Indiana State Department of Health Meaningful Use Chris Mickens, CTCO March 16, 2012

1. Indiana State Department of Health Meaningful Use Chris Mickens, CTCO March 16, 2012

2. Stage 1 goals for Indiana • Receive electronic messages from providers using an HHS certified EHR system in a valid HL7 format • Message Types • Immunizations • Syndromic surveillance • Electronic lab results • Sent directly from EMR, HIOs, or through https upload site. • Provide testing for vendor connectivity and message validation

3. Meaningful Use Information • Established MU web page as part of the www.IN.gov website • General information on then Meaningful Use incentive program • Messaging guides for Indiana public health reporting (immunizations, syndromic surveillance and electronic lab results) • ONC links and ISDH MU contact info.

4. MU Repository & Web App • Used to record provider general information • Track provider MU progress • Maintain contact lists for HIOs, RECs, hospitals, physician offices, clinics, etc… • Provides compliance reports and statistical information • Generates “Letter of Compliance” • Access recently made available to Indiana HIOs and RECs

5. Children & Hooiser’s Immunization Registry Program (CHIRP) • 2007, began accepting HL7 VXU 2.3.1 messages • Included 2.5.1 in February 2011 • Can accept messages using HTTPS, TCP/IP, file transfer including SFTP, and directly from the state HIOs • Established process for new HL7 interface setup • EMR vendor test site including; • Allscripts, Greenway, E-MDs, GE

6. Public Health Emergency Surveillance System (PHESS) • Established first connections in 2005 • Currently receiving electronic messages from 124 Hospital ERs from around the state. • All data flowing through HIE connections. • Have successfully tested ADT messages from 55 provider organizations.

7. 2011 Meaningful Use Connections • 159 organizations successfully attested in 2011 • 36 separate EMR vendors submitting data • Data received from 3 state HIOs • Health Bridge, IHIE, and MHIN • 68 providers actively sending to CHIRP (7 are bidirectional) • 124 hospitals actively sending to PHESS

8. 159 organizations using 36 different EHR Systems

9. Indiana HIE & REC Partners • Health Information Exchanges • Indiana Health Information Exchange • Michiana Health Information Network • HealthBridge • HealthLINC • Medical Informatics Engineering • Regional Extension Centers • Purdue I-HITECH • HealthBridge

10. Lessons Learned • Communication, Communication, Communication • Regular calls with HIE & REC partners. • Regular meetings with IHIT and Medicaid to insure our efforts are in line with one another. • Website with up to date contact information and with easy access to messaging guides. • Collaboration between program areas to find solutions to common problems and avoid a duplication of effort.