Connecting the Dots for Better Healthcare. Kirsten Griffin RHIT Project Coordinator Southern Tier HealthLink April 18, 2013

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2 Connecting the Dots for Better Healthcare Kirsten Griffin RHIT Project Coordinator Southern Tier HealthLink April 18, 2013

3 Who is Southern Tier HealthLink (STHL)? Founded in 2005 as a partnership between UHS, Lourdes hospital and other stakeholders Board of Directors represents founding stakeholders, physician practices, long-term care, payers, public health, rural health, and the patient community Has a patient centric view of clinical information informed by multiple sources Funded by NYSDOH and as part of the SHIN-NY, STHL acts as a public/private entity 3

4 STHL Board of Directors Rajesh Dave, MD - Executive Vice President/Chief Medical Officer at UHS (President) Christina Boyd - Vice President for Marketing and Community Relations for UHS (Vice President) Mark McManus - Vice President of Finance for United Health Services (Treasurer) Michael Rusnak - Director of Information System at United Health Services (Secretary) Keith Chadwick - President of KDC Consulting Group Inc Dan De Lucia - Network Vice President for Aetna s Upstate New York and Hudson Valley Markets Claudia Edwards - Public Health Director for the Broome County Health Department Hemant Gupta, MD MSc - Chief Medical Informatics Officer for Lourdes Merwyn Jones - Director of the Binghamton University Linux Technology Center (LTC) Afzal Rehman, MD Vice President of Informatics and CMIO for UHS Jack Salo - Executive Director of the Rural Health Network of South Central New York Duncan Sze-Tu, MD - Partner at Endwell Family Physicians LLP and Associate Professor of Family Medicine at SUNY Upstate University 4

5 What does STHL do? Provides governance and leadership in our HIE design Promotes collaboration among stakeholders Advocates for patient data security Patient data is deposited and sealed until the patient consents to have records shared/accessed Educates and engages the community about the benefits of health information exchange Provides a range of services to member hospitals, practices, and patients Supports EHR adoption to achieve meaningful use 5

6 STHL Connections 128 Organizations connected to the HIE (76 bi-directionally) Hospitals: 5 Medical Practices: 117 Imaging Center: 1 Long-term Care Facility: 2 Public Health Department: 2 Behavioral Health Organization: 1 6

7 4 counties STHL Connections Broome, Tioga, Chenango, Delaware 231,042 Inbound Transactions March ,827 Outbound Transactions Records sent to interoperable EHRs and icare or accessed through the STHL Web Portal (March 2013) 7

8 Connected Data Sources Lourdes Hospital UHS Hospitals o Binghamton General o Wilson Medical Center o Chenango Memorial Delaware Valley Hospital UHS Primary Care Medical Group Southern Tier Imaging United Methodist Homes o Elizabeth Church Manor o James G Johnston Memorial (Hilltop) MEDENT EHR Practices Binghamton Gastroenterology Associates Cardiology Associates Diabetic Care Associates Endwell Family Physicians Karen R Banks Lindner DO Keith A Nichols MD Southern Tier Medical 8

9 Participation and Community Support 154,598 Patients have said Yes to Consent ~90% Affirmative Consent 25,217 Patients using Patient Portal 9

10 STHL Connections User Statistics Total No of Active Users Querying RHIO Data (Using EHR*) Querying RHIO Data (Using icare & Portal) Total No of Physicians (Any Setting) Total No of Other Practitioners (PA, NP, RN, MOA, etc.) Total No of Users *NextGen, MEDENT, Comet 10

11 Growing Importance of HIE 11

12 Benefits of HIE The benefits of health information exchange are far-reaching More Electronic Transactions Improvements in Efficiency and Effectiveness of Care Improvements in Quality of Care Reduced Medical Costs Improved Outcomes Better Care Coordination Engaging New Yorkers in Their Care 12

13 The Problem Hospital A Hospital Laboratories National Laboratories Hospital Imaging Hospital B Imaging Centers Independent Pharmacy Chain Pharmacy Cardiologist Orthopedist Ambulatory Surgery Primary Care Physician Home Health Care 13

14 The Solution 14

15 STHL Services STHL Web Portal A tool to view patient records from community health care providers (1/2010) Community PACS Viewer Zero footprint viewer STHL Patient Portal A tool FOR PATIENTS to access patient records, manage consent and monitor access (6/2011) Community Support for EHR adoption Meaningful Use Seminars, EHR Summits, EHR User Forums icare An iphone application to view HIE patient records. Available at UHS hospitals (6/2011) Connect to the HIE through an EHR (CCR/CCD Exchange) NextGen Enterprise (UHS Medical Group) (5/2010); Hosted model in development Comet (United Methodist Homes) (6/2011) Medent EHR (multiple practices) (7/2011) Referral Management Services for EHRs Medent EHR (6/2011) NextGen (in development) 15

16 Current / Future Products & Services Clinical results delivery Patient portal and access to tethered PHR Radiology image exchange Bi-directional connected EHR Physician portal Training and HIE adoption Master Patient Index SHIN-NY on-ramp Medicaid Medications EMS Connectivity Advanced EHR interoperability Referrals (CCD exchange) Direct Messaging CCD Query RHIO-to-RHIO exchange Provider Registry Public Health reporting 16

17 STHL Delivers! Higher quality patient care More efficient delivery of care Cross institutional patient centric care Value occurs across the regional health system Improved coordination between ALL care providers Patients Access to medical records Less time gathering records Reliable source for medical history Easier medication reconciliation Manage consent Audit access Health Care Providers More complete clinical profiles of patients Better documentation at point of care Less time gathering results Improved patient care Integrated into their EHR Hospitals & Health Centers More complete clinical profiles of patients Better distribution of results Simplified EHR integration Improved care coordination Easier medication reconciliation Payers Higher member satisfaction More informed disease management programs Improved care coordination Fewer duplicate tests Enhanced formulary compliance Employers Improved employee health Reduced costs through administrative efficiency and fewer redundant services Employees engaged as active 17 participants

18 Go from this 18

19 To This 19

20 Comprehensive Patient Record Admission/Discharge/ Transfer Information Allergies/Alerts Medications Problems Admitting Diagnosis Procedures Immunizations Vitals Lab Results Radiology Images Radiology Reports Discharge Summaries Transcribed Reports CCD CCR 20

21 Get Connected Internet Explorer Safari o Use Your Apple Mobile Devices Mozilla Firefox Google Chrome 21

22 Community PACS Viewer Benefits o Single Viewer o No additional logins required to view images (STHL Web Portal user account required) o Easier workstation setup Deployed o Delaware Valley Hospital (Fuji) o Lourdes (Emageon) o United Health Services (McKesson) Future Plans o Embedded links into an outbound CCR (NextGen) / CCD (MEDENT) 22

23 Diagnostic Quality Images 23

24 Get to Meaningful Use Secure electronic exchange of key clinical information Patient Portal Low or no cost to health care organization 24

25 STHL Patient Portal What s in Your Health Record? 25

26 Consent is Key in the HIE Patient Consent Options: Give Consent: Grants your healthcare providers access to your medical records through the STHL HIE. Access is granted at a legal entity level; however, only those physicians or clinicians with an established treatment relationship can access your STHL HIE records. Deny Consent: Prevents anyone from accessing your medical records through the STHL HIE - even in an emergency. Your physicians and clinicians would still have access to their internal records but would not be able to access any of your records through the STHL HIE. Undecided: Prevents anyone from accessing your medical records stored in the STHL HIE - except in an emergency. 26

27 What about Privacy and Security? STHL is designed to help protect patient privacy more effectively than paper records o Authorized users cannot see a patient s medical information unless the patient gives consent, except in a medical emergency Technical safeguards exceed industry standards o Access is need to know based on user s role o Level 2 Assurance (federal guidelines) on user authorization o Health information transactions are encrypted o Access is subject to HIPAA and HITECH regulations Patient information is protected by doctor-patient confidentiality, federal HIPAA regulations and NY state privacy rules STHL actively monitors HIE utilization o Periodic Audits o Access Reports 27

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29 Technology Applied Correctly Will Improve Quality, Care Coordination & Outcomes Increase Safety Reduce Costs Save Lives 29

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31 Where s All This Interoperability Headed? It is a dynamic environment and interoperability will continue to expand and become more sophisticated STHL is ahead of the curve in building patient centric HIE services in our region We have solutions today that work today and are here to support your interoperability needs in the future Quality improvement efforts will advance with more complete patient information and improved analytics Workflows will improve, new data sources will be added, and more services developed It s all about the data 31

32 We Stand Ready to Assist You Quick and Easy Set Up o Training o o Support No Separate Downloads or Installations Required Consent Clinical Web Portal Access o 24/7 32

33 The STHL Buzz "We are excited that with the STHL Web Portal our Renew Health team will be better able to facilitate access to medication and health care for patients in the rural communities. We expect that patients will want to give their consent knowing that it will help us to provide them with better services so they can more effectively manage their chronic health conditions. And the STHL staff has been wonderful to work with -- always helpful and pleasant, always accommodating of our schedules, and incredibly accessible." - Leslie Kannus, Director of Community Health Services, RHNSCNY "When you just want access to an isolated piece of information on a patient it is quick and easy to get through the STHL Web Portal with patient consent. It is very handy - especially for radiology reports and test values. The potential for improving health care and outcomes is evident. Incorporating the STHL HIE into our practice has greatly improved access to health information when we need it - especially for new patients. HIE is a great tool for improving care and streamlining processes. - Rick Lindner, Owner and Practice Manager Karen R Banks-Linder DO PLLC 33

34 Everyone is a patient. 34

35 You ve got to go out on a limb sometimes because that s where the fruit is. - Will Rogers 35

36 Contact Us STHL Office 45 Lewis St. Former Lackawanna Train Station Binghamton, NY (607)