A Vision for Connected Healthcare Connecting Michigan for Health 2013 June 5 th 2013 Lansing Michigan Becoming a “Connected State” Michigan’s Connected Dots Going Forward
Dec 14, 2014
A Vision for Connected Healthcare
Connecting Michigan for Health 2013
June 5th 2013
Lansing Michigan
Becoming a “Connected State” Michigan’s Connected Dots Going Forward
Keeping Patients in the Center
Vision for a “Connected State”
• Healthcare data integrated across all stakeholders in the care delivery continuum
• Critical clinical data available anywhere anytime for any Michigander traversing the state or beyond
• Effective population health management thru data transparency & analytics
Do not compete on data
Where are we today..
• 7 state HIE’s at multiple levels of maturity– Significant number of Healthcare Providers
represented
• Escalating use of EMR’s both in Acute care facilities as well as Physician offices– 11 Health major systems have the same EMR– MU driving adoption
• Key stakeholders positioned to drive integration
Connected Health Vision
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Automation Opportunities
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Clinician Access
• Ability to quickly find out what is already known about a patient’s condition
• Ensure that other’s do not need to repeat or start over again
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Alerting Clinicians!• Automatically notify
doctors and their clinical support teams when significant health care events happen to their active patients
• Ensure the data integrates to into the workflow vs. creating additional work
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Reducing the Provider Burden
• Automate as much as possible
• Reuse the same infrastructure for multiple purposes
• Leverage common standards
• Take advantage of functionality in certified EHR‘s
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Consumer Engagement
• Encouraging patients to access their own medical information
• Enable patients to capture, share, and take action on their data
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Keeping Patient’s Trust
• Maintain patient confidentially
• Comply with privacy and consent management laws and expectations
• Proactively implement security mechanisms
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Existing Connectivity In Michigan
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State of Michigan
HealthPlans
More to Come…
MDCH Data Hub
Medicaid
MSSS
State LABSState LABS
Doctors & Community Providers
HIEs(QOs, VQOs or sub-
state HIEs)
Basic Data Flow
Data Warehouse
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State-wide Shared Services
DIRECTHISP
Virtual Qualified
Organizations
Health Plans
Statewide Types of Data Sharing
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Push Alerts & Notification
Pull/Query Care Summaries
Health Provider Directory
Public Health Reporting
Vaccination Reporting
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HIE(QOs, VQOs or sub-state HIEs)
Public Health Reporting
State-wide Shared Services
Health Provider Directory
• Source of trusted provider information for secure routing and HIE information
• State-wide provider address book• Direct• Referrals
• Sets the stage for provider relationship management
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HPD
Direct Address Book
Directory Services
Provider Relationship Management
Routing Preferences
Qualified Sub-state HIE
or VQO
Qualified Sub-state HIE
or VQO
Qualified Sub-state HIE
or VQO
Qualified Sub-state HIE
or VQO
Transition of Care Notification
Patient to Provider Attribution
Delivery Preference
Lookup
1) Patient goes to the hospital, hospital sends a registration message
2) MiHIN checks for Patient to Provider Attribution and identifies three providers
3) Using the HPD, MiHIN identifies a Delivery Preference for each provider
4) Notification is routed to the providers based on their preference
Primary Care
Specialist
Care Coordinator
Alerts & Notification
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Animation
State-wideRecord Locator
Service
Query for Patient History
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HIE
HIE
HIE
1) Doctor see’s a new patient in the Emergency Department (ED)2) ED sends out a “patient discovery” request for information about the patient
DoctorPatient
3) Sources that know the patient respond4) ED queries for patient clinical information5) Sources respond with clinical document(s), typically CCDs
CareSummary
Patient Found
Patient Found
Patient Not Found
Animation
How Does Michigan Become a “Connected State”?
1. Healthcare organizations can get connected to one of Michigan’s sub-state HIEs
2. Health plans can help incentivize care coordination and cross organizational data sharing
3. Government can work with organizations to ensure that “meaningful use” reporting requirements meet the multiple needs such as public health and quality reporting
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Thank You & Questions?