Health Information Exchange in Arizona: An Update
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- Archibald Norman
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1 Health Information Exchange in Arizona: An Update August 20, 2013 Melissa Rutala, MPH Chief Executive Officer Arizona Health-e Connection 1
2 Arizona Health-e Connection (AzHeC) exists to Convene, Coordinate and Communicate for Health Information Infrastructure improvements that affect every Arizonan 2
3 Statewide health information organization Operationalizing exchange now key focus Collaboration w/ AzHeC on provider and consumer outreach Arizona s HIT and HIE HINAz (HIO) AzHeC (REC) Landscape non-profit, public-private partnership Federal EHR adoption grant - $12 M Assisting health care entities with adopting EHRs and HIE Promote adoption of e-prescribing Lead consumer engagement and education activities Lead legislative development, promotion ASET (State) Federal HIE grant $9.4 Million Contracting with AzHeC HIE Marketplace, e-prescribing Coordinating state agency activities in health IT Funding HINAz to develop statewide HIE infrastructure Support consumer education and awareness building 3
4 AzHeC Programs & Initiatives HIT HIE REC Helping Arizona providers meet their health IT goals Policy development leading legislative efforts erx Initiative increasing adoption HIE Marketplace viable HIE solutions for providers HINAz Provider Outreach Recruitment & Enrollment Consumer Outreach - education, awareness & engagement Arizona s Health IT Roadmap yr plan for HIT/HIE in Arizona 4
5 What is the REC? Arizona s trusted, unbiased health IT and Meaningful Use resource assisting over 2,500 Arizona health care providers and 18 critical access & rural hospitals to achieve Meaningful Use and other health IT goals! 5
6 REC Progress to Date (CAHs and Rural Hospitals) M1 = Sign-up M2 = Go-Live on certified EHR M3 = Stage 1 Meaningful Use 6
7 2014 NOW 7
8 Arizona Medicare & Medicaid Payments (June 2013) Medicare Eligible Professionals = $62,869,105 (3,864) Medicaid Eligible Professionals = $47,037,595 (2,167/141) Total EP Payments = $109.9 Million Medicaid Eligible Hospital = $4,580,961 (2) Total Dually Eligible Hospitals = $151,885,780 (43/34) Total EH Payments = $156.5 Million TOTAL AZ PAYMENTS = $266.4 MILLION 8 9/5/2013 8
9 Meaningful Use Stage 2: Objectives related to HIE 1. Patients ability to access information (view, download, transit VDT) 2. Care summaries for transitions of care 3. Electronic immunization submission 4. Electronic reportable lab results submission 5. Electronic syndromic surveillance data submission 6. Cancer & specialized registry data submission 7. E-prescribing 8. Structured lab reports 9. And More 9
10 Meaningful Use Stage 2 and HIE How do HIEs provide support for Meaningful Use Stage 2 requirements? Transition of care CCD query/response, Direct messaging Public health reporting immunization, syndromic surveillance, etc. Changing standards nationally impacts HIE Various options to meet HIE requirements Direct messaging ehealth Exchange & Healtheway (formerly NwHIN) Various public health reporting options 10
11 AzHeC and HINAz Relationship Arizona Health-e Connection (AzHeC) and HINAz have collaborated for years in HIE Both organizations have complementary offerings HINAz HIE technology, onboarding, implementation AzHeC HIE policy/legislation, education, marketing, outreach HINAz currently contracts AzHeC for the following activities: Marketing, communication and outreach Provider recruitment and enrollment Consumer education and engagement (**NEW**) 11
12 Consumer Education & Engagement Key Phases Phase 1: Supporting HIE & HINAz Phase 1A: HIE Acceleration via consumer consent implementation toolkit (now August) Phase 1B: HIE/HINAz community awareness (June Sept) Phase 2: General health IT community awareness (Aug Dec) Key Activities Consumer consent implementation toolkit Consumer Connections Taskforce Template consumer education materials Consumer-focused health IT/HIE website Public relations campaign 12
13 Arizona s Health IT Roadmap 2.0 Develop a strategic plan and roadmap for HIT/HIE in Arizona The Roadmap will show how Arizona will enable sustainable HIT/HIE across multiple providers to: improve patient safety, improve health care quality, and decrease health care costs. Create mini HIT roadmaps for: Public Health AHCCCS HINAz 13
14 Moving Towards the Future of Healthcare in Arizona Vision Arizonans will experience an improved quality of health enabled by robust health information technology and exchange. Project Mission Determine the Roadmap for Arizona to establish effective, efficient health information technology and exchange. 14
15 What will Roadmap 2.0 Contain? The Roadmap 2.0 will be a written report that contains: Arizona s vision for health care List of Arizona s objectives to reach the vision The capabilities that need to be in place to achieve the Vision Infrastructure components to enable the capabilities Initiatives to develop and implement the required infrastructure components (with a focus on health IT initiatives) Recommended next actions for Arizona health care stakeholders 15
16 Roadmap 2.0 Timeline 16
17 Annual Summit & Trade Show September 10 & 11, 2013 Phoenix Convention Center Visit to Register TODAY! 17
18 Want to Get Involved or Learn More? Contact Us! Arizona Health-e Connection Arizona Regional Extension Center
19 Rural Health and HIE K Bharathan Executive Director 20 August 2014
20 A Scenario Patient in ED CAH does initial workups Patient needs move to tertiary hospital Patient transported out If PHI is sent ahead electronically, a bed can be readied before arrival -> better care, very possibly lower cost
21 Furthering the Scenario Patient returns from tertiary hospital If discharge summary is sent ahead to PCP and/or to CAH Continuity of care can be maintained Better care, better outcomes, possibly lower cost
22 What is HINAz? Is a State-wide HIE for Arizona It is a non-profit with representation from Hospitals (65% of all beds in the State) FQHCs Health Plans (65% of covered lives) A Reference Lab Consumer Advocates Local and State Government Agencies Business leadership
23 Current Participation Current participation includes 33 entities: 11 hospitals, including 4 CAHs 7 health plans 3 community health centers 1 reference lab 7 clinics 3 long term care facilities 1 county corrections department
24 Sample of Current Participants Banner Health Maricopa Integrated Health System Tucson Medical Center Carondelet Health Network Northern Arizona Healthcare Pima County Corrections El Rio Health Center Wickenburg Community Hospital Villa Maria Care Center Benson Hospital Genesis Ob/Gyn Yuma Regional Medical Center Casa Grande Regional Medical Center Little Colorado Medical Center Copper Queen Community Hospital Sonora Quest Laboratories UnitedHealthcare Blue Cross Blue Shield of Arizona Care1st Arizona AND MORE!
25 Data being moved Medication history Discharge summaries Lab and Rad reports Admission/Discharge/Transition (ADT) Reports
26 Participant Status Data suppliers status: Banner Health fully live Carondelet Health Network fully live Sonora Quest Laboratories fully live Benson Hospital fully live Maricopa Integrated Health Systems mostly live Multi-Specialty Interdisciplinary Clinics (Children s Rehabilitation Services) partially live Cardiovascular Consultants partially live Data users status: Pima County Detention Center
27 Marketing, outreach and recruitment Consumer education and engagement ASET/HINAz contract Master patient index Record locator service Provider directory Privacy & security assessment Meaningful Use Stage 2 What Else is New? Coordination with IHS, ASET Unconnected & Enterprise grantees, BHINAz, MMIC, ADHS Roadmap 2.0 project
28 ASET/HINAz Contract Main components Master patient index Record locator service Provider directory Current status Finalizing deliverables by end of 2013 Developing future provider directory strategy Privacy & security assessment Final report available now Closing the gaps related to new HIPAA rules
29 Questions? Contact: Health Information Network of Arizona Kalyanraman Bharathan - [email protected] Melissa Rutala - [email protected] AzHeC/HINAz recruitment team [email protected]
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