Wounded Warrior Continuity of Care in a Production Environment

Reflection on the value for implementing NHIN in the VA/KP/DoD production environments to support the Wounded Warrior clinical data exchange

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TUESDAY, 3:00 – 3:20PM

Steve Steffensen, MD, Chief Medical Information Officer, TATRC, Department of DefenseZachary Gillen, Senior Project Manager, Kaiser PermanenteJamie Bennett, NHIN/VLER Program Manager, Department of Veterans Affairs

Department of Defense (Military Health System)

HIMSS 2010 2

Military Beneficiaries: 9.5 million

Military Bases in US: 202

Military hospitals: 63 Medical/Dental Clinics: 826

Encounters/month:9 million

Average outpatient visits/year/patient: 4

74% 70% 59% 56%

1:4 military families move in a given year(moving on average once every 3 years)

MHS Beneficiary Distribution

Value Proposition:

•60-70% of DoD beneficiary care is provided by the civilian (i.e. “Network”) sector.

•DoD beneficiaries are one of the largest and most mobile patient populations.

NHIN and Kaiser Permanente

Importance of HIE• Members and wounded warrior

population

• Moving forward with exchange on Federal standards (NHIN)

Value Proposition• Current – Continuity of Care

• Future – Enacting meaningful use

• Further develop and enrich the functionality of the pilot implementation

• Nation’s largest nonprofit health plan• Integrated health care delivery system• 8.7 million members• 14,000 physicians• 165,000 employees• 36 hospitals and medical centers• 431 medical centers

HIMSS 2010 3

NHIN and Veterans Health Administration

Importance of Health Information Exchange• Cost Savings – Quick Release of Information, avoid duplicate services• Patient Safety – Avoidance of adverse drug events. • Quality Outcomes – Higher level of patients receive recommended care.

Value Proposition• 3 out of 4 Veterans receive

care from non-VA providers• Need for a more complete

record to make informed decisions.

• Relieve the burden on patientsand family for healthinformation exchange.

VA Hospitals 153

VA Nursing Homes 136

Domiciliary Residential RehabiPrograms 44

Outpatient Clinic Totals 876

Hospital Based Outpatient Clinics 156

Independent Outpatient Clinics 4

Mobile Outpatient Clinics 5

Community Based Outpatient Clinics 711

Vet Centers 206

HIMSS 2010 4

Questions?

Come visit us at the Enhancing Wounded Warrior Care demonstration (Kiosks 42, 43 and 44)

Other Information:Veterans Health Administration Contacts:• Tim Cromwell – tim.cromwell@va.gov• Jamie Bennett – jamie.bennett@va.gov

HIMSS 2010 5

Thank You

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The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase

does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal

Health Architecture or the Department of Health and Human Services.