Download
1 / 19
190 likes | 331 Views
NYAPRS 7 th Annual Executive Seminar on Systems Transformation. Improving Health and Healthcare with IT: An Update on the Healthcare Information Xchange of New York ( HIXNY) . April 28, 2011 . Scott Momrow, MPH
E N D
NYAPRS 7th Annual Executive Seminar on Systems Transformation Improving Health and Healthcare with IT: An Update on the Healthcare Information Xchange of New York (HIXNY) April 28, 2011 Scott Momrow, MPH Vice President, Marketing & Adoption Healthcare Information Xchange of NY smomrow@hixny.org 518.357.3689 x14 Jayson White HIE Adoption Specialist Healthcare Information Xchange of NY jwhite@hixny.org 518.357.3689 x19 www.hixny.org 518.357.3689
Driver of Meaningful Use of HIT Source: Mirror, Mirror on the Wall- How the Performance of the U.S. Health Care System Compares Internationally 2010 Update; The Commonwealth Fund
The System is Fragmented and so is the Information Hand-written notes, transcribed notes Hard copy reports (fax, mail) Images Letters Copies of copies, faxes Faxes of copies, faxes Medical record Existing chart Medical history Hand-written notes, transcribed notes Physical exam Patient visit Laboratory & other tests Hand-written notes Hard copy reports (fax, mail) Electronic reports Hard copy images Electronic images Consultants & colleagues Phone Fax Mail Computer
HIE Continuity of Care Document (CCD) Health Information Exchange Enables Patient-Centered Delivery Systems Hospital Labs Hospitals National Labs Clinician EHR Clinician Viewer Am-surg Hospital Imaging Health Information Exchange Quality Reporting Rehab Centers Imaging Centers Care Management Rx History Nursing Homes Shared with various settings via different services Secure Messaging NYS Medicaid Home Health Public Health Reporting Other RHIOs Ortho PCPs Cardio Hospital System Patient Portal
HIXNY Membership(many more now participating as subscribers)
Participating Practices (including Standalone e-Rx users) REC Practices CHITA Practices Member Hospitals Other Hospitals HIXNY Service Area 8
Small Practice Model Small Practice Model • $250 per practice plus $240 per provider annually for 1 to 20 providers • Implementation fee of $5,000 - waived if agree to implement in 2011, actively seek patient consent, and integrate HIE health record into workflow Includes the entire suite of offerings “Many HIE’s achieve sustainability by automating the provision of test results rather than offering more robust data-exchange functionality.” Source: ARCH INTERN MED/VOL 170 (No. 7), APR 12, 2010
NYS Consent Process Details Patient consent is not required for a facility to send data to a RHIO (HIXNY) Sensitive data (HIV, Alcohol and Substance Abuse, Mental Health etc.) is INCLUDED in the data flow Consent is needed to view the patients’ clinical data
NYS Consent Process Details Each patient must sign a consent form at each facility at which s/he seeks care, authorizing that facility’s authorized users to access his/her information A facility is defined as an organization under single governance, and is not location-dependent Consent for treatment at a facility is enduring until/unless it is withdrawn, by the patient
Yes (granted) • Consent has been granted to authorized users affiliated with the organization Consent Status • No (denied) • Authorized users can’t access the patient’s clinical data even in the event of an emergency • Null (neither granted or denied) • Either the patient has not been asked or they chose not to grant or deny consent in the past • Clinicians can “break the glass” ONLY in the event of an emergency
Demonstration of HealthyView:A Clinical Portal to Support Providers in a Connected Community
Questions? Scott Momrow, MPH Vice President, Marketing & Adoption Healthcare Information Xchange of NY smomrow@hixny.org 518.357.3689 x14 Jayson White HIE Adoption Specialist Healthcare Information Xchange of NY jwhite@hixny.org 518.357.3689 x14 www.hixny.org
