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The Nation’s First Statewide Health Information Exchange. Presentation to the Delaware Health Care Commission May 3, 2007. Robert White DHIN Chair Delaware Physicians Care, Inc. Gina B. Perez DHIN Project Director Advances in Management, Inc.

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the nation s first statewide health information exchange

The Nation’s First Statewide Health Information Exchange

Presentation to the Delaware Health Care Commission

May 3, 2007

Robert White

DHIN Chair

Delaware Physicians Care, Inc.

Gina B. Perez

DHIN Project Director

Advances in Management, Inc.

agenda
Agenda
  • What is DHIN?
  • Why do we need it?
  • Who participates in DHIN?
  • What does it do?
  • How is it funded?
  • What are the benefits?
slide3

Vision

Develop a network to exchange real-time clinical information among all health care providers (office practices, hospitals, labs and diagnostic facilities, etc.) across the state to improve patient outcomes and patient-provider relationships, while reducing service duplication and the rate of increase in health care spending.

dhin governance structure
DHIN Governance Structure
  • Statutorily Created in 1997
  • Public-Private Board of Directors under the Delaware Health Care Commission
  • Active Executive Committee
  • Multi-Stakeholder Project Management Team
  • Consumer Advisory Committee
  • Clinical User Group
what is dhin
What is DHIN?
  • Secure network for distributing clinical results and reports from the hospital, lab or radiology center to the treating physician
  • Data is managed by those who order the test and those who perform the test
timeline
Timeline

*Agency for Healthcare Research and Quality

why do we need it
Why do we need it?
  • Most Doctors receive laboratory results from 5 different labs all sending results in a different format and method
  • Clinicians who use computerized records system are more likely to adhere to clinical guidelines
slide8

Why do we need it

Clinical information is missing in 13.6% of primary care visits:

  • Lab results - 6.1%
  • Radiology results - 3.8%
  • History & Physicals - 3.7%

Missing information is Judged to:

  • Adversely affect care in 44% of visits
  • Delay care in 59% of visits
  • Medications - 3.2%
  • Dictation - 5.4%

(“JAMA”, January 2005)

phase 1 data senders
Phase 1 Data Senders
  • Bayhealth Medical Center
    • Kent
    • Milford
  • Beebe Medical Center
  • Christiana Care Health System
    • Christiana
    • Wilmington
  • LabCorp
    • Account for:
    • 85%
    • Laboratory Testing
    • &
    • 81%
    • Hospital
    • Admissions
  • in Delaware
phase 1 data receivers
Phase 1 Data Receivers
  • Cardiology Consultants
    • 16 offices statewide
    • 30 physicians
    • EMR
  • CN-MRI
    • 2 locations in Kent County
    • 9 physicians
    • EMR
  • Nephrology Associates
    • 8 offices statewide
    • 21 physicians
    • Electronic Inbox
  • Dover Family Practice
    • 1 location in Kent County
    • 4 physicians
    • Electronic Inbox
  • Georgetown Family Medical
    • 1 locations in Sussex County
    • 2 physicians
    • Fax and Electronic Inbox
a day in the life of one doctor s fax machine
A Day in the Life of One Doctor’s Fax Machine

1 day

1 doctor

115 faxes

10 ads

55 lab results

30 consult reports

19 pharmacy renewals

1 stat abnormal mammogram that needs immediate attention

security
Security
  • HIPAA compliant
  • Secure Virtual Private Network (VPN)
  • 128-bit secure socket layer (SSL) encryption
  • Complete auditing and logging
  • Data management at the source system
dhin phase 2 priorities
DHIN Phase 2 Priorities

Future Priorities

physician use of technology
Physician Use of Technology

Source: University of Delaware Center for Applied Demography and Survey Research, Primary Care Providers in Delaware 2006

physician interest next wave
Physician Interest – Next Wave

66 Physician Practices

  • 21 in Kent County
  • 18 in New Castle County
  • 23 in Sussex County
  • 4 statewide Practices
  • 29 Primary Care Practices
  • 33 Specialty Practices
  • 4 Federally Qualified Health Centers
benefits of dhin
Benefits of DHIN
  • Improved Patient Care
    • More complete clinical information
    • Better communication
  • Reduced “Hassle Factor”
    • Information available at appointment
    • Fewer forms to fill out
benefits of dhin21
Benefits of DHIN
  • Reduced Healthcare Costs
    • Fewer duplicated tests
    • Better medication management
  • Increased Efficiencies
    • Greater productivity
    • Reduced delivery/mailing costs
thank you from

THANK YOU from

For a Decade of Support!