1

Camden Coalition of Healthcare Providers

Camden HealthInformation Exchange

Camden Coalition of Healthcare Providers

www.camdenhealth.org

2www.camdenhealth.org

CooperOur Lady of LourdesVirtuaUnderwood

Camden HIE

Current HIE Interfaces• Cooper

o ADTo Labo Radiologyo Discharge summaries

• Lourdeso ADTo Labo Radiologyo Notes (IP)

o Discharge summarieso Consultso H&P

• Virtuao ADTo Labso Radiologyo Discharge summaries (IP)

• Underwoodo ADT (in progress)

• Reference Labso LabCorp (in progress)o Quest Diagnostics (in

progress)

Jersey HealthConnec

t

Health-e-cITies

MOHIE

Trenton

SJ HIE TBD

CHIE

Hospitals

Providers

Jail

Home Health

LTC/ Rehab

Behavioral

health

Hospice

ACO/ Population Health Analysis

State-Wide Exchange

+

Camden HIE

5

HIE Data and Utilization

www.camdenhealth.org

• 85,000 Camden patients (95% of population)• 119 Users

o ED physicianso Primary care providerso Nurses/unit clerks

o Primary care basedo Hospital basedo Home Health

o Social workers

6

HIE Benefits

www.camdenhealth.org

Providers• Reviewing own results• Reviewing other providers’ results• Trending labs• Post discharge care

Nursing• Chart Preparation (diagnostic results)• Referrals

o More complete clinical informationo Faster appointments

Social Workers• Notes on high utilizers

o Discharge Summaries from other facilitieso Clinical and Social work notes from CCHP

• Medication lists• Other contacts for patients

HIE Data Uses

• Healthcare utilization analysis• Population health research• Healthcare cost analysis• Case management/care coordination • Provider directory

Population Health/Cost Analysis

Inpatient Facts, 2011• 7,823 patients with at least 1 inpatient stay• 10,331 total inpatient visits• 1.3 average visits per individual• Maximum IP visits for 1 patient: 15 (3)• Median length of stay: 3 days• Number of hospitals

– One hospital: 55%– Two hospitals: 34%– Three hospitals: 11%

Population Health/Cost Analysis

ED Facts, 2011• Individuals with at least 1 ED visit: 50,947• Total ED visits: 107,171• Average visits per individual: 2.1• Maximum ED visits: 93• ED visits by hospital– Hospital 1: 36,404 (34%)– Hospital 2: 39,779 (37%)– Hospital 3: 30,988 (29%)

10

1/3/20

11

1/13/2

011

1/23/2

011

2/2/20

11

2/12/2

011

2/22/2

011

3/4/20

11

3/14/2

011

3/24/2

011

4/3/20

11

4/13/2

011

4/23/2

011

5/3/20

11

5/13/2

011

5/23/2

011

6/2/20

11

6/12/2

011

6/22/2

011

7/2/20

11

7/12/2

011

7/22/2

011

8/1/20

11

8/11/2

011

8/21/2

011

8/31/2

011

9/10/2

011

9/20/2

011

9/30/2

011

10/10

/2011

10/20

/2011

10/30

/2011

11/9/2

011

11/19

/2011

11/29

/2011

12/9/2

011

12/19

/2011

0

2

4

6

8

10

12

14

3

6

5

4

3

14

2

4

5

8

1 1

ED IP

Leng

th o

f St

ay

www.camdenhealth.org

“Hospital Utilization EKG”

High Utilizer Targeting

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Supporting CCHP Care Coordination Model

www.camdenhealth.org

• Recruit patients in the hospital

• High touch, in-the-field interventions

• Be the “caulk” between providers– Clinical– Social– Behavioral

• Discharge to a prepared primary care office

6-Mar-

11

21-Mar-

11

5-Apr-

11

20-Apr-

11

5-May-

11

20-May

-11

4-Jun-

11

19-Jun

-11

4-Jul-

11

19-Jul-

11

3-Aug

-11

18-Aug

-11

2-Sep

-11

17-Se

p-11

2-Oct-

11

17-Oct-

11

1-Nov

-11

16-Nov

-11

1-Dec-

11

16-Dec-

11

31-Dec-

11

15-Jan

-12

30-Jan

-12

14-Feb

-12

29-Feb

-12

15-Mar-

12

30-Mar-

12

14-Apr-

12

29-Apr-

12

14-May

-120

1

2

3

4

5

6

7

8

9

ED IP

Leng

th o

f st

ay

CCHP Intervention

1 year pre-enrollment total charges = $297,430

Post-enrollment total charges to 7/1/12 =

~$15,000

Bending the Cost Curve

www.camdenhealth.org

14

HIE Challenges• End User Engagement• Technical –Maintaining interfaces– Implementing new interfaces

• Understanding scope