TRUST, BUT VERIFY:ON THE ROAD TO NATIONWIDEINTEROPERABILITYMICHAEL MATTHEWS, CEO- CEO, MEDVIRGINIA- PRESIDENT, HEALTHEWAYH...
Overview Growth in healthinformation exchange Case studies of HIEvalue Lessons learned Looking to the future
Corporate Resume In production for seven years First HIE in production on NwHIN (2009) “ConnectVirginia” – Statewide HI...
MedVirginia ConnectivityeHealth Exchange
The Journey TowardsImproved Patient Access,Enhanced Clinical Outcomes,And Better Aligned IncentivesBegins Here.ImprovedPat...
Drivers Continuity-of-care Patient safety Duplication of tests Population health ACO Meaningful use
“….an exchange formerly known as NHIN” Nationwide Health Information Network NHIN NwHIN NwHIN Exchange eHEALTH Exchange
eHealth Exchange Anchor Participants8
“We are truly entering a new era.”Brian Ahier
eHealth Exchange GrowthParticipation reaching critical mass 39 Participants More than 700 hospitals, 5000 physician prac...
 Alabama One Health Record Centers for Medicare and Medicaid Services (CMS) Childrens’ Hospital of Dallas Community He...
 ApeniMED Aurion Axolotl CareEvolution CGI Cogon CONNECT CSC Epic Greenway Harris K Force MEDecision MedFXTe...
Healtheway Mission To support networkoperations, includinginfrastructure, to enablethe safe and secureexchange of data T...
ContextNationwideHealthInformationNetworkeHealth Exchange HealthewayA portfolio of standards,services and policies forsecu...
HIE Certified Seals*• HIO-to-HIO Interoperability• Supports eHealth Exchange• Provider-to-HIO Interoperability• Supports S...
Strategic Collaboration: CCC16eHealth ExchangePowered by HealthewayLeverage CCC’s development and incubation of new servic...
Relevance Emergencies Chronically ill Uninsured Minority Wounded warriors Disabled Rural Incarcerated
Serving the Disabled Avg. disability determination: 90 days With MedVirginia: 65 days 5% in 1-2 days CCD to SSA Alg...
Project Impact Case studycommissioned by SSA Conducted by KayCenter for eHealthResearch Perspectives: Claimant Provid...
Wounded Warriors70DoD VADoD-VA Continuum of CarePrivateSector Care60% 40%Veterans receiveapproximately40% of their careout...
VLER PartnersPortsmouth Naval HospitalFort EustisFort EustisLangley AFBLangley AFBFort EustisMcGuire VA Medical CenterHamp...
Lessons for HIEs “Trust, but verify” “Keep your friendsclose, and your physicianscloser” “Standard of care, not ascienc...
iHT2 Health IT Summit Atlanta 2013, Michael Matthews, Chief Executive Officer, MedVirginia, Central & Eastern Virginia's R...
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iHT2 Health IT Summit Atlanta 2013, Michael Matthews, Chief Executive Officer, MedVirginia, Central & Eastern Virginia's Regional Health Information Exchange , Case Study “Health Information Exchange: State and National Updates”

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iHT2 Health IT Summit Atlanta 2013, Michael Matthews, Chief Executive Officer, MedVirginia, Central & Eastern Virginia's Regional Health Information Exchange , Case Study “Health Information Exchange: State and National Updates”

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  • 39 participants in production represent - 4 federal agencies - 6 states - 8 beacon communities - remaining are HIOs and health systems
  • iHT2 Health IT Summit Atlanta 2013, Michael Matthews, Chief Executive Officer, MedVirginia, Central & Eastern Virginia's Regional Health Information Exchange , Case Study “Health Information Exchange: State and National Updates”

    1. 1. TRUST, BUT VERIFY:ON THE ROAD TO NATIONWIDEINTEROPERABILITYMICHAEL MATTHEWS, CEO- CEO, MEDVIRGINIA- PRESIDENT, HEALTHEWAYHealth IT Summit in Atlanta, April 23-24, 2013
    2. 2. Overview Growth in healthinformation exchange Case studies of HIEvalue Lessons learned Looking to the future
    3. 3. Corporate Resume In production for seven years First HIE in production on NwHIN (2009) “ConnectVirginia” – Statewide HIE (2011) Author and first signatory to DURSA (2009) First HIE to connect to SSA (2009) First SSA expansion to new communities (Centra) (2010) First HIE to connect to VA and DoD health records systems (2010) One of 5 “HIEs to watch” by CMIO magazine (2011) One of 12 “HIE Leaders” by NeHC (2011)
    4. 4. MedVirginia ConnectivityeHealth Exchange
    5. 5. The Journey TowardsImproved Patient Access,Enhanced Clinical Outcomes,And Better Aligned IncentivesBegins Here.ImprovedPatientOutcomesPatient-CenteredMedical HomeCoordination ofCareAgreementon PrinciplesHealthInformationExchangePatient AccessandEngagementPopulationHealth AnalyticsBetter AlignedIncentives
    6. 6. Drivers Continuity-of-care Patient safety Duplication of tests Population health ACO Meaningful use
    7. 7. “….an exchange formerly known as NHIN” Nationwide Health Information Network NHIN NwHIN NwHIN Exchange eHEALTH Exchange
    8. 8. eHealth Exchange Anchor Participants8
    9. 9. “We are truly entering a new era.”Brian Ahier
    10. 10. eHealth Exchange GrowthParticipation reaching critical mass 39 Participants More than 700 hospitals, 5000 physician practices 100 million patients More than 75 preparing to onboardNational-level coverage increasing Footprint in all 50 states Patient records securely shared across 23 states Anticipate connecting about ½ of the US within next12 monthsCollaboration extending breadth and depth of connectivity Care Connectivity Consortium EHR|HIE Interoperability WorkgroupMeaningful Use (Stage 2) driving adoption amongvendors and providers10
    11. 11.  Alabama One Health Record Centers for Medicare and Medicaid Services (CMS) Childrens’ Hospital of Dallas Community Health Information Collaborative (CHIC) Conemaugh Health System Department of Defense (DOD) Department of Veterans Affairs Dignity Health Douglas County Individual Practice Association (DCIPA) Eastern Tennessee Health Information Network (etHIN) EHR Doctors Hawaii Pacific Health HealthBridge HealtheConnections RHIO Central New York HEALTHeLINK (Western New York) Idaho Health Data Exchange Inland Northwest Health Services (INHS) Kaiser Permanente Lancaster General HealtheHealth Exchange Participants Marshfield Clinic Medical University of South Carolina (MUSC) MedVirginia MultiCare Health System National Renal Administrators Association (NRAA) New Mexico Health Information Collaborative (NMHIC) North Carolina Healthcare Information and CommunicationsAlliance, Inc. (NCHICA) OCHIN Quality Health Network Regenstrief Institute San Diego Beacon Social Security Administration (SSA) South Carolina Health Information Exchange (SCHIEx) South East Michigan Health Information Exchange (SEMHIE) Strategic Health Intelligence University of California, Davis Utah Health Information Network (UHIN) Wright State University11
    12. 12.  ApeniMED Aurion Axolotl CareEvolution CGI Cogon CONNECT CSC Epic Greenway Harris K Force MEDecision MedFXTechnology Solution ProvidersSupporting eHealth Exchange Medicity Mirth MobileMD NextGen Northrop Grumman OneHealthPort Orion Health SAIC Talis Thompson Vangent Wright State ResearchInstitute 12
    13. 13. Healtheway Mission To support networkoperations, includinginfrastructure, to enablethe safe and secureexchange of data To advanceimplementation of HIEthrough cross-industrycollaboration13
    14. 14. ContextNationwideHealthInformationNetworkeHealth Exchange HealthewayA portfolio of standards,services and policies forsecure exchange of healthinformation over theInternetA community of exchangepartners who share informationunder a common trustagreement, using a common setof technical requirements,policies and testing processNon-profit organization thatoperates the eHealth Exchange;focused on cross-industrycollaboration to advance HIEimplementationFederal program initiativelead by ONCOperational governanceestablished by contract (DataUse and Reciprocal SupportAgreement – DURSA).Oversight by CoordinatingCommitteeCorporate board of directors tooversee Healtheway strategyand sustainability. No authorityor oversight of eHealthExchange14
    15. 15. HIE Certified Seals*• HIO-to-HIO Interoperability• Supports eHealth Exchange• Provider-to-HIO Interoperability• Supports State HIE Efforts*HIE Certified Compliance Testing Body: CCHIT
    16. 16. Strategic Collaboration: CCC16eHealth ExchangePowered by HealthewayLeverage CCC’s development and incubation of new servicesfor health information exchangeLeverage Healtheway’s robust onboarding and associatedoperational services to help minimize costs and improveefficiencies
    17. 17. Relevance Emergencies Chronically ill Uninsured Minority Wounded warriors Disabled Rural Incarcerated
    18. 18. Serving the Disabled Avg. disability determination: 90 days With MedVirginia: 65 days 5% in 1-2 days CCD to SSA Algorithms by SSA Replication of model
    19. 19. Project Impact Case studycommissioned by SSA Conducted by KayCenter for eHealthResearch Perspectives: Claimant Provider SSA ROI
    20. 20. Wounded Warriors70DoD VADoD-VA Continuum of CarePrivateSector Care60% 40%Veterans receiveapproximately40% of their careoutside of VAtreatmentfacilities.Up to 60% ofservice member’shealthcare isprovided outsideof the MilitaryHealth System.
    21. 21. VLER PartnersPortsmouth Naval HospitalFort EustisFort EustisLangley AFBLangley AFBFort EustisMcGuire VA Medical CenterHampton VA Medical Center
    22. 22. Lessons for HIEs “Trust, but verify” “Keep your friendsclose, and your physicianscloser” “Standard of care, not ascience project.” “Status quo is thecompetition, workflow isthe enemy” “Just do it”, because… “It’s worth doing”

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