DHIN & Meaningful Use

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1 DHIN & Meaningful Use Randy Farmer Director, Provider Rel. & Business Dev. Dorothy McCluskey Provider Relationship Manager Delaware Health Information Network

2 Today s Key Points 1. DHIN offers a solution for any Meaningful Use measure involving moving data from an EHR to Public Health, another provider, a patient, etc. 2. As Delaware s community health record, submission of information to Public Health (e.g. immunization registry information) must go through DHIN, as the functionality becomes available.

3 Delaware Health Information Network The First & Most Mature State-wide Health Exchange In The Nation Over 7,000 users from 660 practices and organizations Approaching 100% of Physicians that make orders enrolled in DHIN* 100% of acute care facilities participating 100% long-term care/state nursing facilities enrolled Processing 10 million unique results per year Radiology, Pathology, Biology, Transcription & Discharge Summaries (Free to Enrolled Practices) Medication History service also available (Optional, fee based service) Over 1.5 million unique patients from all 50 states with clinical data in DHIN DHIN provides for Secure Results Delivery in Standard Result Format and Patient Query Functionality *Provider penetration calculation reflects number of providers who make orders and are enrolled in DHIN (MD s, DO s, NP s, PA s and ED s). Does not include healthcare care providers that do not make orders (e.g. Pathologists). Total provider list compiled from multiple sources including the Medical Society of Delaware, University of Delaware, Delaware Blue Cross Blue Shield and the Delaware Division of Professional Regulation. 3

4 Nation s First & Most Mature State HIE Achieving The Tipping Point of Relevancy 11-Nov 13-May % Change Unique Patients 1,000,000 1,500,000 50% Total Users 5,000 7,000 40% Total Data Senders % Results Delivered (Annualized) 7,000,000 10,000,000 43% Enrolled Orgs % Enrolled Orgs, Making Orders % Signed-off On DHIN % Signed-off Percentage 45% 78% 73% Double and triple digit growth in key categories

5 DHIN Data Providers Current Data Senders Dating Back To Coming Soon to DHIN mercy diagnostics The number of DHIN data senders has more than doubled since 2011 (7 to 18) 5

6 Provider Adoption of DHIN (as of May 2013)

7 Enrollment & Sign-off (as of May 13) Total Organizations Enrolled Organizations Signed Off % YOY % YOY

8 Practice Enrollment and Signoff % % signed off practices (excluding search only practices) 51% FY13 Goal: 75% 44% % % 70% 78% Query Only Not signed off Signed off

9 Current Membership in DHIN (as of June 2013) Red = new in FY13 Gray = likely prospect = in PROD = in CERT Hospitals (100% + out of state) Bayhealth Beebe Christiana Care St Francis AI dupont Nanticoke Atlantic General (MD) Peninsula Regional (MD) Union Hospital (MD) Labs (~99% of results) Lab Corp Quest Drs Pathology Svcs Med Labs Diagnostics (NJ) Accu Reference Labs Mercy Diagnostic Labs (NJ) CNMRI/UpDox Radiology Groups (~97% of studies) Tri-State Open MRI Papastavros Ocean Medical Imaging Mid-Del Imaging DE Diagnostic Gp Diag Imaging Assoc CNMRI Health Plans (covering ~43% of DE residents) Medicaid State Employees BCBS Providers (~98%) Over 7,000 users in 660 practices FQHCs (100%) Skilled Nursing (100%) Assisted Living (80%) Home Health (4) Hospice (3) Pharmacies (5) Division of Public Health CRISP (Maryland State HIE)

10 Key Projects Recent Achievements -Added 5 Private Radiology Firms -Launch of Immunization Registry Program -Atlantic General, First Out-of-State Hospital Data Sender -Agreement to Connect with CRISP, MD State HIE (ADT Exchange) -Provide Consulting Services For Hawaii s HIE Launch Upcoming Projects -Implement Functionality To Support Stage 2 MU -Launch Consumer Engagement Products/Services -Expand Out-of-State Footprint (Union & Peninsula Regional) -Launch Image Viewing Functionality -Engage Payers (ENS Alert System 2 new Medicare E&M codes for Trans. Care Man.) -Launch MU Certified CCD Functionality -Complete Provider Quantitative Survey 10

11 DHIN & MU Attestation Support, Core Items Labs: Incorporate lab results for more than 55% Community Health Record ProAccess MU Certified Software Slated For Q1 14 Access to up to 6+ years of medical results, ADT s & transcription summaries. DHIN EMR Integrations 13 Certified EMR Integrations Current DHIN EMR integrations include Allscripts, STI, Cerner, GE Centricity, ecw, GEMMS, NextGen, ADS, Info Quest, Bizmatics/Prognosis, Care360, Connexin, Micro MD (Henry Shein). Several more integrations pending certification. 11

12 DHIN & MU Attestation Support, Core Items Patient Access: Provide online access to health information for more than 50% with more than 5% actually accessing. itriage itriage Mobile App Allows patients to view, download & transmit DHIN related health Information. Data is pushed directly to the patients. Includes ability for secure messaging between provider and patient. Coming by October of

13 DHIN & MU Attestation Support, Core Items Secure Messages: More than 5% of their patients send secure messages to their EP. itriage itriage Mobile App Allows patients to view, download & transmit DHIN related health Information. Data is pushed directly to the patients. Includes ability for secure messaging between provider and patient. Coming by October of EMR Direct Messaging 13 DHIN Certified EMR Integrations Many EMR s offer certified patient portal technology and Direct Messaging functionality. 13

14 DHIN & MU Attestation Support, Core Items Summary of Care: Provide summary of care documents for more than 50% of transitions of care and referrals with 10% sent electronically & at least one sent to a recipient with a different EMR vendor or successfully testing with CMS EMR Community Health Record DHIN/ProAccess, V6.X, Release Q Access to up to 6+ years of medical results, ADT s and transcription summaries. CCD s available on the current version. 14

15 DHIN & MU Attestation Support, Core Items Immunization: Successful ongoing transmission of immunization data Immunization Registry DHIN Immunization Submission Process Practices, pharmacies, hospitals and other organizations may now submit their immunization records to DPH electronically, directly from their EMR, through DHIN. Since program launched in October, over 55K immunization records from 25 organizations have been transmitted through DHIN to the DPH Immunization Registry, or 33% of DPH immunization registry updates. Another 45 organizations are in the process of being on-boarded to this new immunization delivery process. 15

16 DHIN & MU Attestation Support, Menu Items Syndromic Surveillance: Successful ongoing transmission of syndromic surveillance data Syndromic Surveillance DHIN Immunization Submission Process Organizations are now submitting their syndromic surveillance records to DPH electronically through DHIN. 16

17 DHIN & MU Attestation Support, Menu Items Imaging Results: More than 20% of imaging results are accessible through certified EMR technology Community Health Record DHIN/ProAccess on MU Certified Technology Nanticoke and Bayhealth expected to launch with a link from image result reports to the actual image (non-diagnostic quality) this summer. MU certified software launch Q1 14. DHIN EMR Integrations 13 Certified EMR Integrations Current DHIN EMR integrations include Allscripts, STI, Cerner, GE Centricity, ecw, GEMMS, NextGen, ADS, Info Quest, Bizmatics/Prognosis, Care360, Connexin, Micro MD (Henry Shein). Several more integrations pending certification. 17

18 DHIN & MU Attestation Support, Menu Items Specialized Registry: Successful ongoing transmission of data to a specialized registry Newborn Screening DHIN Newborn Screening Submission Process Working closely with DHIN member hospitals to establish electronic newborn screening interfaces for submission to DPH registry. Aligning process with DPH efforts in this area. 18

19 Discussion / Questions

20 Thank You Randy Farmer

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