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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
Hoosiers Embracing HIT


Gregory N. Larkin, MD

Indiana State Health Commissioner

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)


  • 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 Success

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 Success

  • 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 Success

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 Success

IHIE and HealthBridge are the

First and Only HIOs connected

In the Nation

Ongoing indiana hit projects
Ongoing Indiana HIT Projects Success

  • 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 Success

  • I-HITEC- Purdue $12 M


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


    • 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-Directional SuccessInformation 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 Success

  • 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 Success(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 Success

  • 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