rhios: chins or champs? health technet
DESCRIPTION
RHIOs: CHINs or Champs? Health TechNet. Robert Steffel, Executive Director HealthBridge [email protected]. October 21, 2005. Greater Cincinnati Demographics. 2.2 million population 14 county tri-state area (OH, KY, IN) 25 hospitals / $4 billion annual expenses - PowerPoint PPT PresentationTRANSCRIPT
RHIOs: CHINs or Champs?RHIOs: CHINs or Champs?
Health TechNetHealth TechNet
Robert Steffel, Executive DirectorHealthBridge
October 21, 2005
22
Greater Cincinnati Greater Cincinnati DemographicsDemographics
• 2.2 million population2.2 million population
• 14 county tri-state area (OH, KY, IN)14 county tri-state area (OH, KY, IN)
• 25 hospitals / $4 billion annual expenses25 hospitals / $4 billion annual expenses
• 3 dominate private health plans3 dominate private health plans
• Approximately 4,000 active physicians Approximately 4,000 active physicians
• Engaged employers / Low Engaged employers / Low reimbursementreimbursement
• History of collaborative activitiesHistory of collaborative activities
33
HealthBridge TimelineHealthBridge Timeline
• 1997: Funded by 5 Health Systems & 2 1997: Funded by 5 Health Systems & 2 Insurers Insurers – Began service as a community-wide MD portalBegan service as a community-wide MD portal– A true multi-stakeholder collaborativeA true multi-stakeholder collaborative
• 2000: Purchased Axolotl Clinical Messaging2000: Purchased Axolotl Clinical Messaging– Community license funded by “content providers”Community license funded by “content providers”
• 2003: Public health/physician alerts added2003: Public health/physician alerts added
• 2004: Syndromic Surveillance added2004: Syndromic Surveillance added
• 2005: Ambulatory Order Entry (In Process)2005: Ambulatory Order Entry (In Process)
44
The HealthBridge Portal Homepage
55
HealthBridge Clinical Messaging System Overview
Fax ElectronicMail MD EMRs
Clinical Messaging
Servers
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
-Data Feeds (HL-7)-MD Directory-Patient Index
-HIPAA Access Audit
Syndromic Surveillance
RODS Lab
LabOne
MD Dictation
AncillaryData Feeds
Community
Standards
Public Health
Health Alerts
Awaiting Action InboxAwaiting Action Inbox
Clinical Messaging Electronic “Inbox”HealthBridge Clinical “Inbox”
Note lab, radiology & transcribed reports
from several hospitals for a two physician
office
Inbox by Abnormal ViewInbox by Abnormal View
HealthBridge Clinical “Inbox”
Results sorted by
abnormal lab values
Community Standard CBC Result
Sample of a Clinical Messaging CBC ResultCommunity Standard CBC Result
Final View = “EMR Light”Final View = “EMR Light”
Final View- Used To Access All Electronic Results for a Practice
1010
Community Patient IndexCommunity Patient Index
1111
Public Health Alert Public Health Alert
1212
Sept 2005 – Results SentSept 2005 – Results Sent
Typical Physician Office (before HealthBridge)
Physician Office
With electronic “inbox”
Paper to ElectronicPaper to Electronic
1414
Results Per EnvelopeResults Per Envelope
Before & After Daily PrintingBefore & After Daily Printing
GSH & NorthMedical Records
prints at GSH
North RadiologyResults
GSH & North Labresults print at
GSH
North CardiologyResults
Results ofDictation/ Test
Prints in MedicalRecords
continuously
Departmenthighlights
physician name onresults
Multiple pagesstapled together
Mailroom picks upevery one hour
Each pile sortedinto mail bins of
specific letter
Stacks resortedwithin each letter
alphabetically
Current Process for Mailing Dictation/ Test ResultsMonday through Friday
Results ofDictation/ Test
Prints indepartmentcontinuously
Departmenthighlights
physician name onresults
Multiple pagesstapled togetherby department
Volunteer sortsalphabetically
Volunteer printsoff labels
Volunteer folds &stuffs envielopes
Labels placed onenvelopes
Reports picked upby mailroom 2x/
day
Mailroom prints offlabels for each
report
Reports folded,stuffed in
envelopes &labeled
Results printed indepartment
Departmentmatches all
reports for eachtest, if applicable
Multiple pagesstapled together
Departmenthighlights
physician name
Mailroom picks upreports 3-4x/day
Mail sorted byweight
Mail sent topresort
End
GSH Cardiology &Radiology
Results ofDictation/ Test
Prints indepartmentscontinuously
Departmenthighlights
physician name onresults
Multiple pagesstapled together
Mailroom picks up2x/day
Mailroom datestamps reports
Medicenter North
Reports sortedroughly into
several piles byalphabet
Start
At 3PM?? Dictation/ testresults automatically print off
in mailroom sortedalphabetically
Mailroom pulls pulls offreports by grouping and
places in envelopes with clearlabels for addresses & sorts
by weight
Mailed to be weightedmoved to next room,
weighted and metered
Picked up by presort at4:30 pm
End
Conversion of Dictation/Test Results to Clinical MessagingProposed May 2002
Before After
Problems, Choices & Problems, Choices & Lessons LearnedLessons Learned
1717
Key Issues We Had To Key Issues We Had To AddressAddress
Respond to pressure to start a CHINRespond to pressure to start a CHIN
Fund and form a collaborative networkFund and form a collaborative network
Offer content/services that deliver valueOffer content/services that deliver value
Build trust, collaboration & utilizationBuild trust, collaboration & utilization
Show value of stakeholder participationShow value of stakeholder participation