HIE
EMR
Optimal
Care
REC
Quality
What Are Midwest Providers
Doing to improve Quality, Safety,
AND Efficiency
IRHA HIT Panel
Todd Rowland MD
HealthLINC HIE
Our Objectives
Evaluate options for electronic tools (EMR) to
improve quality and safety from real life
examples
Explore the value of RAPID data exchange for
daily clinical work
Develop your organizational plan to improve
efficiency while maintaining quality of life
Who is here today?
Do you already have an EMR?
Are you planning to retire… soon?
Are you happy with your EMR?
If you don’t have an EMR, why not?
What were your plans before Meaningful
Use started?
What would an EMR need to do to
improve your professional life? Your
personal life?
In Batesville, Indiana
Scott Calahan, MD
Pediatrician
“With the use of our
HealthBridge exchange I
can access almost 100% of
my patient’s information on
my system, directly in the
patient’s chart. I get results
from Margaret Mary
Community Hospital as
well as Cincinnati
Children’s Hospital and will
get results from Riley
Hospital in Indianapolis!”
One Week of Chart Work…
not in Batesville
Federal Aim: Wed HIT – HIE – QI
AIM: Move physician groups toward full
practice transformation & meaningful use
Provider
Universe
Tomorrow
HIGH
Engagement
Provider
Universe
Today
LOW
LEVEL 1
BASIC QUALITY
IMPROVEMENT
LEVEL 2
AGGRESSIVE QI
BASIC TECHNOLOGY
LEVEL 3
PATIENT CENTERED MEDICAL
HOME
MEANINGFUL
6 USE
Connection to
Health Information Exchanges
Acute Hospitals
What is wrong
34% with
this group???????
Connected
66%
Not Connected
Phase 1
Data Source: Indiana HIO’s
HealthLINC HIE:
working to make a difference
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HIE Operations since 2007
501c3 non-profit
270 electronic physicians
200,000 results/month = 288 trees a year saved
5 different result sources (many result types)
190,000 patients in community index
4 physician EMR interfaces (AllScripts, Greenway, Sage)
Growth in HIE hosted e-prescribing
Integrated to community registry
4 federal projects ongoing (SSA, CMS, ONC, HRSA)
ASP with Health Bridge HIE (Axolotl, MIRTH…)
Sub-grantee Tri-State Regional Extension Center
This is happening all around Indiana
HIE
• 5 data sources
• 260 physicians
• 190k patients
REC
EMR
• 60%+ adoption
• eRX 2-5x/state
average
Optimal Care
Quality
• HIE integration
• Clinical Integration
• 70 MDs
• 44-63k
incentives
HealthBridge Tri-State
Regional Extension Center (REC)
HOW WILL IT ASSIST PRACTICES AND HEALTH PROFESSIONALS?
•
Basic Resources on Technology and Meaningful Use
• Conferences, webinars, workshops and peer learning
• Tools, contract templates for EHR implementation
•
• Online and print meaningful use resources
Group Purchased EHRs and Technology Solutions
• provide discounted rates for EHRs, hardware and IT services
• health information exchange services and other technical support.
•
On-Site Technology Implementation Assistance – help with planning,
purchasing and implementing an EHR, exchange and other technologies
needed to meet meaningful use
•
Quality Improvement Support – practice redesign, intensive QI
collaborative, performance measurement requirements for EHRs
•
WHAT REC $ CANNOT DO: pay for an EHR, hardware or other software.
11
HIE operations and Mature EMR Use
HIE
-MDs expect HIE results < 2 hrs
-Practices improving results management
-Physician Lab added by community request
HIE
EMR
Optimal
Care
Quality
REC
EMR
-50 to 90% adoption of EMR
-many MDs using EMR 2+ years
-increasing HIE to EMR interfaces
Regional Extension Centers: Making IT Meaningful
HIE
EMR
Optimal
Care
Quality
REC
-Partner in Tri-State REC (Indiana)
-Achieved 30% (70) with EASY SIGNUP
-Simple Gap Analysis with Final Rule
-Physician practices can earn 44-63k
-Monthly standing meetings
-We have been doing this for years
-Results management
-Electronic referrals
-Medication management
Aligning with Quality and Financial Drivers
HIE
EMR
Optimal
Care
Quality
REC
Quality
-Clinical Integration program (FTC)
-150+ MDs members of CQP program
-Aligned with hospital quality
-Community registry integration
Opportunity examples
-Reducing hospital re-admissions by sharing
discharge meds/allergies
-Electronic referral management
-Tele-health complementing rural outreach
In Paoli, Indiana
“I can print out a copy of
a prescription list and
create a plan for the
patient”
“Then the patient is able
to leave the office with a
good understanding of
their meds. It’s a safety
issue for me.”
Yolanda Yoder MD
Thanks