Hoosiers embracing hit
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Hoosiers Embracing HIT. HIT or MISS. Gregory N. Larkin, MD Indiana State Health Commissioner. Indiana’s Health Rank 2010 United Health Foundation, American Public Health Association and Partnership for Prevention. 38/50 states in overall ratings, was 36/50 in 2009 Strengths:

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Hoosiers Embracing HIT

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Hoosiers embracing hit

Hoosiers Embracing HIT

HIT or MISS

Gregory N. Larkin, MD

Indiana State Health Commissioner


Hoosiers embracing hit

Indiana’s Health Rank 2010United Health Foundation, American Public Health Association and Partnership for Prevention

  • 38/50 states in overall ratings, was 36/50 in 2009

  • Strengths:

    • Lower incident of infectious disease

    • Lower rate of the “uninsured”

  • Challenges:

    • Smoking rate (45/50)

    • Obesity rate (37/50): From 1990 (14.5%) to 29.9%

    • Low public health funding ($39/person- 49/50)


Other indiana metrics

Other Indiana Metrics


Opportunities

Opportunities

  • In order to improve the health of the population and the quality of health care, Hoosiers need better knowledge to achieve better outcomes

  • Health data Health Information

Personal and System

Health Care Knowledge

Better Services and Decisions


Health information technology hit is foundational to success

Health Information Technology (HIT) is Foundational to Success

  • “If you are not keeping score, you are only practicing”…. Governor Daniels

  • HIT harnesses billions of “Data Points” and produces actionable information that:

    • Identifies individual and population health status

    • Supports “best care” decisions for providers and patients

    • Increases the value of the health care dollar


Adding value to patients and system

Adding Value to Patients and System

National standardization and interoperable health information exchange can save U.S. $77.8 billion annually. (Center for Information Technology Leadership)

Patient Safety Institute installed clinical data exchange network linking 3 hospitals in Seattle, Washington.

Conservative estimates an aggregated annual net savings of $10-14 per person per month ($40 B per year nationally)


Indiana and hit

Indiana and HIT

  • Indiana is a national leader in HIT development and implementation

    • Regenstrief Institute

    • Health Information Organizations (HIO)

      • FOUR in Indiana (ZERO in Illinois!)

        • Indiana Health Information Exchange (IHIE)- Largest HIO in the nation

        • Med-Web (Fort Wayne)

        • HealthBridge/HealthLink (Bloomington)

        • Michiana Health Information Network (MHIN)


Stages in the evolution of hit

Stages in the Evolution of HIT

Local Network

Local Network

Local Network

Local Network

Paper Charts

Paper Charts

Paper Charts

Paper Charts

Office EMR

Office EMR

Office EMR

Office EMR

State Network

Regional HIOs

National Network

Local Networks


Indiana hio connectivity

Indiana HIO Connectivity

IHIE and HealthBridge are the

First and Only HIOs connected

In the Nation


Ongoing indiana hit projects

Ongoing Indiana HIT Projects

  • Indiana Health Information Technology (IHIT)

    • Over $10 M for state and intrastate connectivity

  • IHIE Beacon Grant

    • $6 M to broaden connectivity of providers and demonstrate value. Only 17 national grants.

  • E-prescribing

    • Indiana is in the top 10 states

    • Beyond electronic entry: interactions/alternatives/record and connectivity to appropriate community data bases


Indiana health information technology extension center

Indiana- Health Information Technology Extension Center

  • I-HITEC- Purdue $12 M

  • VISION

    • The promise of EHR will be realized in the State of Indiana.

  • MISSION

    • To assist the Indiana healthcare community in realizing the promise of EHR by facilitating EHR adoption and use.

  • Goal

    • Assist 2,200 priority primary care providers to meaningful use EMRs by 2012

Monica Arrowsmith

I-HITEC Director


Benefits of bi directional information sharing

Benefits of Bi-DirectionalInformation Sharing

  • Mobility of patient population

  • Increasing complexities of disease management and the importance of “Best Care Protocols”

  • Reduction of redundancy

  • Meaningful Use:

    • Patient community sharing

    • Quality Improvement based on information


Emr meaningful use

EMR Meaningful Use

  • Demographics (gender, race, etc)

  • Core Vital Signs

  • Dynamic problem lists

  • Dynamic medication/allergy/interactions lists

  • Provision of care summary to patients

  • Critical decision protocols

  • Global patient lists for key diagnoses

  • Quality improvement extraction measures

  • Immunizations/labs/etc


Hit for indiana s challenges examples

HIT for Indiana’s Challenges(Examples)

  • Cancer Care:

    • Best Care protocols

    • Improved preventive screening

  • Smoking

    • More effective and targeted outreach programs

    • More consistent provider interventions

  • Immunizations

    • Improved delivery of complex schedules

    • Improved immune status of patient/community

  • Public Health

    • Better integration of public and private sector health data

    • More robust information prioritizes programs and interventions

    • Rapid identification of community health trends


In summary

In Summary

  • Indiana health status remains challenging

  • Indiana’s competitive advantage for economical development and quality of life can be adversely impacted

  • Indiana has exceptional capabilities for HIT

  • HIT, when fully implemented, will be instrumental in the health status of the Indiana communities

    • Improving the quality and efficiency of the Hoosier health care system


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