S26: Health Information Exchange: What Have We Learned?: E. Grace

8/9/2019 S26: Health Information Exchange: What Have We Learned?: E. Grace

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What Have We Learned?What Have We Learned?

Erin Grace MHA

Agency for Healthcare Research and Quality

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TQHITTQHIT

grants under the Transforming Qualitygrants under the Transforming Qualitythrough Health Information Technologythrough Health Information Technologyprogramprogram

33--year, $1.5 million grantsyear, $1.5 million grants Many included implementing healthMany included implementing health

information exchange at the communityinformation exchange at the community

Focus on rural and underservedFocus on rural and underserved

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TQHIT GoalsTQHIT Goals

medical errorsmedical errors In r h l h inf rm i n h rinIn r h l h inf rm i n h rin

between providers, laboratories,between providers, laboratories,

pharmacies and patientspharmacies and patients Help transition patients between careHelp transition patients between care

settingssettings

Reduce duplicative and unnecessaryReduce duplicative and unnecessarytestingtesting

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State and RegionalState and Regional

DemonstrationsDemonstrations

Health IT (referred to as SRDs)Health IT (referred to as SRDs) IN RI TN n T in 2 4 DE inIN RI TN n T in 2 4 DE in

20052005

55-- ear $5 million contractsear $5 million contracts Support data sharing and interoperabilitySupport data sharing and interoperability

activities on a State or regional levelactivities on a State or regional level

To improve the quality, safety,To improve the quality, safety,effectiveness and efficiency of healthcareeffectiveness and efficiency of healthcareor pa en s an popu a onsor pa en s an popu a ons

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SRD Re uirementsSRD Re uirements

data among unrelated entitiesdata among unrelated entities

Medicaid programMedicaid program

Develop a sustainability modelDevelop a sustainability model

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What Have We Learned?What Have We Learned?

--

to manualto manual En r r n f k h l rEn r r n f k h l r

Have a sound business planHave a sound business plan understand what our communit andunderstand what our communit andstakeholders are interested instakeholders are interested in

Secure funding early in the planningSecure funding early in the planning

processprocess Keep participation costs as low asKeep participation costs as low as

poss eposs e

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What Have We Learned?What Have We Learned?

of pros and consof pros and cons know what works forknow what works foryour communityyour community

Patient identification and matching is aPatient identification and matching is a

core challenge in HIEcore challenge in HIE Technology development is influencedTechnology development is influenced

by policy and operational considerations,by policy and operational considerations,

Identify clinical settings that areIdentify clinical settings that are

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What Have We Learned?What Have We Learned?

cost metricscost metrics

Incorporate flexibility into evaluationIncorporate flexibility into evaluation

Include liability insurance costs in yourInclude liability insurance costs in your

p ann ngp ann ng

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AHRQ National Resource Center forAHRQ National Resource Center for

Health IT Web SiteHealth IT Web Site

FeaturesFeatures

of health ITof health ITprojectsprojects

opportunitiesopportunities

News releasesNews releaseslessons and bestlessons and bestpracticespractices

Meetin s andMeetin s and

eventsevents

http://healthit.ahrq.gov/

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More InformationMore Information

Health ITHealth IT www.healthit.ahrq.govwww.healthit.ahrq.gov

Information OrganizationsInformation Organizations

L n L rn fr m AHR nL n L rn fr m AHR nRegional Demonstrations in Health ITRegional Demonstrations in Health IT(coming soon)(coming soon)

Synthesis of AHRQ State and RegionalSynthesis of AHRQ State and RegionalDemonstrations in Health IT (comingDemonstrations in Health IT (coming

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Search for AHRQSearch for AHRQ--FundedFunded

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