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Health Information Exchange - PowerPoint Presentation

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Health Information Exchange - PPT Presentation

September 14 2018 Emily Hartmann Executive Director PHIX Gijs van Oort PHD CEO HASA Agenda What are health information exchanges HIEs Overview of two HIEs in Texas HASA Healthcare Access San Antonio ID: 808185

phix health exchange information health phix information exchange care hasa data patient hies hie community texas network partners hasatx

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Presentation Transcript

Slide1

Health Information Exchange

September 14, 2018

Emily HartmannExecutive DirectorPHIX

Gijs van Oort, PHD

CEO

HASA

Slide2

Agenda

What are health information exchanges (HIEs)? Overview of two HIEs in Texas

HASA – Healthcare Access San Antonio PHIX - Paso del Norte Health Information Exchange How do I choose the right network?

Slide3

What are health information exchanges (HIEs)?

Slide4

One Big Problem: Unreliable and inefficient health information sharing

Lack of medication management

Repeated lab and imaging studies Preventable medical errors Poor care coordination

Slide5

Centralized hubs facilitate data exchange

Health Information Exchange (HIE) Repository

Primary Care Clinic

FQHC

Lab

Specialist

ED

Urgent Care

Hospital

FQHC = Federally Qualified Health Center; HIE = Health Information Exchange, ED = Emergency Department

Hospital

Primary Care Clinic

Specialist

Slide6

HIEs have the same goal but different approaches

Common goal:

Improve health by ensuring the right information is in the right place at the right time.HIEs can be structured differently: Governance Legal Privacy and Security Financial Patient Consent Functionality

Slide7

National effort to connect HIEs

Source: SHIEC. http://strategichie.com/initiatives/pcdh/.

Slide8

Future: Single on-ramp for interoperability

Trusted Exchange Framework and Common Agreement There is no “magic bullet” for nationwide interoperability

The goal is to build networks that connectChoose the right network(s) for your organizationNetwork serves as a single on-ramp for interoperability

Slide9

Community Health Information Exchange

Benefits and Value

Gijs van Oort, PhDCEO210.918.1357gvanoort@hasatx.org

Slide10

Growing Demand for Health Care

Source: UTSA Demographics Center

Source: TX Medicaid and CHIP in Perspective - 11th EditionFederal Budget for HHSC is decreasing

Slide11

Increased Demand with Same or Lower Reimbursement

Slide12

HASA Capabilities

Aggregated patient lookupData push into customer systems (CCD, ADT)

Real-time, clinical reporting for quality, utilization, public health, care coordinationElectronic referral systemAlerts and discharge notificationConnection to TX HIEs and national HIEsConnectivity to DoD & VA (in development)

Slide13

HASA HIE Coverage Area to Date

Nonprofit, with broad community participation

San Angelo RegionWaco Region

Physicians

1703

Hospitals

43

Community Health/ Mental Health

3

FQHC

7

Slide14

HASA discussions with Western Plains hospitals

Slide15

HASA HIE data exchange

Slide16

HASA Landing Dashboard

HASA Data Elements:

DemographicsEncountersLabRadiologyDischargeImmunizations (some)Medications (some)

Slide17

From:

Sugumar, Sophia (CMS/CCSQ) [mailto:Sophia.Sugumar@cms.hhs.gov] Sent: Wednesday, March 22, 2017 5:08 PMTo: Andrea Espinosa <aespinosa@HASATX.ORG>; Vince Fonseca <vfonseca@HASATX.ORG>; Phil Beckett <pbeckett@HASATX.ORG>Subject: Action Required: 2017 MIPS Qualified Registry Posting DRAFT: Healthcare Access San AntonioImportance: High Congratulations! You’ve been approved to participate in the Merit-Based Incentive Program (MIPS) for 2017 as a qualified registry.

Slide18

Slide19

Slide20

Social Determinants of Health

Target 2018

Develop an intake platform for CMS five categories for personal risk:Food insecurityUtility needsHousing instabilityInterpersonal violenceTransportation needsImplement intake capability for geographic risk:Categorize zip code and census tract by vulnerability statusCreate holistic patient view for providers to include:Clinical riskSocial/personal riskGeographic risk

Slide21

HASA Virtual Health Record – Social Risks

Slide22

HASA VHR – Geospatial Risks

Slide23

23

HIE Collaboration during Harvey

GHH and HASA decided to collaborate by providing temporary access to each other’ HIEs as most of the affected area was accessible through one or the other:GHH supporting evacuees in HoustonHASA supporting coastal residents cared for outside the regionHASA reached out to ICC for assistance in Austin shelter

HASA established a connection with Louisiana HIE as evacuees reached the Dallas shelter

HIETexas was reactivated for an additional 30 days

Slide24

Emily Hartmann

Executive Director

Slide25

Non-profit based in El Paso region

Mission to improve health through collaboration and data technology.

PHIX Board includes representatives from each of PHIX’s major partners. Changed name in 2017 to better reflect broader region.

Slide26

Provide centralized community health records

HIE = health information exchange

Slide27

Connected to VA and Dept. of Defense Nationally

User Story:

Active duty soldier and his family recently moved to Texas from Washington, DC. When his child visited a community specialist for a chronic health need, the specialist used PHIX to review the child’s full care record from the Dept. of Defense in Washington, DC. As a result, they avoided repeating several lab and imaging tests.

Slide28

Value of PHIX: Stories from our users

Improved safety

Hospitalist planned to perform a cardiac catheterization for their patient. Prior to the procedure, they queried PHIX and found that a cardiac catheterization had been performed at another hospital. As a result, the patient received better care and avoided an unnecessary procedure. Improved efficiencyPrimary care physician queried PHIX before doing a stroke assessment for their patient. They found results from a stroke assessment performed the previous week at a hospital. As a result, the patient avoided several repeated imaging and lab tests.Improved qualityEmergency Medicine physician had a patient in cardiac arrest who could not speak to her care history. Through PHIX, they found information on her cardiac conditions and medications from other providers. Based on this additional information, her treatment was adjusted.

Slide29

Recognized for innovation and collaboration in public health

National Association of County and City Health Officials (NACCHO) selected the City of El Paso Department of Public Health as a Promising Practice for its Paso del Norte Electronic Network for Linkage to Preventive Health Services in 2018.

“This project offers a holistic approach to patients using a medical data hub to evaluate a person’s needs. We are able to use the system by cross referencing our clients’ information to make sure if they need further services such as cancer screenings or vaccinations, then they are either provided the care or are directed to the proper venues.”Robert Resendes, Public Health Director

Slide30

Data exchange partners

Data Exchange Partners

Hospitals (6)Outpatient Clinics (6)Veterans Administration*Department of Defense*Texas Tech University Health Sciences Center of El PasoLocal Mental Health Authority Federally Qualified Health Centers (3)City of El Paso Department of Public Health

PHIX is actively recruiting partners throughout west Texas and southern New Mexico

.

*National connections through the eHealth Exchange.

Slide31

Support and engage small physician practices

The physician community in our region consists primarily of small practices with one to four physicians.

PHIX supports practices in navigating complex federal regulations, quality reporting requirements, and privacy and security standards. PHIX has an internal technical team to develop HIE interfaces with small practices rather than relying on third-party vendors.HIE = health information exchange

Slide32

PHIX Structure

Patient Consent

Generally, patients must opt out to prevent data from being shared. There are exceptions. Patients at mental health and substance abuse facilities must opt in.Governance PHIX Board of Directors includes representatives from PHIX’s partners. PHIX Committees provide feedback on how PHIX should operate and grow.Privacy and Security CommitteePhysician Advisory CommitteeStrategic Planning CommitteeGovernance Committee

Slide33

Exploring additional services to benefit PHIX’s partners

Real-time notifications to care managers when patients are admitted, discharged, and transferred

Image exchange Connectivity to other HIEs

Slide34

How do I choose the right network?

Slide35

Choose the right front door for your community

Choose the “front door” to interoperability that is the best fit for your community.

Technology: What functionality do we need to meet our goals today and in the future?Network: Who do we need in our data sharing network locally? Nationally? Cost: What type of investment would be required?Governance: Who is making decisions on how data is managed?Legal: What can the data be used for? Privacy and Security: What controls are in place? Who is making sure it runs properly?Consent: Would our community prefer an opt-in or opt-out patient consent model? Your front door will serve as a connection point across Texas and nationally. HIEs in Texas are committed to working together.

Slide36

Thank you Emily Hartmann, Executive Director, PHIX

ehartmann@phixnetwork.orgOffice: 915.242.0674 |Cell: 217.741.5081

Gijs van Oort, PhD, CEO, HASAgvanoort@hasatx.org210.918.1357