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Community Care of North Carolina with NC HIE Overview Presentation for NCNA Council on Nursing Informatics May 16, 2014

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Community Care of North Carolina with NC HIE Overview Presentation for NCNA Council on Nursing Informatics May 16, 2014. About NC HIE Population Health Solutions Q&A. Overview. About NC HIE. One Connection, Many Data Sources.

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Community Care of North Carolina with NC HIEOverview Presentation for NCNA Council on Nursing InformaticsMay 16, 2014

overview

About NC HIE

  • Population Health Solutions
  • Q&A
Overview
one connection many data sources
One Connection, Many Data Sources

One connection to NC HIE means access to provider electronic health record systems, State systems, pharmacies, labs, behavioral health and long-term care entities, disease registries and other sources of patient data.

VA, DOD, SSA, etc.

current footprint
Current Footprint

Currently, more than 700 sites are participants of NC HIE. We build connected communities that include clinics, local health departments and long-term care and behavioral health providers. A complete list can be accessed on our website: http://nchie.org/providers/our-providers/

Legend:

Hospitals

Physician Practice – Primary Care

Physician Practice – Specialist

Long-Term Care

current hospital participation
Current Hospital Participation
  • Ashe Memorial Hospital
  • Blowing Rock Rehabilitation & Davant Extended Care Center
  • Cannon Memorial Hospital
  • CaroMontMedical Center
  • Carteret General Hospital
  • Hugh Chatham Hospital
  • Davie Medical Center
  • Granville Medical Center
  • Halifax Regional Medical Center
  • High Point Regional Medical Center
  • Hugh Chatham Memorial Hospital
  • Johnston Medical Center
  • Lenoir Memorial Hospital
  • Lexington Medical Center
  • Maria Parham Medical Center
  • Morehead Memorial Hospital
  • Nash General Hospital
  • Our Community Hospital
  • Person Memorial Hospital
  • Rex Hospital
  • UNC Caldwell
  • UNC Chatham
  • UNC Hospitals
  • UNC Pardee
  • UNC Wakebrook
  • Wake Forest Baptist Medical Center
  • Watauga Medical Center
  • Wilson Medical Center
current ambulatory participation
Current Ambulatory Participation

NC HIE ambulatory participation includes more than 700 sites encompassing a variety of provider types:

  • Primary Care Practices
  • Specialist Practices
  • FQHCs
  • Free Clinics
  • Long-Term Care
  • Home Health
enabling meaningful use and state reporting
EnablingMeaningful Use and State Reporting

EPs- Eligible Professionals

EHs- Eligible Hospitals

improving care and population health
Improving Care and Population Health

Complete Medication Management

Population Health Analytics

Incorporation of multi-sourced information, both clinical and claims data, into comprehensive view of evidence-based population health dashboards/utilities to facilitate systematic approaches to improve care.

  • Development of chronic disease registries:
      • Diabetes
      • Asthma
      • Heart Failure
      • Hypertension
  • Reporting of Clinical Quality Measures
  • Development of aggregated reports, currently exploring:
      • PQRS*
      • HEDIS*
      • UDS*
      • Ad-hoc to allow user to generate and save frequently used reports*

*At an additional cost

NC HIE with its partner, Community Care of North Carolina (CCNC), is building value-added applications to enhance patient care. Current projects include:

PHARMACeHOME

Chronic Disease Registries

nc hie and state reporting
NC HIE and State Reporting

Wake Forest Baptist Health System is piloting the connection to submit immunization data to NCIR. Expected pilot completion is Q2 2014.

CaroMont Health is piloting the connection to submit reportable lab results to NC EDSS and NC LEAD. Other hospitals have begun the onboarding process.

NC HIE and NC Medicaid are building connectivity to enable electronic clinical quality measure reporting directly to NC Medicaid. Service availability is scheduled for Spring 2014.

In 2014, to comply with the NC Health Care Cost Reduction and Transparency Act, hospitals will begin reporting Medicaid demographic and clinical data to NC Health and Human Services

via NC HIE.

data phases
Data Phases

1Q ‘14 2Q ’14 3Q ’14 4Q ‘14

Infrastructure Build

Initial Clinical Database Build

Administrative / Claims Data Build

QRDA & Additional Clinical Data

Additional Data Sets

  • Claims
  • Enrollment
  • Scheduling
  • Social History
  • Asthma Management Data
  • Screenings
  • Meaningful Use Quality Specific Data
  • Prenatal
  • Foster Children
  • Special Population Files
  • Vital Records
  • Referrals
  • Demographics
  • Diagnosis
  • Procedures
  • Labs
  • Medications
  • Vitals
population health solutions
Population Health Solutions
  • Clinical Quality Measure Reporting
  • Chronic Disease Registries
    • Diabetes
    • Hypertension
    • Asthma
    • Heart Failure
  • Physician Quality Reporting System
  • ACO Quality Measures
the process
The Process
  • Data Extraction
  • Assignment of EMPI
  • Review and Normalization of Targeted Data Sets
    • Labs, allergies, race and ethnicity, medications
  • Load into data repository and HIE (if applicable)
  • Process through rules engine
  • Present data in population health solutions
data normalization
Data Normalization
  • In order for applications to recognize, store and process data elements, data must be in a discrete format with a standard codes
    • Procedure Codes (CPT)
    • Diagnosis (ICD 9)
    • Labs (LOINC)
    • Medications (RxNorm, Multum or NDC)
    • Med Allergies (RxNorm)
    • Vitals (SNOMED)
  • As we are extracting the data, we are finding the data quality varies by practices and by measure set.
hypertension registry
Hypertension Registry

Goshen #1

Goshen #2

Goshen #3

Goshen #4

Goshen #5

Goshen #6

Goshen #7

Goshen #8

Goshen #9

Goshen #10

Goshen #11

Goshen #12

Goshen #13

Goshen #14

hypertension registry site view
Hypertension Registry – Site View

Ability to select different measures or dimensions

Compare performance across providers

Provider #1

Provider #2

Provider #3

Provider #4

Provider #5

Provider #6

Provide #X

hypertension registry patient level listing
Hypertension Registry – Patient Level Listing

Ability to download patient listing to MS Excel for care management and outreach