If you’re joining an HIE, watch this webcast to learn the many ways that you can save development time, and reduce the cost of implementing and managing an HIE.

1. Presented By:
Rob Inglish
Practice Director, Professional Services
Iatric Systems
Best Practices in Joining an HIE:
How to Make Your Connection
Work for You

2. Agenda
• How controlling patient data is important to
success, and how organizations and patients
benefit from this control
• What’s required to have complete data
control
• How real-life organizations have gained
control of their data, and are realizing real
results that help patients

3. Goals
• Provider organizations who join an HIE or other
connected communities see many benefits, but most
importantly they gain the ability to share data across
entities AND the ability to take action on others
data to improve outcomes.
• With control over data flow, you can improve
integration timelines, reduce costs, and ensure
team accountability.

4. Why controlling patient data is important
to success
Ø How and Where do I send my data:
Ø Controlling accurate information within
your data to help care coordination
across your community (many
participants outside your organization)
Ø Who else belongs to the HIE you are
contributing to?
Ø Know your “partners”
Ø Is your data helping others provide care
to patients?
Ø The community of providers within a
geographic region or within a referral
network within the HIE community.

5. Why controlling patient data is important
to success
Ø How will that data be utilized?
Ø Referral networks
Ø Routing of Lab, Radiology, or Transcriptions
Ø Patient Summaries (Discharge summaries)
Ø CCD/CCDA
Ø Radiology imaging via third party integration such as
eHealth Technologies
Ø How do others get me data?
Ø What to expect back from an HIE and in what format?
Ø The ability to receive healthcare information, in a safe,
secure, and timely manor and in varying formats. (HL7 v2,
CCDA, Flat file, DICOM, etc)

6. What’s required to have data control
Ø Data sharing agreements (BAA)
Ø PHI, legal steps, do’s and don’t’s
Ø Does your HIE partner keep the data in-
house?
Ø Unique identifier to your system/source
Ø A single enterprise patient identifier
reduces the number of interfaces (URN)
Ø Inpatient and Outpatient – are there
differences?
Ø Corporate EMPI in the event of multiple
systems at your organization. How will that
be incorporated into the HIE with new
records or merges?

7. What’s required to have data control
Ø Interface Engine
Ø Own the movement of messages inbound and outbound
Ø Owning your own interface engine and having sufficient
access can expedite connections
Ø Having sufficient working knowledge of the various
connections types to and from the HIE will speed
development and access to data. (IHE profiles – query/
response, restful api, provide/register)
Ø By having in-house expertise (personnel and software)
reduces development and connection time along with
costs
Ø Network personnel for VPN or various firewall activities
Ø Interface engineers for developing the specific interfaces

8. Realizing Results
Ø Reduce redundant procedures or tests
Ø By connecting to an HIE, or another entity, you can cut
down duplicate testing and/or procedures for patients
Ø Better patient history from multiple providers
Ø Point-2-Point Interfaces
Ø By connecting to an HIE you can reduce the number of
interfaces you manage, and rely heavily on the HIE for
connecting disparate systems
Ø Receive the benefit without the heavy lifting
Ø Results routing to get results automatically if your HIE can
provide

9. Realizing Results
Ø EHR Integration with interoperability
Ø Standards based protocols
Ø Do you have the ability to receive this data in a CCD format
and consume that within your EHR?
Ø Discrete data
Ø Viewable document
Ø EMPI consolidation at the HIE
Ø The HIE EMPI should identify and manage entities across
multiple systems and organizations that will benefit your
organization with a complete and accurate consolidated
patient record

10. Data Quality
Ø Is the data your providing clean and duplicate free?
Ø Are there bogus values in the data you are
providing?
Ø What is your duplication rate within your data?
Ø How will you reconcile and remediate your data
within your system and outside your system
(HIE)?
Ø Assess your data for completeness and accuracy
Ø Provide a file extract of your data to Iatric
Systems for review

11. Summary
Ø Know your HIE and its goals
Ø Community (Participants)
Ø Sustainability / Cost
Ø Vendor platform
Ø What will you as a participant need to provide?
Ø Connectivity
Ø Data types (ADT, ORU, RAD, TRN, IHE profiles)
Ø What is your staff’s involvement? (Interfaces, Testing, EMPI work,
etc.)
Ø How will your data will be housed and protected?
Ø PHI
Ø Consent (Opt-In, Opt-Out)
Ø Audit
Ø How will you will get access to an consolidated/aggregated record?
Ø Portal
Ø EMR Integration (CCD – discrete?)

12. Best Practices in Joining an HIE
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Download the on-demand webcast
here: http://bit.ly/1I0Cy85