San Luis Valley HIT ConferenceNovember 4, 2011Phyllis AlbrittonExecutive Director
What are we doing? Why are we doing it?
LTPAC GrantMental/Behavioral Health Grant
PCPs especially are challenged with evolving beyond today’s paper records to adopt the HIT needed to effectively participate in an ACO or other payment models such as PCMH, Prometheus etc… But if you rely on paper records, faxes and phone calls at a health plan, specialty practice or hospital, you can probably relate to this.
Currently, the typical practice is using paper files and relaying patient information by phone, fax and snail mail. Some practices have a one-way computer-based connection with 1 or 2 local hospitals. Some practices have an electronic connection with a lab like Quest or LabCorp. Each electronic connection, if it exists, needs to be built and maintained individually – which is very expensive. Plus, the connections are usually limited in terms of what information is transmitted.Most practices lack electronic connections with behavioral health and long term care providers.With Health Information Exchange, your practice has real-time, electronic connections to all other providers on the exchange. Patient data can be accessed by providers when and where it’s needed for patient care. Each provider builds ONE connection to the network, instead of multiple, costly connections to individual providers.HIE not only makes sense for patient care, but it makes sense economically as well.
Health Information ExchangeConnected Communities. Connected Healthcare
Health Information ExchangeConnected Communities. Connected Healthcare Phyllis Albritton Nancye LahueExecutive Director Technical Director CORHIO BEACON Program San Luis Valley Health Information Technology Symposium, November 4, 2011 1
Care Coordination and Transitions: Reality Meets OpportunityHospital Readmission• 19.6% of Medicare patients were readmitted within 30 days of discharge• 1 in 5 older adults with complex chronic health conditions is readmitted within 30 days of hospital discharge• 34% were readmitted within 90 days of discharge• $17.4 billion cost to Medicare for unplanned hospital readmissions in 2004Chronic Conditions• 75% of health care expenditures are for chronic illnesses• 16 physicians – providers an individual with chronic illness may see in a yearMedication Management• 66% of medication errors occur during transitions: admission, transfer or discharge Source: National Transitions of Care Coalition: Improving Transitions of Care , Sept. 2010
About CORHIO • A nonprofit, public- • Shared healthWho We Are Vision private partnership information for all individuals in every • The state-designated Colorado community entity for health information exchange promoting the right (HIE) in Colorado care, at the right time and the right place. Goals for 2015 • Health information exchange deployed in every community • 85% of all providers are meaningful users of EHRs and health information technology
Governance and Stakeholder Trust Nancye Lahue Technical Director BEACON Program San Luis Valley 19 Health Information Technology Symposium, November 4, 2011 19November 4, 2011 INHS Business CONFIDENTIAL
INHS Introduction • Founded in 1994 • 501(c)(3) Non-profit • Healthcare and Healthcare IT Focus • 1,100 employees across 4 business lines • 2010 Gross Revenue of $167 million • Nationally recognized leader in healthcare collaboration • INHS is governed by our board made up of sponsoring hospitals and community physicians. – Customers govern their projects and IT direction independently. 20November 4, 2011 INHS Business CONFIDENTIAL
Current Beacon AreaNovember 4, 2011 INHS 21Business CONFIDENTIAL
Information Resource Management (IRM) • 300+ IT Professionals • 750+ Physician EMR systems hosted • 38 Hospital HIT systems operated & hosted • Nationally recognized programs (Beacon Community, VLER, SSA, CDC, 21 of 100 Most Wired Hospitals, 5 HIMSS Level 6 Hospitals) 22November 4, 2011 INHS Business CONFIDENTIAL
Key Differentiators • Owner / Operator of Healthcare Systems • 100% focused on Hospital HIT and Physician EMR • 100+ healthcare entities already committed to Beacon • Host and support (24 x 7 x 365) 23November 4, 2011 INHS Business CONFIDENTIAL
Journey Through the HIE Shared Shared Technology Information Hub Technology Other HubsEnvironment: Environment: Environment: New business relationships with Population-based approach toCollaboration based on decision-making occurring care delivery in a competitivecommunity relationships and outside the community health systemindividual leaders Technology: Technology:Technology: Disparate information systems Disparate information systemsShared information systems relying on health information interacting with sharedwith standardized data exchange to conduct business information hub that supports common metrics and care coordination 24
Health Information ExchangePrimary Care Long Term Care Provider BCIN HUB EMR EMR Quality MeasuresPrimary Care Care Provider CoordinationEMR/Disease ToolsManagement Electronic Health Pharmacy Application Record Information System Specialty data Care EMR Hospital Other HIEs Phase 1 Information 25 System Phase 2
Guiding Principals • Level the playing field – Technology agnostic – Speed of delivery – Focused set of options – Incentive Alignment – Funding Strategy – ADDS VALUE 26November 4, 2011 INHS Business CONFIDENTIAL
Importance of Trust • Warehousing Data demands trust – Secure Transfer of Data – Secure Storage of Data – Secure Access of Data • Communication – – Strategic Planning – Collaboration – Advisory Committee • Sustainability – – Adding value – Flexibility for different customers while maintaining standardization 27November 4, 2011 INHS Business CONFIDENTIAL