Health Information Exchange: Where Are We Now & Where Do We Go From Here? HEALTHeLINK Western New York s Clinical Information Exchange
Beacon video http://www.youtube.com/watch?v=mabxidgr1ik
HEALTHeLINK Background Coverage area include the 8 counties of Western New York A collaborative that includes Hospitals, Health Plans, Public Health, University of Buffalo and other community stakeholders ONC Beacon Community Awardee
Delivering Clinical Data to the Point of Care Medication History Laboratories Hospitals Radiology Centers
5 Where We ve Been History of WNY RHIO Timeline 1999-2008 1999-2010 1999 2002-2003 2004-2005 2006-2009 2010 2011-2012 HealtheNet Vision - - HealtheNet Go-Live Eligibility WNY - BCBS WNY - IHA Univera Claim Status HealtheNet - Referral Inq. - Authorization Inq. - Referral Req. HEALTHeLINK Vision & HEALTHeLINK Related Feasibility Study HEALTHeLINK Inception E-Prescribing HEALTHeLINK Go-Live New Data Feeds (Kaleida, CHS, ECMC & Quest) Pathway to Meaningful Use Established Learning Lab Clinical Data Exchange Pilot Hospitals Connected (ADT s, Labs, Rads, Trans) - 3 New Data Feeds: (UMMC, Upper Alleghany, Windsong) - 5 EHR Vendors Connected (Medent, ecw, Practice Partner, Allscripts & STI) - EHR Interoperability - EHR Adoption/Clinical Transformation - Two-Factor Authentication (2FA) - Beacon Community Recognition - Independent radiology practices connected - HealtheNet Provider Inquiry & Response Patient Portal EHR Interoperatbility (referrels) EHR Interfaces Hospital Pharmacy Connection Path to Meaningful Use & PCMH Telehealth Data Layer Implementation NYS DOH data pipeline 2 way HealtheNet -Consent Mgmt Integration - Expansion
6 Administrative and Clinical RHIO/HIE (Regional Health Information Organization/ Health Information Exchange) HealtheNet Administrative Data Exchange HEALTHeLINK Clinical Data Exchange
Current Status HEALTHeNET has 90% penetration in provider organizations in WNY o over 35,000 users and 5,000,000 transactions monthly Over 1000 providers and 3200 total users connected to HEALTHeLINK o 190 practices o 67% of practices connected have EHR s o 8 EHR vendors connected for results delivery. 48 practices live o 1 st EHR live with EHR to EHR - primary care to specialist interoperability for referrals. 27 practices live Over 44 million Lab / Radiology / Transcribed reports available 1.8 million added per month o Approximately 90% of the Lab data o Approximately 73% of the Radiology data Over 90% of patients in our geography in the Master Patient Index Over 200,000 patient consents received o 12,000 added per month 94% affirmative 7
Current Status Current Data Sources
Payer EMR Funded Program Assist in selection, purchase and implementation of EHRs 7/2009 6/2012 Consent Technology Integration Allow providers to manage patient consent 1/2010 1/2012 HEAL 17 - Behavioral Health PCMH Behavioral health focus 1/2011 12/2012 HEAL 17 - Public Health (UPHN) NYS public health inter-operability focused on: Child health - immunization & newborn screening Syndromic surveillance Chronic disease special focus on cancer 1/2011 12/2013 HEAL 10 Diabetes PCMH Diabetes focus Help providers at 3 levels of NCQA certification 1/2010 12/2011 Diabetes focus Clinical decision support tools Hospital / provider reconciliation Medication management 4/2010 3/2012 HEAL 1 HIE software selection E-prescribe Lab/rad/transcription reports Governance & organization 8/2006 7/2008 HEAL 5 EHR / Public Health Connections & Clinical Transformation Medicaid / immunization pipe Clinical transformation Disease state focus EMR connections Learning Lab Public health surveillance & alerts 8/2008 7/2011 CDC Biosurveillance Current data delivery to PHIN-MS Universal public health node (UPHN) 2/2008 12/2009 BAPHIE EMR to EMR Data Exchange Referral exchange 10/2010 9/2011 HeC Portal with 2FA Single solution for community 1/2010 9/2011 NHIN Medical mgmt use case demonstration Patient discovery Medical history exchange 9/2007 12/2008
Where Do We Go From Here? We are only limited by our imagination