HIE Education November 13

Report
Vigilance Health
Health Information Exchange
Education
James Coburn, CEO
Laura Landry, EVP and Co-Founder
Mark Davis, Sr. Project Manager
Katharine Phillips, Sr. Project Manager
October 9, 2013
Copyright © 2013 VigilanceHIT. All rights reserved.
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Agenda
 Housekeeping – Meaningful Use
– Meaningful Use Reports
– Upcoming Meetings
– Help Us Help You
– Gold Coast HIT Resource Center – Stage 2
 HIE
 To-Do List for Practice
Copyright © 2013 VigilanceHIT. All rights reserved.
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Meaningful Use Reports and Questions
 Send all MU reports to [email protected]
 All reports received the previous week will be addressed on the
Tuesday, 9:30 am and 12:30 pm, Meaningful Use and Gap
Analysis online meeting
 Email MU questions ahead of the call so that we can research
them and have an answer ready
 Stage 1 questions: [email protected] – answered on
Tuesday meetings
 Stage 2 questions: [email protected] – answered on the
monthly Meaningful Use Workgroup meeting, first Wednesday
of each month
Copyright © 2013 VigilanceHIT. All rights reserved.
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Upcoming Online Meetings
 Go to the calendar on our website, www.goldcoasthit.org
for registration details!
 Every Tuesday 9:30 and 12:30– Stage 1 Meaningful
Use Questions and Gap Analysis
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Help Us Help You
 Gold Coast has 1200+ providers that are
going to attest for Meaningful Use in 2013
 Tuesday Gap Analysis calls are critical to
your success
 If you are attesting for 90 days, somebody
from the practice MUST attend one of the
Tuesday calls every week
 You worry about right now, let us worry about
your next steps
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Health Information Exchange 102
Laura Landry
Executive VP and Co-Founder
November 13th, 2013
Copyright © 2013 VigilanceHIT. All rights reserved.
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Gold Coast HIT Resource Center – Stage 2
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Gold Coast HIT Resource Center – Stage 2
 Vigilance Health is the new name for Gold Coast Health IT
Resource Center
 The Gold Coast Health IT Resource Center will not go away
– We will continue to help enrolled providers with Stage 1
Meaningful Use
 Vigilance Health is here to fill the gaps in support for current
and emerging models of healthcare
 We are your trusted technology advisor as you move forward
Copyright © 2013 VigilanceHIT. All rights reserved.
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Review from Last Time
 A quick review to refresh your memory
– Healthcare Ecosystem
– What is HIE? What is Interoperability?
– What does HIE mean for me?
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Health Care Ecosystem
Public
Health
Over the
counter
prescriptions
General
Radiology
Centers
Family, Friend,
Internet, TV,
Radio, Twitter
Patient
Hospitals
Pharmacy
& Pharmacy
Benefits Mgmt.
(for Inpatients &
Outpatients)
Long Term
Care
Physicians
Network
Disease
Control
Centers
Copyright © 2013 VigilanceHIT. All rights reserved.
Lab Systems
Labs & Imaging
PT, Herbalist
Chiropractor
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The Big Questions
 What is health information exchange?
– Ability to electronically access medical information when and
where it is needed to make critical healthcare decisions
 What is interoperability?
– Your systems connected to your referring network for your
patients and business needs
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What Does HIE Mean For Me?
Better information = better
care
Reimbursement Tied to
Interoperability
 Timely information about
significant events related to
your patient’s care (e.g. ER
visits, filled prescriptions, etc.)
 Avoid penalties
 New patient history in a usable
format
 Improved care transitions
 Assure EHR incentive
payments
 Enables participation in:
– Shared savings initiatives
– Pay for Performance
incentives
 Better informed and engaged
patients
 Greater ability to prevent
unnecessary readmissions and
medical errors
Copyright © 2013 VigilanceHIT. All rights reserved.
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How Does HIE Work
 Operational vs. Technical
– What are the components of HIE?
– What are the capabilities?
– What is the limitations?
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How Does HIE Work?
Operational
Technical
• Providers in the
business network agree
to share data
• Systems linked together
• When patient is seen,
relevant
clinicians/directly to their
EHR
• The “aggregated” record
is available as
necessary and allowed
• Your EHR connects to HIE
• HIE resolves patient
identity (L Landry at 123
Copyright © 2013 VigilanceHIT. All rights reserved.
Main St, #205 is the same
person as Laura Landry at
123 Main St, #205)
• Designated people are
entitled to see or be sent
certain data elements
based on their role (MD,
RN, etc.)
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Goal:
Fully Interoperable Healthcare System
The Right Data at the Right Time to the Right People
to Support Optimum Health Outcomes
Patient PHR
Pharmacy
Personal
Health
Record
HIE
Radiology
Payers
Providers
Laboratory
Hospital
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Vigilance Core HIE Components
The Right Data at the Right Time to the Right People
to Support Optimum Health Outcomes
• Clinical
Database
• Interfaces
• Security
• Data
Warehouse
• Notification
• Master
Patient
Index (MPI)
• Care
Manager
• Portals
HIE
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Personal
Health
Record
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Interoperability Limited by EHR
Capabilities
Can your EHR create electronic order messages?
Order from multiple labs? Order from multiple imaging
centers?
Provider
• Interfaces
Practice
Management
System
• HL7?
• IHE?
HIE
EHR
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What Does HIE Accomplish
 Patient-centric care
– Just as online banking collects all of your financial transactions in
one place, the HIE collects all healthcare transactions for one
patient in one place
– Primary care physician is like the “main office” of the bank
– Almost everyone else (specialists and hospitals) are like out-ofnetwork ATMs – the data still goes to the main bank
– Sensitive data still remains segregated and protected
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HIE is Key to Meaningful Use
Using certified EHR technology in ways that can be
measured by quality and quantity such as
- ePrescribing, labs, public health registries, PQRI
- submitting clinical quality data/other measures: P4P, ACO, PCMH
- exchanging information to improve care continuity
Copyright © 2013 VigilanceHIT. All rights reserved.
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Meaningful Use Goals
Support
Improve
Ensure
• Patient-centered medical practice
• Patient care quality, safety, efficiency
• Care coordination
• Population and public health
• Adequate privacy and security for personal
health information
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Stage 2 Measures and HIE
Measure
HIE Function
Transition of Care
>10% of transitions of care from acute
environment have summaries transmitted
via direct
Communicator for Direct Messaging
Hospital Connect to populate health
summaries
View, Download, Transmit (VDT)
PHR populated for more than 50% of patients
5% of patients view, download, transmit their
information
Required for hospitals and physicians
Communicator for VDT
Hospital Connect to populate health summaries
Ambulatory CCD integration to populate from
practices
Secure Messaging
>5% of patients send a secure message
Required for Physicians
Communicator for PHR
Results
Core for EP: >55% electronic results
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Results delivered and received electronically
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The Classic HIE Challenge
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Copyright Sandlot Solutions Confidential
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Vigilance HIE is Powered by
Sandlot Solutions
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Benefits of HIE
Adoption of
EHRs
Meaningful Use
of EHRs
Exchange
of Health
Information
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•
Improved Health
Outcomes
•
Ability to Study
& Improve Care
Delivery
•
Increased
Transparency
& Efficiency
•
Shared Savings
from patient risk
•
Remain viable and
competitive
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HIE Preparation Steps
STEP 1
ID who you most need
to receive data from
and send data to
•
•
•
•
Lab
Hospitals
Specialists
Surgery/Diagnostic Centers
STEP 2
ID HIEs in your local
area
• Private HIEs (hospital,
med groups, IPAs, etc.)
• Community HIEs (open to
all providers)
• Colleagues’ HIE providers
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Get Help with Getting Ready for HIE
12:30PM
HIE Workshop
Fill out a form with the Step 1 Information
and
Get your questions answered as you go!
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Survey
 We’d like to make sure that our Interoperability Platform is able to
connect with all of your referring organizations and vendors. There is
a survey at the end of this webinar that asks for the following
information so that we can start contacting them to build interfaces:
 Labs, hospitals, IPA, ACO, Surgical Centers, Nursing Homes, Health
Plans
 The more vendors we are connected with, the more effective we will
be in helping you!
Copyright © 2013 VigilanceHIT. All rights reserved.
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To-Do List for Practice
1. TAKE THE SURVEY AT THE END OF THE MEETING!
2. Tell us who your office contact for Health Information
Exchange? Let us know so that we can keep them informed
– Have them email us at [email protected]
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Q & A / Thank You!
For More Information, Please Contact:
Laura Landry
Executive VP and Co-Founder
Tel: 805-823-0932
Email: [email protected]
Copyright © 2013 VigilanceHIT. All rights reserved.
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