Transcript Chronic Care Management: It`s Time to Act !!!

Get Ready to RHIO
Health Information Exchanges
and Emergency Preparedness
Jeff Odell, Senior Vice President
MedVirginia
804.359.4500 x227
[email protected]
www.medvirginia.net
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Topics
Regional Health Information Organizations
– MedVirginia Example
 Health Information Exchange principles
 The Nationwide Health Information
Network – Why It Matters
 Specific Use Cases for Emergency
Responders
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Widespread Adoption of Interoperable
Electronic Health Records by 2014
2014
2004
Interoperable
Electronic
Health Information
Health IT
AGENDA
EHRs
PHRs
Public Health
Home Telehealth
Standards … Interoperability
Nationwide Health Information Network
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Definition: RHIO
Regional Health Information Organization

A governance entity composed of
organizations and individuals with a stake
in facilitating the electronic exchange of
health information for the purpose of
improving quality, safety and effectiveness
for the communities in which they operate.
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MedVirginia Overview
A RHIO created by not-for-profit hospitals and
practicing physicians in Central Virginia for the
purposes of:
- Collaboration in Health IT
- Health Information Exchange
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Enhance Practice Automation
Vision: “…Central Virginia as the most electronically
integrated medical community in the U.S.”
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Health Information Technology (HIT)
Health Information Exchange (HIE)
HIE
HIE
vs.
HIE
H
LIS
RxIS
HIE
CIS
HIE
EMR
HIE
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MedVirginia
Health Information Exchange (HIE)
Operational January 2006
 One of a few “live” RHIO’s in the U.S.
 Targeting Central Virginia medical
community
 Enrollment underway – 6 hospitals, 1000+
users in over 110 physician offices
 Master Patient Index of 540,000+ patients
 Over 1 million messages processed
each month
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Hospitals create an enterprise view
Clinical data
repository
Lab
Master patient
index
Hospital
Order entry
Emergency
Ambulatory
Pharmacy
Radiology
(RIS)
Billing
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Source: Forrester
Entities come together in regions
Clinic
RHIO
Hospital
system
Physician
Hospital
group
Retail
pharmacy
Lab
Public health
agency
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Source: Forrester
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Patient-centric Clinical Chart
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Nationwide Health
Information Network
NHIN “is a secure, nationwide,
interoperable health information
infrastructure that will connect providers,
consumers, and others involved in
supporting health and healthcare.”
MedVirginia is a “Trial Implementations”
contract awardee.
Source- www.hhs.gov/healthit
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One of Secretary Leavitt’s
Priorities

Health IT
 Medical
clipboard becomes a thing of the past
 Secure interoperable electronic records are available to
patients and their doctors anytime, anywhere
 Immediate access to accurate information reduces
dangerous medical errors and helps control health care
costs
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NHIN Awardees
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CareSpark
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Delaware Health Information Network
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Indiana University
Long Beach Network for Health
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Lovelace Clinic Foundation
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MedVirginia
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New York eHealth Collaborative
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North Carolina Healthcare Information and Communications
Alliance
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West Virginia Health Information Network
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Regions participate in a
national network
NHIN
Long Island
Indiana
Long Beach
Delaware
W. VA
Central VA
Southwest Tenn.
NC
New Mexico
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NHIN “Use Cases”
Developed by the American Health Information
Community (AHIC). Specific deployment of HIT in
addressing prioritized needs:
 Medication Management
 EHR – Labs
 Emergency Responder EHR
 Biosurveillance
 Quality
 Consumer
Empowerment - Registration and Rx History
 Consumer Access to Clinical Information
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Emergency Responder Use Case
Specifies “….timely electronic access to critical
health information relating to the assessment,
stabilization and treatment of the victims of
emergency incidents. …range from individuals
suffering from accidents or acute episodes of
illness to large groups …as the result of
widespread casualty incidents including natural
disasters and terrorism.”
Source: www.hhs.gov/healthit/usecases
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Emergency Responder Data Elements
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Demographics
Emergency Contact Info
Allergies
Medication History
Problem List
Immunizations
Pain Status
Treatment History
Patient Location
Triage Category
Advance Directive
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MedVirginia’s Emergency Responder Vision #1
Critical patient info available en-route & at scene
Clinical Results
from Hospitals
and Providers
Discharge
Summaries
Reference Lab Results
Physician
e-Prescribing
Medications
Allergies
MedVirginia’s Emergency Responder Vision #2
Critical patient info available via RHIOs post-disaster
or post-evacuation
Clinical Results
from Hospitals
and Providers
Remote database
populated during
“good times”
Discharge
Summaries
Reference Lab Results
Physician
e-Prescribing
Medications
Allergies
MedVirginia’s Emergency Responder Vision #2
Critical patient info available via RHIOs post-disaster
or post-evacuation
Remote database
web-accessible by
providers where
evacuees go
And Vision #3 … Biosurveillance
Support Public Health and 1st Responders
Feed Emergency Dept data (chief complaint,
labs, diagnosis, etc.) into Early Event
Detection & Syndromic Surveillance Systems
operated at local Ambulance Authority.
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Final Thoughts

Seek out & join your state/local RHIO or HIE
projects Good source: www.ehealthinitiative.org
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Understand the Emergency Responder and
Biosurveillance Use Cases. Google “AHIC Use
Cases”
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Advocate for health information exchange to
include emergency responders.
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