Presentation to CFRHIO March 19 th 20 th .

Presentation to Presentation to CFRHIOCFRHIO

March 19March 19thth 20 20thth

www.healthix.orgwww.healthix.org

The Problem

Immunization

Public health

Medicaid

Health Plans

Hospitals

Pharmacies

Labs

Clinicians

Consumers

Clinician EHR

Radiology clinics

Immunization

Public health

Medicaid

Health Plans

Hospitals

Pharmacies

Labs

Clinicians

Consumers

Clinician EHR

Radiology clinics

NYS Office of Health Information Technology Transformation

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The Solution

RHIO

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Support

“Healthcare reform can't even exist without a health IT foundation. No matter what direction you go in health reform you have to go with health IT.”

President Barack Obama

Joint Session of Congress

September 9, 2009

“By computerizing health records, we can avoid dangerous medical mistakes, reduce

costs and improve care.”

President George W. Bush State of the Union Address

January 20, 2004

Anecdotal evidence

I used the LIPIX system to research a patient who came to us from an Outside Hospital (or as we call it, OSH) on Long Island. LIPIX helped us figure out that this patient was actually having a bad, bad (bad) asthma exacerbation, and NOT an NSTEMI heart attack, as the transfer center (and MDs at the other institution) alleged, so she did not undergo an expensive, potentially dangerous, and, in her case, useless procedure.

From: [email protected]

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About Healthix

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About Healthix

• Incorporated as LIPIX in 2007 as an independent not-for-profit and invited the participation of area health providers.

• $36 million in funding from HEAL NY Grant Program– HEAL 1 $ 5 million– HEAL 5 $ 9 million– HEAL 10 $ 2 million– HEAL 17 $20 million– Federal Regional Extension Center funding ~$3 million

• Developed technical foundation, policy framework, and organizational infrastructure over first 4 years.

• Merged with NYCLIX in 2011 to become Healthix …. soon.

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Healthix’ Vision for Interoperability

To create a connected and interoperable, patient focused, healthcare infrastructure which will interconnect clinicians, allow

patients health records to be easily transmitted from one point of care to another, and enable the advanced utilization of knowledge derived

from patient information.

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Healthix Goals

Improve access to data at the point of care Improve the

safety and quality of care

Reduce cost inefficiencies within

health care

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About Healthix

• Over 6 million unique patient records!• Over 120 facilities connected including 40+ Hospitals• 4,000 clinicians enrolled• Average 13,000 patient queries per quarter• Approximately 10,000 PUSH transactions per quarter• 1/3 of all hospital beds in New York State participate with

Healthix

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SHIN-NY

NHIN

A National Health Information Network

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Connecting Through Healthix

RHIO HUBClinicians

KEY

= Transmission of Clinical

Patient Information

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Healthix Architecture

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Use Cases

• Enable patient-centric “PULL”– eg. Emergency Department clinicians can rapidly and securely obtain

a patient’s personal health information from other hospitals, primary care providers, long term care facilities, reference laboratories etc.

• Route hospital data to ambulatory providers• Route data in support of a transfer or referral• Route lab and radiology data per subscriptions• Enable eRx and med reconciliation on discharge• Perform public health reporting• Facilitate quality reporting and improvement• Support research endeavors

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Healthix Services

Core Services

– Clinical Viewer– MPI Matching– Consent Management– Application Support /

Maintenance– HealthBook Basic

• Physician Directory

• Patient Scheduler• Secure Messaging – Basic

Text (Provider to Provider / Proxy)

– Outreach and Training

Premium Services

•Automatic ‘PUSH’ Notifications– Clinical Event Notifications

– Clinical Results Distribution

•ePrescribing•Medication Reconciliation•SSO Integration with EHR•HealthBook Advanced

– Secure Messaging – Templates

•Service and Support Package – 100 Hours

Healthix consists of Four Businesses

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Applications/Software Development

Membership Policy Development

Health Information Exchange

Infrastructure Management

Health Information Exchange Customer

Service

NYeC

HIE-ACO Building Blocks

From a CIO perspective, use this simple equation: ACO = HIE + Analytics and you'll be ready for whatever tomorrow brings. – John Halamka, Dec 2011

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Source: Image from MA HIE Lessons Learned from Efforts in Other States, Oct 2011. Quote from geekdoctor blog

LIPIX Encounter Tab

– Clinicians can easily view Demographic Data, Other Addresses or Allergy information

– The Encounter Timeline allows the Clinician to easily filter the results by specific encounters or a designated timeframe

LIPIX Routine Labs Tab

• Features

– Displays lab results in a chronological order

– * indicates there is a comment associated with that result

– # indicates the results displayed have different ranges

LIPIX Lab Results Graph

– Clinicians can add or remove specific tests by using the checkboxes

– Utilizing the graph details a Clinician has the ability to actively filter by a date range and other criteria

Lessons Learned

• This is a marathon, not a sprint.• Iteration, Iteration, Iteration

– Exist, Embed, Enable, Expand• Don’t believe the hype.• Don’t try to boil the ocean with a match.• Perfection is the enemy of good.• Patient-centricity, trust, and network effect

are foundational elements.• Business before pleasure.

QUESTIONS ???

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