On the Path to Secure,
Interoperable HIE Everywhere
March 5, 2013
Mariann Yeager
Executive Director
www.healthewayinc.org
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eHealth Exchange
Health Bank or
PHR Support Organization
State and
Local Gov
Community
Health Centers
SSA
Community #1
Shared trust framework and
rules of the road
Labs
Integrated
Delivery
System
VA
DoD
CMS
Pharmacies
Community #2
The Internet
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Standards, Specifications and Data Use & Reciprocal Support Agreement
2008 PHIN Conference
25 August 2008
(DURSA) for Secure Connections
eHealth Exchange Anchor Participants
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eHealth Exchange Participants
•
Alabama One Health Record
•
Lancaster General Health
•
Centers for Medicare and Medicaid Services (CMS)
•
Marshfield Clinic
•
Childrens’ Hospital of Dallas
•
Medical University of South Carolina (MUSC)
•
Community Health Information Collaborative (CHIC)
•
MedVirginia
•
Conemaugh Health System
•
MultiCare Health System
•
Department of Defense (DOD)
•
National Renal Administrators Association (NRAA)
•
Department of Veterans Affairs
•
New Mexico Health Information Collaborative (NMHIC)
•
Dignity Health
•
•
Douglas County Individual Practice Association (DCIPA)
North Carolina Healthcare Information and Communications
Alliance, Inc. (NCHICA)
•
Eastern Tennessee Health Information Network (etHIN)
•
OCHIN
•
EHR Doctors
•
Quality Health Network
•
Hawaii Pacific Health
•
Regenstrief Institute
•
HealthBridge
•
Social Security Administration (SSA)
•
HealtheConnections RHIO Central New York
•
South Carolina Health Information Exchange (SCHIEx)
•
HEALTHeLINK (Western New York)
•
South East Michigan Health Information Exchange (SEMHIE)
•
Idaho Health Data Exchange
•
Strategic Health Intelligence
•
Inland Northwest Health Services (INHS)
•
University of California, San Diego
•
Kaiser Permanente
•
Utah Health Information Network (UHIN)
•
Wright State University
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eHealth Exchange Growth
• Participation reaching critical mass
•
•
•
•
38 Participants
More than 500 hospitals, 5000 physician practices
100 million patients
More than 50 others in various stages of onboarding
• National-level coverage increasing
• Footprint in all 50 states
• Patient records securely shared across 23 states
• Collaboration extending breadth and depth of connectivity
• Care Connectivity Consortium
• EHR|HIE Interoperability Workgroup
• MU2 driving adoption among vendors and providers
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Forming Strategic Collaboration
eHealth Exchange
Powered by Healtheway
Leverage CCC’s development and incubation of new services
for the exchange
Leverage Healtheway’s robust onboarding and associated
services
to help minimize costs and improve efficiencies
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Alignment with State HIE
Efforts
• Complements state HIE programs by enabling exchange
• Across geographic, organizational boundaries and technical
platforms
• With federal health providers and in support of federal programs
• Provides a mechanisms for states to interconnect based upon
a national-level trust and interoperability framework
• Significant level of state participation and buy-in
• Collaboration with EHR | HIE Interoperability Workgroup
aligns national-level and state HIE programs
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EHR |HIE Interoperability Workgroup
States
EHR Vendors
HIE Vendors
California
Alere Wellogic
1MEDiX
Colorado
Allscripts
Alere Wellogic
Florida
Cerner
ApeniMED
Georgia
Data Strategies
dbMotion
Illinois
DeFran Systems
GE
Kansas
Dr. First
GSI Health
Kentucky
eClinicalWorks
Harris
Maryland
eMDs
HealthUnity
Michigan
Epic
ICA
Missouri
ePocrates
InterSystems
Nebraska
GE
Med3000
New Jersey
Greenway
MedAllies
New York
McKesson
MedFx
Oregon
MdClick
Medicity
Rhode Island
MTBC
Mirth
Utah
NextGen
Misys Open Source Solutions
Vermont
Nortec Software
NextGate
Virginia
Sage
OmniMD
Siemens
OmniXchange
Optum
Orion
RelayHealth
• 18 States represent
~ 52% of US Population
• 41 Vendors are leading EHR
and HIE vendors with
significant market share
• 19 EHR Vendors
• 22 HIE Vendors
• MOU in place with states and
vendors to use joint testing
program
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EHR |HIE Interoperability Workgroup Healtheway Partnership
• Assures overall success of the Compliance Testing Program:
• Achieves a larger market impact through support of a uniform set
of testing requirements and testing process
• Helps unify industry and avoid market fragmentation
• Required minor work to establish a harmonized set of
implementation specifications and testing requirements due to
significant overlap in specifications
• Brings together shared stakeholders, as many states / vendors
are engaged with both IWG and the eHealth Exchange
• Strengthens shared vision, evidenced through common testing
program goals and objectives
Testing Program Goals
• Overall Goal:
• Reduce barriers to HIE, establish interoperability, while minimizing
cost and complexity when possible
• Test once and capable of exchanging with many others
• Cover transport, transactions and content
• Product Certification
• Provide market assurance and technical clarity in compliant products
• Assure Provider to HIE interoperability
• eHealth Exchange Participation Testing
• Verify that implementations of successfully validated products are
compliant as a condition of participation in the eHealth Exchange
• Assure interoperability among participants in the eHealth Exchange
HIE Certified Programs
• HIE Certified Community™, for electronic health
records (EHRs) and other health IT systems, that will
enable state-wide patient data inquiry allowing clinicians
to query an HIE for information on specific patients
• HIE Certified Direct™ that provides a simple way for
providers to send secure health information directly to
trusted recipients, including patients, over the Internet
• HIE Certified Network™ for HIE-to-HIE connectivity and
for connection to the eHealth Exchange
HIE Certified Seals
HIE Certified:
Network
HIE Certified Network
NHIN Specs: PD/QD/RD/MA
Gateway
PD/QD/RD/MA
Gateway
PD/QD/RD/MA
PD/QD
RD/MA
HISP
S/SMTP
Gateway
CDR/MPI
XDR
XDS/PIX/PDQ
XDS/PIX/PDQ
EHR
CDR/MPI
Gateway
EHR
HIE Certified Direct
ONC Specs: Direct Project
EHR
EHR
HIE Certified Community
NHIN Specs: PD/QD/RD/MA
IHE Specs: XDS/PIX/PDQ
Health Care Organization A
EHR
EHR
HIE Certified Community
NHIN Specs: PD/QD/RD/MA
IHE Specs: XDS/PIX/PDQ
Health Care Organization B
Pilot Launched
• Pilot Launched
• Program available in Spring 2013
• For more information:
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For More Information
• EHR | HIE Interoperability Workgroup
• www.interopwg.org
• Healtheway and eHealth Exchange
• www.healthewayinc.org
• Testing Program Updates and Resources
• www.cchit.org
• Joint Task Group – Test Cases and Content Specifications
• http://exchange-iwg.wikispaces.com
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