Leveraging Health Information Exchange to Deliver Best Care

1. Leveraging Health Information Exchange to Deliver Best Care Scottsdale Institute Fall 2010 Forum: Enabling Best Practice Care September 30 – October 1 Snowbird UT

2. What is health information exchange (HIE)? • HIE is the electronic movement of health-related data and information among organizations according to agreed standards, protocols and other criteria • The term refers to the process of reliable and interoperable electronic health-related information sharing conducted in a manner that protects the confidentiality, privacy, and security of the information • HIE supports the sharing of health-related information to facilitate coordinated care through the utilization of EHRs. • HIE provides key information to individuals to promote health and wellness through population of PHRs, and can be used to support research, public health, emergency response, and quality improvement.

3. What are the benefits of HIE? For patients . . . • Improves privacy and security of personal health and medical information • Reduces likelihood of medical errors due to incomplete or inaccurate information • Improves doctor-patient communication and coordination of care among providers • Eliminates need for hand-carried and faxed transmission of health care records • Improves diagnosis and reduces orders for duplicate test and procedures • Empowers patients to take personal responsibility for their health care

4. What are the benefits of HIE? For providers . . . • Improves privacy and security of patient health and medical information • Improves quality of care, timeliness, and patient safety and outcomes • Increases convenience and workflow efficiency • Improves diagnosis and reduces orders for duplicate test and procedures • Enhances communication among hospitals, laboratories, pharmacies and referring physicians • Improves access to test results and referral consultations

5. What are the benefits of HIE? For employers . . . • Facilitates high value employee benefit offerings • Reduce healthcare costs through efficiencies and coordination of care • Reduces absenteeism from online consults and fewer duplicate tests • Increases access to high quality medical professionals • Improves communication during emergency situations

6. What are the benefits of HIE? For communities . . . • Encourages coordination of care and collaboration • Reduces likelihood of records being unavailable or lost in catastrophic event • Facilitates transfer of records for relocating populations • Reduces healthcare costs through efficiencies and coordination of care • Enables community reporting, and tracking of trends, and health policy planning

7. What are the challenges to HIE? • Collaboration • Physician adoption • Consumer engagement • Consumer and health care professional trust in a system • Privacy and security • Authentication • Audit and audit responsibility • Consent • Authentication and access control • Interoperability • Inclusiveness • Automated rule logic for public health usability • Sustainability

8. Ken Lawonn – Nebraska Health Information Exchange • Nebraska’s largest eHealth network • NeHII is exchanging laboratory, radiology, and clinical documentation information statewide • Insurance eligibility information • e-Prescribing • Basic, web-based electronic medical record

9. Jan Root – Utah Health Information Network • Access to clinical information from multiple sources that include hospitals, reference labs, the Utah Department of Health, and other clinicians • Electronic delivery of ordered reports • Connects existing EMRs, which allow records to be received and displayed in existing systems • Accommodates electronic prescribing (e-prescribing) and refills, which are sent and requested electronically • Provides access to on-line EMR functionality • Assists in achieving “meaningful use” criteria

10. Robert Steffel - HealthBridge • HealthBridge represents nearly 95% of the hospital sector activity in the Cincinnati region • HealthBridge provides connectivity for more than 28 hospitals, 5500 physician users, 17 local health departments,  700 physician offices and clinics, as well as nursing homes, independent labs, radiology centers and others in its healthcare region • Through its clinical messaging system, HealthBridge delivers approximately 3 million clinical messages (laboratory, radiology, transcription and ADT) to more than 5500 physicians each month

11. What you should be listening for from HIE leaders • How are HIE’s assisting in improving patient care? • What roles have hospitals and health systems played in HIE development? • How are HIE’s addressing physician adoption? • How are HIE’s addressing patient participation? • How are HIE’s helping to achieve meaningful use? • What role will HIE’s play in development of accountable care organizations? • Is there still room for hospital-system proprietary systems? • How are HIE’s paying the bills? • What would they have done differently?