hie emergency preparedness and response: rsvps from … · 2019. 2. 12. · hie emergency...
TRANSCRIPT
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HIE Emergency Preparedness and Response: RSVPs from Florence and Michael
Session #88, Wednesday, February 13, 2019
Gary D. Parker, Chief Data Officer, Alabama Medicaid Agency
Tara Cramer, Executive Director, GRAChIE
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Gary Parker
Tara Cramer
Has no real or apparent conflicts of interest to report.
Conflict of Interest
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• Identify unique roles HIEs play during emergency situations
• Describe importance of tight coordination with local communities
in disaster response
• Discuss emerging areas of value HIEs deliver in their regions and
on a national level
Learning Objectives
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• GRAChIE – Overview
• Alabama One Health Record® - Brief Spotlight
• Learning Objectives
• Questions and Contact Information
Agenda
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SHIEC—A Nationwide Approach to Interoperability
Providing health data to more than
75% of Americans
More than
130Members
70+ HIE Members
60+ SB&T Members
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GRAChIE
501c3 status/ Independent Entity
Staff of 5
GRAChIE is well established with committed Stakeholders
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GRAChIE’s Founding Focus
• Care Coordination
• Clinical Integration/Affiliation
• Building a Community Record/Data Repository
GRAChIE
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• Over 400 locations across Georgia contributing data
- Hospitals
- Independent Practices
- Behavioral Healthcare
- Correctional Healthcare
- Long-term Care
• 17 EMR Vendors
• 2.6 million Unique Patients
• Crossover up to 11 sources
• Over 180,000 queries in December 2018
• Over 800,000 records viewed in 2018
• Centralized HIE with External Partners
GRAChIE Stats
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GRAChIE
Demographic data
Visit history
Problems and Diagnoses
Medications
Allergies
Vital signs
Lab results
Immunizations
Discharge Summaries
History and Physical
Radiology reports
Provider reports
HIE is dependent on the information sent to it by the EMR
Sharing data beyond the “standard”
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Known
• Care Coordination
– Primary care to specialist (multiple sites of care)
– CAH/rural hospital to large health system
– Trauma transport
– Tele-medicine
– ED visits
• Meaningful Use/payment reform
• Clinical integration/affiliation
Realized
• Back-up for planned or unplanned downtime
• EMR migration
• Disaster Planning and Preparedness
HIE Benefits
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• Use this as your last slide
• Add speaker contact information (email, Twitter handle,
LinkedIn address, if available)
• Organization logo(s) can be placed on this slide
• Remind attendees to complete online session evaluation
Questions
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Alabama HIE - No One Left Behind….
Legend:
Green – live facilities
Red - Most recent and pending facilities
covered lives
1/2019 >3.28 million
12/2018 = 2.8 million
2010 Census 4.77 million
operational since
April 2012; August 2016vision
state-wide network of
information exchange
execution
Current: 323 Locations 14 Hospitals & 72
County Health Depart sites.
12/2019 projected: >500+ Locations value
unified health record
across State, Region, & Nation
HIESpotlight
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• The unique roles HIEs play during emergency situations
• The importance of tight coordination with local communities in disaster response
• The emerging areas of value HIEs deliver in their regions and on a national level
Learning Objectives - Alabama
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• Guardian Angel: Unaware, but always around; there to serve in particularly in times of distress.
• Security Blanket: A sense of ease knowing your medical data is available if needed, regardless of your dislocation.
• Comrade-in-arms: We got your back…covered!
• Health IT “Prime Star” – Location, location, location….of the displaced population, and ability to search for those “lost”.
Objective #1: The unique roles HIEs play during emergency
situations.
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• Composure and Continuity to Counter the Commotion caused by
Catastrophic Chaos.
• Adequate time for planning for the expected.
• Understanding the weak link(s) in the chain.
• Knowledge of the limitations of the planning.
• Confidence in your ability to respond.
• Timing is everything.
Objective #1: The unique roles HIEs play during emergency
situations.
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• The expansion of the multi-tier exchange levels.
• First responders access to medical data. (Pilot in queue)
• HIE network Continuity of Operations Plan (COOP). (PCDH
and SE; process refinement)
• Search as a service. (32 matches for AL/ FL & 34 for
AL/GRAChIE)
• EMA leveraging the HIE framework for points of care.
• It’s all about the value of “Relationships”.
Objective #1: The unique roles HIEs play during emergency
situations.
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• Build awareness
– WE ARE HERE
– Being a part of the discussion is everything
– This is what we do!
• HIEs can assist in areas, other than treatment, during times of a disaster.
Objective #2: The importance of tight coordination with local communities in disaster response.
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• National connectivity with MPI management, consent management, and normalized data delivery
• ACO partnerships
• Event Notification, Result Delivery, Analytics supported
• Support for community level projects
• HIE collaboration allowing for stronger standards, sharing of best practices and more.
Objective #3: The emerging areas of value HIEs deliver in their regions and on a national level
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What we know?
• Natural and Man-made disasters demonstrate over and over the
importance of a strong, integrated healthcare communities
• Technology alone cannot integrate the heterogeneous business
and practice of medicine
• Ultimately, this work boils down to enabling the broad healthcare
community to support the care and wellness of each individual,
wherever they show up for services, now and in the years to come
• Community-based exchange organizations are vital to care-
connected communities
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• Push participation from ALL healthcare providers
• Providers improve documentation in CCDs
• Broaden standards of what is shared
• Coordination and connectivity throughout our states
• Incorporate and fund HIEs in Emergency Management Programs
at the Fed, State, and Local levels
• Establish HIEs as a standard part of coordinating care everyday
What do we do now?
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Contact Information
Gary D. Parker
www.onehealthrecord.Alabama.gov.
Tara Cramer
THANK YOU!
Questions