2. Agenda
• Definitions
• About LIPIX
• Use Case, Products & Services
• Positioning
• 7 Myths
• Questions
3. 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
4. Health In·for·ma·tion Ex·change
/helTH infərˈmāSHən iksˈCHānj/
-verb
to securely exchange patient information between
independent entities not under common control
-noun
a community-based collaborative organization that
facilitates the integration of health information
between organizations
-adjective
used most commonly to describe a software vendor
that sells software and/or services to facilitate
health information exchange and/or health
information exchanges; denotes a type of company
whose owners like making money and voted for Obama
5. What is a RHIO?
KEY
= Transmission
RHIO HUB of Clinical
Patient
Clinicians Information
6. LIPIX Goals
Improve access
to data at the
point of care Improve the
safety and quality
of care
Reduce cost
inefficiencies within
health care
7. 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
8. 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
12. 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
13. Route data in support of a referral
Provider refers patient to a
specialist, 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.
14. 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
15. Products and Services
• Premium Services
– PUSH
• Events Notification
• Results Distribution
– Secure Messaging
– Med Manager
• ePrescribing
• Medication Reconciliation
– Patient Gateway
– Analytics
– Clinical Decision Support
16. Selling HIE to “Those who care”
LIPIX
Long Term Care and
Home Care Agencies
Hospitals
Patient dfdSunrise
dfds
Specialists
Primary Care Providers
17. Selling HIE to the “Brick and Mortar
Crowd”
LIPIX
Other Regional Hospitals
Core Long Term Care and
Enterprise dfdSunrise
dfds Home Care Agencies
Systems
Voluntary Staff
Departmental Systems /
Employed Physician Practices
18. 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.
20. LIPIX and Sub-area
RHIO’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
