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Camden Health Information Exchange

Camden Coalition of Healthcare Providers. Camden Health Information Exchange. www.camdenhealth.org. Camden HIE. Cooper Our Lady of Lourdes Virtua Underwood. www.camdenhealth.org. Current HIE Interfaces. Virtua ADT Labs Radiology Discharge summaries ( IP) Underwood

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Camden Health Information Exchange

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  1. Camden Coalition of Healthcare Providers Camden HealthInformation Exchange www.camdenhealth.org

  2. Camden HIE Cooper Our Lady of Lourdes Virtua Underwood www.camdenhealth.org

  3. Current HIE Interfaces • Virtua • ADT • Labs • Radiology • Discharge summaries (IP) • Underwood • ADT (in progress) • Reference Labs • LabCorp (in progress) • Quest Diagnostics (in progress) • Cooper • ADT • Lab • Radiology • Discharge summaries • Lourdes • ADT • Lab • Radiology • Notes (IP) • Discharge summaries • Consults • H&P

  4. Camden HIE Health- e-cITies Jersey Health Connect ACO/ Population Health Analysis LTC/ Rehab Hospitals Trenton Providers Hospice + MOHIE Behavioral health State-Wide Exchange CHIE Home Health Jail SJ HIE TBD

  5. HIE Data and Utilization • 85,000 Camden patients (95% of population) • 119 Users • ED physicians • Primary care providers • Nurses/unit clerks • Primary care based • Hospital based • Home Health • Social workers www.camdenhealth.org

  6. HIE Benefits • Providers • Reviewing own results • Reviewing other providers’ results • Trending labs • Post discharge care • Nursing • Chart Preparation (diagnostic results) • Referrals • More complete clinical information • Faster appointments • Social Workers • Notes on high utilizers • Discharge Summaries from other facilities • Clinical and Social work notes from CCHP • Medication lists • Other contacts for patients www.camdenhealth.org

  7. HIE Data Uses • Healthcare utilization analysis • Population health research • Healthcare cost analysis • Case management/care coordination • Provider directory

  8. Population Health/Cost Analysis Inpatient Facts, 2011 • 7,823 patients with at least 1 inpatient stay • 10,331 total inpatient visits • 1.3 average visits per individual • Maximum IP visits for 1 patient: 15 (3) • Median length of stay: 3 days • Number of hospitals • One hospital: 55% • Two hospitals: 34% • Three hospitals: 11%

  9. Population Health/Cost Analysis ED Facts, 2011 • Individuals with at least 1 ED visit: 50,947 • Total ED visits: 107,171 • Average visits per individual: 2.1 • Maximum ED visits: 93 • ED visits by hospital • Hospital 1: 36,404 (34%) • Hospital 2: 39,779 (37%) • Hospital 3: 30,988 (29%)

  10. “Hospital Utilization EKG” www.camdenhealth.org

  11. High Utilizer Targeting

  12. Supporting CCHP Care Coordination Model • Recruit patients in the hospital • High touch, in-the-field interventions • Be the “caulk” between providers • Clinical • Social • Behavioral • Discharge to a prepared primary care office www.camdenhealth.org

  13. Bending the Cost Curve Post-enrollment total charges to 7/1/12 = ~$15,000 1 year pre-enrollment total charges = $297,430 www.camdenhealth.org

  14. HIE Challenges • End User Engagement • Technical • Maintaining interfaces • Implementing new interfaces • Understanding scope

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