Applying Lessons Learned in the New Frontier

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1 Applying Lessons Learned in the New Frontier Better Communication for Better Healthcare National Health Policy Forum January 14, 2010 Washington, DC Gina B. Perez, MPA DHIN Executive Director Advances in Management, Inc.

2

3 Who We Are and What We Do The Nation s First Statewide Clinical Health Information Exchange Public Private Partnership State Designated Entity Funded by Federal, State and Private Resources (beginning in 2005) Live since 2007 Secure Results/Reports Delivery (2007) Community Health Record (2009) Support for Achieving Meaningful Use (2010)

4 DHIN s Success Critical Mass Over 50% provider adoption Distributes more than 85% of lab tests in DE Over 648,000 unique patient records Over 40 million transactions per year (and growing) All Major Health Systems and Both LabCorp and Quest Diagnostics Participating Improved efficiency and quality of care

5 Data Senders Christiana Care Health System DuPont Hospital for Children VA Hospital (FedCONNECT) St. Francis Hospital Bayhealth Medical Center LabCorp Doctors Pathology Services Quest Diagnostics Nanticoke Memorial Hospital Beebe Medical Center

6 DHIN Functionality Secure Results Delivery with Standard Result Format (since 2007) Lab and Pathology Results Radiology Reports Admission Face Sheets Patient Record Search Medication History Pilot (planned) Public Health Reporting - Secure Inbox - Auto-Print/Fax - EMR Interface Real-time reporting of data from hospitals to the Division of Public Health s DERSS system (Delaware Electronic Reporting and Surveillance System)

7 EMR Connectivity DHIN Certified EMRs Allscripts - Misys* STI Computer Services - eclinicalworks* Varian - Eclipsys* EMR Vendors in Negotiations (expected to go live in 2010) NextGen - GE/Centricity Cerner - McKesson Advanced Data Systems Corp Negotiated Discounts *In test

8 Governance: Multi-Stakeholder Engagement Physicians Hospitals & Labs Consumers Business Insurance State Government Project Management Committee HIMS Committee Executive Committee Board of Directors Consumer Advisory Committee Clinical Advisory Group

9 DHIN 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 patientprovider relationships, while reducing service duplication and the rate of increase in health care spending.

10 Guiding Principles Data integrity is our highest priority One chance to get it right Meet clinicians where they are in the HIT adoption curve Safe, Secure and Reliable no compromises Flexible, nimble and responsive-always

11 HITECH and What it Means for Health Information Organizations A New Frontier

12 HITECH and HIOs State HIE Cooperative Agreement Requirements Electronic eligibility and claims transactions Electronic prescribing and refill requests Electronic clinical laboratory ordering and results delivery Electronic public health reporting (i.e., immunizations, notifiable laboratory results) Quality reporting Prescription fill status and/or medication fill history Clinical summary exchange for care coordination and patient engagement NHIN Connectivity

13 HITECH and the Role of HIOs Helping EP Meet Meaningful Use Requirements Reduce up-front costs supporting gradual HIT adoption EHR Primer Statewide Referral Network (CCD) Lab Order Initiation from EHR Community Connectivity Public Health Reporting Production NHIN Connectivity Medication History Search and Reconciliation Patient Portal Privacy and Security Protocols Standards-based Data and Messages

14 HITECH and the Role of HIOs Helping EH Meet Meaningful Use Requirements Prevent added investment into current IT systems Hospital Transcription Interfaces Referral Network/Transitions of Care (CCD) Community Connectivity Medication History Search and Reconciliation Public Health Reporting Quality Reporting Patient Portal Image Interfaces Privacy and Security Protocols Standards-based Data and Messages

15 HITECH and the Role of HIOs Supporting Non-Priority Providers & Services Public Health Mental Health & Substance Abuse Home Health Long-Term Care Telehealth Radiology

16 HIE in the New Frontier

17 The Old Challenges Confronting HIOs in the New Frontier Governance Sustainability Standards and Interoperability Confusion about what technology to adopt The New Infusion of Dollars then what? Greater confusion about technology adoption Broader set of stakeholders

18 Overcoming Challenges Learn from those who have succeeded Develop practical implementation guides for eligible providers & eligible hospitals Align rules, standards & policies with Funding Develop models for governance and sustainability in a post ARRA Era

19 Questions Gina Perez (302)

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