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Georgia Department of Community Health. Georgia Health Information Exchange Network HomeTown Health Event September 25, 2012. Georgia HIE Network. 2. Georgia HIE Network. Who we are What we do What it matters. 3. Who we are…. 4. Georgia HIE Network: Who are we?.

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Georgia department of community health

Georgia Department of Community Health

Georgia Health Information Exchange Network

HomeTown Health Event

September 25, 2012


Georgia hie network

Georgia HIE Network

2


Georgia hie network1

Georgia HIE Network

  • Who we are

  • What we do

  • What it matters

3


Who we are

Who we are…

4


Georgia hie network who are we

Georgia HIE Network: Who are we?

Public-Private Collaborative

  • Organizations in the collaborative

    • Georgia Health Information Exchange, Inc. (GHIE, Inc.)

    • Department of Community Health (DCH)

    • Georgia Health Information Technology Regional Extension Center (GA-HITREC)

  • Work together to produce the Georgia HIE network through

    • Governance, project management, policy development, business and finance planning, technology deployment , marketing, and stakeholder engagement.

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Georgia hie network who are we1

Georgia HIE Network: Who are we?

GHIE, Inc. Board of Directors and Committees

  • 28 member Board extending all across Georgia

  • 3 advisory committees

    • Service Area HIEs Committee—operational experience

    • Clinical Committee— quality measures and provider participation in e-Prescribing, lab exchange, and use of clinical care summaries

    • Secondary Use Committee—public health and biosurveillance

  • 3 policy committees

    • Technology Committee—use cases architecture, standards, and interoperability

    • Legal and Privacy Committee—policies and privacy and security processes and procedures

    • Financial Committee—business operations and financial sustainability

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Georgia hie network mission vision

Georgia HIE Network: Mission & Vision

Mission

  • Georgia’s mission is to facilitate a Georgia HIE network for Georgia that is trusted and valued by all stakeholders in order to improve health care coordination, reduce costs, and establish a solid foundation for long-term financial sustainability.

    Vision of Coordinated Care

  • Georgia’s vision is to foster a healthier Georgia through the use and exchange of electronic health information by improving patient-centered health care, increasing efficiency, and promoting the health status of the entire state population.

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What we do

What we do…

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Georgia health information exchange network

Georgia Health Information Exchange Network

Georgia statewide HIE network is being developed to offer statewide health information exchange services to hospitals and clinicians…

… improving the quality, safety, and efficiency of health care by connecting clinicians, consumers, and authorized stakeholders through a secure information exchange.

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Georgia hie network product and services

Georgia HIE Network Product and Services

GeorgiaDirect

In pilot phase

PatientFinder

Available in 2013

Rome Challenge Grant

2012-2013 Demonstration project in Rome, GA

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Georgiadirect secure messaging

GeorgiaDirect Secure Messaging

Provides a secure way for health care providers to send authenticated, encrypted health information directly to known, trusted recipients over the Internet.

[email protected]

[email protected]

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Patientfinder service

PatientFinder Service

  • Allows authorized clinicians to query and retrieve clinical records from participating sources for patient care.

  • Enables retrieval of records from multiple data sources.

    • All patient data is stored at its original location, within the provider's local system rather than in a centralized database.

    • All transactions involving the Georgia HIE network are logged in the Georgia HIE audit log.

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Why it matters

Why it matters…

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Georgia hie network2

Georgia HIE Network

Why it matters?

  • Enables providers the opportunity to securely and efficiently exchange patient health information.

  • Keeps patient data with the treating provider and only access it when there is authorization and a demonstrated clinical need.

  • Permits visibility into patient records across providers – presenting them with the right information, at the right time to offer their patients the right care.

  • Gives consumers tools to know their health information so they can improve their health.

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Georgia hie network3

Georgia HIE Network

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Georgiadirect secure messaging1

GeorgiaDirect Secure Messaging

Benefits of GeorgiaDirect – rely less on FAX, telephone, & mail

  • Referral

    • A General Practitioner sends an email with a referral along with any necessary patient information and lab results to a Specialist

  • Transition of care

    • A Family Physician sends an email with a Treatment Summary of a patient to a Hospital or Long-Term care facility when the patient is admitted.

  • Satisfy Meaningful Use Criteria

    • Send patient referral via Direct Secure Messaging to an authorized recipient. Forward CCDs with referrals or at transition of care. Transmit required reports to Public Health (when available). Satisfy patient-focused MU measures.

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Patientfinder service1

PatientFinder Service

Benefits of PatientFinder

  • Patient Information

    • Presents authorized providers with accurate, timely and reliable patient data at the point of care.

  • Interoperability

    • Enables connectivity services to providers within and outside of Georgia through the Nationwide Health Information Network.

  • Satisfy Meaningful Use Criteria

    • Hospitals are required under MU to report to public health agencies and share data with other providers who are treating the patient. HIE simplifies the connectivity landscape so that hospitals only have one connection to make.

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Getting connected to the georgia hie network

Getting Connected to the Georgia HIE Network

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Network of networks strategy

Network of Networks Strategy

The Georgia HIE network connects local/regional HIEs and other Qualified Entities

  • Qualified Entities

    • Have permission to access, consume and make available HIE services on the statewide health information exchange network.

    • Must meet a set of established criteria, successfully completed the approval process, and signed agreements to abide by HIE Statewide Privacy & Security Policy Framework.

    • Must ensure that participants and vendors with which they have contracts meet the requirements to carry out statewide policies.

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Network of networks strategy1

Network of Networks Strategy

The Georgia HIE network connects local/regional HIEs and other Qualified Entities

  • Role of Qualified Entities

    • Help organize and manage HIE Participants in the Georgia healthcare ecosystem.

    • Participants can be hospitals, physician practices, long-term care centers, laboratories, public health entities, and/or many other diverse members of the healthcare industry.

    • Participants have authorization to access the Georgia HIE network services through a Qualified Entity.

    • In addition to providing a conduit for the Georgia HIE services, a QE organization may choose to provide unique services to the members of their community as well.

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Network of networks strategy2

Network of Networks Strategy

The Georgia HIE network connects local/regional HIEs and other Qualified Entities

  • Strategic Benefits

    • Leverages health information networks in existence and provides a means of making set of core and value-added services available to benefit the entirety of the Georgia healthcare ecosystem.

    • Operations are manageable and costs remain low.

    • Supports Georgia HIE and stakeholder sustainability models. GHIE supports local/regional HIEs and other QEs – it does not compete with them.

    • Allows the State to provide guidance on complex issues and leverage federal funding to strengthen and advance the exchange.

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Business and operations

Business and Operations

Foundation for Georgia’s HIE Business and Operations

Financial Sustainability

Drafted the Georgia HIE Business and Financial Sustainability Plan for GHIE, Inc. which includes seed funding estimates, potential pricing and revenue models, approach to leveraging public funding and private investment.

Statewide Privacy & Security Policy Framework

Developed the statewide privacy and security policy framework, including the HIE network (GeorgiaDirect) Participation Agreement, Terms and Conditions, and a set of policies to assure trust, effectiveness of security procedures, and enable rapid progress.

Technology & Policy Assessment

Conducted technical and policy assessment of key stakeholder organizations, local/regional HIEs, and state agencies – the basis to connect Qualified Entities for statewide interoperability.

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Become part of the georgia hie network

Become part of the Georgia HIE Network

Georgia HIE Getting Connected Guide (in development)

  • Help organizations better understand the requirements and choices available to them when electing to participate in the Georgia HIE network.

  • The guide will be a high level planning tool

    • Defines characteristics and responsibilities of Qualified Entities: community, business model, governance, and technology.

    • Overview of legal and technical requirements; minimum standards for each organization participating in the Georgia HIE network.

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Current progress

Current Progress

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Pilot in progress

Pilot in Progress

Developing the GeorgiaDirect Pilot Program

Challenge Grant (Rome and Savannah)

Urban Hospital

Rural Hospital

SAHIE

Georgia Medicaid

Florida

Interstate Pilot

SAHIE

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Powerful exchange

Powerful Exchange

By December 2012

more than 25,000 Georgia providers

will have the ability to securely exchange electronic data using GeorgiaDirect

Georgia HIE will be the most advanced Directed Exchange in the country

[email protected]

[email protected]

26


Get engaged and stay informed

Get Engagedand Stay Informed

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Get engaged stay informed

Get Engaged & Stay Informed

GHIE, Inc. www.georgia-hie.org

DCH: http://dch.georgia.gov/

GA-HITREC: www.ga-hitrec.org

28


Insert

insert

Kelly Gonzalez

Director, Division of Health IT

State Health IT Coordinator

Department of Community Health

[email protected]

29


Appendix

Appendix

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Georgia hie network technology solution and potential hie services

Georgia HIE Network Technology Solution and Potential HIE Services

Authorization Layer: Transport, Orchestration, Audit, Reporting

GeorgiaDirect Secure Messaging Services

  • The Georgia HIE network menu of services is standards based and is being developed to support a variety of health information exchange needs. The HIE network services will be offered in 3 set of core services:

  • GeorgiaDirect Secure Messaging

  • PatientFinder (Query-Based Exchange Core

  • Services)

  • Advanced Exchange (Value-Added Services)

  • This overall technology solution consists of a set of core service elements that provide the foundation for the secure exchange of information between authorized providers.

Secure Message

HISP

Certificate Authority

PatientFinder (Query-Based Exchange Core Services)

Security Services

Patient Matching

Provider Directory

Terminology

Services

NwHIN Gateway

Lab Normalization

CCD Summary

Public Health

Advanced Exchange (Value-Added Services)

Lab Translation

Immunization Registry

Medication Management

Quality Reporting

Disease Surveillance

Lab Order & Results Routing

Procedures Results Delivery

CCD Translation

Clinical Decision Support

EHR/EMR

Radiology Image Delivery

Personal Health Record

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Georgia department of community health

GeorgiaDirect(Secure Messaging)Referral to Specialist Use Case

2. Referring provider sends referral and reference clinical documents to the specialist system

1. Provider uses EHR to initiate referral message and locate specialists

Provider’s EHR system looks up specialist practices in GA’S HIE provider directory

3. GA HIE Network documents access to system in audit log

Patient visits primary care provider; provider needs to refer patient to a specialist

Security Services & Authorization Framework

Provider Directory

Secure Message Exchange

via Direct Project

Transaction Audit Log & Reporting

Georgia Statewide

Health Information Exchange Network

4. Specialist receives referral request and sends response to referring physician through the GA HIE Network

5. Specialist sees patient

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Georgia department of community health

PatientFinder(Query-Based Exchange)Patient Search Use Case

2. Georgia HIE uses RLS to locate and retrieve information on identified patient and returns available clinical documents from within the network.

1. Provider uses their EHR (or GHIE web portal) to locate patient records. The provider’s system queries the Georgia HIE network.

3. Georgia HIE documents access to Network in audit log.

At the Point of Care

A patient visits their primary care provider. The provider needs to locate patient’s health information.

Georgia Statewide

HIE Network

Record Locator Service

Security Services & Authorization Framework

Master Patient Index

Transaction Audit Log & Reporting

Terminology Services

NwHIN Gateway

Provider Directory

4. Provider conducts patient examination.

5. Aggregated patient health information is returned to provider and information is incorporated into the provider’s EHR.

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