2Agenda Housekeeping – Meaningful Use HIE To-Do List for Practice Meaningful Use ReportsUpcoming MeetingsHelp Us Help YouGold Coast HIT Resource Center – Stage 2HIETo-Do List for Practice
3Meaningful Use Reports and Questions Send all MU reports toAll reports received the previous week will be addressed on the Tuesday, 9:30 am and 12:30 pm, Meaningful Use and Gap Analysis online meetingMU questions ahead of the call so that we can research them and have an answer readyStage 1 questions: – answered on Tuesday meetingsStage 2 questions: – answered on the monthly Meaningful Use Workgroup meeting, first Wednesday of each month
4Upcoming 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
5Help Us Help YouGold Coast has providers that are going to attest for Meaningful Use in 2013Tuesday Gap Analysis calls are critical to your successIf you are attesting for 90 days, somebody from the practice MUST attend one of the Tuesday calls every weekYou worry about right now, let us worry about your next steps
8Gold Coast HIT Resource Center – Stage 2 Vigilance Health is the new name for Gold Coast Health IT Resource CenterThe Gold Coast Health IT Resource Center will not go awayWe will continue to help enrolled providers with Stage 1 Meaningful UseVigilance Health is here to fill the gaps in support for current and emerging models of healthcareWe are your trusted technology advisor as you move forward
9Review from Last Time A quick review to refresh your memory Healthcare EcosystemWhat is HIE? What is Interoperability?What does HIE mean for me?
10(for Inpatients & Outpatients) Health Care EcosystemOver the counter prescriptionsPublic HealthFamily, Friend, Internet, TV, Radio, TwitterGeneralRadiologyCentersPharmacy & Pharmacy Benefits Mgmt.PatientHospitals(for Inpatients & Outpatients)Long TermCareDisease Control CentersPhysicians NetworkPT, Herbalist ChiropractorLab SystemsLabs & Imaging
11The Big Questions What is health information exchange? Ability to electronically access medical information when and where it is needed to make critical healthcare decisionsWhat is interoperability?Your systems connected to your referring network for your patients and business needs
12What Does HIE Mean For Me? Better information = better careReimbursement Tied to InteroperabilityTimely information about significant events related to your patient’s care (e.g. ER visits, filled prescriptions, etc.)New patient history in a usable formatImproved care transitionsBetter informed and engaged patientsGreater ability to prevent unnecessary readmissions and medical errorsAvoid penaltiesAssure EHR incentive paymentsEnables participation in:Shared savings initiativesPay for Performance incentives
13How Does HIE Work Operational vs. Technical What are the components of HIE?What are the capabilities?What is the limitations?
14How Does HIE Work? Operational Providers in the business network agree to share dataSystems linked togetherWhen patient is seen, relevant clinicians/directly to their EHRThe “aggregated” record is available as necessary and allowedTechnicalYour EHR connects to HIEHIE 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.)
15Goal: Fully Interoperable Healthcare System The Right Data at the Right Time to the Right People to Support Optimum Health OutcomesHIEPatient - PHRPharmacyPersonal Health RecordRadiologyPayersProvidersLaboratoryHospital
16Vigilance Core HIE Components The Right Data at the Right Time to the Right People to Support Optimum Health OutcomesHIEClinical DatabaseInterfacesPersonal Health RecordData WarehouseNotificationSecurityPortalsMaster Patient Index (MPI)Care Manager
17Interoperability Limited by EHR Capabilities Can your EHR create electronic order messages? Order from multiple labs? Order from multiple imaging centers?ProviderHIEInterfacesHL7?IHE?PracticeManagementSystemEHR
18What Does HIE Accomplish Patient-centric careJust as online banking collects all of your financial transactions in one place, the HIE collects all healthcare transactions for one patient in one placePrimary care physician is like the “main office” of the bankAlmost everyone else (specialists and hospitals) are like out-of- network ATMs – the data still goes to the main bankSensitive data still remains segregated and protected
19HIE 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
20Meaningful Use Goals Patient-centered medical practice Support Patient care quality, safety, efficiencyCare coordinationPopulation and public healthImproveEnsureAdequate privacy and security for personal health information
21View, Download, Transmit (VDT) Stage 2 Measures and HIEMeasure HIE FunctionTransition of Care>10% of transitions of care from acute Communicator for Direct Messagingenvironment have summaries transmitted Hospital Connect to populate healthvia direct summariesView, Download, Transmit (VDT)PHR populated for more than 50% of patients Communicator for VDT5% of patients view, download, transmit their Hospital Connect to populate health summariesinformation Ambulatory CCD integration to populate fromRequired for hospitals and physicians practicesSecure Messaging>5% of patients send a secure message Communicator for PHRRequired for PhysiciansResultsCore for EP: >55% electronic results Results delivered and received electronically
22The Classic HIE Challenge Copyright Sandlot Solutions Confidential
23Vigilance HIE is Powered by Sandlot Solutions Copyright Sandlot Solutions Confidential
24Exchange of Health Information Benefits of HIEAdoption of EHRsImproved Health OutcomesAbility to Study & Improve Care DeliveryIncreased Transparency & EfficiencyShared Savings from patient riskRemain viable and competitiveMeaningful Use of EHRsExchange of Health Information
25HIE Preparation Steps STEP 3 Determine which HIE has greatest overlap with your own list from Step 1STEP 1ID who you most need to receive data from and send data toLabHospitalsSpecialistsSurgery/Diagnostic CentersSTEP 2ID HIEs in your local areaPrivate HIEs (hospital, med groups, IPAs, etc.)Community HIEs (open to all providers)Colleagues’ HIE providers
26Get Help with Getting Ready for HIE 12:30PMHIE WorkshopFill out a form with the Step 1 InformationandGet your questions answered as you go!
27SurveyWe’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 PlansThe more vendors we are connected with, the more effective we will be in helping you!
28To-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 informedHave them us at
29Q & A / Thank You! Laura Landry Executive VP and Co-Founder For More Information, Please Contact:Laura LandryExecutive VP and Co-FounderTel: