Rochester RHIO Regional Health Information Organization

Transcription

1 Rochester RHIO Regional Health Information Organization Jessica L. Hasler Director of Community Services Rochester RHIO

2 Rochester RHIO has broad community commitment and regional reach Board Monroe County Medical Society Monroe County Dept of Public Health Rochester Business Alliance University of Rochester/Strong Health Unity Health System Rochester General Health System Thompson Health Excellus BlueCross BlueShield Preferred Care/MVP Aetna Empire Justice Management Committee Board representation Community representation Multiple subgroups tasked to solve problems

3 Revisiting RHIO Service Road Map PHASE RHIO Start-up EHR Adoption Continuum of care Patient Centered Medical Home FUNDING HEAL 1 HEAL 5.3 HEAL 5.1 $6.7 million $6.1 million HEAL 17 $4.1 million WHO Physicians Hospital systems Payers Independent physicians Community health centers Behavioral health clinics Elder Services EMS Services LTC, Home Care Patients Hospitals Health Centers Health System LTC, Homecare County Jail Patients WHAT Lab tests X-rays Medication history E-prescribing Insurance eligibility info $ for EHR adoption Implementation support Eldercare Gateway EMS Gateway PHR gateway Patient Portal Advance directives/ MOLST Radiology Images Transition of Care documentation ereferrals CCD exchange Vitals signs from kiosks and home monitors

4 Connecting the community to provide a patient centric view of health care information Data providers Services Users

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6 RHIO Services VHR Virtual Health Record A web-based tool for physicians and their staff. A query-based system to access patient information from across the 13-county service area. Patient consent required. EMR Integration The RHIO is currently connected to 19 EMR systems. Allows lab, radiology and transcribed results delivery into the physician inbox of an existing EHR. Introducing a Subscription service that pushes Admission and Discharge notifications to connected EHRs. DIRECT Secure, HIPAA compliant messaging service Supports transitions of care, referrals, peer-to-peer data exchange Introducing an Alerting service that delivers Admission and Discharge notifications to DIRECT users.

7 Community Adoption VHR Virtual Health Record Over 3,000 VHR users Almost 1,000 Physician users Users in all care settings: hospital, private practice, FQHC, LTC, home care, urgent care EMR Integration 230 connected practices, using 19 different EHR vendor systems Delivering results for over 1,000 ordering providers Delivering approximately 550,000 clinical results monthly Supporting practices in going paperless DIRECT 20 organizations actively using DIRECT messaging Adding more accounts weekly Supporting secure messaging for the community Already connected to SureScripts HISP

8 Engaging Patients & Privacy Patient Consent Patients must provide written consent to allow viewing of their VHR data Patients can revoke consent at any time Patients can request an audit of who has accessed information Patient Survey Results & Engagement in Rochester Currently 97% of our patients provide consent to their providers when asked Over 2M consent forms have been signed in our service area Approximately 890,000 unique patients Break the Glass Emergency access to patient information without patient consent Only used when an emergency exists and the person is in immediate need of medical attention and an attempt to secure consent would result in delay of treatment which would increase the risk to the person's life or health.

9 The Virtual Health Record (VHR) is the region s portal for clinical information

10 Over 45 MILLION clinical results in the VHR More than a million new results added monthly

11 VHR The cumulative lab view allows providers to compare results across institutions over time.

12 VHR Access to Admit and Discharge data supports continuity of care VHR The cumulative lab view allows providers to compare results across institutions over time.

13 Access to Radiology Images: expedites patient care reduces health care costs avoids unnecessary radiation exposure for the patient

14 epcds (electronic Prehospital Care Docments) from EMS agencies provide critical information to PCPs

15 The VHR serves up data from home monitoring devices and community kiosks to clinical care providers

16 Comprehensive Medication History especially valuable in the ED and Urgent Care

17 Access to social services information with PeerPlace Senior Summary.

18 EHR Integration CONNECTED VENDORS ALLSCRIPTS PROFESSIONAL AMAZING CHARTS ATHENA HEALTH AVAIRIS BLUEFIRE COMET ECLINICIAL WORKS EMDS GREENWAY HST MEDENT MCKESSON MYSIS (ALLSCRIPTS) NETSMART (SEQUEST) NEXTGEN PNP SOAPWARE STI CHARTMAKER VITERA (SAGE) 4 Steps to a Paperless Practice 1.Complete the RHIO Interface Application 2.Schedule the interface go live date with RHIO and EHR vendor. 3.Validate RHIO supports interface validation 4.Go Paperless Complete the RHIO paper turn off form! * 30% of connected providers have turned off paper

19 DIRECT Rochester RHIOs newest service Log in to DIRECT from the Provider Portal DIRECT users can be notified when DIRECT messages arrive this is my gmail account!

20 DIRECT Secure peer-to-peer messaging Return receipt option ensures closed loop referrals

21 DIRECT Alert services sends ED and Inpatient Admission and Discharge notifications to the inbox DIRECT Secure peer-to-peer messaging

22 Rochester RHIO Patient Portal

23 Questions? For more information visit www. RochesterRHIO.org