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row 1 presentation

  1. 1. Row 1 Presentation We are proud to be Eager Beavers And MyopicsMyopics, whatever that means
  2. 2. Our Project Goals  Use projections for national health information technology infrastructure  Apply it to a community setting – Population 200,000 – 500 Physicians – 2 Hospitals, 2 payors, 2 pharmacies  Develop projected outcomes
  3. 3. CITL Study  Center for Information Technology Leadership – Chartered by Partners HealthCare in Boston – Supported by Healthcare Information and Management Systems Society (HIMSS) – Performed analysis of potential national savings from healthcare IT – Announced findings in Feb, 2004 at Annual HIMSS Meeting
  4. 4. CITL Findings  Standardized information exchange would save nation $78 Billion annually – Providers benefit = $34 B – Payors benefit = $22 B – Labs benefit = $13 B – Radiology benefit =$ 8.0 B – Pharmacies =$ 1.0 B – Public Health =$ 0.1 B  Total National Savings over 10 years = $337B  Primary sources: administrative savings and utilization
  5. 5. Current Health Care Environment Specialty HospitalsHospitals Imaging CentersLabsAmbulatory Surgery Physician Practices & Clinics Single Specialty Practices Primary Care Network Practices Federally Qualified Clinics Community Clinics Multi-Specialty Practices Specialty &Treatment, eg, Nephrology, Oncology Small Independent Practices (1-5 Docs) Other Related Services Assisted Living / Long Term Care Public Health Dept Home Health Hospice Chronic Care Coordination Centers Consumer Health Physician Practices & Clinics Pharmacies Rx Other Ambulatory Svcs. Patient and Physician Diagnostic & Therapeutic Service Providers Physicians need information from multiple sources to treat their patients – e.g., labs, hospitals, consulting physicians, imaging centers, long term care facilities. Consumers/Patients
  6. 6. Community Health Information Exchange Hospital BHospital A Imaging CentersLabsAmbulatory Surgery Physician Practices & Clinics Single Specialty Practices Primary Care Network Practices Community Clinics Multi-Specialty Practices Small Independent Practices (1-5 Docs) Other Related Services Assisted Living / Long Term Care Public Health Dept Home Health Hospice Chronic Care Coordination Centers Consumers Physician Practices & Clinics Other Ambulatory Svcs. Diagnostic & Therapeutic Service Providers Patient and Physician Secure, Interoperable Community Health Information Exchange (HIE) A secure, interoperable, community-based infrastructure for Health Information Exchange (HIE) across care settings enables cost effective communications among physicians, providers, and patients and provides technology tools that can improve health care safety and quality. HIE Pharmacies
  7. 7. Structure of Community Health Information Exchange - Organization / Governance / Financing - Communications Network / Data Center - Security / Privacy - Physician Practice Support -- HIE connectivity, EMR, other products -- Enrollment & Help Desk -- Programs & Services HIE Community Health Information Exchange
  8. 8. Benefits to Providers  Service level improvements for the physician and consumers  Widespread connectivity for provider systems and locations accessed throughout the community  Reduces/eliminates results distribution costs (e.g., faxes, printers, mail, couriers)  Reduces results follow-up costs (phone support, re- faxing)  Transcription and medical records costs reduced
  9. 9. Benefits to Providers, cont.  Eliminates need for various results portals and related costs  Reduction of some duplicate testing  Enhanced HIPAA compliance
  10. 10. Timeline and Budget Year One  Planning  Governance  Consulting Fees  Vendor(s) Selection  Security Policies  Staffing  $500,000
  11. 11. Second Year  Training  BetaTesting  Data Center Build  Build Master Person Index  Initial Pilots  Objectivist and Subjectivist Evaluation  $750,000
  12. 12. Year Three  Full Staffing – Help Desk, Analysts – Implementation Team – Database Administrators – Administration  Early Adopters  Functionality-Messaging and Results Retrieval  Continued Testing  $1.5 Million
  13. 13. Year Four  Continue Evaluation  Recruit additional providers  Expand staff as needed  Functionality- Orders, E-prescribing  $1.25 Million
  14. 14. Year Five  Quality Improvement Studies  Patient/Consumer Web Portal  Link to Public Health for community health status, chronic disease and immunization registries  $1.0 Million
  15. 15. Five Year Plan Year 1 Year 2 Year 3 Year 4 Year 5 Budget $500K $750K $1.5 M $1.25M $1.0 M Totals $500K $1.25M $2.75 $4.0 M $5.0 M
  16. 16. Community Connectivity Patients/ consumers Providers Public Health
  17. 17. Expected Outcomes  Improved flow of information  Better access to information  Improved patient/physician relationship  Improved quality of care/ reduced errors  Improved efficiencies/ cost reductions

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