1. Legacy 2 Inland Northwest Health Services INHS Formed - May - - PDF document

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1. Legacy 2 Inland Northwest Health Services INHS Formed - May - - PDF document

Dec 17, 2023 542 likes •721 views

INNW State of Reform September 12, 2013 Moderator: Steve Akins, INHS Administrative Director Panelists: Fred Galusha, INHS CIO/COO John Copeland, Nuvodia CEO Brett Crown, Tiani-Spirit, Chief of Strategy 1. Legacy 2 Inland Northwest

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SLIDE 1

INNW State of Reform September 12, 2013

Moderator: Steve Akins, INHS Administrative Director Panelists: Fred Galusha, INHS CIO/COO John Copeland, Nuvodia CEO Brett Crown, Tiani-Spirit, Chief of Strategy 2

1. Legacy

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SLIDE 2

Inland Northwest Health Services

  • INHS Formed - May 30, 1994 (19 yrs)
  • Deaconess Medical Center (DMC) - 1990 (23 yrs)
  • Valley Hospital Medical Center (VHMC) - 1990 (23 yrs)
  • St Luke’s Rehabilitation Institute (SLRI) - 1994 (19 yrs)
  • Sacred Heart Medical Center (SHMC) - 1997 (15 yrs)
  • Holy Family Hospital (HFH) - 1997 (15 yrs)
  • Regional Hospitals Added - 1997 - 2013+ (15 yrs)

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INHS%&%Hospital%Customers%&%Aug%2013

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SLIDE 3

Inland Northwest Health Services

  • 34 Hospital HIT systems operated & hosted (60)
  • Facility size: 25 bed to 700 bed
  • 1,100+ Physician EMR systems hosted (1 to 173 MDs)
  • Number of supported users: 47,000
  • MU Stage 1 = 22 + Hospitals and Growing, MU Stage 2+
  • Nationally recognized programs (Beacon,

VLER, SSA, CDC, 17 of 100 Most Wired Hospitals (2013), 15 HIMSS Level 6 and 7 Hospitals)

  • 275+ IT Professionals (Platform for Growth!)

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2. Present

(Adoption & Use)

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SLIDE 4

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Transaction Per Day - Estimated

12,738,506

Transactions Per Day Spokane & Region

18 35 53 70 INHS 69% National 38% Group “C” 24% Title

INHS/IRM - EMR Growth - Fully Paid by Practice - #MD + 4x

NAMCC - A EMR Adoption Rates - Aug 2009/Jun2013 (40 % ONC - Dec 2012)

Ambulatory EMR (A-EMR) Adoption Rate by Group

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SLIDE 5

Patient Portal - Live Oct/Nov 2013

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3. Future - Bright!

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SLIDE 6

INHS%&%Data%Sharing%Models

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Where we’ve come from Where we are Where we’re going

Environment:

Collaboration based on community relationships and individual leaders

Technology:

Shared information systems with standardized data

Environment:

New business relationships with decision-making

  • ccurring outside the

community

Technology:

Disparate information systems relying on health information exchange to conduct business

Environment:

Population-based approach to care delivery in a competitive health system

Technology:

HIT components interacting with federated information hubs that supports common standards of data exchange

Shared Technology Shared Technology INHS “Federated” Data Sharing

Other Hubs

INHS - Data Sharing Model

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RHS PHS INHS INHS RHS PHS ABC XYZ

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SLIDE 7

Projected Cost Index and Data Sharing Ratio

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75 150 225 300 Legacy Current Propensity Future Spokane and Regional - Data Sharing Ratio - September 2013

Core HIT Cost HIE Cost Data Sharing Ratio

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Thank-You!

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SLIDE 8

A Digital Medical Imagining Health Information Exchange (HIE) Before the Term Even Existed… September 12, 2013 Jon Copeland

History

  • May 1, 1996 – Inland Imaging, a Spokane based

medical imaging company had an IT FTE Department of One. Me…

  • By 1999 we scaled up on staffing and we were

starting to implement Stentor PACS (Picture Archive Communication System).

  • We started working closely with INHS on regional

information sharing. They did Meditech HIS. We did Medical Imaging (Stentor - PACS). We integrated these systems so we had a single point of access of all medical images via Meditech PCI.

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SLIDE 9

History

  • 2000 - We formed INCHIP – Inland Northwest

Community Health Information Partnership.

  • We helped lead the selection of a community EMR

(Logician) which became the Centricity EMR Hosted by INHS Today.

  • Today - INHS still implements and supports

Meditech and the IT Division of Inland Imaging (now called Nuvodia) continues to implement PACS but now on a national scale. Nuvodia has 110 employees today in Spokane, Seattle, and St. Louis, MO.

The Regional Collaboration!

Today !

!

  • 1999-2013 – Our PACS volumes grew from 50K

to 2.0+ million patient exams (digital imaging and reports) / Year.

  • Over 100+ sites and 3,000 different imaging

devices are connected (MRI, CT, etc.) to our servers.

  • We are a big-data management company.
  • How did this happen?
  • It took a lot of work and willingness to

collaborate.

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SLIDE 10

!!PACS!Full!Archive!Sites! !!Image!Distribu7on!HIE!Sites!

Quincy Coeur dAlene Davenport Odessa Ritzville Othello Newport Colville Chewelah Deer Park
  • St. Maries
Plummer Kellogg Bonners Ferry Phoenix Grand Coulee Republic Leavenworth Omak Brewster Tonasket Moses Lake Clarkston Orofino Cottonwood Colfax Goldendale Great Falls, Missoula, Helena Sandpoint Buena Hermiston Ilwaco Bothell South Bend Helena Phoenix

PRESENT - Nuvodia Northwest P PRESENT - Nuvodia Northwest PACS Footprint ACS Footprint! A Patient Centric Horizontal Connection A Patient Centric Horizontal Connection !

Confidential

The Impact of Technology on Radiology…! !

  • 1999 – We started with the Providence Hospitals and then

extended into the Region.

  • We were able to implement quickly and cost effectively.

We received volume discounts from Stentor that we were able to pass thru to our growing consortium.

  • We allowed for free image exchange from other parties on
  • ther systems. (Deaconess and Valley Hospitals).
  • We encouraged competing entities to join the consortium

and they did.

  • KMC, Northwest Ortho, Inland Neuro, Columbia

Medical Associates, others (The High Road)

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SLIDE 11

Less than 25 bed Hospitals in the USA An Opportunity to Share

Critical Access Hospitals (<25 bed) in dark blue Nuvodia customers highlighted in light blue and red

!

The Future of Diagnostic Imaging – have we been there?!

!

  • The OLOGIES and Scopies go digital.
  • Radiology – Cardiology – Pathology – Gastroenterology - Ophthalmology -

Dermatology

  • Arthroscopy - Laparoscopy – etc.
  • Other eHealth is emerging and needing Video,

Image Management and / or Workflow Technologies

  • TelePharmecy, TeleHospitalists, TelePsych
  • eHealth centers popping up across the USA – furthering the need

horizontal integration of information for the PATIENT centric record.

  • Mercy Health System in St Louis, MO has a 40,000+ eHealth Center (all

ePatients)

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SLIDE 12

Jon Copeland CEO – Nuvodia Jcopeland@nuvodia.com 509-363-7300

Thank You

HEALTH INFORMATION EXCHANGE

ITS MORE THEN EXCHANGING INFORMATION ITS A VIBRANT BUSINESS RELATED ECOSYSTEM

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SLIDE 13

AN INFORMATION EXCHANGE ECOSYSTEM AN INFORMATION EXCHANGE ECOSYSTEM

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SLIDE 14

AN INFORMATION EXCHANGE ECOSYSTEM AN INFORMATION EXCHANGE ECOSYSTEM

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SLIDE 15

TECHNOLOGY MODELS USED (FULLY INTEGRATED)

AN INFORMATION EXCHANGE ECOSYSTEM

TECHNOLOGY MODELS USED (FULLY INTEGRATED)

AN INFORMATION EXCHANGE ECOSYSTEM

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SLIDE 16

TECHNOLOGY MODELS USED (FULLY INTEGRATED)

A"PATIENT"QUERY"TO"THE"GLOBAL"ECOSYSTEM END"USER"KNOWLEDGE"IS"NOT"NEEDED POLICY,"PATIENT"CONSENT"AND"GOVERNANCE"FILTER"RETURNS

AN INFORMATION EXCHANGE ECOSYSTEM 32

Thank-You!