Doug Dietzman National HIE Landscape

342 views

Published on

Connecting Michigan for Health 2013 http://mihin.org/

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
342
On SlideShare
0
From Embeds
0
Number of Embeds
45
Actions
Shares
0
Downloads
4
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • Funding Focus Key issues
  • Doug Dietzman National HIE Landscape

    1. 1. Connecting Michigan Conference National HIE Landscape June 6th , 2013 1
    2. 2. Agenda • Definitions – What is “HIE”? • National Perspective & Survey Findings • Personal Perspective • Q&A 2
    3. 3. WHAT IS HIE? 3
    4. 4. 3 Primary Noun Buckets • Enterprise HIE (“Private HIE”) – Health system HIE – Provider Organization HIE – Vendor-based HIE • Regional HIE (“Community HIE”) – Predefined region – Open region • State HIE – State is the HIE – State provides services to regional and private HIEs 4 Very different… •Objectives •Governance •Funding •Customers •Landscape •Outlook
    5. 5. SuperHIE! 5
    6. 6. NATIONAL PERSPECTIVE 6
    7. 7. 7 Source: HIT Trends Report, May 2013
    8. 8. eHealth Initiative’s HIE Stages of Development Scale 8
    9. 9. HIE Stages of Development 9Source: eHealth Initiative 2012 Survey of HIE
    10. 10. eHI 2012 Survey Key Findings • Data exchange is increasing – The number of initiatives solicited in 2012 was 322, an increase from the 255 in 2011. – 107 respondents completed the survey in 2012 that also completed the survey in 2011. – 54 new respondents completed the survey in 2012. – 88 initiatives are in the advanced stages of development (Stages 5, 6 or 7 on the eHealth Initiative’s HIE development scale), an increase of 15 from 2011 10
    11. 11. Exchange Methods (Respondents = 161) • 106 use a Push Model (Push refers to one-directional electronic messaging, such as DIRECT) • 114 use a Query Model (Query/retrieve refers to exchange in which a query is initiated from one participant and retrieves data from multiple other sources) • 89 use an End-to-End Integration Model (Interfaces between systems enable seamless exchange to take place with no user- initiated effort required) 11 Source: eHealth Initiative 2012 Survey of HIE
    12. 12. eHI 2012 Survey Key Findings • Data exchange is playing a key role in healthcare reform efforts – More than half (109) of the initiatives reported that they are currently supporting ACOs and/or PCMHs – 63 indicated that they plan on doing so in the future 12
    13. 13. eHI 2012 Survey Key Findings • Federal funding is still supporting many organizations – The single most substantial source of financial support for advanced initiatives in 2012 was federal funding, as indicated by 28 of the HIEs surveyed – 22 of those 28 HIEs were SDEs 13
    14. 14. eHI 2012 Survey Key Findings • Support of Direct is growing – The Direct is a protocol that aims to enable secure health information exchange over the Internet for primary care physicians, specialists and public health agencies – 112 HIE organizations reported they are currently supporting DIRECT or plan on supporting DIRECT in the future – The most common use cases are transitions of care and/or the exchange of laboratory results 14
    15. 15. ONC Governance Guidance for Trusted HIE 15
    16. 16. PERSONAL PERSPECTIVE 16
    17. 17. Personal Perspective • Data exchange will increase outside of the “enterprise box”, but organizations who facilitate that exchange will consolidate • Amidst all the experimentation, sustainable models are coming to the forefront while other models struggle • Certification of HIE organizations is likely • Increased recognition that HIEs can’t change the way individual patients are treated, but are instead another enabler for clinicians • EMR interoperability will evolve into Business interoperability • Standards won’t replace need for clinical exchanges any more than standards replaced need for administrative exchanges 17
    18. 18. QUESTIONS 18
    19. 19. Doug Dietzman Executive Director, Michigan Health Connect ddietzman@michiganhealthconnect.org 616-588-4700 www.michiganhealthconnect.org 19

    ×