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Clarke Senior Director HSX Daniel Wilt Senior Director HSX NJ DVHIMSS October 29 2015 SEPA Health Information Exchange How to Get Services Deployed Transforming Healthcare and Improving Patient Care in the Greater Philadelphia ID: 580016

care hsx exchange health hsx care health exchange upal emergency data philadelphia patient hsxsepa hie member members information region

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Slide1

Pamela

Clarke, Senior Director, HSXDaniel Wilt, Senior Director, HSX

NJ DVHIMSS October 29, 2015

SEPA Health Information Exchange:How to Get Services Deployed

Transforming Healthcare and Improving Patient Care in the Greater Philadelphia

RegionSlide2

Who are we?

Non Profit 501(c)(3)

Member Owned Entity. Corporation formed in May 2012.

Board and Governance formed in

January 2013

.Staff of 8 FTEs, technology vendors, consultants, several college interns and incredible volunteerism from our members. Geography Focus City of Philadelphia and surrounding counties: Bucks, Montgomery, Chester, Delaware and Philadelphia counties.Plans to expand coverage as current members become connected.Slide3

What is HealthShare Exchange of Southeastern

Pennsylvania?

HSX is a non-profit health information exchange (HIE) organization serving the greater Philadelphia Region.

The

HSX Mission

is to provide secure access to health information that enables preventive and cost effective care; improves the quality of care; and facilitates the transitions of care.The HSX Vision is to build a trusted community of healthcare stakeholders collaborating to deliver better healthcare to patients.Slide4

HSX Current

Membership

Health Systems37 Acute Care Hospitals

93%+ Emergency Department (ED) visits in the regionIndependent Behavioral Health Facilities

Eagleville Hospital

Elwyn

Specialty HospitalsPhysicians Care Surgical HospitalAccountable Care OrganizationsDelaware Valley ACONoble Health Alliance

Health Plans

AmeriHealth

Caritas

Health Partners Plans

Independence Blue Cross

62%+ of the

covered lives in the region

Independent

Ambulatory Practices and FQHCs

42 New Signed UpSlide5

New Member Candidates

2015 2016Entities Interested in Joining

HSX

Behavioral Health FacilitiesBehavioral Health MCOsBirthing Centers

Large Private Practices

Long-Term Care Organizations

National Health PlansOther Hospital/Health SystemsRegional-Focused Health PlanRetail PharmacyUrgent Care CentersSlide6

Enabling Exchange within a Layered

EcosystemSlide7

Solving Critical Health

Problems in the

Region

Uncoordinated Discharge Process

The hand-off to the next provider is not well coordinated.

Unknown Primary Care Provider (PCP) or Care TeamThe discharging facility does not know the name of the patient’s PCP or Care Team or how to contact them. Incomplete and Delayed InformationEven if information is transmitted, it is usually incomplete, not timely and sent by handwritten hard-copy or fax.

Results in Failed System

Leads to medication mix-ups and errors, absence or delay in follow-up care and increased emergency room utilization

.Slide8

HSX Services

RoadmapSlide9

Keys to Success for Deployment and

Adoption

Social Work Ideal: Begin where the client is.Field of Dreams: If you build it, he/they will come.Problem Solving Approach: What is the problem you want to address?Be Hands On: Engagement and Adoption Works!Slide10

Provider DirectorySlide11

Challenges with Direct Secure Messaging Solutions that

Work

Duplicate Direct Addresses: HSX’s primary Direct address solution!Principle #1 : Don’t let the perfect get in the way of the good!

Interoperability Challenges: Exchange Partner Testing

Principle #2: If at first you don’t succeed, try, try again

!Clinical Naysayers: The “What Ifs Club”Principle #2: “Progress always involves risks. You can’t steal second base and keep your foot on first.” Frederick B. WilcoxSlide12

Direct Secure Messages Sent and Received by HSX HISP

Users

*Note: Message count shown is for those entities using HSX as their HISP, meaning it is a subset of all message volume that exists within the HSX member/participant community. January 2015 message count is an estimate based on January 14

– January 31

st data.ACTF and CAH Go LiveSlide13

Average Daily Direct Secure Messages and Unique

RecipientsSlide14

Master Patient Index (MPI) Patient EntitiesSlide15

ENS Subscriptions and

NotificationsSlide16

Considerations for ENS Roll Out

What are you going to do with the data?

Establish a subscription for data that is meaningful and is actionable.Who is going to access the data? Need to think about workflow and resource allocation.

When do you want to receive the data? Consider the best time frame for receiving the information.How do you want to receive the data?

Consider the options for data delivery.

Review the Model

ENS is a flexible service. Patient panels and subscriptions can be updated and changed based on need.Slide17

Emergency Management Preparations

After The Recent Train Incident and Ability to Location Family

Members200+ Injured Individuals Were Admitted to 5 Different Hospitals in the Philadelphia AreaIn Preparation for the Papal Visit in September to PhiladelphiaEstimated 1M+ People to be on the Benjamin Franklin ParkwayHow Can the HIE Help Support the Region?Slide18

HIE Emergency Management

Urgent Patient Activity Liason (UPAL)

What is UPAL? A real time look up capability of an individual patient’s emergency healthcare activity across the greater Philadelphia region in the event of a regional situation impacting healthcare services for a large number of citizens.

Why is HSX Establishing UPAL?HSX members believed that it is

critical for HSX to be able to provide a back up in the event of a crisis or emergency circumstance during the Papal visit.

UPAL can be invoked to respond to member hospitals on behalf of inquiring family members in an effort to locate patients who have been admitted, discharged or transferred to one of the region’s hospitals

.What UPAL is NOT?This service is not a replacement for Knowledge Center. UPAL could be deployed if several HSX member hospitals needed assistance responding to family member inquiries in an emergency circumstance.Slide19

HIE Emergency Management

Urgent Patient Activity Liason (UPAL)

How UPAL works?If HSX was notified by their members

and or a governmental agency that there was an emergency circumstance warranting the initiation of UPAL, HSX would obtain approval from the Executive Committee to begin the UPAL service.HSX would notify hospital members that the service was available.HSX Staff will provide 24/7 availability and support when this service is available.

To make patient location requests, contact HSX Support

via the

phone at 855-479-7372Slide20

HIE International Exchange

Proof of Concept ExchangeC-CDA Exchange Between HSX and

Toronto,Canada and Rome, ItalyTechnical FoundationPrior work from 2014 ONC exploratory project based on EU-USA MOU for HC data exchange

Mutual support for IHE International standards for message transport Business FoundationPapal visit and other VIP events in PhiladelphiaEurope & Canada considered high-frequency vacation/business destinations for PA residentsSlide21

HIE International Exchange

What Went WellWe were able to demonstrate use of the IHE standard for transport easily

CDA CCDA continues to be conduit to International Pt Summary (IPS) content for international exchanges Challenges

Obviously Languages and Coding SetsPatient consent differencesSlide22

HIE

Promotes Consumer Focused CareSlide23

HealthShare Exchange of Southeastern PennsylvaniaSlide24

Thank You!

HealthShare Exchange of Southeastern Pennsylvania, Inc.

1801 Market Street, Suite 750

Philadelphia, PA 19103

www.hsxsepa.org