Embed Size (px)
Citation preview
A Private HIE Operations, Challenges, Strategy and Analytics
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
Anthony Antinori / Director / NYU Langone Medical Center
Frat M. Iqbal / Manager / NYU Langone Medical Center
Objectives:
2
Vision and Strategy behind NYULMC’s private HIE.
Evaluate pains and gains of connecting with 46+ EMR’s
Discuss maturity and shift in strategy of a HIE by pay for performance reform
Plans of NYULMC HIE clinical data analytics
Migration of HIE to Optum 2.0 HIE product
Source: National Highway Authority
National Highway System – Act 1956
41,000 Miles of Highway
HELPED INTERSTATE COMMERCE
INTERCONNECTED A NATION
ENRICHED US ECONOMY
H I E
What is a Private HIE?
FOCUSED on a specific region and community.
FUNDED by a Private Organization.
INDEPENDENT strategic goals and policies.
Why a Private HIE?
ALLIGNED LOCAL
FOCUSED AGILE
Source: Healthgrades.com
Only in NYC - Private HIE’s can connect…
NYC – A Reality Today…
Facility A Facility C Facility B
EMR
AR EMR
CR
EMR
BR
Inefficient Clinical Information Sharing
Phone, Fax, Mail, Courier
Facility
C
13
Facility
A
Facility
B
EMR A EMR C
EMR B
Electronic Clinical Information Sharing using HIE Demographics, Results, Notes, Images, allergies, Meds, history etc.
NYC -Vision for tomorrow….
2011- NYULMC VISION for an HIE
Improve Patient Care coordination in the
Community.
By connecting…
Target 375+Practices
Target Integrating 3500+ Clinicians
42 + EMR’s
Current 200 Practices
Current 1900+ Clinicians
Current 26
4 Million+ Patient Lives
NY State and National Exchanges
Who?
EMR’s Advanced MD - Half Penny MDonline Amazing Charts MDTotal Athena MEDENT Chartmaker Medi-EMR Comtron, Medgen EMR MERIDIANEMR Criterions Modernizing Medicine Cure MD MTBC ECW Nextech ENCITE Nextgen EYEMD Office Practicum - Connexin GE Centricity/ logician: OmniMD GloStream Picasso-Doctor.com GMED Praxis EMR Greenway Raintree Health Fusion Sequelmed Imedicware SRS IO Practiceware UROcharts (Healthtronics) iPatientCare Veracity - AllegianceMD Macpractice Vitera, EMR is Intergy Mdintellesys
What are we doing?
• CCD/ CCDA
• HL7 V2 Messages
• ADT
• Lab results
• Rad results
• Dermatology
• Pathology
• EKG
• Medications
• Allergies
• Provider Notes
• Discharge summaries
• Transfer forms
• Images (X-ray, CT scan, MRI)
• Notes
• Notification
• Result delivery
• Direct Messaging
2010 – First Year Law School
2012 – Permanently Disabled
2 Years to Diagnose MS
(Multiple Sclerosis)
June 2010
August 2012
How are we doing it?
One Group Practice at a time.
Picking the right Technology
Setting the right expectation
Building the right team
Standardizing processes and technical requirements
…and it was painful.
Interfacing with 42+ EMR’s
PHI Management
Resource, Scheduling, Expectations
Project Prioritization
Technical Incompetency.
But worth it.
Now we can improve Coordination of Care.
Immediate access and sharing of Clinical Data
Efficient transition of care
Reduction of needless visits
Lower cost of care
Practice evidence-based medicine
Clinical trends and pattern analysis
So what did we learn?
Resistance to change.
Technical boundaries.
Talent shortage.
Legislation and legal issues.
Federal and State Policies.
Meaningful Use Stages
Shared Savings from Payers.
Accountable Care Organizations.
Program Clinical Integrated Network.
Delivery System Reform Incentive Payment (DSRIP)
Where are we going?
Patient Attribution
Registries
Out of Network Spend
(Domestic/ Non Domestic)
High Cost Patients
How do we answer?
Analytical Innovation will get us there
Payer Data
EPIC Data HIE Data
Optum One Reports
•Population Analytics : Diabetes • For Oxford patients
•Population Analytics: GIC (last 12 months)
• United Patients
Optum One Reports
•Risk Analytics: PMPM reports • Cost and Utilization by (Current PCP & Practice Category)
with a robust HIE Platform.
Innovative but a new Product
Customization and Workflow Adjustment
Data Migration per the new standards
New Patient Matching tool
Interface Migration
Training the Users
And we thought we knew pain….
38
DSRIP Delivery System Reform Incentive
Payment Program
No Organization is an Island.
Source: National Highway Authority
National Highway System
41,000 Miles of Highway
National Healthcare Clinical System
Frat M. Iqbal Senior Manager
Clinical Affairs IT & HIE
1 Park Ave, 3rd Floor | New York, NY | 10016
Tel: (212-404-3628)
Email: [email protected]
Questions?
Anthony Antinori Senior Director
Clinical Affairs IT & HIE
1 Park Ave, 10th Floor | New York, NY |
10016
Tel: (212-404-4330)
Email: [email protected]
