vigilance health health information exchange education october 9, 2013 copyright © 2013...

Vigilance HealthHealth Information Exchange

Education

October 9, 2013

Copyright © 2013 VigilanceHIT. All rights reserved. 1

James Coburn, CEOLaura Landry, EVP and Co-FounderMark Davis, Sr. Project ManagerKatharine Phillips, Sr. Project Manager

2Copyright © 2013 VigilanceHIT. All rights reserved.

Housekeeping – Meaningful Use

– Meaningful Use Reports

– Upcoming Meetings

– Help Us Help You

– Gold Coast HIT Resource Center – Stage 2

HIE

To-Do List for Practice

Agenda


Send all MU reports to [email protected]

All reports received the previous week will be addressed on the Tuesday, 9:30 am and 12:30 pm, Meaningful Use and Gap Analysis online meeting

Email MU questions ahead of the call so that we can research them and have an answer ready

Stage 1 questions: [email protected] – answered on Tuesday meetings

Stage 2 questions: [email protected] – answered on the monthly Meaningful Use Workgroup meeting, first Wednesday of each month

Meaningful Use Reports and Questions

mailto:[email protected]




Go to the calendar on our website, www.goldcoasthit.org for registration details!

Every Tuesday 9:30 and 12:30– Stage 1 Meaningful Use Questions and Gap Analysis

Upcoming Online Meetings


Gold Coast has 1200+ providers that are going to attest for Meaningful Use in 2013

Tuesday Gap Analysis calls are critical to your success

If you are attesting for 90 days, somebody from the practice MUST attend one of the Tuesday calls every week

You worry about right now, let us worry about your next steps

Help Us Help You

www.vigilancehit.salesupplychain.com


Health Information Exchange 102

Laura LandryExecutive VP and Co-Founder

November 13th, 2013



Gold Coast HIT Resource Center – Stage 2


Vigilance Health is the new name for Gold Coast Health IT Resource Center

The Gold Coast Health IT Resource Center will not go away

– We will continue to help enrolled providers with Stage 1 Meaningful Use

Vigilance Health is here to fill the gaps in support for current and emerging models of healthcare

We are your trusted technology advisor as you move forward

Gold Coast HIT Resource Center – Stage 2


Review from Last Time

A quick review to refresh your memory

– Healthcare Ecosystem

– What is HIE? What is Interoperability?

– What does HIE mean for me?


Health Care Ecosystem

Physicians Network

Disease Control Centers

RadiologyCenters

Long TermCare

Pharmacy& Pharmacy Benefits Mgmt.

Hospitals(for Inpatients &

Outpatients)

Labs & Imaging

Lab Systems PT, Herbalist Chiropractor

Public Health

General

Over the counter prescriptions

Patient

Family, Friend, Internet, TV, Radio, Twitter


The Big Questions

What is health information exchange?

– Ability to electronically access medical information when and where it is needed to make critical healthcare decisions

What is interoperability?

– Your systems connected to your referring network for your patients and business needs


What Does HIE Mean For Me?

Better information = better care Timely information about

significant events related to your patient’s care (e.g. ER visits, filled prescriptions, etc.)

New patient history in a usable format

Improved care transitions

Better informed and engaged patients

Greater ability to prevent unnecessary readmissions and medical errors

Reimbursement Tied to Interoperability Avoid penalties

Assure EHR incentive payments

Enables participation in:

– Shared savings initiatives

– Pay for Performance incentives


How Does HIE Work

Operational vs. Technical

– What are the components of HIE?

– What are the capabilities?

– What is the limitations?


How Does HIE Work?

Operational

• Providers in the business network agree to share data

• Systems linked together

• When patient is seen, relevant clinicians/directly to their EHR

• The “aggregated” record is available as necessary and allowed

Technical

• Your EHR connects to HIE

• HIE resolves patient identity (L Landry at 123 Main St, #205 is the same person as Laura Landry at 123 Main St, #205)

• Designated people are entitled to see or be sent certain data elements based on their role (MD, RN, etc.)


Goal: Fully Interoperable Healthcare System

The Right Data at the Right Time to the Right People

to Support Optimum Health Outcomes

HIE

Radiology

Patient -PHR

Pharmacy

Hospital

Providers

Laboratory

Payers

Personal Health Record


Vigilance Core HIE Components

The Right Data at the Right Time to the Right People

to Support Optimum Health Outcomes

Personal Health Record

HIE

• Master Patient Index (MPI)

• Interfaces• Clinical

Database

• Data Warehouse • Security

• Care Manager

• Notification

• Portals


Interoperability Limited by EHR Capabilities

Can your EHR create electronic order messages? Order from multiple labs? Order from multiple imaging centers?

Provider

EHR

Practice Management System

• Interfaces• HL7?• IHE?

HIE


What Does HIE Accomplish

Patient-centric care

– Just as online banking collects all of your financial transactions in one place, the HIE collects all healthcare transactions for one patient in one place

– Primary care physician is like the “main office” of the bank

– Almost everyone else (specialists and hospitals) are like out-of- network ATMs – the data still goes to the main bank

– Sensitive data still remains segregated and protected


HIE is Key to Meaningful Use

Using certified EHR technology in ways that can be measured by quality and quantity such as

- ePrescribing, labs, public health registries, PQRI

- submitting clinical quality data/other measures: P4P, ACO, PCMH

- exchanging information to improve care continuity


Meaningful Use Goals

• Patient-centered medical practice

• Patient care quality, safety, efficiency• Care coordination• Population and public health

• Adequate privacy and security for personal health information

Support

Improve

Ensure


Stage 2 Measures and HIE

Measure HIE Function

Transition of Care>10% of transitions of care from acute Communicator for Direct Messagingenvironment have summaries transmitted Hospital Connect to populate health via direct summaries

View, Download, Transmit (VDT)PHR populated for more than 50% of patients Communicator for VDT5% of patients view, download, transmit their Hospital Connect to populate health summariesinformation Ambulatory CCD integration to populate from Required for hospitals and physicians practices

Secure Messaging>5% of patients send a secure message Communicator for PHRRequired for Physicians

ResultsCore for EP: >55% electronic results Results delivered and received electronically


The Classic HIE Challenge

Copyright Sandlot Solutions Confidential


Vigilance HIE is Powered by Sandlot Solutions

Copyright Sandlot Solutions Confidential


Benefits of HIE

Adoption of EHRs

Meaningful Useof EHRs

Exchangeof Health

Information

• Improved Health Outcomes

• Ability to Study& Improve CareDelivery

• Increased Transparency& Efficiency

• Shared Savings from patient risk

• Remain viable and competitive


HIE Preparation Steps

STEP 1ID who you most need to receive data from and send data to

• Lab• Hospitals• Specialists• Surgery/Diagnostic

Centers

STEP 2ID HIEs in your

local area

• Private HIEs (hospital, med groups, IPAs, etc.)

• Community HIEs (open to all providers)

• Colleagues’ HIE providers

STEP 3Determine which HIE has greatest overlap with your

own list from Step 1


Get Help with Getting Ready for HIE

12:30PM

HIE Workshop

Fill out a form with the Step 1 Information

and

Get your questions answered as you go!


Survey

We’d like to make sure that our Interoperability Platform is able to connect with all of your referring organizations and vendors. There is a survey at the end of this webinar that asks for the following information so that we can start contacting them to build interfaces:

Labs, hospitals, IPA, ACO, Surgical Centers, Nursing Homes, Health Plans

The more vendors we are connected with, the more effective we will be in helping you!


To-Do List for Practice

1. TAKE THE SURVEY AT THE END OF THE MEETING!

2. Tell us who your office contact for Health Information Exchange? Let us know so that we can keep them informed

– Have them email us at [email protected]


www.vigilancehit.salesupplychain.com


Q & A / Thank You!

Laura Landry

Executive VP and Co-Founder

Tel: 805-823-0932

Email: [email protected]

For More Information, Please Contact:

vigilance health health information exchange education october 9, 2013 copyright © 2013...

Documents

gold coast health

meaningful use questions

twitter slide

project manager slide

practice agenda slide

answer ready stage

mu reports

gap analysis calls