Vigilance Health Health Information Exchange Education James Coburn, CEO Laura Landry, EVP and Co-Founder Mark Davis, Sr. Project Manager Katharine Phillips, Sr. Project Manager October 9, 2013 Copyright © 2013 VigilanceHIT. All rights reserved. 1 Agenda 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 Copyright © 2013 VigilanceHIT. All rights reserved. 2 Meaningful Use Reports and Questions Send all MU reports to reports@goldcoasthit.org 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: stage1@goldcoasthit.org – answered on Tuesday meetings Stage 2 questions: stage2@goldcoasthit.org – answered on the monthly Meaningful Use Workgroup meeting, first Wednesday of each month Copyright © 2013 VigilanceHIT. All rights reserved. 3 Upcoming Online Meetings 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 Copyright © 2013 VigilanceHIT. All rights reserved. 4 Help Us Help You 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 Copyright © 2013 VigilanceHIT. All rights reserved. 5 www.vigilancehit.salesupplychain.com Health Information Exchange 102 Laura Landry Executive VP and Co-Founder November 13th, 2013 Copyright © 2013 VigilanceHIT. All rights reserved. 6 Gold Coast HIT Resource Center – Stage 2 Copyright © 2013 VigilanceHIT. All rights reserved. 7 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 Copyright © 2013 VigilanceHIT. All rights reserved. 8 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? Copyright © 2013 VigilanceHIT. All rights reserved. 9 Health Care Ecosystem Public Health Over the counter prescriptions General Radiology Centers Family, Friend, Internet, TV, Radio, Twitter Patient Hospitals Pharmacy & Pharmacy Benefits Mgmt. (for Inpatients & Outpatients) Long Term Care Physicians Network Disease Control Centers Copyright © 2013 VigilanceHIT. All rights reserved. Lab Systems Labs & Imaging PT, Herbalist Chiropractor 10 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 Copyright © 2013 VigilanceHIT. All rights reserved. 11 What Does HIE Mean For Me? Better information = better care Reimbursement Tied to Interoperability Timely information about significant events related to your patient’s care (e.g. ER visits, filled prescriptions, etc.) Avoid penalties New patient history in a usable format Improved care transitions Assure EHR incentive payments Enables participation in: – Shared savings initiatives – Pay for Performance incentives Better informed and engaged patients Greater ability to prevent unnecessary readmissions and medical errors Copyright © 2013 VigilanceHIT. All rights reserved. 12 How Does HIE Work Operational vs. Technical – What are the components of HIE? – What are the capabilities? – What is the limitations? Copyright © 2013 VigilanceHIT. All rights reserved. 13 How Does HIE Work? Operational Technical • 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 • Your EHR connects to HIE • HIE resolves patient identity (L Landry at 123 Copyright © 2013 VigilanceHIT. All rights reserved. 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.) 14 Goal: Fully Interoperable Healthcare System The Right Data at the Right Time to the Right People to Support Optimum Health Outcomes Patient PHR Pharmacy Personal Health Record HIE Radiology Payers Providers Laboratory Hospital Copyright © 2013 VigilanceHIT. All rights reserved. 15 Vigilance Core HIE Components The Right Data at the Right Time to the Right People to Support Optimum Health Outcomes • Clinical Database • Interfaces • Security • Data Warehouse • Notification • Master Patient Index (MPI) • Care Manager • Portals HIE Copyright © 2013 VigilanceHIT. All rights reserved. Personal Health Record 16 Interoperability Limited by EHR Capabilities Can your EHR create electronic order messages? Order from multiple labs? Order from multiple imaging centers? Provider • Interfaces Practice Management System • HL7? • IHE? HIE EHR Copyright © 2013 VigilanceHIT. All rights reserved. 17 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-ofnetwork ATMs – the data still goes to the main bank – Sensitive data still remains segregated and protected Copyright © 2013 VigilanceHIT. All rights reserved. 18 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 Copyright © 2013 VigilanceHIT. All rights reserved. 19 Meaningful Use Goals Support Improve Ensure • Patient-centered medical practice • Patient care quality, safety, efficiency • Care coordination • Population and public health • Adequate privacy and security for personal health information Copyright © 2013 VigilanceHIT. All rights reserved. 20 Stage 2 Measures and HIE Measure HIE Function Transition of Care >10% of transitions of care from acute environment have summaries transmitted via direct Communicator for Direct Messaging Hospital Connect to populate health summaries View, Download, Transmit (VDT) PHR populated for more than 50% of patients 5% of patients view, download, transmit their information Required for hospitals and physicians Communicator for VDT Hospital Connect to populate health summaries Ambulatory CCD integration to populate from practices Secure Messaging >5% of patients send a secure message Required for Physicians Communicator for PHR Results Core for EP: >55% electronic results Copyright © 2013 VigilanceHIT. All rights reserved. Results delivered and received electronically 21 The Classic HIE Challenge Copyright © 2013 VigilanceHIT. All rights reserved. Copyright Sandlot Solutions Confidential 22 Vigilance HIE is Powered by Sandlot Solutions Copyright © 2013 VigilanceHIT. All rights reserved. Copyright Sandlot Solutions Confidential 23 Benefits of HIE Adoption of EHRs Meaningful Use of EHRs Exchange of Health Information Copyright © 2013 VigilanceHIT. All rights reserved. • Improved Health Outcomes • Ability to Study & Improve Care Delivery • Increased Transparency & Efficiency • Shared Savings from patient risk • Remain viable and competitive 24 HIE Preparation Steps STEP 1 ID who you most need to receive data from and send data to • • • • Lab Hospitals Specialists Surgery/Diagnostic Centers STEP 2 ID HIEs in your local area • Private HIEs (hospital, med groups, IPAs, etc.) • Community HIEs (open to all providers) • Colleagues’ HIE providers Copyright © 2013 VigilanceHIT. All rights reserved. 25 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! Copyright © 2013 VigilanceHIT. All rights reserved. 26 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! Copyright © 2013 VigilanceHIT. All rights reserved. 27 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 hie@vigilancehit.com Copyright © 2013 VigilanceHIT. All rights reserved. 28 www.vigilancehit.salesupplychain.com Q & A / Thank You! For More Information, Please Contact: Laura Landry Executive VP and Co-Founder Tel: 805-823-0932 Email: llandry@vigilancehit.com Copyright © 2013 VigilanceHIT. All rights reserved. 29