EHealth EHealth In Northern KentuckyIn Northern Kentucky::

Keith Hepp CFO, VP Business Development

khepp@healthbridge.org

HealthBridge TimelineHealthBridge Timeline

• 1997: Funded by 5 Health Systems & 2 1997: Funded by 5 Health Systems & 2 Insurers Insurers

• 2000: Purchased Axolotl Clinical Messaging2000: Purchased Axolotl Clinical Messaging

• 2003: Public health/physician alerts added2003: Public health/physician alerts added

• 2004: Syndromic Surveillance added2004: Syndromic Surveillance added

• 2006: Community–wide electronic lab 2006: Community–wide electronic lab orderingordering

• 2006: With Northrop Grumman consortium 2006: With Northrop Grumman consortium on NHIN demonstrationon NHIN demonstration

Mercy

Children’s

St. Elizabeth

Health Alliance

TriHealth

Drake

Greater Cincinnati

HealthBridge Network

Health System Content Available To HealthBridge Users

Fax ElectronicMail MD EMRs

Clinical Messaging

Servers

Centralized Printing

HealthBridge Clinical Messaging System Overview

Mercy HealthPartners Health AllianceTriHealth

St. ElizabethCincinnatiChildren’s

Health Systems – 17 HospitalsLab Results, Radiology Reports, Transcribed Reports, ADT

Transactions

Physician Access to Clinical Results

-HL-7 Data-MD Directory-Patient Index

-HIPAA Access Audit

Fax Server

Syndromic Surveillance

RODS Lab

LabOne

MD Dictation

AncillaryData Feeds

Community Standards

Legacy Result Delivery Public Health

Health Alerts

Final View- Used To Access All Electronic Results for a Practice

Key LearningsKey Learnings

• Governance is key – the closer the decision Governance is key – the closer the decision to the community, the easier the to the community, the easier the collaborationcollaboration

• Some portions of healthcare needs to Some portions of healthcare needs to remain local (disease management) and remain local (disease management) and some are national in nature (prescriptions)some are national in nature (prescriptions)

• To be self sustaining, RHIO’s need to look To be self sustaining, RHIO’s need to look for areas other than just messagingfor areas other than just messaging

• Too many RHIO’s do not have credible plans Too many RHIO’s do not have credible plans for sustainability. Grants for seed funding is for sustainability. Grants for seed funding is fine but operations should be self sustaining fine but operations should be self sustaining

Key LearningsKey Learnings

• Flexibility of technology important due to Flexibility of technology important due to varying skills in the physician officevarying skills in the physician office

• Logical RHIO area may be across state Logical RHIO area may be across state boundaries boundaries

• ““EMR Lite” provides a flexible way to start EMR Lite” provides a flexible way to start electronic communications and moves electronic communications and moves physician offices in right directionphysician offices in right direction

• Currently, EMR’s can create islands of Currently, EMR’s can create islands of information againinformation again

• Process, process, process…Process, process, process…

2006 Projects2006 Projects

• Medication history at the EDMedication history at the ED• Automated reporting of Class A diseasesAutomated reporting of Class A diseases• Improvements to Case ManagementImprovements to Case Management• Diabetes and other disease registriesDiabetes and other disease registries• Automation of Bridges to Excellence Automation of Bridges to Excellence

reporting and analysisreporting and analysis• Automation of hospital/health plan Automation of hospital/health plan

reportingreporting

EHealth EHealth In Northern KentuckyIn Northern Kentucky::

Keith Hepp CFO, VP Business Developmentkhepp@healthbridge.org