Agenda• Definitions• About LIPIX• Use Case, Products & Services• Positioning• 7 Myths• Questions
About LIPIX• LIPIX is a Health Information Exchange (noun) currently supporting Downstate NY• Incorporated Jan. 2007 as an independent not-for-profit corp.• Significant funding from NYS HEAL NY Grant Program – HEAL 1 = $5 million – HEAL 5 = $8 million – HEAL 10 = $2 million – HEAL 17 = $18 million – Federal Regional Extension Center funding• Mission: To create and maintain an achievable, sustainable and replicable model for integrating clinical information across multiple health care organizations in support of New York State and US strategic Health Information Technology plans
Health In·for·ma·tion Ex·change/helTH infərˈmāSHən iksˈCHānj/-verbto securely exchange patient information betweenindependent entities not under common control-nouna community-based collaborative organization thatfacilitates the integration of health informationbetween organizations-adjectiveused most commonly to describe a software vendorthat sells software and/or services to facilitatehealth information exchange and/or healthinformation exchanges; denotes a type of companywhose owners like making money and voted for Obama
What is a RHIO? KEY = Transmission RHIO HUB of Clinical PatientClinicians Information
LIPIX GoalsImprove access to data at the point of care Improve the safety and quality of care Reduce cost inefficiencies within health care
Participating Providers• Allied Pediatrics of New York • NSLIJ Health Care Inc. • NuHealth Hempstead Health Center• Broadlawn Manor Nursing & Rehab • NSLIJ Health System Inc. • NuHealth Roosevelt/Freeport Center• Brookhaven Memorial Medical Center • NSLIJ Hospice Care Network • NuHealth Westbury Health Center• CHSLI Catholic Home Care • NSLIJ Huntington Hospital Association • NuHealth NUMC• CHSLI Good Samaritan Hospital • NSLIJ Dolan Family Health Center • Parker Jewish Institute• CHSLI Good Samaritan Nursing Home • NSLIJ Lenox Hill Hospital • Park West Radiology• CHSLI Good Shepherd Hospice • NSLIJ Long Island Jewish Med Center • ProHEALTH Care Associates• CHSLI Mercy Medical Center • NSLIJ Long Island Jewish Medical Care • Queens Long Island Medical Group• CHSLI Our Lady of Consolation Nursing and • NSLIJ North Shore Cardiovascular and Thoracic • Regency MRI PC Rehabilitation Surgery • Silvercrest Nursing and Rehabilitation• CHSLI St. Catherine of Siena Nursing Home • NSLIJ North Shore Imaging Associates • South Nassau Communities Hospital• CHSLI St. Catherine of Siena Medical Center • NSLIJ North Shore-LIJ Radiology Services PC • Fountain Medical Group• CHSLI St Charles Hospital • NSLIJ North Shore Ophthamology • Visiting Nurse Services of New York• CHSLI St Francis Hospital • NSLIJ North Shore Radiology at Glen Cove• CHSLI St Joseph Hospital • NSLIJ North Shore University Hospital• Cold Spring Hills Center for Nursing and Manhassett & Syosset Campus Rehabilitation • NSLIJ Region Care, Inc.• John T Mather Memorial Hospital • NSLIJ Sports Physical Therapy and Rehabilitation• Lenox Hill Radiology Associates of the North Shore• Long Beach Medical Center • NSLIJ Stern Center For Extended Care• Metropolitan Diagnostic Imaging • NSLIJ Orzac Center for Extended Care• NRAD • NSLIJ Plainview Hospital• New York Hospital Medical Center Queens • NSLIJ Schneider Childrens Hospital• NSLIJ Elmezzi Graduate School of Molecular • NSLIJ Southside Hospital Medicine • NSLIJ Staten Island University Hospital• NSLIJ Feinstein Institute for Medical Research • NSLIJ Schneider Childrens Hospital• NSLIJ Forest Hills Hospital • NSLIJ System Laboratories• NSLIJ Franklin Hospital • NuHealth A. Holly Patterson• NSLIJ Glen Cove Hospital • NuHealth Elmont Family Health Center
LIPIX• Based in Manhattan – 25 FTE’s• 72 Participating Provider entities covering several counties: Suffolk, Nassau, Queens, Manhattan, Staten Island, Queens, Westchester• 2,506,158 Unique Patient Records• 2,081 Clinicians enrolled
Use Cases• Patient-centric “PULL” – eg. Emergency Department clinicians can rapidly and securely obtain a patient’s personal health information from other hospitals, primary care providers, long term care facilities, reference laboratories etc.• Route hospital data to ambulatory providers• Route data in support of a transfer or referral• Route lab and radiology data per subscriptions• Enable eRx and med reconciliation on discharge• Perform public health reporting• Facilitate quality reporting and improvement• Support research endeavors
Route data in support of a referral Provider refers patient to aspecialist, hospital or other provider for consultation or service HIE service checks participant directory for routing instructions and sends referral Participant Directory request with pertinent patient / Consents / information / history, diagnosis Disclosure Log and service requested to HIE service submits consulting provider; business referral authorization request rules can be stored in HIE to payer for approval and service for elements of real- referral # time decision support HIE service routes HIE Standard format visit summary to PCP, Service visit summary with Patient visits Patient visits PCP or specialist or other consultation notes consulting provider, specialist and interested and trusted transmitted to HIE party (e.g., health receives services, establishes trusted network. insurance case and details are relationship and noted in patient consents for release of manager). HIE log can store summary or chart , electronic data; consents and medical record or provider routing link to allow for tracking and later other result is preferences are sent to created (e.g., at HIE service lookup. lab) Health Plan, etc.
Products and Services• Core Services • Provider Clinical Portal Viewer • Practitioner Directory • Edge Repository for Demographic and Clinical Data • User Interface Integration • Consent Management • Duplicate Medical Record Number Reporting
Products and Services• Premium Services – PUSH • Events Notification • Results Distribution – Secure Messaging – Med Manager • ePrescribing • Medication Reconciliation – Patient Gateway – Analytics – Clinical Decision Support
Selling HIE to “Those who care” LIPIX Long Term Care and Home Care Agencies Hospitals Patient dfdSunrise dfds Specialists Primary Care Providers
Selling HIE to the “Brick and MortarCrowd” LIPIX Other Regional Hospitals Core Long Term Care and Enterprise dfdSunrise dfds Home Care Agencies Systems Voluntary Staff Departmental Systems / Employed Physician Practices
The 7 Myths of HIE• Get broad based stakeholder involvement and buy-in before beginning.• Start with clearly defined requirements based upon detailed analysis of current and future workflows.• Engage consultant “experts” to facilitate project.• Utilize standards to enable low-cost, high-quality integration.• Let the government lead the way.• Find a killer “app”.• Remember that competitors will never cooperate.
LIPIX and Sub-areaRHIO’s • Unified Infrastructure LIPIX • Unified or Separate Governance • LIPIX Operating Guidelines • Facilitates creation of a sub-area RHIO Sub-area RHIO within the LIPIX RHIO to promote cooperation between providers