YOU ARE DOWNLOADING DOCUMENT

Please tick the box to continue:

Transcript
Page 1: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Funnels and QuiltsJ. Marc Overhage, MD, PhD, FACMI, FACP

Senior Scientist, Regenstrief InstituteProfessor of Medicine, Indiana University School of Medicine

President and CEO, Indiana Health Information Exchange

Page 2: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Participants• “All” Indianapolis med/surg hospitals• Physician offices• Community health centers• Homeless care network• Public school clinics• County and state public health departments• National laboratories• Public schools• Pharmacies• PBMs

Page 3: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Data shared by all institutions• All ED and outpatient visits• All hospital discharges (dx, procedures)• All inpatient laboratory results• All outpatient laboratory results• Immunizations• All discharge summaries/admissions summaries• All operative notes• All radiology reports• All surgical pathology reports• Inpatient medications• Tumor registry data

Page 4: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Indianapolis MSA Data Landscape

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Adjusted Patient Days Laboratory Results Medications Dispensed Physicain Practices Payors

Other

Indiana Oral & Maxillofacial Surgery Associates

Central Indiana Cancer Centers

Indiana Nephrology & Internal Medicine PC

Otolaryngology Associates

Indianapolis Neurosurgicla Grup

Indiana Heart Physicians

Midw est Eye Instiute

Josephson-Wallack-Munshow er Neurotology PC

Urology of IN

Respiratory and Critical Care Consultants

Northw est Radiology

CorVasc

Women's Health Partnership

Orthopaedics Indianapolis

Methodist Medical Group

Northside Anesthesia

Indiana Radiology partners

American Health Netw ork

Care Group LLC

IUMG-PC

IUMG-SC

AHN

Medicaid

Prescription Solutions

Anthem

Medco Helath Solutions

Express Scripts

Caremark Rx

Advantage

M-Plan

Humana

Cigna

United

Wellpoint

Medicaid

Medicare

Westview

Riverview Hospital

Madison Avenue

Page 5: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Data management

Hospital

Data repository

Health Information Exchange

Network applications

Payers

Labs

tpatient RX

Physician office

Ambulatory centers Public health

Data access and use

Hospitals

Physicians

Labs

Publichealth

Payer

• Results delivery• Secure document transfer• Shared EMR• Credentialing• Eligibility checking• Results delivery• Secure document transfer• Shared EMR• CPOE• Credentialing• Eligibility checking

• Results delivery

• Surveillance• Reportable conditions• Results delivery

• Secure document transfer

• De-identified, longitudinal clinical dataResearchers

Payer

Negotiated Access

Data Reuse

Ou

Page 6: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Level 1Level 2Level 3Level 4

$(200)

$(100)

$0

$100

$200

$300

$400

0 1 2 3 4 5 6 7 8 9 10

Years

in b

illio

ns

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge 10-Year Cumulative Value

Page 7: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Total value: $560M

Provider

Public Health

Pharmacy Laboratory

PayerOther Provider

$138M

$1M

$14M

$321M

$86M

N/A

-$56M

-$23M

$696M

$166M

$281M

$353M

Radiology

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Annual Savings Indianapolis MSA Level 4

Page 8: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

0

20

40

60

80

100

120

140

Credentialing Eligibilitychecking

Public health Results delivery Research Decisionsupport

Disease mgmt

Annualeconomicvalue ($M)

•Patients•Physicians•Hospitals•Labs

•Physicians•Hospitals

•Patients•Physicians•Hospitals•Payors

•Patients•Physicians•Hospitals•Payors•Employers

•Patients•Physicians•Hospitals•Public health•Payors•Employers

Beneficiaries1 •Patients•Hospitals•Labs•Public health

•Patients•Researchers•Investigators•Pharma companies

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Benefits Accrue to Stakeholders Across System

(1) Includes quality of care/other non-economic beneficiaries as wellSource: BCG Analysis & Estimates

Page 9: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Increasingly structured clinical data

Patient data

Direct support of

patient care

Research

Decision-supportDisease management & community health

improvementPublic health lab reporting

Public health surveillance

Research

Clinical trials screening & management

Adminfunctions

Credentialing

Claims clearing

Eligibility/referrals/pre-certification

8

9

10

Applications & tools

2

3

4

5

6

7

Results delivery1

Major urban hospitals Non-hospital labs Pharmacies

Physician offices Biological samples Payors

Key question: How to orchestrate infrastructure build to target areas of highest value?

Sequencing

Page 10: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Our Patchwork Quilt of Funding

Page 11: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

J. Marc Overhage, MD, PhDIndiana Health Information Exchange, Inc.351 West 10th St., Suite 252 Indianapolis, IN 46202

Voice: 317-278-7423Facsimile: (317) 278-4753 E-mail: [email protected] address: www.ihie.org

Page 12: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Backup Slides

Page 13: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Donald Duck

Daffy Duck

Pluto

Sam Snidely

Donald Duck

Daffy Duck

Pluto

Sam Snidely

Donald Duck

Daffy Duck

Pluto

Sam Snidely

Donald Duck

Daffy Duck

Pluto

Page 14: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Page 15: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Page 16: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Page 17: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Page 18: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Page 19: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Page 20: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Specify Cohort

Page 21: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Public Health Emergency Surveillance

System(PHESS)

•56 Hospitals connected•> 4,000 ED visits per day

Indiana StateDepartment of Health

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge

Page 22: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Clinical Data

Sources

Primary care physician

Payors

Clinical Data

In office Tests

Claims (no $)

RulesEngine

PatientLevelDetail

DoctorLevel

Summary

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Clinical Quality Data Services

Page 23: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge Clinical Quality Data Services

• Improve quality of care• Improve efficiency of care• Broad involvement

– >90% primary care providers– ≈900,000 lives

• Expanding to other markets– Lafayette– Bloomington– Ft. Wayne

Page 24: Funnels and Quilts · Indiana Health Information Exchange Funnels and Quilts J. Marc Overhage, MD, PhD, FACMI, FACP. Senior Scientist, Regenstrief Institute. Professor of Medicine,

Indi

ana

Hea

lth In

form

atio

n Ex

chan

ge


Related Documents