LANES. A key component of the LANES Initiative is to develop a Health Information Exchange.

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2 Vision and Mission Vision: An integrated, secure and forward-looking information management system that will facilitate the provision of timely, patient-centered and high quality healthcare across the continuum of services, the management of emergency and other situations important to the public s health, and continuous quality improvement of healthcare and public health processes and outcomes. Mission: LANES seeks to improve healthcare delivery in Los Angeles County and surrounding areas by ensuring that health information is available when and where it is needed in a safe and secure manner.

3 LANES A public / private collaborative whose Board is comprised of: Community Clinic Association of Los Angele County County of Los Angeles Health-e-LA Hospital Association of Southern California LA Care Health Plan Efforts underway to fill the four remaining seats: a physician group; a commercial health plan; a health advocacy group; and an independent organization. The LANES Board selected Public Health Foundation Enterprises (PHFE) as the LANES Fiscal Intermediary and Western Health Information Network (WHIN) as the LANES Technology Partner. A key component of the LANES Initiative is to develop a Health Information Exchange.

4 WHIN Role of WHIN: Allow health information to be available when and where it is needed for patient care and that this information is safe and secure. Be the foundation for more timely, patient-centered and high quality care in the greater Los Angeles area. Enable coordination of care and improve chronic disease management. Be a single, inclusive and comprehensive solution to be incrementally deployed.

5 WHIN: A Community Organization Community Support Data Participation Agreement Medical Home Public Service Founded as the Long Beach Network for Health (LBNH) in 2003, Western Health Information Network (WHIN) is a community organization dedicated to improving health outcomes by having the best information available at the point of care.

6 Health Information Exchange (HIE) Service Model* Information Query & Retrieval Exchange of patient-specific health information among nodes Who Patient Discovery Provides a means to identify and reference patients across systems Information Event Messaging Information Submission Periodic notification and publishing of subscribed information between nodes Sending of information for a given patient to a receiving node What Provider & Service Registry Records and administers information about service nodes and participating agencies * Adapted from the National Health Information Network (NHIN) service model

7 Yesterday Last Week % change Note Influenza % Flu-like % Pneumonia % Exceeds Threshold TB % STD A % STD B % Lead Blood % GID % Seamless exchange fabric Connects a wide variety of stakeholders Clinics w/ EMRs MMIS Immunization Registry FQHC Hospitals Nursing Homes Intra-state RHIOs/HIEs LANES Powered by Data Exchange Services Standards-based Protocols MITA, IHE, NHIN, HITSP Public Health Entities Personal Health Records Commercial Payers Exchange Participants Federal (VA, CDC, CMS) Reference Laboratories Exchange Viewers Clinical Portal County Third Party EMR Ambulatory EHR Drill Down Influenza vs. Pneumonia last 3 months Reportable Conditions Lorem Ipsum reportable conditions require typhoid mary like investigation when threshold is breached Community Portal Public Health Dashboard Allscripts, Epic, etc. Care360 EHR, etc 7

8 Capacity Use Cases Growth Path Meaningful Use (Phase 1) Health Information Exchange Coordination of Care Accountable Care Delivery Exchange of Patient Summary Clinical Documents (Lab) distribution eprescribing Claims and eligibility checking Quality & Immunization reporting View of Patient Summary Exchange of core EMR components Registry reporting and reporting to public health Electronic ordering Receive public health alerts Home monitoring Populate PHRs Coordination of Patient activities Monitoring of communitywide quality and outcomes Automated Referrals and Authorization Exchange clinical and patient accounting data Coordinate care among ACO participants Aggregate clinical and patient accounting data Merging of multi-provider episode of care CCD, XDS, PIX/PDQ messaging NHIN Direct enabled Basic X12 capability (270/271) Quality and Immunization report routing Rx routing All Core HIE services Connectivity to home monitoring Connectivity to PHR Clinical and X12 interoperability enabled Event / workflow based engine Care coordination decision support Care coordination monitoring and reporting All clinical and X12 standards deployed Clinical and X12 transactions Event triggered workflow Existing HIE solutions Solution still on the drawing board