1. Enabling Healthcare Transformation through Information Technology Delaware Valley HIMSS September 23, 2010 Better Communication for Better Healthcare The Value of Cross State Collaboration for Promoting Health Information Exchange

2. © DHIN 2010 All Rights Reserved What is DHIN? The Nation’s First Statewide Clinical Health Information Exchange Multi-Stakeholder Public – Private Partnership State Designated Entity Funded by Federal, State and Private Resources (beginning in 2005) Live since 2007 –One source & one standard format for clinical information –Eliminates need for traditional delivery methods

3. © DHIN 2010 All Rights Reserved DHIN Data Exchange Participants 75% of Hospitals 62% of Physicians Reference Labs (statewide) –LabCorp –Quest Diagnostics –Regional Pathology Public Health 15 million transactions per month © 2010 All Rights Reserved

4. © DHIN 2010 All Rights Reserved DHIN Current Functionality Secure Results Delivery with Standard Result Format (since 2007) –Lab and Pathology Results –Radiology Reports –Admission Face Sheets –Transcribed Reports Community Health Record Medication History Public Health Reporting –Real-time reporting of data from hospitals to the Division of Public Health’s DERSS system (Delaware Electronic Reporting and Surveillance System) 2010 All Rights Reserved - Secure Inbox - Auto-Print - EMR Interface

5. © DHIN 2010 All Rights Reserved EMR Connectivity DHIN Certified EMRs –Allscripts*- Misys* –STI Computer Services- eClinicalWorks –Varian- Eclipsys* –Cerner - Advanced Data Systems Corp EMR Vendors in Negotiations –Care360 - GE/Centricity- Greenway Medical – InfoQuest - McKesson- NCG Medical –NextGen - Sage Negotiated Discounts 2010 All Rights Reserved *Merged since contracts signed

6. © DHIN 2010 All Rights Reserved The Challenge of HIE Governance Sustainability Standards and Interoperability Endless Possibilities – Finite Resources Broad set of stakeholders Federal Funding without Sustainability 2010 All Rights Reserved

7. © DHIN 2010 All Rights Reserved HITECH and Federal Requirements 2010 All Rights Reserved All States must implement the following functions under the State HIE Cooperative Agreement Program –Interstate Connectivity –Shared Directories –Electronic clinical laboratory ordering and results delivery –Prescription fill status and/or medication fill history –Electronic prescribing and refill requests –Clinical summary exchange for care coordination and patient engagement –Electronic public health reporting (i.e., immunizations, notifiable laboratory results) –Quality reporting –Electronic eligibility and claims transactions

8. © DHIN 2010 All Rights Reserved HIE – An Interstate Model

9. © DHIN 2010 All Rights Reserved The Case for Interstate Health Information Exchange Add data on cross state healthcare usage/expenditures Shared Directories Leveraged relationships with EHRs and reference labs Managed costs Speed to market Public Health Transitions of Care

10. © DHIN 2010 All Rights Reserved Hospital-sponsored community physician EHRs Smart Patient Personal Health Record (PHR), Patient Navigation Tools Fully Deployed Internal EHR EHR-enabled Specialists Practices with No EHR Loosely Affiliated Practices Tightly Aligned Practices Owned Practices/Clinics Hospitals Patients Payers/Employers Diagnostic Centers Community Pharmacy HEALTH INFORMATION EXCHANGE ACOs and Health Information Exchange Scottsdale Institute

11. Questions? Gina Perez (302) 678-0220 Gina.Perez@dhin.org