Presentation on theme: "Inland Empire Health Information Exchange (IEHIE)"— Presentation transcript:
1Inland Empire Health Information Exchange (IEHIE) Past, Present and FutureDr. Richard Swafford, PhDExecutive DirectorIEHIE
2Past, Present and Future Overview of IEHIETimeline of IEHIE ActivitiesInitial Goals versus Current StatusCurrent ActivitiesFuture Activities
3IEHIE: A Regional HIEThe Inland Empire Health Information Exchange (IEHIE) covers the San Bernardino and Riverside Counties with a population of over 4.1 million.The IEHIE represents a large group of hospitals and medical centers, medical groups, IPAs and physician practices.The IEHIE operates as 501(c)3 under the Inland Empire EHR Resource Center.
4IEHIE MissionTo achieve continuity of care in the Inland Empire community by allowing providers and patients trusted, timely and secure access to patient health information.
5What is HIE: 40,000 Foot ViewHealth Information Exchange (HIE) is defined as the mobilization of healthcare information electronically across organizations within a region, community or hospital system.HIE provides the capability to electronically move clinical information among disparate health care information systems while maintaining the meaning of the information being exchanged.The goal of HIE is to facilitate access to and retrieval of clinical data to provide safer, more timely, efficient, effective, equitable, patient-centered care.
6Timeline of IEHIE Activities (2009) Apr 2009 – Riverside County Medical Association (RCMA) and Hospital Association of Southern California (HASC) bring together the Inland Empire Health Information Technology Consortia (IEHITC). Health Information Exchange (HIE) is the primary focus.Jul 2009 – IEHITC Founding Board adopted with 27 original membersSep 2009 – Financial model adopted that included fees for IEHITC membershipDec 2009 – Request for Information (RFI) issued for HIE Vendors and HIE Organizations.
7Timeline of IEHIE Activities (2010) Apr 2010 – Formal Leadership Group (LG) created and a RFP to hire a consultant is presented and approved. Funding model to pay for consultant is approved.Jun 2010 – Consultant selected – Object HealthSep 2010 – IEHIE IS BORN and becomes a project within the IEEHRC 501.c.3.Nov 2010 – RFP for HIE vendor is approved and sent to 22 HIE vendors. Governing Council (GC) is created and the first elections are accomplished. Subcommittees are also created within the GC.Dec 2010 – 5 HIE finalists are identified.
8Timeline of IEHIE Activities (2011) Jan 2011 – IEHIE Charter adopted and IEHIE Financial Model approved.Feb 2011 to Apr 2011 – HIE Vendor selection including demonstrations and site visits is accomplished.May 2011 – Orion Health selected and contract negotiations beginJul 2011 – Project Director contracted and pilot participants identified. Participation agreement finalized and sentSep 2011 – Orion Contract negotiations complete and IEHP announces funding of both countiesOct 2011 – IEEHRC Board approves IEHIE 5 year budget and sets financial target for contract signatureNov 2011 – IEHIE Executive Director hired.Dec 2011 – IEHIE web site and marketing materials approved and launched as well as the second GC elections
9Timeline of IEHIE Activities (2012) Jan 2012 – Orion contract signed and executed. Pilot launched with 14 pilot participantsFeb 2012 – IEHIE awarded CHCF GrantThat takes us up to today…
10Initial Goals Versus Current Status March 2012 Status:July 2009 IEHITCC Goals:Share information on a specific patient for the care of the patient.Fulfill requirements to receive stimulus fundsFacilitate sharing and reporting of dataDevelop a list of core data fields to shareOrganize Data in a way that is usableComply with Privacy RequirementsComply with Meaningful Use RequirementsEstablish Sustainability Model
14Current Activities Financial Model Self-sustaining model based on participant and member feesHospitals – Bed CountMedical Groups – Physician CountHealth Plans – Member LivesProject-specific grantsEx: CHCF Grant for HL7 ELINCS Lab Orders
15Savings Example - Alabama With a conservative estimate of savings in lab, imaging and ED visits, the benefits of HIE are staggering.
16Future Activities Three Phased Implementation approach: Phase 1: Spring 2012Clinical PortalPatient PortalSite ConnectivityPhase 2: Summer 2012Case Management: DiabetesOrdersPhase 3: Fall 2012ImagingEMR LiteeRXThree Phased Implementation approach:Each facility begins with Phase 1Facilities can be at any phase at any timeFuture expansion beyond 2012 availableModules beyond Phase 1 (Base HIE):Menu format for additional modulesPay as you goFees based on size are available