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RHIOs: CHINs or Champs? Health TechNet

RHIOs: CHINs or Champs? Health TechNet. Robert Steffel, Executive Director HealthBridge rsteffel@healthbridge.org. October 21, 2005. Greater Cincinnati Demographics. 2.2 million population 14 county tri-state area (OH, KY, IN) 25 hospitals / $4 billion annual expenses

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RHIOs: CHINs or Champs? Health TechNet

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  1. RHIOs: CHINs or Champs?Health TechNet Robert Steffel, Executive Director HealthBridge rsteffel@healthbridge.org October 21, 2005

  2. Greater Cincinnati Demographics • 2.2 million population • 14 county tri-state area (OH, KY, IN) • 25 hospitals / $4 billion annual expenses • 3 dominate private health plans • Approximately 4,000 active physicians • Engaged employers / Low reimbursement • History of collaborative activities

  3. HealthBridge Timeline • 1997: Funded by 5 Health Systems & 2 Insurers • Began service as a community-wide MD portal • A true multi-stakeholder collaborative • 2000: Purchased Axolotl Clinical Messaging • Community license funded by “content providers” • 2003: Public health/physician alerts added • 2004: Syndromic Surveillance added • 2005: Ambulatory Order Entry (In Process)

  4. The HealthBridge Portal Homepage

  5. HealthBridge Clinical Messaging System Overview Mercy Health Partners TriHealth Health Alliance St. Elizabeth Cincinnati Children’s Mail Fax Electronic MD EMRs HealthBridge Clinical Messaging System Overview Health Systems – 17 Hospitals Lab Results, Radiology Reports, Transcribed Reports, ADT Transactions Ancillary Data Feeds LabOne Community Standards Physician Access to Clinical Results MD Dictation -Data Feeds (HL-7) -MD Directory -Patient Index -HIPAA Access Audit Public Health Health Alerts Clinical Messaging Servers RODS Lab Syndromic Surveillance

  6. HealthBridge Clinical “Inbox” Clinical Messaging Electronic “Inbox” Awaiting Action Inbox Note lab, radiology & transcribed reports from several hospitals for a two physician office

  7. HealthBridge Clinical “Inbox” Inbox by Abnormal View Results sorted by abnormal lab values

  8. Sample of a Clinical Messaging CBC Result Community Standard CBC Result Community Standard CBC Result

  9. Final View- Used To Access All Electronic Results for a Practice Final View = “EMR Light”

  10. Community Patient Index

  11. Public Health Alert

  12. Sept 2005 – Results Sent

  13. Typical Physician Office (before HealthBridge) Physician Office With electronic “inbox” Paper to Electronic

  14. Results Per Envelope

  15. Before & After Daily Printing Before After

  16. Problems, Choices & Lessons Learned

  17. Key Issues We Had To Address • Respond to pressure to start a CHIN • Fund and form a collaborative network • Offer content/services that deliver value • Build trust, collaboration & utilization • Show value of stakeholder participation

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