Information Rich Health Care: The Value

1. Information Rich Health Care: The Value LHII = Local Health Information Infrastructure IPEHR = Outpatient Electronic Health Record OPEHR = Inpatient Electronic Health RecordLHII = Local Health Information Infrastructure IPEHR = Outpatient Electronic Health Record OPEHR = Inpatient Electronic Health Record

2. Overall Aim The concept shown comes from the discipline of Continuing Quality Improvement, where one seeks to move all providers (bell shaped performance curve) toward greater overall quality and narrow the variance amongst providers.The concept shown comes from the discipline of Continuing Quality Improvement, where one seeks to move all providers (bell shaped performance curve) toward greater overall quality and narrow the variance amongst providers.

3. EHRs Necessary But Not Sufficient: Liberating Trapped Data With The Health Information Exchange (HIE) This diagram illustrate the connectivity amongst various stakeholders in a LHII. Important point is that the internet provides the backbone and common interface. Minimum requirement for playing in this type of system is a computer and connection to the internet. (High speed broadband is desirable, but may not be necessary.)This diagram illustrate the connectivity amongst various stakeholders in a LHII. Important point is that the internet provides the backbone and common interface. Minimum requirement for playing in this type of system is a computer and connection to the internet. (High speed broadband is desirable, but may not be necessary.)

4. Merging Two Worlds: Leveraging Administrative Data to Create a Clinically Relevant Community Record

5. Community Health Record Shared, targeted, person-centric information Spans across entire health system and available to providers Currently populated with: Claims Data, Lab result data Pharmacy data State immunization registry Potential for evolving into an ASP model EHR Community Health Record To include e-Prescribing EPSDT data entry Imminent versions will enhance interactivity and clinical data entry

6. SharedHealth Benefits HIPAA compliant internet access for all �players�: Hospitals Physicians Health Departments Other health care professionals A highly flexible transparent network A physical payer repository with currently available data Potential anchor or participant in a �virtual� or �hybrid� network SharedHealth: a quick-start �Health Information Exchange� Industry leading EMPI Data sets across the delivery system spectrum � offices, lab, facilities, pharmacy, EDs, etc.

7. Implementation Steps The �100 day� development phase � completed early 2004 Alpha site pilots - implemented mid 2004 Version 1.0 published this April 2005 TennCare rollout May 2005 Commercial and community project development late 2005 E-prescribing early 2006 And�

8. SharedHealth Community Health Record

9. SharedHealth Community Health Record

10. SharedHealth Community Health Record

11. Current Regional Health Information Organization Projects

12. Complementary Approaches