myhealth access network: a beacon community in oklahoma david kendrick, md, mph
TRANSCRIPT
MyHealth Access Network:A Beacon Community in Oklahoma
David Kendrick, MD, MPH
Beacon Community Opportunity• $265M invested by ONC• 142 communities applied• 17 communities selected• Significant ONC involvement: “Cooperative Agreement
Program”• To demonstrate what HIT can do for a community
when fully and appropriately deployed.– Cost efficiency– Improved quality– Better population health
• Announced 5/4/2010
The Beacon Communities
What is MyHealth Access Network?
• A non-profit organization• Created by a grass roots, community-driven
effort of more than 50 organizations• Focused on a common objective– To improve the health of our community by
improving the Tulsa area healthcare system– For the benefit of all patients, employers, and
providers
Shorter Life Expectancy
Real Health DisparitiesReal Health Disparities Real Health DisparitiesReal Health Disparities
Longer Life Expectancy
NORTH TULSA
SOUTH TULSA
14 Year difference 14 Year difference in Life Expectancyin Life Expectancy
Across Tulsa CountyAcross Tulsa County
What to do about it?
• June 8, 2009: Mayor Taylor hosted a community health strategy summit– 70 leaders in the Tulsa region healthcare
community attended– MyHealth created, charter signed by 30
organizations– Planning Phase launched
Task Force Hierarchy
Clinical use cases
Data needs
Quality Metrics
Data needs
ROI by stakeholder
Financial Model
Privacy Requirements
Security Model
Features, Functions
RFP
Focus Objectives
• Cancer prevention:– Increase cancer screenings
• Population Health:– Increase immunizations in children and elderly
• Care coordination:– Improve access to care for vulnerable populations– Decrease time required for patients to receive initial
“touch” from specialists.– Reduce unnecessary care transitions and associated
costs.
Basic Framework for Health Improvement using MyHealth Interventions
• Health Information Exchange
• Single-sign on• Context
Management• Patient portal
• Health Information Exchange
• Single-sign on• Context
Management• Patient portal
Definitions: EMR vs. HIE vs. HIO vs. CCC
HIE
Basic Framework for Health Improvement using MyHealth Interventions
• Health Information Exchange
• Single-sign on• Context
Management• Patient portal
• Health Information Exchange
• Single-sign on• Context
Management• Patient portal
• Community Analytics Platform using Pentaho
• DocSite Analytics
• Community Analytics Platform using Pentaho
• DocSite Analytics
Basic Framework for Health Improvement using MyHealth Interventions
• Health Information Exchange
• Single-sign on• Context
Management• Patient portal
• Health Information Exchange
• Single-sign on• Context
Management• Patient portal
• Community Analytics Platform using Pentaho
• DocSite Analytics
• Community Analytics Platform using Pentaho
• DocSite Analytics
• Clerk2Clerk Care Transition Management
• Doc2Doc Care Coordination
• eRx• Performance
Reporting• DocSite Care
Management
• Clerk2Clerk Care Transition Management
• Doc2Doc Care Coordination
• eRx• Performance
Reporting• DocSite Care
Management
Definitions: EMR vs. HIE vs. HIO vs. CCC
HIE
Pre-Doc2Doc care coordination process
Consultant
Interview, Examine
Primary Care Provider
Specialist Clerk
PCP Clerk
Referral initiated
Schedule Patient?
• Understaffed• No written procedures in place• No quality monitoring or backup
procedures• Initial contact: 4-60 days• 50 to 3,000 referrals behind• Many simply dropped
Consultant
Interview, Examine
Add clinical story
Doc2Doc care coordination process
Primary Care Provider
Specialist Clerk
PCP Clerk
Referral initiated
Need to see
Schedule Patient
Doc2Doc Interaction
Questions? [email protected]
• Health Information Exchange
• Single-sign on• Context
Management• Patient portal
• Health Information Exchange
• Single-sign on• Context
Management• Patient portal
• Community Analytics Platform using Pentaho
• DocSite Analytics
• Community Analytics Platform using Pentaho
• DocSite Analytics
• Clerk2Clerk Care Transition Management
• Doc2Doc Care Coordination
• eRx• Performance
Reporting• DocSite Care
Management
• Clerk2Clerk Care Transition Management
• Doc2Doc Care Coordination
• eRx• Performance
Reporting• DocSite Care
Management