Cruz

• Community Collaboration

• PMG• Dominican Hospital• Unilab (Quest)

1995

• 1st Exchange of Clinical Data

1996• Web-based HIE

interface• EMR Lite• County Clinics

2001

• 3 HIE to EMR Interfaces

• NHIN• Safety Net Clinics• 4 Additional Labs

2004- 2006

• 1st Partner Connection to HIE

2007

• EMR Lite• 600+ electronic• NHIN at Redwood

MedNet

2009 • 7 Connected EMR’s • 750+ electronic• NHIN at HIMSS

2010

• 9 Connected EHR’s

• 4 Certified EHR’s

2011

• Lab• Radiology•

Transcription

2 Hospitals - 8 Feeds

Santa Cruz HIE Stats

• Increase in Data Traffic

• Usage increase over past 6 Years

600%

• Clinical Page Views Monthly

1.3M

• SureScripts per Month Including eRx from EHR and HIE

23,000 Rx

• Referrals• Transitions of

Care per Month

3,400+

• Electronic Lab Results per Month

28,000+

• VHR Views per Month

• Longitudinal Patient Record

17,000+

• EMR / EHR Interfaces to 90+ MD’s

9

Data Types & Features

Lab ResultsRadiology Reports from Hospitals and IndependentADT feeds Chart NotesReferrals and Authorizations Hospital – Dictations, Op Reports, ED, H&P etc Discharge Summaries Consultant Reports Patient Summary (Print and CCD)EHR / EHR Interface (McKesson Practice Partner and 8 others) Problems, Allergies, Immunizations, ConsentProvider to Provider Secure CommunicationsCommunity Patient Index (MPI) Virtual Health Record

Infrastructure & Resources

HIE ( $2.25 per patient per year – hard costs across community – Hospitals, Labs, Users Pay) The SC HIE core infrastructure is hosted by Axolotl Locally PMG provides– EMR Interface Implementation, Operational and User Support, and

Reporting– 2 FTE at PMG

– 1st Line Support, MPI Administration, User Administration and Training 2 FTE at PMG

Management / Oversight / Marketing / Governance .5 FTE at PMG

Tech Support, EHR Implementation, Hosting, REC Services 9 FTE at PMG

PMG Services in Santa Cruz County• Insurance and Health Plan Contracting and

Administration• Claims Payment• Case Management• Credentialing• Billing Service• Technology Support• Service Partner to CalHIPSO – ARRA REC Services• Electronic Health Records Deployment and Hosting• Health Information Exchange (SCHIE)

Axesson, LLC • Owned by PMG• Interface & Interoperability Services Nationwide• HIO Operations

Bill Beighe, CIO bbeighe@pmgscc.com 831.465.7874