Health Information Exchange: Where Are We Now & Where Do We Go From Here? HEALTHeLINK Western New York s Clinical Information Exchange

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1 Health Information Exchange: Where Are We Now & Where Do We Go From Here? HEALTHeLINK Western New York s Clinical Information Exchange

2 Beacon video

3 HEALTHeLINK Background Coverage area include the 8 counties of Western New York A collaborative that includes Hospitals, Health Plans, Public Health, University of Buffalo and other community stakeholders ONC Beacon Community Awardee

4 Delivering Clinical Data to the Point of Care Medication History Laboratories Hospitals Radiology Centers

5 5 Where We ve Been History of WNY RHIO Timeline HealtheNet Vision - - HealtheNet Go-Live Eligibility WNY - BCBS WNY - IHA Univera Claim Status HealtheNet - Referral Inq. - Authorization Inq. - Referral Req. HEALTHeLINK Vision & HEALTHeLINK Related Feasibility Study HEALTHeLINK Inception E-Prescribing HEALTHeLINK Go-Live New Data Feeds (Kaleida, CHS, ECMC & Quest) Pathway to Meaningful Use Established Learning Lab Clinical Data Exchange Pilot Hospitals Connected (ADT s, Labs, Rads, Trans) - 3 New Data Feeds: (UMMC, Upper Alleghany, Windsong) - 5 EHR Vendors Connected (Medent, ecw, Practice Partner, Allscripts & STI) - EHR Interoperability - EHR Adoption/Clinical Transformation - Two-Factor Authentication (2FA) - Beacon Community Recognition - Independent radiology practices connected - HealtheNet Provider Inquiry & Response Patient Portal EHR Interoperatbility (referrels) EHR Interfaces Hospital Pharmacy Connection Path to Meaningful Use & PCMH Telehealth Data Layer Implementation NYS DOH data pipeline 2 way HealtheNet -Consent Mgmt Integration - Expansion

6 6 Administrative and Clinical RHIO/HIE (Regional Health Information Organization/ Health Information Exchange) HealtheNet Administrative Data Exchange HEALTHeLINK Clinical Data Exchange

7 Current Status HEALTHeNET has 90% penetration in provider organizations in WNY o over 35,000 users and 5,000,000 transactions monthly Over 1000 providers and 3200 total users connected to HEALTHeLINK o 190 practices o 67% of practices connected have EHR s o 8 EHR vendors connected for results delivery. 48 practices live o 1 st EHR live with EHR to EHR - primary care to specialist interoperability for referrals. 27 practices live Over 44 million Lab / Radiology / Transcribed reports available 1.8 million added per month o Approximately 90% of the Lab data o Approximately 73% of the Radiology data Over 90% of patients in our geography in the Master Patient Index Over 200,000 patient consents received o 12,000 added per month 94% affirmative 7

8 Current Status Current Data Sources

9 Payer EMR Funded Program Assist in selection, purchase and implementation of EHRs 7/2009 6/2012 Consent Technology Integration Allow providers to manage patient consent 1/2010 1/2012 HEAL 17 - Behavioral Health PCMH Behavioral health focus 1/ /2012 HEAL 17 - Public Health (UPHN) NYS public health inter-operability focused on: Child health - immunization & newborn screening Syndromic surveillance Chronic disease special focus on cancer 1/ /2013 HEAL 10 Diabetes PCMH Diabetes focus Help providers at 3 levels of NCQA certification 1/ /2011 Diabetes focus Clinical decision support tools Hospital / provider reconciliation Medication management 4/2010 3/2012 HEAL 1 HIE software selection E-prescribe Lab/rad/transcription reports Governance & organization 8/2006 7/2008 HEAL 5 EHR / Public Health Connections & Clinical Transformation Medicaid / immunization pipe Clinical transformation Disease state focus EMR connections Learning Lab Public health surveillance & alerts 8/2008 7/2011 CDC Biosurveillance Current data delivery to PHIN-MS Universal public health node (UPHN) 2/ /2009 BAPHIE EMR to EMR Data Exchange Referral exchange 10/2010 9/2011 HeC Portal with 2FA Single solution for community 1/2010 9/2011 NHIN Medical mgmt use case demonstration Patient discovery Medical history exchange 9/ /2008

10 Where Do We Go From Here? We are only limited by our imagination

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