Contenu connexe Similaire à Overview: Indiana Health Information Exchange (20) Overview: Indiana Health Information Exchange2. History
The nation’s largest health information exchange:
93 Indiana hospitals and 20,000 physician participation.
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
3. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
4. Health Data Services Value-Added Services
• Results Delivery
• MU Support
• Public Health
Integration
Hospitals Hospitals
• Results Delivery
Physician • MU Support
• Clinical Quality Services
• ™
Community Health
Physician Physician Record Access
Offices Offices
• Results Delivery
• 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
5. IHIE in a State and
National Context
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
6. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
8. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
9. IHIE’s Services
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
10. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
11. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
12. • 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
14. ™
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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
15. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
17. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
18. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
19. •Quality Health First® Program
Patient
Summary
Physician
Group
Provider
Payers
Performance
Community Public
Performance
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
20. 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
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
21. 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.
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
22. •Medical Center
•Patient •4
•Gateway
•Physician Practice •1 •3 •hospital IT
•2
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org