Health Information Exchange in the U.S. Today

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This presentation covers state HIE challenges, how Meaningful Use and HIEs work hand-in-hand, how HIEs are becoming more sustainable, and more about HIE initiatives.

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Health Information Exchange in the U.S. Today

  1. 1. Health Information Exchange in the U.S. Today Where Emerging Technology and Functionality Meet
  2. 2. Meaningful Use Stage 2 & HIE• 255 known HIE initiatives• 127 initiatives have identified HIE vendors o 38% considered only 1-3 HIE vendors o 33% considered 4-6 HIE vendors o 29% considered 7-10 HIE vendors
  3. 3. Meaningful Use Stage 2 & HIE• Top HIE vendors: o 22 OptumInsight, previously called Axolotl o 14 Medicity o 9 Cerner o 9 Mirth o 8 GE Healthcare o 8 IBM o 7 ICA• 8 Reporting “Homegrown” Systems
  4. 4. HIE and Meaningful Use Stage 2• Move Data (Core Measures) o 65% ePrescribing + Formulary Checking o Electronic availability of Patient Clinical Summary o 55% Lab Data into EHR
  5. 5. HIE and Meaningful Use Stage 2• Move Data (Core Measures) o Patient online access to view, download and transfer health data o Electronic Summary of Care Record for TOC/Referrals o Secured messaging to patients o Exception: Imaging results into EHR (MENU)
  6. 6. HIE and Meaningful Use Stage 2• Report Data o Ongoing Immunization Data Submission (Core) o Ongoing Electronic Syndromic Surveillance Data to Public Health (Menu)
  7. 7. HIE and Meaningful Use Stage 2• Report Data o Ongoing Data submission to State Cancer Registries o Ongoing Data submission to Specialized Registries
  8. 8. HIE and Meaningful Use Stage 2• Clinical Quality Measures o 12 Data Points o Electronically reported using PQRS technical specifications o No longer a MU Measure o Now part of definition of “Meaningful EHR User”
  9. 9. Key Attributes in HIE VendorSelection• Platform Flexibility• Experience• Cost• Customer Service• Ease of Configuration• Speed to Deployment• Reputation
  10. 10. 25% Re-evaluating Vendor in Next12 months• Poor Customer Service• Complexity in Configuration• Cost and Implementation Issues
  11. 11. HIE Initiatives and Spending• Amount spent on HIE vendor: Last Fiscal Year Total $0 – 100,000 46 $100,001 – 300,000 18 $300,001 – 500,000 11 $500,001 – 700,000 7 $700,001 – 900,000 1 $900,001 – 1 Million 9 Over $1 Million 14
  12. 12. HIE Initiatives and Spending• 85 – Advanced / Full Operational HIEs• 54 – Independent of Federal Funding• 24 – Sustainable (an increase of 18 since 2010)
  13. 13. Sustainable HIE Initiatives• Revenue Sources: o 4 out of 24 HIEs – All Revenue from a single source o 4 out of 24 HIEs – Receiving State / Medicaid funding o 20 out of 24 HIEs – Funding from a variety of sources, typically hospitals, provider practices and payers
  14. 14. Sustainability Models Include• 10 – Membership Fees• 9 – HIE Services Fees (E.g., PHR Portal, Quality Reporting, etc.)• 4 – Federal Funds• 3 – Assessment Fees• 2 – State Appropriations / Grants• 2 – Usage / Transaction Fees• 1 – Taxation
  15. 15. State HIE Challenges• Adequate Funding? Resources? Knowledge?• Broad range of approaches to all domains• Broad range of current readiness within the states• With so much activity, and such a fast pace, hard to get a handle on the “national landscape”
  16. 16. Learn more about current health careindustry issues, future legislation andhow they affect providers and patientson our blog: www.successehs.com/successtalk

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