1. Health Information Exchange
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

2. Agenda Housekeeping – Meaningful Use HIE To-Do List for Practice
Meaningful Use Reports
Upcoming Meetings
Help Us Help You
Gold Coast HIT Resource Center – Stage 2
HIE
To-Do List for Practice

3. Meaningful Use Reports and Questions
Send all MU reports to
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
MU questions ahead of the call so that we can research them and have an answer ready
Stage 1 questions: – answered on Tuesday meetings
Stage 2 questions: – answered on the monthly Meaningful Use Workgroup meeting, first Wednesday of each month

4. Upcoming Online Meetings
Go to the calendar on our website, for registration details!
Every Tuesday 9:30 and 12:30– Stage 1 Meaningful Use Questions and Gap Analysis

5. Help Us Help You
Gold Coast has 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

6. Health Information Exchange 102
Laura Landry
Executive VP and Co-Founder
November 13th, 2013
Copyright © 2013 VigilanceHIT. All rights reserved. 6

7. Gold Coast HIT Resource Center – Stage 2

8. 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

9. 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?

10. (for Inpatients & Outpatients)
Health Care Ecosystem
Over the counter prescriptions
Public Health
Family, Friend, Internet, TV, Radio, Twitter
General
Radiology
Centers
Pharmacy & Pharmacy Benefits Mgmt.
Patient
Hospitals
(for Inpatients & Outpatients)
Long Term
Care
Disease Control Centers
Physicians Network
PT, Herbalist Chiropractor
Lab Systems
Labs & Imaging

11. 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

12. 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.)
New patient history in a usable format
Improved care transitions
Better informed and engaged patients
Greater ability to prevent unnecessary readmissions and medical errors
Avoid penalties
Assure EHR incentive payments
Enables participation in:
Shared savings initiatives
Pay for Performance incentives

13. How Does HIE Work Operational vs. Technical
What are the components of HIE?
What are the capabilities?
What is the limitations?

14. 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.)

15. Goal: Fully Interoperable Healthcare System
The Right Data at the Right Time to the Right People to Support Optimum Health Outcomes
HIE
Patient - PHR
Pharmacy
Personal Health Record
Radiology
Payers
Providers
Laboratory
Hospital

16. Vigilance Core HIE Components
The Right Data at the Right Time to the Right People to Support Optimum Health Outcomes
HIE
Clinical Database
Interfaces
Personal Health Record
Data Warehouse
Notification
Security
Portals
Master Patient Index (MPI)
Care Manager

17. Interoperability Limited by EHR Capabilities
Can your EHR create electronic order messages? Order from multiple labs? Order from multiple imaging centers?
Provider
HIE
Interfaces
HL7?
IHE?
Practice
Management
System
EHR

18. 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

19. 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

20. Meaningful Use Goals Patient-centered medical practice Support
Patient care quality, safety, efficiency
Care coordination
Population and public health
Improve
Ensure
Adequate privacy and security for personal health information

21. View, Download, Transmit (VDT)
Stage 2 Measures and HIE
Measure HIE Function
Transition of Care
>10% of transitions of care from acute Communicator for Direct Messaging
environment 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 VDT
5% of patients view, download, transmit their Hospital Connect to populate health summaries
information Ambulatory CCD integration to populate from
Required for hospitals and physicians practices
Secure Messaging
>5% of patients send a secure message Communicator for PHR
Required for Physicians
Results
Core for EP: >55% electronic results Results delivered and received electronically

22. The Classic HIE Challenge
Copyright Sandlot Solutions Confidential

23. Vigilance HIE is Powered by Sandlot Solutions
Copyright Sandlot Solutions Confidential

24. Exchange of Health Information
Benefits of HIE
Adoption of EHRs
Improved Health Outcomes
Ability to Study & Improve Care Delivery
Increased Transparency & Efficiency
Shared Savings from patient risk
Remain viable and competitive
Meaningful Use of EHRs
Exchange of Health Information

25. HIE Preparation Steps STEP 3
Determine which HIE has greatest overlap with your own list from Step 1
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

26. 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!

27. 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!

28. To-Do List for Practice
TAKE THE SURVEY AT THE END OF THE MEETING!
Tell us who your office contact for Health Information Exchange? Let us know so that we can keep them informed
Have them us at

29. Q & A / Thank You! Laura Landry Executive VP and Co-Founder
For More Information, Please Contact:
Laura Landry
Executive VP and Co-Founder
Tel: