Overview: Indiana Health Information Exchange

Better Outcomes. Delivered.

Overview
June 12, 2012
Copyright © 2012 Indiana Health Information Exchange, Inc

History

The nation’s largest health information exchange:
93 Indiana hospitals and 20,000 physician participation.


www.ihie.org

IHIE Statistics

• Nation’s largest HIE
• Founded in February 2004
• Based on the technology,
knowledge, and experience of
the Regenstrief Institute
• 75 employees
• Providing services to 93
hospitals (23 health systems),
20,000 clinicians, and 5 payers
• Serving an area with a
population of about 4 million
people


www.ihie.org

Health Data Services Value-Added Services
• Results Delivery
• MU Support
• Public Health
Integration
Hospitals Hospitals

Physician • MU Support
• Clinical Quality Services
• ™
Community Health
Physician Physician Record Access
Offices Offices

• Community Health
Health Information Exchange Record System

Labs / Imaging Centers Labs / Imaging
Centers
Patient Physician
• Biosurveillance
• Reportable Conditions
Data Network
Public Health Repository Applications • Results Delivery
Public Health

• Quality Reporting
• Physician Bonus
Administration
Payers
Payers
Physician
Data
Stewardship Public Health
• De-identified,
Emergency Surveillance System
longitudinal clinical
data
(PHESS)
Outpatient Rx Researchers


www.ihie.org

IHIE in a State and
National Context


www.ihie.org

ARRA HITECH – Once in a Generation Opportunity
ARRA Funding
($787 Billion)

HITECH
(~$34 Billion)

Health Information Exchange
($2 Billion)

Regional Extension State HIE Cooperative Beacon
Centers Agreement Program Cooperative
($598 Million) ($564 Million) Agreement
Program

AL AK AR AZ CA CO - - - - - VA WA WI WV WY
Funding across all 50 states and US territories


www.ihie.org

Beacon Community Concept


www.ihie.org

The Beacon Cooperative Agreement Program

IHIE is a Beacon Community:
As part of the ARRA HITECH legislation, IHIE has been selected as one
of 17 Beacon Communities nationwide:
• Beacon Communities were selected based on their levels of HIE
and EHR accomplishment
• $16M investment in HIE and EHR capabilities aimed at improving
health outcomes
• Funding for a 3 year project
• Focuses on Dartmouth Atlas Hospital Referral Region 183… >40
Central Indiana counties
• Beacon Communities are expected to make measurable
improvement in health outcomes:
– Quality
– Efficiency
– Population Health

www.ihie.org

IHIE’s Services


www.ihie.org

Review of Services

The following services are all based upon tools and
technology developed at Regenstrief Institute:

• Public Health Emergency Surveillance System
• DOCS4DOCS® Clinical Messaging Service
• Indiana Network for Patient Care™ (INPC™)
• Quality Health First® Program
• ImageZoneSM Cloud-based Medical Image Sharing

IHIE is “…at the forefront of the effort to strengthen
our nation’s chaotic healthcare system.”
– U.S. News & World Report, August 2005

www.ihie.org

Indiana State
Department of Health

Indiana State Department of Health
Public Health Emergency Surveillance System (PHESS)
PHESS Mandate & Rule
• Statewide infrastructure to analyze data from Indiana emergency
departments for the early detection of:
• Acts of bioterrorism
• Other public health emergencies
• 107 Indiana hospitals connected
• 1 hospital via MHIN
• 1 hospital via HealthBridge
• 5300 ED visits per day
• Monitor emergency department “primary complaint” “If I wasearly instead of waiting forI two weeks
know it
having a huge...outbreak, could

or a month.”
– Dr. Virginia Caine, Marion County Health
Department director

www.ihie.org

• IHIE’s DOCS4DOCS clinical messaging service takes text reports (e.g. lab,
pathology, radiology, transcription, cardiology) from their source
information systems and delivers those results to physicians associated
with the source organization (medical staff or non-medical staff) via any
of three methods:
• Into “DOCS4DOCS”, a web-based “inbox” that is accessible via the
hospital portal or other IHIE portal
• Via fax (if they insist)
• Directly into the physician practice EHR

• We deliver only what the customers tell us they want us to deliver.

“While many major metropolitan areas have
similar systems, (IHIE’s) was one of the first
and is viewed by many as one of the best…”
– Indianapolis Star, June 2007


www.ihie.org

™

What is The Indiana Network for Patient Care™
• A patient-centric community health record for a growing number of Indiana
citizens (the “jig-saw puzzle assembler”)
• Includes provider, payor, and public Health Data
• Growing to serve over half the population of Indiana
• Used primarily in EDs but also accessible to approximately 1/3 of
ambulatory care physicians in the Indianapolis market


www.ihie.org

INPC Membership includes:
• 93 hospitals (23 different hospital systems )
• 5 large medical groups and clinics
• 5 payors
• Several free-standing labs and imaging
centers
• State and local public health agencies

INPC Data:
• 10.75 million unique patients
• 20 million registration events
• 3 billion coded results
• 38 million dictated reports
• 9 million radiology reports
• 12 million drug orders
• 120 million radiology images


www.ihie.org

A chronic disease management and preventive care program:
• Multi-payor, value-based pay-for-performance
• Helps physicians identify and prioritize health screenings and other testing;
provide early interventions and consistent support
• Enhance reimbursement for physicians
• Focused on cancer screenings, diabetes care, heart disease care
• Payor participants include: Anthem BCBS, UnitedHealthcare, Unified Group
Services, Medicare, Medicaid
• Over 1,900 physicians in 70 communities participate
• Covers over 1 million patients


www.ihie.org

Initial Quality Measures

Quality improvement measures are grouped the following categories:
• Asthma Treatment
• Children’s Health
• Diabetes Care
• Heart Health
• Women’s Health
• Other Clinical Measures


www.ihie.org

•Quality Health First® Program

Patient
Summary
Physician
Group

Provider
Payers
Performance

Community Public
Performance


www.ihie.org

QHF Program Patients
1,200,000
1,124,383
1,100,000

1,032,424
1,000,000

928,563
900,000
878,999
865,881
800,000

720,205
700,000
634,460

600,000
560,939
556,593
549,419
500,000
Dec-08 Mar-09 Jun-09 Sep-09 Dec-09 Mar-10 Jun-10 Sep-10 Dec-10 Mar-11


www.ihie.org

Cloud-based Medical Image Sharing

Enables Instant Image Access and Enhances Quality-of-Care for:
• Trauma Transfers
• Referrals and consultations
• Referring physician communications
• Enhances communication with referring physicians and builds loyalty

Sharing Images. Saving Lives.


www.ihie.org

•Medical Center

•Patient •4

•Gateway

•Physician Practice •1 •3 •hospital IT

•2


www.ihie.org

Thank You
317.644.1750
www.ihie.org


www.ihie.org

Overview: Indiana Health Information Exchange

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