NMHIC HIE Overview NMHIMA Annual Meeting April 12, 2013 Craig Hewitt, - - PowerPoint PPT Presentation

NMHIC HIE Overview NMHIMA Annual Meeting April 12, 2013

Craig Hewitt, Chief Information Officer

It’s about the

ALL Medical Records follow the patient

Personal Health Record Direct Secure Messaging (DSM) Secure access with consent Office visits Hospital visits Home monitoring Diagnostics Lab work Medications Home healthcare /long‐term care Insurance State and Federal, DOH

The Patient

Patient!

The Circle of Care

Images/X‐ray reports

Health Information Exchange (HIE)

• An HIE Solution brings health information systems

together across regions and states in order to provide access to a patient’s information in one centralized record.

• Multiple healthcare providers with access to the

same record of clinical information will make healthcare delivery more robust and efficient with improved continuity, better outcomes, and reduced

• costs. There are significant benefits to patients,

healthcare providers, payers and employers.

Core HIE Functions

Provides access to a current patient summary from a variety of sources (from where and when):

• Problem list/Diagnosis
• Medications
• Immunizations
• Allergies
• Procedures
• Lab Data
• Radiology Data
• Encounter Summaries

Value/Benefits of HIE

• Access to each patient’s health information from a variety
• f healthcare provider sources
• Improved situational awareness regarding patient’s health

and use of health systems, better coordination of care

• Better triage and evaluation capability:
• Dx/Problem list, prior procedures, Rx/Medications, Allergies, tests;

lab/x‐ray, progress note and summaries

• Improved efficiency in making diagnosis and management

plans

• Decrease unnecessary duplication of tests
• Readmission avoidance
• Other Benefits : Data Analytics, Public Health, PCMH, ACO

Current NMHIC HIE Services

• NMHIC HIE Portal – view summary patient information:

– Patient demographics, encounter info, physicians, diagnoses, medications, allergies, procedures, immunizations, laboratory results, radiology reports, transcribed notes (i.e. clinic notes, hospital discharge summaries) – Portal Pilots at UNMH‐ED, ABQ HP Clinics, Lovelace Med Center‐ED

• NMHIC has been providing Public Health Reporting data to NM DOH since 2010

– Notifiable Conditions Lab Results – Emergency Department Surveillance Data – Immunizations Data – Forwarding ED Surveillance data to CDC BioSense – Forwarding Healthcare Acquired Infection “LabID” Events to CDC NHSN – NOTE: NMHIC has achieved ONC EHR Modular Certification for Public Health Reporting (participating NM Hospitals can attest to MU PHR requirements)

• NMHIC has been providing clinical data to SSA for disability determination across

the eHealth Exchange (NwHIN)

• NMHIC has implemented Direct Secure Messaging to allow NM REC Providers

attest to MU requirements

Who Currently Provides the Data

We have about 1million New Mexicans in our MPI as well as collecting millions of clinical encounters Healthcare data providers:

– Presbyterian Hospitals (8) and Medical Groups – Lovelace Hospitals (6) – University of New Mexico Hospitals (2) – ABQ Health Partners – CHRISTUS St. Vincent Regional Medical Center – Holy Cross Hospital, Taos – Other health care providers will be added

Independent Laboratories:

– TriCore Reference Labs – LabCorp (for public health reporting only) – NM Scientific Laboratory Division (SLD) – for public health only

Strategy for Transition to New Platform

• Engagement
• Embed within workflow
• Move to the cloud
• Standards for sharing information
• Equity based model
• Broader service offering
• Implementation and administration

Solution: Core HIE – High Level

We b -b a se d a c c e ss to the lo ng itudina l pa tie nt re c o rd

• De mo g ra phic s
• L

a b s, Ra ds

• E

nc o unte rs

• Alle rg ie s
• Dia g no sis
• T

ra nsc rib e d do c ume nts

• Me dic a tio ns
• Pro b le ms
• Pro c e dure s
• I

mmuniza tio ns Dire c t Se c ure Me ssa g ing Pa tie nt Priva c y & Co nse nt

HIE Pla tform

Physic ia ns Priva c y Offic e rs

No tific a tio ns & Sub sc riptio ns E

• Ma il

Se c ure I nb o x Mo b ile

Clinic with E MR Ho spita l with E MR Othe r HI E s HL 7/ CCD, XDS, SSO Se a mle ss inte g ra tio n with E HRs

• Use r Sub sc rib e d No tific a tio ns
• Se nd to My E

HR

• Po rta l e mb e dde d within E

HR HT T PS

He alth Infor mation E xc ha ng e (HIE )

Cloud Based

Network Architecture

Broader Service of HIE Offerings

Orion Health HIE Products

HIE Base Solution

Clinical Portal with results Viewer Clinical Data Repository Rhapsody Interface Engine EMPI‐Enterprise Master Patient Index Health Language (normalization) CCD Exchange Notifications Send to my EHR (CCD) Direct Secure Messaging Single sign‐on from EHRs Privacy and Consent Auditing

Additional Modules Case Management Business Intelligence‐Meaningful Use dashboards, HIE Utilization analytics Public Health Reporting Electronic Laboratory Reporting (ELR) CSTE Case Reporting Hospital Acquired Infection Reporting Biosurveillance Reporting Immunization Registry Reporting Discharge Reporting + custom reporting Patient Portal eHealth Exchange (NwHIN) EHR Lite Diagnostic Orders ePrescribing Enterprise Imaging

Core HIE Advanced HIE Community Health Record

NMHIC HIE Product Phases

Clinical HIE Portal Notifications CCD Exchange Send to my EHR (CCD) Direct Secure Messaging Single Sign-On Privacy & Consent Case Management Business Intelligence – Meaningful Use Dashboards, HIE Utilization, Analytics Public Health Reporting eHealth Exchange (NwHIN Gateway) E-Directory (s) Patient Portal EHR Lite Diagnostic Orders ePrescribe Embed Tele-Health Enterprise Imaging

• Radiology
• Cardiology
• Dermatology
• Ophthalmology

Steps on the Journey

1Q ‘13 2Q ‘13 3Q ‘13 4Q ‘13 1Q ‘14 2Q ‘14 3Q ‘14 4Q ‘14

Core HIE Build

Data & Interface Migration

New Participant On‐Boarding/Interface Development Advanced HIE & Community Health Record Build

GO LIVE User On‐Boarding/User Adoption

Draft Agreement Elements

• Terms and Conditions
• Services
• Schedules
• Support Plan
• Participant Roles and Responsibilities
• Fees

Current Status of HIE Adoption

Map Legend Map Legend

HIE Connectivity

Users of the system today: SSA – disability determination NM DOH – eReporting, ED Surveillance, Immunizations Pilot users – UNM ED, ABQ HP, LHS

Direct Connectivity HITREC Site

AZ HIE CORHIO West Texas HIE Paso del Norte HIE

Taos T or C Lovington Cuba Grants Gallup Socorro Magdalena Deming Carlsbad Ruidoso Alamogordo Las Vegas Raton Clayton Tucumcari Santa Anna Clovis Portales Los Lunas Belen Los Alamos Las Cruces Roswell Hobbs Aztec Farmington Santa Fe Albuquerque Silver City

Example Integration (Epic)

Single Click access to Clinical Portal

Example Integration (Cerner)

Single Click access to Clinical Portal

Unified Longitudinal Patient Record

Complete Medical History at a glance

CCD Exchange

Notifications

ROI Audit Log

Automated Measures Dashboard

Quality Measures Dashboards

• Hypertension: Blood Pressure

Management

• Preventive Care and Screening,

Tobacco Use

• Weight Screening and

Management

• Immunizations for Patients over

50 years

• Childhood Immunizations
• And more …

Quality Reporting (currently a prototype)

How well are you improving patient outcomes in: