Health Information Exchange in the U.S. Today

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Health Information Exchange in the U.S. Today

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This presentation covers state HIE challenges, how Meaningful Use and HIEs work hand-in-hand, how HIEs are becoming more sustainable, and more about HIE initiatives.

This presentation covers state HIE challenges, how Meaningful Use and HIEs work hand-in-hand, how HIEs are becoming more sustainable, and more about HIE initiatives.

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  • 1. Health Information Exchange in the U.S. Today Where Emerging Technology and Functionality Meet
  • 2. Meaningful Use Stage 2 & HIE• 255 known HIE initiatives• 127 initiatives have identified HIE vendors o 38% considered only 1-3 HIE vendors o 33% considered 4-6 HIE vendors o 29% considered 7-10 HIE vendors
  • 3. Meaningful Use Stage 2 & HIE• Top HIE vendors: o 22 OptumInsight, previously called Axolotl o 14 Medicity o 9 Cerner o 9 Mirth o 8 GE Healthcare o 8 IBM o 7 ICA• 8 Reporting “Homegrown” Systems
  • 4. HIE and Meaningful Use Stage 2• Move Data (Core Measures) o 65% ePrescribing + Formulary Checking o Electronic availability of Patient Clinical Summary o 55% Lab Data into EHR
  • 5. HIE and Meaningful Use Stage 2• Move Data (Core Measures) o Patient online access to view, download and transfer health data o Electronic Summary of Care Record for TOC/Referrals o Secured messaging to patients o Exception: Imaging results into EHR (MENU)
  • 6. HIE and Meaningful Use Stage 2• Report Data o Ongoing Immunization Data Submission (Core) o Ongoing Electronic Syndromic Surveillance Data to Public Health (Menu)
  • 7. HIE and Meaningful Use Stage 2• Report Data o Ongoing Data submission to State Cancer Registries o Ongoing Data submission to Specialized Registries
  • 8. HIE and Meaningful Use Stage 2• Clinical Quality Measures o 12 Data Points o Electronically reported using PQRS technical specifications o No longer a MU Measure o Now part of definition of “Meaningful EHR User”
  • 9. Key Attributes in HIE VendorSelection• Platform Flexibility• Experience• Cost• Customer Service• Ease of Configuration• Speed to Deployment• Reputation
  • 10. 25% Re-evaluating Vendor in Next12 months• Poor Customer Service• Complexity in Configuration• Cost and Implementation Issues
  • 11. HIE Initiatives and Spending• Amount spent on HIE vendor: Last Fiscal Year Total $0 – 100,000 46 $100,001 – 300,000 18 $300,001 – 500,000 11 $500,001 – 700,000 7 $700,001 – 900,000 1 $900,001 – 1 Million 9 Over $1 Million 14
  • 12. HIE Initiatives and Spending• 85 – Advanced / Full Operational HIEs• 54 – Independent of Federal Funding• 24 – Sustainable (an increase of 18 since 2010)
  • 13. Sustainable HIE Initiatives• Revenue Sources: o 4 out of 24 HIEs – All Revenue from a single source o 4 out of 24 HIEs – Receiving State / Medicaid funding o 20 out of 24 HIEs – Funding from a variety of sources, typically hospitals, provider practices and payers
  • 14. Sustainability Models Include• 10 – Membership Fees• 9 – HIE Services Fees (E.g., PHR Portal, Quality Reporting, etc.)• 4 – Federal Funds• 3 – Assessment Fees• 2 – State Appropriations / Grants• 2 – Usage / Transaction Fees• 1 – Taxation
  • 15. State HIE Challenges• Adequate Funding? Resources? Knowledge?• Broad range of approaches to all domains• Broad range of current readiness within the states• With so much activity, and such a fast pace, hard to get a handle on the “national landscape”
  • 16. Learn more about current health careindustry issues, future legislation andhow they affect providers and patientson our blog: www.successehs.com/successtalk